Cough
Bronchitis / Cough is due to lung Qi up surging, the Qi can't descend meaning the lung cannot complete it's descending function. Ke Sou can be caused by both external pathogens and internal pathogens
Internal: - slow onseTongue - may be induced by anger
External: - quick onseTongue - agg. by wind and cold - joint and muscle aching.
Etiology (causes):
1. Heat - thirst and/or fever, constant continual cough
2. Dry- itchy throat with dry symptoms
3. Damp - aching joints, heavy body, foggy in head
4. Yin deficient - dry hacking cough, hoarseness, sticky phlegm
5. Qi deficient - weak cough, large amount of thin phlegm
Distinguish between: Pulmonary Tuberculosis: - cough blood, chest pain, tidal fever, Asthma- wheezing cough, lung distension, breathing difficult
Chinese Medicine Differentiation and Treatment
Wind Cold Cough with white thin phlegm, superficial syndrome, tickle in throat Tongue - thin white coat Pulse - floating / tense
Principle of Treatment: expel wind cold, promote lung function, disperse lung Qi to relieve cough.
Acupuncture points - hand Taiyin and Yangming, LU 7, LI 4, BL 13 (disperse Lung Qi, relieve cough), SJ 5 - superficial symptoms - BL 11,12 (Moxa and cupping) - headache - GB 20, Du 23 - body and limbs aching - BL 60, LI 7 - Phlegm - ST 40
Herbal Medicine Formula: Xing Su San, Jin Fuo Cao San
External Cold with Internal Heat Heavy hacking cough, thick phlegm, chest pain, thirst, sore throat Tongue - white greasy yellow coat Pulse - rapid, tense
Principle of Treatment: Expel cold and clear heat
Herbal Medicine Formula: Ma Xing Shi Gan Tang
Cool Dry Dry cough, dry nose, dry mouth, dry throat, superficial wind cold symptoms, no sweat. T - dry coating Pulse - floating, tense
Principle of Treatment: expel wind-cold, moisten lung to relieve cough
Herbal Medicine Formula: Xing Su San
External Fire Loud, dry cough, scanty bloody phlegm, thirst, red complexion, chest/hypochondriac pain, constipation, red tongue Tongue - red Pulse - forceful, rapid
Principle of Treatment: Purge lung fire, induce bowel movement
Herbal Medicine Formula: Liang Ge San
Phlegm Damp Cough with large amount of phlegm(white/sticky), fullness in chest, poor appetite, fatigue Tongue - greasy white coating Pulse - slippery, soft
Principle of Treatment: Invigorate spleen, dry dampness, promote lung Qi to eliminate phlegm.
Acupuncture points - hand foot Taiyin, LU 9, BL 13 (regulate LU Qi), BL 20, SP 3 (relieve cough), ST 40 - poor appetite - PC 6, ST 36
Herbal Medicine Formula: Er Chen Tang Excess Phlegm - San Zi Yang Qin Tan
Wind Heat Thick yellow sticky phlegm, dry mouth, sore throat, fever, H/A, aversion to wind, nasal discharge, (sweating) Tongue - tip/sides red Pulse - floating, rapid
Principle of Treatment: expel wind, clear heat and descend Qi by promoting lung function to relieve cough.
Acupuncture points - hand Taiyin and Yangming, Du, induce sweat, LI 11 (expel Wind Heat), BL 13, bleed LU 5, Du 14 - sore throaTongue - bleed LU 11, LI 1 - copious cough - Ren 22, ST 40 Herbal Medicine Formula: Yin Chao San, Sang Jue Yin
Wind Damp-Heat Thick yellow sticky phlegm, dry mouth, sore throat, fever, H/A, aversion to wind, nasal discharge, sticky sweat
- MORE PHLEGM, TIGHT/FULL CHEST T - greasy white Pulse - soft, rapid
Principle of Treatment: expel wind, clear heat, expel dampness and descend lung Qi by promoting lung function to relieve cough.
Herbal Medicine Formula: With Summer HeaTongue - Ching Hao / Xiang Ru
Warm Dryness - Small amount of phlegm (sticky, possible blood spots), dry mouth, nose, throat, nose bleed, chest pain, aversion to wind, fever, H/A Tongue - tip/sides red, thin yellow dry coat Pulse - thin, rapid
Principle of Treatment: clear lung heat, moisten dryness, expel wind to relieve cough
Acupuncture points - hand Taiyin, foot Shaoyin, neutral stimulation, KI 3 (moisten LU), BL 13, KI 6, LU 7 (all for throat/chest/Lung disorders) - blood in Phlegm - LU 6, SP 10
Herbal Medicine Formula: Sang Xing Tang *diet-pears lubricate dry lung.
Phlegm Heat Yellow thick sticky phlegm, chest fullness, dry mouth bitter taste in mouth, sore throat Tongue - red, yellow greasy Pulse - slippery, rapid
Principle of Treatment: Clear heat, eliminate phlegm, promote lung function
Acupuncture points - hand Taiyin and Yangming, LU 5, 7, BL 13, ST 40 (Phlegm), LI 11 (heat)
Herbal Medicine Formula: Qing Jing Hua Tang
Liver Fire Cough (liver qi stagnation turns into fire attacking lung), Cough fresh blood, agg by anger/stress, moving pain in chest/hypochondria Tongue - red, yellow coat Pulse - wiry, rapid
Principle of Treatment: purge lung and liver fire
Acupuncture points - foot Jueyin, hand Taiyin, LU 5, BL 13, GB 34 and LR 3 (dry throat), KI 6, LU 6
Herbal Medicine Formula: Dai Ge San, Xie Bai San
Yin Deficiency Dryness, evening dry cough, little/no phlegm, dry symptoms, night sweat Tongue - red Pulse - thin, rapid
Principle of Treatment: nourish lung yin, lubricate lung
Acupuncture points- LU 1, BL 13, 23 (nourish LU KI Yin), LU 5, KI 6 (Yin deficient heat), KI 3, LU 9 (nourish LU KI) - night sweats - SI 3 - tidal fever - LI 11 - 5 centre heaTongue - PC 8, KI 1, BL 43
Herbal Medicine Formula: Er Dong Tian Meng Dong
Lung Qi Deficiency Weak cough, low voice, shortness of breath, thin phlegm, easily catch cold all year, aversion to cold, spontaneous sweat. Tongue - pale, thin, white Pulse - weak
Principle of Treatment: nourish Qi, transform phlegm
Acupuncture points - hand Taiyin, foot Yangming, LU 9, BL 13, LU 7, ST 36, Ren 6 - fullness, shortness of breath - Ren 17, PC 6 - wheezing - ding chuan
Herbal Medicine Formula: Bu Fei Tong
Yang Deficiency (originates as sp/kd deficiency), Cough with watery frothy clear phlegm, palpitation, dizziness, edema, averion to cold Tongue - swollen purple, white coat Pulse - deep, slippery
Principle of Treatment: Warm up spleen, kidney yang, eliminate water, expel cold
Herbal Medicine Formula: Zhen Wu Tang
Alternative Treatment Methods
auricular -LU, trachea, bronchi, shenmen, *medium stimulation
7 star - Du and Lung meridian, upper chest
injection - Ren 17, LU 1, LR 2, BL 11, 12, 13, GB 21, ding chuan, ST 36, ST 40 chronic cough should be treated in mid summer with 16 % Bai Fu Zi, 48 % Yang Jin Hya Ye
