（27-28题共用题干）患者，女。右鼻流浊涕4天。晨起多，下午少,伴鼻塞,嗅觉减退，头痛头胀，纳差，脘腹胀满，小便黄。检查见舌质红，苔黄腻，脉濡。右内眦根部有叩击痛，右嗅裂可见脓涕。此病的病因病机为

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