Asthma

Question 0

Asthma etiology?

Answer 0

EPF-->LU  \
                    \
diet-->SP-->Phlegm------>asthma attack
                       /
illness-->KID/
congenital xu

Question 1

What is another name for asthma?

Answer 1

xiao chuan

Question 2

What is the chief pathogenic factor for asthma?

Answer 2

Phlegm= deep rooted

Question 3

Explain asthma attack in TCM terms?

Answer 3

phlegm and QI block air passages and impair LU D+D function of LU

Question 4

Which organs are involved in asthma?

Answer 4

LU, SP, KID

Question 5

What are the two main divisions of asthma patterns?

Answer 5

1) during attack

2) remission stage

Question 6

What are the patterns for During asthma attack?

Answer 6

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

Question 7

What are the patterns for asthma remission stage?

Answer 7

1) LU xu
2) SP xu
3) KID xu

Question 8

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

Answer 8

LU xu asthma (during remission)

Question 9

short rapid breathe, rattling sound, profuse white sticky sputum, gurgling sound in throat, no thirst
T- thick sticky coat
P-slippery

Answer 9

Phlegm-damp in LU asthma (during attack)

Question 10

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

Answer 10

Yin xu with Phlegm-heat asthma (during attack)

Question 11

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

Answer 11

Phlegm-heat in LU asthma (during attack)

Question 12

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

Answer 12

Yang Qi xu with Phlegm-damp asthma (during attack)

Question 13

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

Answer 13

Kindey Xu asthma (during remission)

Question 14

SOB, low voice, poor appetite, abdominal distension, worse after eating, loose stools, lassitude
T- pale, white sticky
P-thready, soft

Answer 14

Spleen xu asthma (during remission)

Question 15

POT for Cold Phlegm in Lung

Answer 15

Warm lung
Dissipate cold
Transform phlegm to relieve asthma

Question 16

Points for Cold phlegm in lung

Answer 16

Dingchuan
UB 13 or Lu 1
Ren 22
Lu 5
Lu 7 
St 40
Ren 17

Question 17

POT for Phlegm Heat in the Lung

Answer 17

Clear heat
Facilitate the lung
Transform phlegm to relieve asthma

Question 18

Points for Phlegm Heat in Lung

Answer 18

Lu 10 or Lu 11

Question 19

POT for Phlegm Damp in Lung

Answer 19

Expel phlegm

Check upward flow of Qi to relieve asthma

Question 20

Points for Phlegm Damp in the Lung

Answer 20

Sp 9

Ren 12

Question 21

POT for Yin Deficiency with Phlegm Heat

Answer 21

Nourish Kidney and Lung Yin

Clear damp heat

Question 22

Points for Yin Deficiency with phlegm heat

Answer 22

UB 43

Question 23

POT for Yang Qi Deficiency with Phlegm Damp

Answer 23

Tonify Qi
Warm yang
Dispel phlegm damp

Question 24

Points for Yang Qi Deficiency with Phlegm Damp

Answer 24

Lu 9
St 36
Du 4

Question 25

Asthma Attack Basic Points

Answer 25

Dingchuan
UB 13 or Lu1
Ren 17
Ren 22
Lu 5
Lu 7
St 40

Question 26

POT for Lung Deficiency

Answer 26

Tonify Lung Qi or Yin to strengthen the body surface

Question 27

Points for Lung Deficiency

Answer 27

Qi Deficiency ~ Lu 9, St 36, Sp 3

Yin Deficiency ~ UB 43

Question 28

POT Spleen Deficiency

Answer 28

Tonify the spleen to transform phlegm

Question 29

Points for Spleen Deficiency

Answer 29

UB 20
Ren 6
St 36

Question 30

Points for Kidney Deficinecy

Answer 30

Qi Deficiency~ K 3, UB 23, Du 4

Yin Deficiency ~ K 6, Sp 6

Question 31

POT Kidney Deficiency

Answer 31

Tonify the Kidney to Receive Qi

Question 32

Pattern Diagnosis

Answer 32

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

Question 33

POT for Attack and Remission

Answer 33

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