Dyspnea
Dyspnea
Breathing disorder – shortness of breath, cannot lay down flat, must sit up, must rise shoulders to breath, flapping of ala nazi, purple lips/tongue (pneumonia, chronic bronchitis, emphysema)
Etiology (causes):
1. External pathogen – invades lung blocking respiratory tract (acute dyspnoea)
2. Internal pathogens – fluid/phlegm retention blocking respiratory tract
3. Emotion- all seven emotions cause stagnation of Qi – causes fluid retention or blood stasis
4. diet- spleen produces phlegm, phlegm blocks function of lung 5. deficiency - Lung and Kidney def.
Differentiate between:
Excess - more acute onset, rise shoulders, loud, rough sounding,
Deficient - onset slow, difficult to inhale, inhale is shallow, fast respiration, quiet sounding, agg by activity,
Asthma - difficulty catching breath with
WEEZING (disease), Dyspnea - difficulty catching breath (symptoms)
Chinese Medicine Differentiation and Treatment
Wind Cold Fullness in chest, rising shoulder, aversion to cold, shivering, sneezing, cough, runny nose, watery mucus, slight or no fever, no sweating, no thirst Tongue - thin white coat Pulse - floating, tense
Principle of Treatment:: pungent warm herbs
Herbal Medicine Formula: Ma Huang Tang
External Cold, Internal Fluid Retention Fluid retention in chest, distended chest, copious sputum
Principle of Treatment:: warm lung, expel cold, transform fluids
Herbal Medicine Formula: Xiao Qing Long Tong
Phlegm Damp in Lung Cough with yellow phlegm and dyspnoea, fullness in chest, nauseous, Tongue - white greasy coating Pulse - slippery, rapid
Principle of Treatment:: eliminate phlegm and damp, promote lung function
Herbal Medicine Formula: Er Chen Tang, San Zi Yang Qin
Wind Heat Invasion Wind heat superficial symptom and dyspnoea
Principle of Treatment:: expel wind heat, promote lung function
Herbal Medicine Formula: Sang Jue Yin
Dry Heat in Lung Dry symptoms with dyspnoea, sore/dry throat, dry tongue, hoarse, fever Tongue - red, yellow coat P - rapid
Principle of Treatment: clear heat, lubricate lung
Herbal Medicine Formula: San Xing Tang
Accumulation of Phlegm Heat Full onset of Pneumonia, fever, thirst, yellow phlegm Tongue - thick sticky yellow coat Pulse - slippery, rapid
Principle of Treatment: clear heat, eliminate phlegm
Herbal Medicine Formula: Ma Xing Shi Gan Tang
Deficient Lung and Spleen Qi Shortness of breath, weak voice, bright white complexion, no appetite, loose stools, lung and spleen Qi deficiency signs Tongue - pale, puffy P - empty Principle of Treatment: Nourish spleen and Lung Qi
Herbal Medicine Formula: Bu Zhong Yi Qi Tang, Sheng Mai San
Kidney Yang Deficiency Shallow inhale, difficult to catch breath, kidney yang deficiency symptoms frequent urination, edema of lower extremities, coldness, cold/weak back Tongue - pale Pulse - deep
Principle of Treatment: warm up kidney yang Qi
Herbal Medicine Formula: Shen Qi Wan Kidney Yin Deficiency Reproductive system deficient symptoms, dry mouth at night, night sweats T- red, peeled Pulse - thin, rapid
Kidney Yin Deficiency
Principle of Treatment: nourish kidney yin
Herbal Medicine Formula: Liu Wei Di Huang Wan
Essence - Qi Wei Du Qi Wan Gasping - He Che Da Zao Wan
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