Asthma Flashcards

0
Q

Asthma etiology?

A
EPF-->LU  \
                    \
diet-->SP-->Phlegm------>asthma attack
                       /
illness-->KID/
congenital xu
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1
Q

What is another name for asthma?

A

xiao chuan

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2
Q

What is the chief pathogenic factor for asthma?

A

Phlegm= deep rooted

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3
Q

Explain asthma attack in TCM terms?

A

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

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4
Q

Which organs are involved in asthma?

A

LU, SP, KID

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5
Q

What are the two main divisions of asthma patterns?

A

1) during attack

2) remission stage

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6
Q

What are the patterns for During asthma attack?

A

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

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7
Q

What are the patterns for asthma remission stage?

A

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

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8
Q

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

A

LU xu asthma (during remission)

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9
Q

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

A

Phlegm-damp in LU asthma (during attack)

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10
Q

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

A

Yin xu with Phlegm-heat asthma (during attack)

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11
Q

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

A

Phlegm-heat in LU asthma (during attack)

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12
Q

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

A

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

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13
Q

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

A

Kindey Xu asthma (during remission)

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14
Q

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

A

Spleen xu asthma (during remission)

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15
Q

POT for Cold Phlegm in Lung

A

Warm lung
Dissipate cold
Transform phlegm to relieve asthma

16
Q

Points for Cold phlegm in lung

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

POT for Phlegm Heat in the Lung

A

Clear heat
Facilitate the lung
Transform phlegm to relieve asthma

18
Q

Points for Phlegm Heat in Lung

A

Lu 10 or Lu 11

19
Q

POT for Phlegm Damp in Lung

A

Expel phlegm

Check upward flow of Qi to relieve asthma

20
Q

Points for Phlegm Damp in the Lung

A

Sp 9

Ren 12

21
Q

POT for Yin Deficiency with Phlegm Heat

A

Nourish Kidney and Lung Yin

Clear damp heat

22
Q

Points for Yin Deficiency with phlegm heat

23
Q

POT for Yang Qi Deficiency with Phlegm Damp

A

Tonify Qi
Warm yang
Dispel phlegm damp

24
Points for Yang Qi Deficiency with Phlegm Damp
Lu 9 St 36 Du 4
25
Asthma Attack Basic Points
``` Dingchuan UB 13 or Lu1 Ren 17 Ren 22 Lu 5 Lu 7 St 40 ```
26
POT for Lung Deficiency
Tonify Lung Qi or Yin to strengthen the body surface
27
Points for Lung Deficiency
Qi Deficiency ~ Lu 9, St 36, Sp 3 Yin Deficiency ~ UB 43
28
POT Spleen Deficiency
Tonify the spleen to transform phlegm
29
Points for Spleen Deficiency
UB 20 Ren 6 St 36
30
Points for Kidney Deficinecy
Qi Deficiency~ K 3, UB 23, Du 4 Yin Deficiency ~ K 6, Sp 6
31
POT Kidney Deficiency
Tonify the Kidney to Receive Qi
32
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
33
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