Tcm Pathology 2

Front 1

Upper burner patterns

Back 1

...wind heat in lung wei qi level
...heat in. Lungs (qi level)
...heat in PC (ying level)

Front 2

Middle burner patterns

Back 2

...heat in yang Ming (qi level)
...damp heat in SP (qi level)

Front 3

Lower burner patterns

Back 3

...heat in KD (ying/xue level)
...liver heat stirs wind (xue)
...liver empty wind (xue)

Front 4

Blood level sx

Back 4

Includes ying level sx
...convulsions
...bleeding sx
...tongue: deep red or purple body,
no coat
...pulse: rapid/wiry

Front 5

Blood level causes...

Back 5

*heat victorious agitates blood
*heat victorious stirs wind
*empty wind agitates interior
*collapse of yin
*collapse of yang

Front 6

Wen bing

Back 6

Four levels
Triple burner

Front 7

Causes of qi level heat

Back 7

*lung heat
*ST heat
*heat in diaphragm
*LI dry heat
*gallbladder heat
*ST + SP damp heat

Front 8

Qi level sx

Back 8

*high fever with aversion to heat
*profuse sweat
*excessive thirst/want cold drink
*t: red body w/yellow dry coat
*p: slippery + rapid (full)

Front 9

Frmula for wind heat attacking wei level (lung sl. Effected)

Back 9

Yin qiao san:
Jin yin hua, lian qiao, jie geng, niu bang zi, Bo he, dan dou chi, jing jie, dan zhu ye, Lu gen, gan cao

Front 10

Formula for wind heat attacking lung

Back 10

Sang ju yin:
Sang ye, ju hua, lian qiao, Bo he, jie geng, xing ren, Lu gen, gan cao

Front 11

Wind cold/ Shang Han disease enters...

Back 11

Thru back neck, skin, tai yang

Front 12

Wind heat/ wen bing disease enters...

Back 12

Nose + mouth

Front 13

Ying level causes...

Back 13

*heat in PC
*heat in ying qi

Front 14

Ying level sx

Back 14

*high fever, wrse @nite
*insomnia, mental restlessness, occasional delirium
* thirst, little desire to drink
* skin rash/maculopapular rash
* t: deep red body w/peeling yellow coat
* p: thin + rapid

Front 15

Wind heat attacking Wei qi level sx

Back 15

*sore throat
* fever, slight chills, h.a, runny nose yellow discharge, cough, mild sweat, slight thirst, tongue red tip or ide, thin white coat, floating/rapid pulse

Front 16

Wei level patterns

Back 16

Wnd heat + autumn wind dryness (sang xing tang, xing su San)

Front 17

Wen bing basic theory

Back 17

*early stages like wind heat
*always fever
*they are infectious
*enter via nose - mouth
*path factor particularly strong
*w/h has tendency to become interior heat
* once interior, strong tendency for heat to dry up body fluids

Front 18

tx of ext. invasions is essential because....

Back 18

they can have very serious consequences in children + the elderly (ext. wind can easily penetrate int. causing bronchitis + pneumonia - often fatal)

Front 19

while tcm may not stop warm pathogen diseases @ ext. level, it can....

Back 19

*alleviate symptoms
*shorten course
*prevent transmission to ying/xue
*prevent complications + formation of residual pathogenic factors

Front 20

examples of warm pathogen diseases....

Back 20

SARS, avian flu, measles, chickenpox, some influenza's, german measles, poliomyelitis, smallpox, scarlet fever, whooping cough, meningitis
(strong tendency to enter qi level very quickly causing chest infections)

Front 21

not all diseases caused by wind heat are warm pathogen diseases.....

Back 21

ie. common cold, some types of flu, mononucleosis

Front 22

for first time in chinese medicine, wen bing recognized that....

Back 22

some external pathogenic factors are infectious

Front 23

herbal formula for jue yin

Back 23

wu mei wan (mume pill)
*chuan jiao, xi xin, gui zhi, fu zi, gan jiang, huang lian, huang bai, ren shen, dang gui, wu mei

Front 24

jue yin sx

Back 24

*vomiting (possibly roundworms)
*cold limbs or lower body
*sensation of qi rising to chest
*chest discomfort with warmth
*hunger: no desire to eat
*persistent thirst

Front 25

herbal formula for shao yin heat pattern

Back 25

*huang lian e jiao tang
*Huang lian, huang qin, e jiao, bai shao yao, ji zi huang (egg yolk)

Front 26

shao yin heat sx

Back 26

*insomnia
*irritability
*dry mouth + throat
*scanty dark yellow urination
*night sweats
*T: red tip or red overall with little or no coat
*P: thin + rapid

Front 27

herbal formula for shao yin cold pattern

Back 27

*si ni tang
*fu zi, gan jiang, zhi gan cao

Front 28

shao yin cold pattern sx

Back 28

*aversion to cold, cold limbs
*listlessness
*somnolence
*diarrhea w/undigested food
*copious clear urine
*no thirst
*T: pale
*P: weak, deep, slow

Front 29

types of shao yin patterns

Back 29

cold
heat

Front 30

herbal formula for tai yin disease

Back 30

*li zhong wan
*ren shen, gan jiang, bai zhu, zhi gan cao

Front 31

tai yin sx

Back 31

*abdominal fullness
*abdominal pain
*diarrhea, nausea, vomiting
*no thirst
*no interior heat
*T: pale w/white sticky coat
*P: slow + weak
*shen: low energy, fatigue

Front 32

causes of tai yin disease

Back 32

*tai yang stage progressing to tai yin
*inappropriate tx of tai yang, forcing it into tai yin
*strong pathogen bypass ext + directly invade tai yin
*In all cases SP +ST will be xu, + int. cold + damp present

Front 33

herbal formula for yang ming fu (organ)

Back 33

*da cheng qi tang
*da huang, mang xiao, hou po, zhi shi

Front 34

yang ming fu (organ) sx

Back 34

*4 bigs +
*constipation
*fever worse in afternoon
*abdominal distention
*T: dry thick yellow coat
*P: excess

Front 35

herbal formula for yang ming channel disease

Back 35

*Bai hu tang
*shi gao, zhi mu, jing mi, zhi gan cao

Front 36

yang ming ch. pattern sx:

Back 36

4 BIGS
*fever
*thirst
*sweat
*pulse (excess)
(red face, no aversion to cold)
T: red body w/thick yellow coat or dry coat

Front 37

herbal formula for shao yang

Back 37

*xiao chai hu tang
*chai hu, huang qin, ban xia, ren shen, sheng jiang, da zao, zhi gan cao

Front 38

shao yang sx

Back 38

*alt chills + fever
*bitter taste
*blurred vision
*nausea, vomiting, poor appetite, st ache
*pain in hypochondriac region
*irritability, heart vexation, irregular ht beat
*T: sides more red mixed yellow + white or unilateral coat
*P: wiry

Front 39

cold damage shang han vs. wind strike zhong feng

Back 39

shang han: no sweat, floating + tight, ma huang tang
zhong feng: sweating w/out relief of sx, floating moderate (weak ying qi), gui zhi tang

Front 40

tai yang wind strike zhong feng sx

Back 40

fever + chills w/aversion to wind, sweat, h.a., T: normal body w/thin white coat, P: floating, moderate

Front 41

shang han cold damage sx

Back 41

fever + chills w/aversion to cold, no sweat, h.a, arthralgia, general aching, T: normal w/thin white c
P: floating + tight

Front 42

who wrote shang han lun during Han dynasty (220 ce)

Back 42

zhang zhong jing

Front 43

six stage transmissions

Back 43

*T along channels (chuan jing)
favorable (sequential) or unfavorable (non sequential)
*simultaneous. T. along 2 or 3 ch (he bing)
*initial sequen trans leading to simult. transmission (bin bing)
*Tdirectly to yin ch (zhi zhong)

Front 44

essential sx of tai yang stage

Back 44

*aversion to cold or shivering w/fever or feeling of warmth
*occipital h.a. +/or stiff neck
***floating pulse

Front 45

Găn Mào

Back 45

*Caused by attack of exogenous pathogenic Wind.
The underlying pathologies are:
*failure of Wei Qi to consolidate the surface of the body
*failure of the Lung Qi to disperse and descend
*More common in winter and spring

Front 46

Găn Mào: Etiology and Pathogenesis

Back 46

External Factors:
*Exogenous Pathogenic Factors: Wind is the main cause of the common cold; it usually combines with Cold, Heat, and Summer Heat-Dampness (Dryness too, though this usually results in cough being the chief complaint/TCM disease)
*Internal Factors:
Aging, congenital deficiency, chronic illness, overwork, emotional strain, poor diet: weakened zheng qi results in failure of Lung Qi to disperse; as a result, Wei Qi fails to consolidate the surface, making a person susceptible to attack by exogenous pathogenic factors. SP and KI deficiency can play a role too.

Front 47

Găn Mào theoretically...

Back 47

*Theoretically, Wind-Cold is most common in autumn and winter; Wind-Heat in spring and summer, and Wind with Summer Heat-Dampness in the late summer.

Front 48

epidemic cold

Back 48

Epidemic cold is caused by epidemic pathogenic factors that are highly contagious (lì qì = pestilential qi)

Front 49

Găn Mào : W/C pts/herbs

Back 49

LI4, LU7, GB 20, BL12, GV16
ma huang tang OR

Jing Fang Bai Du San:
jing jie, fang feng, qiang huo, du huo, chai hu, qian hu, chuan xiong, zhi shi, fu ling, jie geng, gan cao

Front 50

Găn Mào : W/H pts/herbs

Back 50

LI4, LI11, TB5, GV14, LU10, LU11
yin qiao

Front 51

Găn Mào: summer/heat dampness sx

Back 51

Main Symptoms: unsurfaced fever*, aversion to cold, headache with a heavy sensation (as though head were tightly bandaged), aching and heaviness in the limbs and joints; distention and fullness in the epigastrium and abdomen, loose stools, nausea, vomiting; irritability
Additional Symptoms: no thirst or thirst without desire to drink; possible cough with sticky sputum, greasy feeling in the mouth, or pressure in the chest
Tongue: greasy coating, possibly yellow
Pulse: soft, rapid
*Describes a fever obscured by exterior Dampness where the patient’s skin does not feel hot in the beginning but feels hotter after some time

Front 52

Găn Mào: summer/heat dampness, pts, herbs

Back 52

LI4, LI11, GV14, LU6, TB6, CV12, ST36, PC6, SP9, ST25
* Xin Jia Xiang Ru Yin
(Newly Augmented Elsholtzia Beverage)

Xiang Ru (Elsholtzia herb) 6g
Jin Yin Hua (Lonicera flower) 9g
Bian Dou Hua (Lablab flower) 9g
Hou Po (Magnolia bark) 6g
Lian Qiao (Forsythiae fruit) 6g

Front 53

Rx for Wind-Cold with 
Internal Damp Stagnation

Back 53

Huo Xiang Zheng Qi San
(Agastache/Patchouli Qi Righting Powder)
 
Huo Xiang (Agastache) 12g
Zi Su Ye (Perilla Leaf) 6g
Bai Zhi (Angelica Root) 6g
Chen Pi (Citrus Peel) 9g
Da Fu Pi (Areca Husk) 9g
Hou Po (Magnolia Bark) 9g

Bai Zhu (White Atractylodes) 12g
Fu Ling (Poria) 9g
Jie Geng (Platycodon) 9g
Sheng Jiang (Fresh Ginger Root) 6g
Da Zao (Jujube) 2pcs.
Zhi Gan Cao (Honey-Fried Licorice) 3g

Front 54

Găn Mào w/preexisting qi xu sx

Back 54

Main Symptoms: severe chills with strong aversion to cold, high fever, headache, neck stiffness, general body aches, propensity to catch colds, nasal congestion with clear discharge, slight cough with thin, white sputum
Additional Symptoms: fatigue, shortness of breath, reluctance to speak, spontaneous sweating, pale complexion
Tongue: pale with thin, white coat
Pulse: floating, forceless

Front 55

Găn Mào with pre-existing qi xu: pts, herbs

Back 55

W-C points + ST36, CV6, BL13, BL20

Ren Shen Bai Du San
(Ginseng Toxin-Vanquishing Powder)

Qiang Huo (Notopterygium root) 6g
Du Huo (Pubescent angelica root) 6g
Chuan Xiong (Ligusticum root) 6g
Chai Hu (Bupleurum root) 6g

Jie Geng (Platycodon root) 6g
Zhi Ke (Bitter Orange) 6g
Qian Hu (Peucedanum root) 6g
Ren Shen (Ginseng root) 6g
Fu Ling (Poria) 6g
Gan Cao (Licorice root) 3g
Bo He (Mint) 3g
Sheng Jiang (Fresh Ginger) 2 slices

Front 56

Găn Mào With Pre-Existing Yin Deficiency pts/herbs

Back 56

W-H points + KI3, KI6, KI7, SP6, BL43

Jia Jian Wei Rui Tang
(Solomon’s Seal Decoction with Additions and Subtractions)

Yu Zhu (Solomon's seal root) 6 - 9g
Cong Bai (White scallion) 6g
Jie Geng (Platycodon root) 6g
Bai Wei (Cynanchi root) 3g
Dan Dou Chi (Fermented soybean) 9g
Bo He (Mint) 6g
Da Zao (Jujube) 2 pieces
Zhi Gan Cao (Honey-fried Licorice root) 1.5g

Front 57

additional modalities for Găn Mào

Back 57

Gua Sha-upper back
Cupping- upper back, upper chest
Bleeding: LU11, LU10, LI1 for sore throat
Headache:
Frontal: Yin Tang, LI4
Temporal: Tai Yang
Nasal congestion: LI20, Bi Tong, LI4

Herbs for the treatment of Common Cold/Găn Mào should be boiled gently and not decocted too long so as to preserve their aromatic constituents.
Avoid excessive diaphoresis: a mild sweat is appropriate when treating a cold; however, excessive sweating damages Zheng Qi and may prolong the condition.

Front 58

Găn Mào xtra info

Back 58

In cases of epidemic cold, Heat or Fire Toxicity is a common pattern and must be addressed to avoid complications such as pneumonia. Large doses of herbs such as Jin Yin Hua, Ban Lan Gen, Chuan Xin Lian and Pu Gong Ying can be added in such cases to clear Heat and relieve toxicity.
Prophylactic measures to prevent common cold include daily moxibustion at ST36 (direct, scarring is best with 3-5 cones), CV4, and BL13.

Front 59

post Găn Mào upper respiratory infection usu presents

Back 59

most common:

Wind is expelled at the Taiyang Stage or Wei level with complete recovery, OR
The pathogen progresses internally to the Yang Ming or Shao Yang stage or Qi level and transforms (usually in the form of Heat, Phlegm-Heat or Damp-Heat).

Front 60

post Găn Mào upper respiratory infection complications

Back 60

The pathogenic factor is cleared and the patient recovers without any residual effect, OR
The patient appears to recover but there is left-over Heat, Phlegm-Heat, Phlegm-Damp or Damp-Heat, all of which are examples of residual pathogenic factors.
common patterns: Lung-Heat
Phlegm-Heat in Lung
Phlegm-Damp in Lung
Damp-Heat in Middle Jiao
Phlegm-Heat in Sinuses/Head
Phlegm-Damp in Sinuses/Head
Lesser Yang Pattern

Front 61

Ké Sòu

Back 61

In Chinese, Ké denotes coughing with sound but without production of sputum, while Sòu denotes productive cough with sputum or without sound.

Front 62

Ké Sòu etiology

Back 62

“All six pathogenic factors can cause cough…”

Internal injury due to dysfunction of the Zang-Fu:
Improper food intake: excessive eating, esp of greasy or sweet foods, or excessive alcohol intake impairs the Spleen function of transformation and transportation. This can generate Phlegm - resulting in cough.
*emotional imbalance: Lv stag. fire. harass LU fluids, gen phlegm
* Aging, chronic illness, weak constitution: = deficiency of Lung/Sleen Qi and Lung/KidneyYin, affect lung D+D

Front 63

Ké Sòu d/t W/C pts, herbs

Back 63

LU1, LU7, LI4, BL12, BL13, TB5

San Ao Tang *
(Rough and Ready Three Decoction)

Ma Huang (Ephedra herb) 9g
Xing Ren (Apricot kernel) 9g
Gan Cao (Licorice root) 6g
*Indicated for recently contracted coughs
OR

Zhi Sou San *
(Cough-Stopping Powder)

Jing Jie (Schizonepeta spike) 6g
Zi Wan (Aster root) 9g
Bai Bu (Stemona root) 9g
Bai Qian (Cynanchum root) 6g
Jie Geng (Platycodon root) 6g
Chen Pi (Tangerine peel) 6g
Gan Cao (Licorice root) 6g
*Indicated in protracted cases of cough

Front 64

Ké Sòu d/t W/H pts, herbs

Back 64

LU1, LU5, LU6, LI11, GV14, BL12, BL13, LU10, LU11

Sang Ju Yin
(Mulberry Leaf and Chrysanthemum Beverage)

Sang Ye (Mulberry leaf) 9g
Ju Hua (Chrysanthemum flower) 9g
Lian Qiao (Forsythiae fruit) 9g
Lu Gen (Phragmites root) 9g
Xing Ren (Apricot kernel) 9g
Jie Geng (Platycodon root) 9g
Bo He (Mint) 6g
Gan Cao (Licorice root) 6g

Front 65

Ké Sòu : Invasion of the Lung by Wind-Dryness (Heat) sx

Back 65

Main Symptoms: acute, dry cough without sputum or with sticky, scanty sputum that is difficult to expectorate and may be blood-tinged
Additional Symptoms: scratchy or sore dry throat, dry nose and mouth; exterior symptoms such as stuffy nose, headache, slight aversion to cold and fever during the early stages of some cases
Tongue: slightly red with a thin, dry, yellow coat
Pulse: floating, rapid

Front 66

Ké Sòu : Invasion of the Lung by Wind-Dryness (Heat) tx principle, + pts

Back 66

*Dispel Wind, clear Heat, moisten the Lung, relieve cough
* W-H points + LU7, KI6

Front 67

Ké Sòu : Invasion of the Lung by Wind-Dryness (Heat), herbs

Back 67

Sang Xing Tang
(Mulberry Leaf and Apricot Kernel Decoction)

Sang Ye (Mulberry leaf) 9g
Xing Ren (Apricot kernel) 9g
Bei Sha Shen (Glehnia root) 9g
Zhe Bei Mu (Zhejian Fritillaria bulb) 9g
Dan Dou Chi (Fermented Soybean) 9g
Zhi Zi (Gardenia fruit) 6g
Li Pi (Pear skin) 6g

Front 68

Ké Sòu Manifesting As Invasion of the Lung by Wind-Dryness (Cold) sx

Back 68

Main Symptoms: acute, dry cough with no sputum or scanty, white sputum
Additional Symptoms: dry nose and throat, aversion to cold, fever, headache, no sweating
Tongue: dry, thin, white coat
Pulse: floating, tight

Front 69

Ké Sòu Manifesting As Invasion of the Lung by Wind-Dryness (Cold), tx principle + pts

Back 69

Dispel Wind, scatter Cold, moisten the Lung, stop cough

LU1, LU7, KI6, LI4, BL12, BL13

Front 70

Ké Sòu Manifesting As Invasion of the Lung by Wind-Dryness (Cold), herbs

Back 70

Xing Su San
(Apricot Kernel and Perilla Leaf Powder)
Xing Ren (Apricot kernel) 6g
Zi Su Ye (Perilla leaf) 6g
Zhi Ke (Bitter Orange) 6g
Qian Hu (Peucedanum root) 6g
Jie Geng (Platycodon root) 6g

Zhi Ban Xia (Pinellia tuber) 6g
Fu Ling (Poria) 6g
Chen Pi (Tangerine peel) 3g
Sheng Jiang (Fresh Ginger root) 6g
Gan Cao (Licorice root) 6g
Da Zao (Jujube) 2 pcs.

Front 71

Ké Sòu Manifesting as phlegm damp sx

Back 71

Main Symptoms: recurrent cough with expectoration of profuse thin, watery or white, sticky sputum; cough is often worse in the morning and a rattling sound is frequently audible
Additional Symptoms: chest oppression, epigastric fullness and distention, nausea, poor appetite, fatigue
Tongue: white, greasy coat
Pulse: soggy or slippery

Front 72

Ké Sòu Manifesting as phlegm damp tx principle + pts

Back 72

* Strengthen the Spleen, dry Dampness, transform Phlegm, stop cough
* BL13, BL20, LU9, SP3, ST40, ST 36, CV12, LU5, LU1

Front 73

Ké Sòu Manifesting as phlegm damp herbs

Back 73

Er Chen Tang
(Two Aged Ingredients Decoction) 

Fa Ban Xia (Pinellia tuber) 6g
Chen Pi (Tangerine peel) 3g
Fu Ling (Poria) 6g
Gan Cao (Licorice root) 3g

Front 74

Cough/Ké Sòu Manifesting As Phlegm-Heat in the Lung sx

Back 74

Main Symptoms: loud/barking cough with profuse, sticky, and yellow or green sputum that is difficult to expectorate; sputum may shows streaks of blood
Additional Symptoms: oppression in the chest, wheezing, thirst
Tongue: red with thick, yellow, greasy coat (may be dry if Heat is significant)
Pulse: rapid, slippery

Front 75

Ké Sòu Manifesting As Phlegm-Heat in the Lung tx principle + pts

Back 75

* Clear Heat, transform Phlegm,
descend Lung Qi, stop cough
* BL13, LU5, ST40, LI11, LU1

Front 76

Ké Sòu Manifesting As Phlegm-Heat in the Lung, herbs

Back 76

Qing Qi Hua Tan Wan
(Qi Clearing Phlegm Transforming Pill)

Fa Ban Xia (Pinellia tuber) 6g
Dan Nan Xing (Bile-Processed Arisaema root) 1-3g
Huang Qin (Scutellaria root) 6g
Gua Lou Ren (Tricosanthes seed) 6g
Zhi Shi (Unripe Bitter Orange) 3-6g
Chen Pi (Tangerine peel) 3g
Xing Ren (Apricot kernel) 6g
Fu Ling (Poria) 6g

Front 77

Ké Sòu Manifesting As Liver Fire Invading the Lungs sx

Back 77

Main Symptoms: paroxysmal coughing spells with scanty, sticky phlegm (possibly blood-streaked); often elicited by emotional stress and accompanied by distending pain in the chest and costal regions
Additional Symptoms: red face, bitter taste in the mouth, irritability
Tongue: red with thin, yellow coat
Pulse: wiry, rapid

Front 78

Ké Sòu Manifesting As Liver Fire Invading the Lungs pts + tx principle

Back 78

*Drain Liver Fire, clear Lung Heat, direct Lung Qi downwards, stop cough
* BL13, BL18, LU8, LU5, LV2, LV3

Front 79

Ké Sòu Manifesting As Liver Fire Invading the Lungs herbs

Back 79

Xie Bai San 
(Drain the White Powder)
Sang Bai Pi (Mulberry root bark) 12g
Di Gu Pi (Lycium root bark) 12g
Geng Mi (Non-glutinous Rice) 15g
Zhi Gan Cao (Honey-fried Licorice root) 6g
PLUS


+ Dai Ge San
(Indigo and Clamshell Powder)

Qing Dai (Indigo) 1.5g
Hai Ge Ke (Clamshell) 9g

Front 80

Ké Sòu d/t yin xu tx method, pts, herbs

Back 80

*Nourish Yin, moisten the Lung,
transform Phlegm, stop cough
* BL13, LU5, LU1, LU7, KI6, LU6
* Sha Shen Mai Dong Tang 
 (Glehnia and Ophiopogon Decoction)

Bei Sha Shen (Glehnia root) 9g
Mai Men Dong (Ophiopogon) 9g
Tian Hua Fen (Tricosanthes root) 12g
Yu Zhu (Solomon’s Seal root) 9g
Bian Dou (Lablab bean) 9g
Sang Ye (Mulberry leaf) 6g
Gan Cao (Licorice root) 6g

Front 81

red flags for cough

Back 81

Dyspnea
Hemoptysis
Weight loss
Risk factors for TB or HIV infection

Front 82

herbs to tx cough (phlegm heat)

Back 82

Heat or Phlegm-Heat:
Sang Bai Pi (Mulberry bark) 6-15g
Qian Hu (Peucedanum root) 3-9g
Gua Lou (Tricosanthes) 6-20g
Zhe Bei Mu (Zhejiang fritillaria bulb) 3-10g

Zhu Ru (Bamboo shavings) 6-10g
Fu Shi (Pumice) 6-10g
Hai Ge Ke (Clam shell) 6-15g
Dan Nan Xing (Bile processed Arisaema rhizome) 3-9g

Front 83

herbs to tx cough (cough + wheezing)

Back 83

Relieve Cough and Wheezing:
Xing Ren (Apricot seed) 3-9g
Zi Wan (Aster root) 5-9g
Kuan Dong Hua (Coltsfoot) 4.5-9g
Bai Bu (Stemona root) 3-9g

Front 84

herbs to tx cough (phlegm/damp)

Back 84

Fa Ban Xia (Pinellia rhizome) 3-9g
Jie Geng (Platycodon root) 3-9g
Chen Pi (Tangerine peel) 6-9g
Tian Nan Xing (Arisaema rhizome) 3-6g
Bai Jie Zi (Mustard seed) 3-9g

Front 85

herbs to tx cough (phlegm dryness)

Back 85

Phlegm-Dryness:
Chuan Bei Mu (Sichuan fritillaria bulb) 3-9g
Pi PaYe (Locquat leaf) 6-15g
Sang Ye (White Mulberry leaf) 4.5-9g
Bai Bu (Stemona root) 3-9g

Front 86

Xiào Chuăn definition

Back 86

repeated attacks of paroxysmal dyspnea with wheezing.
xiao (sound), chuan (manner)
Xiào is translated as wheezing and is characterized by short, rapid breathing with wheezing.
Chuăn is translated as breathlessness or panting and is characterized by labored breathing to the point that the patient cannot lie flat, breathing through the mouth, raising the shoulders and flaring of the nostrils during inspiration.

Front 87

Xiào Chuăn etiology

Back 87

EPF: Wind-Cold, Wind-Heat, pollen, dust, and smoke can invade the Lungs and stir up latent Phlegm.
* Improper diet: excessive consumption of cold, raw, sweet, or greasy food
* Emotional stress: anger, irritability, depression, or frustration- Liver Qi stagnation leading to upward counter flow of Qi. Impair d + d fx of the Lungs.
* Aging, congenital deficiency, chronic illness, or overwork: LU + KD qi xu: zheng qi xu, qi xu impair fluid metab = phlegm

Front 88

Xiào Chuăn acute vs chronic phases

Back 88

acute exacerbations vs. chronic, remission phase.
*acute attack one follows the principle of treating the Branch manifestations by expelling pathogenic factors, transforming Phlegm, and restoring d + d of LU
- differentiate btwn Cold and Heat
*chronic phase, tx is focused on the Root; supplement the Zheng Qi, particularly that of the Lungs, Spleen, or Kidneys.

Front 89

Xiào Chuăn d/t cold phlegm sx

Back 89

Main Symptoms: rapid breathing with wheezing and a feeling of fullness and oppression in the chest, cough with scanty, clear or white sputum; symptoms aggravated by exposure to cold
Additional Symptoms: dull, pale/bluish-white complexion, no thirst or desire for warm drinks, aversion to cold and cold limbs
Tongue: white, moist coat
Pulse: wiry, tight or floating, tight or slippery, tight

Front 90

Xiào Chuăn d/t cold phlegm tx principle + herbs

Back 90

Warm the Lungs, scatter Cold, transform Phlegm, calm wheezing
* She Gan Ma Huang Tang
(Belamcanda-Ephedra Decoction)

Ma Huang Ephedra stem) 12 g
Xi Xin (Asarum) 9 g
Sheng Jiang (Fresh Ginger rhizome) 12 g
She Gan (Belamcanda rhizome) 9 g

Ban Xia (Pinellia tuber) 9 g
Zi Wan (Aster root) 9 g
Kuan Dong Hua (Coltsfoot) 9 g
Da Zao (Jujube) 3 pcs.
Wu Wei Zi (Schisandra fruit) 3 g
OR

Xiao Qing Long Tang
(Minor Bluegreen Dragon Decoction)

Ma Huang (Ephedra) 9g
Gui Zhi (Cinnamon Twig) 9g
Gan Jiang (Dried Ginger) 9g
Xi Xin (Asarum herb) 9g
Wu Wei Zi ( Schisandra) 9g

Bai Shao (White Peony root) 9g
Ban Xia (Pinellia rhizome) 9g
Zhi Gan Cao (Honey-fried licorice root) 9g

Front 91

Xiào Chuăn d/t phlegm heat sx

Back 91

Main Symptoms: loud wheezing with breathlessness, choking cough with rattling sound in the throat, thick, sticky, yellow sputum that is difficult to expectorate
Additional Symptoms: sweating, irritability, anxiety, thirst, headache, sensation of heat
Tongue: red with yellow, greasy coat
Pulse: slippery, rapid or slippery, wiry

Front 92

Xiào Chuăn d/t phlegm heat tx principle + herbs

Back 92

*Clear Heat, restore the descending of Lung Qi, transform Phlegm, stop wheezing

Ding Chuan Tang
(Panting Stabilizing Decoction)
Ma Huang (Ephedra herb) 9g
Zi Su Zi (Perilla seed) 6g
Kuan Dong Hua (Tussilago flower) 9g
Xing Ren (Apricot kernel) 4.5g
Sang Bai Pi (Mulberry root bark) 9g
Huang Qin (Scutellaria root) 4.5g
Fa Ban Xia (Processed Pinellia tuber) 9g
Bai Guo (Ginkgo seed) 9g
Gan Cao (Licorice root) 3g

Front 93

Xiào Chuăn d/t LU qi xu sx

Back 93

Main Symptoms: chronic, slight wheezing sound in the throat, slight cough with thin, clear sputum, shortness of breath
Additional Symptoms: spontaneous sweating, weak voice, fatigue, aversion to wind or worsening of symptoms with exposure to wind, tendency to catch colds, stuffy or runny nose with clear discharge
Tongue: pale with thin, white coat
Pulse: weak

Front 94

Xiào Chuăn d/t LU qi xu tx principle + herbs

Back 94

* Supplement the Lungs and consolidate the exterior
*
Yu Ping Feng San

Huang Qi (Astragalus root) 30g (6-20g)
Bai Zhu (Atractylodis rhizome) 60g (9-15g)
Fang Feng (Saposhnikovia root) 60g (6-9g)

Front 95

Xiào Chuăn d/t Spleen Qi xu sx

Back 95

Main Symptoms: chronic, slight wheezing sound in the throat, slight cough with thin, clear sputum, shortness of breath
Additional Symptoms: poor appetite, epigastric and abdominal distention, loose stool, fatigue
Tongue: pale with white, moist or thin, greasy coat
Pulse: weak or soft

Front 96

Xiào Chuăn d/t Spleen Qi xu tx principle + herbs

Back 96

* Supplement the Spleen, boost Qi, transform Phlegm

Liu Jun Zi Tang
(Six Gentlemen Decoction)
Dan Shen (Codonopsis root) 3 g
Bai Zhu (Atratylodes rhizome) 6 g
Fu Ling (Poria) 6 g
Zhi Gan Cao (Honey Prepared Licorice) 3g
Ban Xia (Pinellia tuber 3 g
Chen Pi (Tangerine peel) 3g

Front 97

Xiào Chuăn d/t KD Qi xu sx

Back 97

Main Symptoms: chronic, slight wheezing sound in the throat, shortness of breath, more difficulty inhaling than exhaling, symptoms worse with fatigue or exertion
Additional Symptoms: sore and weak low back and knees, tinnitus, spontaneous sweating (aversion to cold with cold limbs and impotence if more Yang deficiency)
Tongue: pale
Pulse: deep, weak

Front 98

Xiào Chuăn d/t KD Qi xu tx principle + herbs

Back 98

*Supplement the Kidneys, boost the Qi, stop wheezing


Jin Gui Shen Qi Wan
(Golden Coffer Kidney Qi Pill)

Shu Di Huang (Cooked Rehmannia root) 24g
Shan Zhu Yu (Cornus fruit) 12g
Shan Yao (Dioscorea root) 12g
Ze Xie (Alisma tuber) 9g
Mu Dan Pi (Moutan root bark) 9g
Fu Ling (Poria) 9g
Rou Gui (Cinnamon bark) 3g
Pao Fu Zi (Blast-fried Aconite) 3g

Front 99

Xiào Chuăn d/t KD yin xu sx

Back 99

Main Symptoms: chronic, slight wheezing sound in the throat, shortness of breath, more difficulty inhaling than exhaling, symptoms worse with fatigue or exertion
Additional Symptoms: sore and weak low back and knees, tinnitus, sensation of heat, night sweating, malar flush, insomnia
Tongue: red with scanty coat
Pulse: thin, rapid

Front 100

Xiào Chuăn d/t KD yin xu

Back 100

*Supplement the Kidneys, nourish Yin, drain Fire, stop wheezing
*
Zhi Bai Di Huang Wan
(Anemarrhena, Phellodendron, and Rehmannia Pill)

Shu di huang (Cooked Rehmannia root) 24g
Shan zhu yu (Cornus fruit) 12g
Shan yao (Dioscorea root) 12g
Ze xie (Alisma tuber) 9g
Mu dan pi (Moutan root bark) 9g
Fu ling (Poria) 9g
Zhi mu (Anemarrhena root) 9g
Huang bai (Phellodendron bark) 9g

Front 101

Acupuncture for 
Asthma/Xiào Chuăn acute phase

Back 101

Acute Phase:
Basic Points: CV22, Dingchuan, CV17, LU1, ST40, BL17, PC6
Points based on pattern:
Cold: LU7, LI4, BL12
Heat: LU5, LU6, GV14
Cupping on upper back and chest.
Plum Blossom needle: lightly tap along the paraspinal muscles of the upper back and/or along the course of the Lung channel (thenar eminence, forearm) and bilaterally over the SCM muscle until skin is red.

Front 102

Acupuncture for 
Asthma/Xiào Chuăn remission phase

Back 102

Remission Phase:
Basic Points: BL13, LU9, CV17, ST40, LU1, Ding Chuan
Points based on pattern:
LU Qi Xu: CV6, BL43, ST36, SP3
SP Qi xu: BL20, ST36, SP3, CV12
KI xu: BL23, KI3, KI6, CV6, CV4
Summer moxibustion: apply 3-5 cones of moxa on sliced ginger to BL13, BL43, GV14, BL20, BL23 until skin becomes red at each point. Do this daily, with 10 times equaling 1 course of treatment. Do one course each month for three months before the asthma season begins ( i.e., fall/winter). PARQ conferencing is essential.

Cupping: sliding cups along upper back until skin becomes dark red. Do this once a week, four times equaling 1 course of treatment. Do this two months before the asthma season begins.
Suppurative moxibustion: direct, rice grain moxa at BL12, BL13, BL43, GV14, ST36. PARQ conferencing is essential

Front 103

Herbal Therapy for 
Asthma/Xiào Chuăn

Back 103

Suppurative herbal therapy:
Bai Jie Zi 12g
Yan Hu Suo 12g
Xi Xin 12g
Gan Sui 12g
She Xiang 0.15g
Grind the above herbs into a fine powder, mix with fresh ginger juice, shape into small cones and apply with a plaster onto the following points: BL13, BL43, and GV14; remove after two hours.
Apply three times in August, ideally over consecutive days.

These include Quan Xie, Wu Gong, Di Long, Jiang Can, and Chan Tui. Their use is based on the statement that, “Enduring disease enters the collaterals.”

Front 104

Allergic Rhinitis/Bí Qiú Manifesting As Kidney Yang Qi Deficiency tx method + pts

Back 104

Treatment Method:
Warm the Kidneys, supplement the Lungs
CV6, CV4, GV4, BL23, KI3

Front 105

Allergic Rhinitis/Bí Qiú Manifesting As Kidney Yang Qi Deficiency herbs

Back 105

Jin Gui Shen Qi Wan
(Golden Coffer Kidney Qi Pill)
 
Shu Di Huang (Cooked Rehmannia root) 12g
Shan Zhu Yu (Cornus fruit) 9g
Shan Yao (Dioscorea root) 12g
Ze Xie (Alisma tuber) 6g
Mu Dan Pi (Moutan root bark) 6g
Fu Ling (Poria) 6g
Rou Gui (Cinnamon bark) 3g
Pao Fu Zi (Blast-fried Aconite) 3g

Front 106

Allergic Rhinitis/Bí Qiú Manifesting As lung + SP qi xu herbs

Back 106

Bu Zhong Yi Qi Tang
(Center-Supplementing Qi-Boosting Decoction)
 
Huang Qi (Astragalus root) 15g
Ren shen (Ginseng root) 9g
Bai Zhu (Ovate Atractylodes root) 9g
Dang Gui (Tangkuei) 9g
Chen Pi (Tangerine peel) 6g
Chai Hu (Bupleurum root) 3g
Sheng Ma (Cimicifuga root) 3g
Zhi Gan Cao (Honey-fried Licorice root) 6g

Front 107

Allergic Rhinitis/Bí Qiú Manifesting As lung + SP qi xu tx principle + pts

Back 107

Strengthen the Spleen, boost the Qi, supplement Wei Qi and secure the exterior
•LU Qi xu: BL13, LU9, BL42, BL43, ST36, LU1
•SP Qi Xu: BL20, ST36, SP3, LV13

Front 108

Allergic Rhinitis/Bí Qiú Manifesting As invasion of lungs by wind heat herbs

Back 108

Cang Er Zi San
(Cocklebur Fruit Powder*)
 
Cang Er Zi (Cocklebur Fruit) 9 g
Xin Yi Hua (Magnolia Flower) 9 g
Bai Zhi (Angelica Root) 9 g
Bo He (Field Mint) 6 g
*Dosages are for decoction

+ Sang Ju Yin
(Mulberry Leaf and
Chrysanthemum Beverage)
 
Sang Ye (Mulberry leaf) 9g
Ju Hua (Chrysanthemum flower) 9g
Lian Qiao (Forsythiae fruit) 9g
Lu Gen (Phragmites root) 9g
Xing Ren (Apricot kernel) 9g
Jie Geng (Platycodon root) 9g
Bo He (Mint) 6g
Gan Cao (Licorice root) 6g

Front 109

Allergic Rhinitis/Bí Qiú Manifesting As invasion of lungs by wind heat tx principle + herbs

Back 109

Treatment Method:
Release the exterior, expel Wind, clear Heat

LI4, LI11, LI20, GB20, BL7, GV23, BL12, Yintang, Bitong, Auricular: Allergy, Inner Nose

Front 110

Allergic Rhinitis/Bí Qiú Manifesting As invasion of lung by wind cold herbs

Back 110

 
Cang Er Zi (Cocklebur Fruit) 9 g
Xin Yi Hua (Magnolia Flower) 9 g
Bai Zhi (Angelica Root) 9 g
Bo He (Field Mint) 6 g
*Dosages are for decoction

Front 111

Allergic Rhinitis/Bí Qiú Manifesting As invasion of lung by wind cold tx principle + pts

Back 111

Release the exterior, expel Wind, scatter Cold
LI4, LU7, LI20, GB20, BL7, GV23, BL12, Yintang, Bitong, Auricular: Allergy, Inner Nose

Front 112

Allergic Rhinitis/Bí Qiú Etiology + pathogenesis

Back 112

Improper diet and iatrogenesis: excessive consumption of uncooked, cold, sweet foods or dairy products – particularly during infancy – can damage the Spleen, as can excess of antibiotic use.  Impairment of the Spleen’s t + t fx = production of Dampness and, ultimately, Phlegm.  This Phlegm gets stored in the Lungs as latent Phlegm that gets stirred up by exogenous Wind
Constitutional deficiency, overwork: as the Lu, SP, KD most involved in fluid metabolism, Qi deficiency can result in the production of Dampness and Phlegm. all three organs are responsible for the production and dissemination of Wei Qi; Qi deficiency in 1 or more results in lack of consolidation + propensity toward Wind invasion

Front 113

Insomnia/Bù Mèi/Shī Mián Manifesting As Liver Depression Transforming into Fire

Back 113

lóng dǎn xiè gān tāng
(Gentiana Long Dan Cao Decoction to Drain the Liver)
Long Dan Cao (Chinese gentian root) 6g
Chai Hu (Bupleurum root) 6g
Zhi Zi (Gardenia fruit) 9g
Huang Qin (Scutellaria) 9g
Dang Gui (Tangkuei) 3g
Sheng Di Huang (Fresh Rehmannia root) 9g
 
Add mu LI, long gu

Front 114

Rx for Insomnia/Bù Mèi/Shī Mián Manifesting As Liver Fire from Deficiency of both Liver Yin and Blood with Spleen Qi Deficiency

Back 114

An Mian Tang
(Peaceful Sleep Decoction)
 
Chai Hu (Bupleurum root) 9g
Bai Shao Yao (White Peony root) 9g
Chuan Xiong (Ligusticum root) 9g
Fu Ling (Poria) 9g
Chao Bai Zhu (Dry-fried Atractylodes rhizome) 12g
Huang Lian (Coptis rhizome) 6g
Chao Zhi Zi (Dry-fried Gardenia fruit) 9g

Front 115

Insomnia/Bù Mèi/Shī Mián Manifesting As Phlegm-Fire Harassing the Interior

Back 115

Huang Lian Wen Dan Tang
(Coptis Warm the Gallbladder Decoction)
 
Huang Lian (Coptis rhizome) 6g  
Zhu Ru (Bamboo shavings) 6 g
Zhi Shi (Unripe Bitter Orange) 6 g
Ban Xia (Pinellia tuber) 6 g
Chen Pi (Tangerine peel) 9 g
Fu Ling (Poria) 4.5 grams
Gan Cao (Licorice root) 3 g
Sheng Jiang (Fresh Ginger rhizome) 3 - 6 g

Front 116

Rx for Insomnia/Bù Mèi/Shī Mián Manifesting As Food Stagnation

Back 116

Bao He Wan
(Harmony Preserving Pill)
 
Ban Xia (Pinellia)            10g
Fu Ling (Poria)            10g
Chen Pi (Tangerine Peel)        10g
Shan Zha (Hawthorn berry)        10g
Shen Qu (Medicated leaven)        10g
Lai Fu Zi (Raphanus)            10g
Lian Qiao (Forsythia)            10g
Zhi Gan Cao (Honey-Fried Licorice)    10g

Front 117

Rx for Insomnia/Bù Mèi/Shī Mián Manifesting As Yin Deficiency with Blazing Fire

Back 117

Huang Lian E Jiao Tang
(Coptis and Ass Hide Glue Decoction)
 
Huang Qin (Scutellaria root) 6 g  
Huang Lian (Coptis rhizome) 12 g  
E Jiao (Ass Hide glue) 9 g  
Bai Shao Yao (White Peony root) 9g
Ji Zi Huang (Egg yolk*) 2
 
*Stirred in while cooling
OR
Tian Wang Bu Xin Dan
(Emperor of Heaven's Special Pill to Tonify the Heart)
 
Sheng Di Huang (Fresh Rehmannia root) 120 g
Fu Ling (Poria)15 g  
Dan Shen (Salvia root) 15 g  
Ren Shen (Ginseng root) 15 g  
Dang Gui (Tangkuei) 30 g  
Bai Zi Ren (Arbor-vitae seed) 30 g  
Yuan Zhi (Polygala root) 15 g  
Suan Zao Ren (Zizyphus seed) 30 g  
Tian Men Dong (Asparagus tuber) 30 g  
Mai Men Dong (Ophiopogon tuber) 30 g  
Wu Wei Zi (Schisandra fruit)   30 g  
Xuan Shen (Scrophularia root) 15 g  
Jie Geng (Platycodon root) 15 g  
Zhu Sha (Cinnabar) 15 g

Front 118

Rx for Insomnia/Bù Mèi/Shī Mián Manifesting As Liver/ Heart Blood Deficiency with Empty Heat

Back 118

Suan Zao Ren Tang
(Zizyphus Seed Decoction)
 
Suan Zao Ren (Zizyphus seed) 15-18 g
Chuan Xiong (Ligusticum root) 6 g  
Zhi Mu (Anemarrhena rhizome) 6 g  
Fu Ling (Poria) 6 g  
Gan Cao (Licorice root) 3g

Front 119

Rx for Insomnia/Bù Mèi/Shī Mián Manifesting As Heart and Spleen Deficiency

Back 119

Gui Pi Tang
(Spleen-Returning Decoction)
 
Ren Shen (Ginseng root) 9g
Huang Qi (Astragalus root) 9g
Bai Zhu (Atractylodis root) 9g
Fu Ling/Shen (Poria) 9g
Suan Zao Ren (Zizyphus Spinosa seed) 9g
Long Yao Rou (Arillus
Euphoriae Longanae) 9g
Mu Xiang (Aucklandia Lappae root) 6g
Zhi Gan Cao (Honey-fried Licorice root) 6g
Dang Gui (Angelicae Tangkuei root) 6g
Zhi Yuan Zhi (Honey-fried Polygala root) 3g
Sheng Jiang (Fresh Ginger rhizome) 3g/5 slices
Da Zao (Jujube) 5 pcs.

Front 120

Rx for Insomnia/Bù Mèi/Shī Mián Manifesting As Heart and Gallbladder Qi Deficiency

Back 120

 
An Shen Ding Zhi Wan
(Spirit-Quieting Mind-Stabilizing Pill)
 
Fu Ling (Poria) 9g
Fu Shen (Poria root) 9g
Yuan Zhi (Polygala root) 6g
Ren Shen (Ginseng Root) 9g
Long Gu (Dragon Bone) 30g
Shi Chang Pu (Acorus rhizome) 6g