Asthma Flashcards
Asthma etiology?
EPF-->LU \
\
diet-->SP-->Phlegm------>asthma attack
/
illness-->KID/
congenital xuWhat is another name for asthma?
xiao chuan
What is the chief pathogenic factor for asthma?
Phlegm= deep rooted
Explain asthma attack in TCM terms?
phlegm and QI block air passages and impair LU D+D function of LU
Which organs are involved in asthma?
LU, SP, KID
What are the two main divisions of asthma patterns?
1) during attack
2) remission stage
What are the patterns for During asthma attack?
1) cold phlegm in LU
2) Phlegm heat in LU
3) Phlegm damp in LU
4) Yin xu with phlegm heat
5) Yang Qi xu with phlegm damp
What are the patterns for asthma remission stage?
1) LU xu
2) SP xu
3) KID xu
SOB, worse on exertion, low voice, low gurgling sound in the throat, cough with white dilute sputum, dry cough with little sticky sputum
T- red, thin white coat
P- thready, rapid
LU xu asthma (during remission)
short rapid breathe, rattling sound, profuse white sticky sputum, gurgling sound in throat, no thirst
T- thick sticky coat
P-slippery
Phlegm-damp in LU asthma (during attack)
inconsistent breathlessness, worse on exertion, severe wheezing, difficult inhalation, rattling sound in throat, cough without or with little sticky sputum, dry mouth/throat, afternoon fever, night sweats
T-deep red, thin yellow sticky coat
P-thready, rapid
Yin xu with Phlegm-heat asthma (during attack)
short rapid breathing, difficult exhale, rattling sound in throat, paroxysmal cough with thick yellow sputum, thirst with preference for drinks, irritability, sweating
T-red, thin yellow sticky
P- superficial, rapid
Phlegm-heat in LU asthma (during attack)
inconsistent breathlessness, severe wheezing, difficult inhalation, rattling sound in throat, no thirst, chills, cold limbs, spontaneous sweats, purple lips
T- pale, puffy, purplish, slippery coat
P-deep, thready
Yang Qi xu with Phlegm-damp asthma (during attack)
SOB, difficult inhalation, worse on exertion, cough with frothy sputum, little sticky sputum, pale complexion, chills, cold limbs, palpitations, weak lumbar/knees, dizziness, tinnitus, impotence, nocturnal emission
T- pale, tender, red
P-deep, thready, thready/rapid
Kindey Xu asthma (during remission)
SOB, low voice, poor appetite, abdominal distension, worse after eating, loose stools, lassitude
T- pale, white sticky
P-thready, soft
Spleen xu asthma (during remission)
POT for Cold Phlegm in Lung
Warm lung
Dissipate cold
Transform phlegm to relieve asthma
Points for Cold phlegm in lung
Dingchuan UB 13 or Lu 1 Ren 22 Lu 5 Lu 7 St 40 Ren 17
POT for Phlegm Heat in the Lung
Clear heat
Facilitate the lung
Transform phlegm to relieve asthma
Points for Phlegm Heat in Lung
Lu 10 or Lu 11
POT for Phlegm Damp in Lung
Expel phlegm
Check upward flow of Qi to relieve asthma
Points for Phlegm Damp in the Lung
Sp 9
Ren 12
POT for Yin Deficiency with Phlegm Heat
Nourish Kidney and Lung Yin
Clear damp heat
Points for Yin Deficiency with phlegm heat
UB 43
POT for Yang Qi Deficiency with Phlegm Damp
Tonify Qi
Warm yang
Dispel phlegm damp
Points for Yang Qi Deficiency with Phlegm Damp
Lu 9
St 36
Du 4
Asthma Attack Basic Points
Dingchuan UB 13 or Lu1 Ren 17 Ren 22 Lu 5 Lu 7 St 40
POT for Lung Deficiency
Tonify Lung Qi or Yin to strengthen the body surface
Points for Lung Deficiency
Qi Deficiency ~ Lu 9, St 36, Sp 3
Yin Deficiency ~ UB 43
POT Spleen Deficiency
Tonify the spleen to transform phlegm
Points for Spleen Deficiency
UB 20
Ren 6
St 36
Points for Kidney Deficinecy
Qi Deficiency~ K 3, UB 23, Du 4
Yin Deficiency ~ K 6, Sp 6
POT Kidney Deficiency
Tonify the Kidney to Receive Qi
Pattern Diagnosis
Excess vs Deficiency:
Duration ~ Acute vs Chronic
Fast vs Slow Onset
Breathing ~ Difficulty Exhaling vs Difficult Inhaling
Voice ~ Loud vs Low voice
Rough vs SOB
Gurgling in throat vs Little or no gurgling in throat ( less severe)
Pulse ~ Rapid Forceful Vs Deep/thin or Thin/Rapid
Constitution
IF EXCESS DIFFERENTIATE:
Cold Phlegm Vs. Heat Phlegm
Exterior Vs. Interior
IF DEFICIENCY DIFFERENTIATE:
Yin Deficiency vs. Yang Deficiency
Which Zang Fu Organ Involved ~ Kidney always SOB
Lung SOB on activity/exertion
POT for Attack and Remission
Attack –> Remove Xie Qi–Transform Phlegm–> Cold Phlegm
—> Phlegm Heat
Regulate Qi
Remission –> Tonify Zhong Qi –Yin or Yang Deficiency –> Yin Def.
—> Yang Def.
–Zang Fu Organs –> Tonify lung
Tonify Spleen
Tonify Kidney
