A healthy person has numerous defense mechanisms that
protects against invasion of micro-organisms. These host defense mechanisms
include natural barriers (i.e., skin), non-specific immunity (i.e., phagocytic
cells) and specific immunity (i.e., antibodies). However, if the host defenses
are defective or becomes disrupted, the micro-organisms may enter and affect
various parts of the body. While infection may occur at any parts of the body,
infection of the head is relatively common as the openings in the head (i.e.,
ear, nose and throat) directly connect the body to the outside world, and
therefore, are often the first places affected by micro-organisms. Thus,
optimal treatment of infective disorders affecting the ear, nose and throat
requires use of treatment agents to kill the micro-organisms and preventative
agents that block the spread of the infection.
Herbal ENT is designed to
treat wind, heat, and toxin invasion to the head region, leading to symptoms
such as severe sore throat, redness and swelling of the face and head,
difficulties opening the eyes, swollen glands, ear infection, and thirst. It
contains herbs with actions to clear heat and eliminate toxins.
Huang Qin (Radix Scutellariae) and Huang Lian (Rhizoma Coptidis), the
chief herbs of this formula, are used to clear heat in the head and eliminate
toxins. Niu Bang Zi (Fructus Arctii), Lian Qiao (Fructus Forsythiae), and Bo He (Herba Menthae) disperse the
accumulation of the wind-heat factor in the head. They are all crucial herbs in
the treatment of sore throat. Xuan
seu Calvatia) and Ban
Lan Gen (Radix Isatidis) clear heat and eliminate toxins. Ma Bo (Lasiosphaera seu Calvatia) is
especially effective for severe sore throat with difficulty to swallow. Jie
Geng (Radix Platycodonis), Zhe Bei Mu (Bulbus Fritillariae
Thunbergii) and Gan
Cao (Radix et Rhizoma Glycyrrhizae) have a synergistic effect to
soothe sore throat, thus helping the heat-clearing herbs. Xuan Shen (Radix Scrophulariae), besides
benefiting the throat, also prevents the heat-clearing and dampness-drying
herbs from injuring the yin. Jie
Platycodonis) also has an expectorant effect to bring out the sputum and
prevent the spread of the infection deeper into the body. Chen Pi (Pericarpium Citri Reticulatae)
descends Lung qi, relieves cough and eliminates phlegm. Finally, besides
dispersing the wind-heat factor, Chai
Bupleuri), acts as a guiding herb to bring the other herbs upward to the
head region, where the condition is most critical.
* This formula is contraindicated
during pregnancy and nursing.
* This formula should be used with
caution in those with loose stools or diarrhea caused by Spleen qi deficiency.
Take this formula after meals in patients who have a weak digestive system.
* Use this formula with caution in
cases of yang and qi deficiencies.
the condition does not improve after seven days, modification of the treatment
may be necessary.
is no evidence thus far that use of heat-clearing herbs may permit secondary
infections to arise (as is the case with antibiotic drugs). However, those who
have recurrent infections should take acidophilus prophylactically, especially
if they have a history of repeated antibiotic drug usage.
* Herbal ENT is stronger than Lonicera Complex in the treatment of
wind-heat invasion. It is used in cases where there is severe sore throat
accompanied with other wind-heat symptoms.
* Herbal ENT incorporates numerous antibiotic herbs for two important reasons.
First, the use of multiple herbs within an herbal formula has been shown to
increase the antibiotic effect more than tenfold. Second, isolated use of
single ingredients is often ineffective and increases the risk of development
of bacterial and viral resistance. Given these two reasons, it is
necessary to combine herbs with appropriate properties to ensure effectiveness
in treating the infection and minimizing the potential risk of the micro-organisms
developing resistance and/or mutation.
with encephalitis or meningitis should be sent to the emergency room for
immediate medical treatment. Warning signs and symptoms of encephalitis or meningitis
include fever, headache, stiff neck, sore throat, vomiting, and mental
confusion. In addition to soreness, the stiffness is also characterized by
severe pain with gentle taps to the neck, and extreme stiffness and immobility
when the patient tries to lower the chin to the chest.
Diagnosis by Dr. Jimmy Wei-Yen Chang:
* Upper respiratory viral infection: deep
and weak pulse on the right cun
* Upper respiratory bacterial infection:
superficial and forceful pulse on the right cun
* Lower respiratory infection: Yangwei
pulse, a pulse extending distally from the cun position towards the
thumb on the right hand. It is one of the eight extra meridian pulses.
* For common cold or influenza with sore
throat, combine with Lonicera Complex.
* For sinus infections, use with Magnolia Clear Sinus or Pueraria Clear Sinus.
* For respiratory tract infections, add Respitrol (Heat) or Respitrol (Cold).
* For yellow or greenish phlegm due to
respiratory tract infections, use with Pinellia XPT.
more damp and phlegm in the body, add Pinellia Complex.
enhance the antibiotic effect, add Herbal ABX.
enhance the antiviral effect, add Herbal AVR.
more inflammation, add Astringent Complex.
high fever and excess heat in the body, add Gardenia Complex.
headache, add Corydalin (AC) or Corydalin (CR).
severe infectious mononucleosis with swollen lymph nodes, add Resolve (AI).
severe suppurative otitis media, add Gentiana Complex.
constipation, add Gentle Lax (Excess).
* Middle ear infection: Fengchi (GB 20), Yifeng (TH 17), Tinggong (SI 19), Hegu (LI 4), Waiguan (TH 5), Zulinqi (GB 41), Shenshu (BL 23), Quchi (LI 11)
Feishu (BL 13),
Hegu (LI 4),
Quchi (LI 11),
Shangyang (LI 1),
Lingtai (GV 10)
Shaoshang (LU 11),
Quchi (LI 11),
Yingxiang (LI 20)
* Sore throat:
Tinghui (GB 2), Yifeng (TH
17), Jiache (ST 6),
Hegu (LI 4), Lieque (LU 7), Fenglong (ST 40), Jiexi (ST 41), Shaoshang (LU 11), Jiaosun (TH 20)
Shaoshang (LU 11), Hegu (LI
4), Neiting (ST 44),
Tianrong (SI 17)
Master Tung's Points:
Throat infection: Houjian (T 44.29)*, Linggu (T 22.05), Chongzi
(T 22.01), Chongxian (T 22.02), Yizhong (T 77.05), Erzhong (T 77.06), Sanzhong
(T 77.07), Zusanli (ST 36), Hegu
(LI 4), Tongshen (T 88.09), Tongwei (T 88.10), Tongbei (T 88.11). Bleed Shaoshang
(LU 11) and also dark veins nearby Yinlingquan
(SP 9) to Xuehai (SP 10), Quling (T 33.16), Cesanli (T 77.22), Cexiasanli
(T 77.23) and the throat. Bleed before needling for best result.
Tonsillitis: Sanjian (LI 3), Mu
Qihu (T 77.26), Waisanguan (T 77.27), Xinling
(T 33.17)*, Yizhong (T 77.05), Erzhong (T 77.06), Sanzhong (T 77.07), Hegu (LI 4), Linggu (T 22.05), Dabai (T 22.04), Tushui (T 22.11),
Shiyin (T 88.32), Cesanli (T 77.22), Zuqianjin (T 77.24). Bleed Shaoshang (LU 11) and also dark veins nearby Yinlingquan (SP 9) to Xuehai
(SP 10). Bleed before needling for best result.
Middle ear infection: Wanshunyi (T 22.08), Linggu (T 22.05), Fugesan
(T 44.30)*, Yizhong (T 77.05), Erzhong (T 77.06), Sanzhong (T 77.07), Huoying
(T 66.03), Tianhuangfu [Shenguan] (T
77.18). Bleed dark veins nearby 2 cuns
above the lateral malleolus. Bleed before needling for best result.
(T 22.05), Yizhong (T 77.05), Erzhong (T 77.06), Sanzhong (T 77.07), Shangquan
(T 88.22), Zhongquan (T 88.21), Xiaquan (T 88.20), Waisanguan (T 77.27). Bleed Shaoshang (LU 11). Bleed before needling for best result.
* Influenza or common cold: Fugesan (T 44.30)*, Linggu (T 22.05), Hegu (LI 4), Ganmaoyi (T 88.07), Ganmaoer (T 88.08), Fugesan
(T 44.30)*, Huofuhai (T 33.07), Mu (T 11.17)
Tung’s Points by Dr. Chuan-Min Wang:
* Ear, nose, throat infection: Needle Dabai
(T 22.04), Sanchasan (T 22.17)*. Bleed Yuji (LU 10), Shaoshang
Method by Dr. Richard Tan:
side: Tianjing (TH 10), Quchi
(LI 11), ah shi points from Yanggu
(SI 5) to Yanglao (SI 6), Yingu (KI 10), Ququan (LR
8), Yinlingquan (SP 9)
side: Quze (PC 3), Shaofu
(HT 8), ah shi points from Taiyuan (LU 9) to Yuji (LU 10), Yanglingquan (GB 34), Zusanli (ST 36), Weizhong (BL 40)
Medicine by Dr. Li-Chun Huang:
* Otitis media: Internal Ear, External
Ear, Temple, San Jiao, Endocrine,
Spleen, Adrenal Gland. Bleed Ear Apex. Bleed Helix 5.
* Earache: Lesser Occipital Nerve, Large
Auricular Nerve, Auriculotemporal Nerve, corresponding points (to the area of
pain). Bleed Ear Apex and Helix 5.
* Sore throat: Pharynx, Larynx, Glottis,
Mouth, Lung, Endocrine, Trachea. Bleed Ear Apex.
* Tonsillitis: Tonsil, Trachea, Throat,
Larynx and Teeth, Mouth. Bleed Ear Apex and Helix 6.
* Acute laryngeal pharyngitis: Pharynx,
Larynx, Mouth, Sanjiao, Endocrine,
Teeth, Trachea. Bleed Ear Apex.
* Chronic laryngeal pharyngitis: Larynx,
Pharynx, Lung, Teeth, Trachea, Spleen, San
Jiao, Endocrine. Bleed Ear Apex.
* Erysipelas: Lung, Allergic Area, Liver,
Spleen, Adrenal Gland, Endocrine. Bleed Ear Apex.
or beverages that are cool or cold in nature should be consumed. Among these
are watermelon, lotus nodes, melon, seaweed, cranberries, celery, cucumber,
cactus and winter melon.
plenty of water and urinate often.
supplementation with vitamin C and B complex.
intake of nourishing, cooling foods/roots such as Mexican yam, yam, radishes,
potatoes, carrots, melons, cucumbers, beets, turnips, malanga, celeriac, taro, and
spicy/pungent/aromatic vegetables such as pepper, garlic, onions, basil,
rosemary, cumin, funnel, anise, leeks, chives, scallions, thyme, saffron,
wormwood, mustard, chili pepper, wasabi.
spicy, fried or greasy foods.
Tao of Nutrition by Dr. Maoshing Ni and Cathy McNease:
* Chronic sinusitis or rhinitis
§ Recommendations: ginger,
green onions, magnolia flower, bananas, garlic, black mushrooms, chrysanthemum
flowers, mulberry leaves, and apricot kernel.
§ Avoid coffee and stop
* Sore throat
§ Recommendations: carrots,
olives, daikon, celery, seaweed, licorice, Chinese prunes, cilantro, and mint.
Drink a lot of water and gargle with warm salt water.
§ Avoid alcohol, smoking,
pollution, sleeping with the mouth open, stimulating or spicy foods, and fatty
is important to build up a strong immune system. When not suffering from an
infection, exercise regularly, take a short cold shower following a hot shower,
and ingest tonic herbs to enhance the immune system.
rest is essential for recovery. Stay away from wind by putting on more
clothing. Individuals with infection should rest and recover in a separate room,
to prevent spreading germs to other people. Ventilate the patient’s room
frequently – but make sure the patient is kept warm.
smoking and drinking, which weaken the immune system.
inhalation heals the throat, nasal passages, and bronchial tubes. During the
acute phase, inhale the steam vapor for 15 minutes three times daily. During
the chronic phase, inhale the steam vapor for 15 minutes before going to bed.
a 26-year-old female, presented with multiple symptoms of sore throat, fever,
and slight sweating. Additional symptoms included sinus and chest congestion as
well as headache and thirst. The TCM diagnosis was wind-heat obstructing the
upper jiao with qi stagnation. For
treatment, Herbal ENT was prescribed. She was a very active individual in
an inhospitable climate where her symptoms had shown injury to her protective
qi and body fluids. After taking the Herbal ENT for a week, the symptoms
vanished. Submitted by H.C., Sydney, New York.
a 45-year-old female, presented with pain in her left ear which became worse
with any manipulation. Other symptoms included pain during swallowing and runny
nose. Objective findings included redness and inflammation on the ear canal,
yellow thick mucous, and redness on the throat. The practitioner diagnosed this
condition as damp-heat in the upper jiao;
Western diagnosis was upper respiratory infection. For treatment, Herbal ENT was prescribed. The patient experienced relief of symptoms after
one week. She was able to experience more rest without the pain and her
breathing had improved. Submitted by S.R., Waterbury, Connecticut.
a 36-year-old male, presented with a combination of symptoms, including fever,
chills, sore throat, and malaise. He was also experiencing ear pain and sinus
congestion. It was also noted that the patient was allergic to sulfur drugs and
was weary of taking Western medication. Pulse was superficial and rapid; tongue
was swollen with a red tip. The practitioner diagnosed this condition as toxic
heat. His Western diagnosis was laryngitis. After taking two bottles Herbal ABX and Herbal ENT, the patient’s symptoms had resolved. He still
continued to use Herbal ABX periodically as it had worked well for him.
Submitted by V.G., Virginia Beach, Virginia.
PHARMACOLOGICAL AND CLINICAL RESEARCH
Herbal ENT contains many herbs with wide-spectrum antibiotic effects to treat
a wide variety of infectious disorders, including bacterial, viral or fungal infections. Furthermore, it also
contains several herbs that address the related symptoms of infection that
affect the upper parts of the body, such as fever, swelling, inflammation, and
Many herbs in this formula have
excellent antibiotic effects, including but not limited to Huang Qin (Radix Scutellariae), Huang Lian (Rhizoma Coptidis), Xuan Shen (Radix Scrophulariae), Lian Qiao (Fructus Forsythiae), Chai Hu (Radix Bupleuri), Ban Lan Gen (Radix Isatidis),
and Niu Bang Zi (Fructus Arctii).
Among these herbs, Huang
Scutellariae) and Huang
Coptidis) are generally considered as the most potent herbal antibiotics,
as they are effective against micro-organisms such as Bacillus anthracis, Bacillus dysenteriae, Bacillus
proteus, beta-hemolytic streptococcus, Bordetella pertussis, Corynebacterium diphtheriae,
Diplococcus meningitidis, Diplococcus pneumoniae, E. coli,
Mycobacterium tuberculosis, Pseudomonas aeruginosa, Salmonella
typhi, Staphylococcus aureus, Vibrio cholerae.
Furthermore, berberine, a
compound found in Huang
Coptidis), showed antimicrobial activity against numerous strains of
beta-lactam-resistant Staphylococcus aureus and methicillin-resistant Staphylococcus aureus (MRSA).
Berberine markedly lowered the minimum inhibition concentrations of ampicillin
and oxacillin against MRSA. Berberine and ampicillin exhibited an additive
effect, and berberine and oxacillin showed a synergistic effect against MRSA.
These results suggest that berberine may have antimicrobial activity and the
potential to restore the effectiveness of beta-lactam antibiotics against MRSA.
Lastly, in addition to having an antibacterial effect, these herbs also
illustrated antiviral, antifungal and antimicrobial
activities against a variety of organisms including bacteria, cariogenic
bacteria, viruses, fungi, protozoans, helminths, chlamydia, and
In addition to treating the infection, Herbal ENT also contains many herbs that treat the related symptoms of
infection. Huang Qin (Radix Scutellariae), Huang Lian (Rhizoma Coptidis), Chen Pi (Pericarpium Citri Reticulatae),
Jie Geng (Radix Platycodonis) and Lian Qiao (Fructus Forsythiae) all
have anti-inflammatory effects to reduce swelling, relieve inflammation, and
alleviate pain.,,,, Huang Qin (Radix Scutellariae) and Huang Lian (Rhizoma Coptidis) also
have antipyretic effects to reduce fever.,
In regards to clinical applications,
herbs in this formula have been used effectively to treat disorders such as
common cold, tonsillitis,
suppurative otitis media,
respiratory tract infection,
upper respiratory tract infection,
pulmonary tuberculosis, and severe acute respiratory syndrome (i.e.,
Herbal ENT is an
excellent herbal antibiotic formula that treats infection and inflammation in
the upper parts of the body. Clinically, it may be used for bacterial, viral or
fungal infections. Its indications include treatment of ear, nose, throat and
of antibiotic drugs is one of the major breakthroughs in modern medicine. It
enables doctors to effectively treat many different types of infections.
Unfortunately, decades of misuse and abuse have led to growing problems of
bacterial mutation and resistance. At this moment, many of these “super bugs”
can only be treated with the newest and most potent antibiotic drugs, and
unfortunately, many of them have potent side effects as well. Due to the number
of antibiotic drugs, and the various species of micro-organisms, it is beyond
the scope of this monograph to discuss the benefits and risks of each
individual drug. As a category, antibiotic drugs are extremely effective
against most types of bacterial infections. The key points are to select the
correct antibiotic drug with least potential side effects, and make sure that
the patient finishes the entire course of therapy.
Herbs are also extremely effective for
treatment of various infections. In fact, many modern pharmaceutical drugs were
originally derived from natural sources, including penicillin [the oldest
antibiotic] and gentamicin [one of the most potent]. One of the main benefits
of using herbs is their wide spectrum of antibiotic effect, with indications
for bacterial, viral and fungal infections. Furthermore, most of these herbs
are extremely safe, and do not have the same harsh side effects as drugs.
Both drugs and herbs are effective to
treat mild to moderate cases of bacterial infections. However, drugs are more
appropriate for life-threatening infections, such as meningitis or encephalitis,
because drugs are more immediately potent and can be prescribed with more
laboratory precision (via cultures and sensitivity tests). On the other hand,
use of herbs is far more effective than drugs for treating certain viral
infections, such as the common cold and influenza, as drugs are essentially
ineffective for these conditions. Most importantly, herbs are much gentler to
the body and safer than drugs. In other words, herbs treat infection without
damaging the patient’s underlying constitution. This allows the patient to recover
faster, and become more resistant to re-current or secondary infections.