Asthma - Xiao Chuan Flashcards
What are some symptoms of an asthma attack?
- Non productive cough
- Chest tightness, dyspnea
- Attack at night due to parasympathetic nerves which causes bronchus to contract
- Won’t last for more than a couple hours
- Change of signs and symptoms from a non productive cough to a non productive cough
An indication of asthma subsiding - 5% of population diagnosed with asthma
Meaning of xiao chuan
Xiao: wheezing, gurgling
Chuan: difficulty breathing
In western medicine what are some causes of asthma?
- Bronchitis
- Pneumonia
- Pulmonary heart disease
- Heart failure
- Lung failure
- Hysteria
Chief pathology of asthma?
Phlegm mix with Qi blocking the air passage and impairing the dispersing and descending functions of lung
What are the major organs involved?
Lung, kid and spleen
What is the hiding root (su gen) of Asthma?
Phlegm - stored very deeply in the body
What organs are involve in water metabolism?
Kidney, lung and spleen
What are some intrinsic factors involved in asthma?
Respiratory tract issues, emotional stress, fatigue
What are some extrinsic factors involved in asthma?
Mold, pollen, chemicals, foods, dust
What are the symptoms of kidney deficiency in asthma? (Remission stage)
Pale complexion, chills, cold limbs, palpitations, soreness and weakness in lumbar region and knee joints, dizziness, tinnitus, impotence, nocturnal emission, malar flush, night sweats, feverish sensation in 5 hearts
Symptoms of spleen deficiency during remission stage?
Poor appetite, abdominal distension - worse after eating, loose stools, lassitude
Symptoms of lung deficiency during remission?
Pale complexion, spontaneous sweats, aversion to wind, susceptibility to cold or dryness of mouth and throat
What is the treatment principle of lung deficiency/xu?
Tonify lung Qi or Yin to strengthen the body surface
Which pattern would you use these points?
UB20, ST 36 and CV 6
What are some basic points for Asthma during an attack?
Dingchuan, Lu7, Lu5, Lu 1, St40,
What are the 2 types of deficient asthma (during an attack)
- Yin deficiency with phlegm heat
2. Yang Qi deficiency with phlegm damp
What type of breathing would be presented during an attack? (deficiency type)
Inconsistent breathlessness - especially on exertion or severe wheezing esp at inhalation or continued asthma, rattling sound in throat
List the hats / significances of the basic asthma points
- Dingchuan
- Lung 1,5, 7
- St40
- CV 17 and 22
UB 13 - back shu of lung Lu 1 - front mu of lung Lu 5 - He sea of lung Lu 7 - Luo connecting, command point of nape and neck, heavenly star and confluent of CV ST40 - Luo connecting
What is treatment principle of cold phlegm in the lung?
Warm lung, disperse cold, transform phlegm to relieve asthma
What would your treatment principle be for phlegm damp in lung
Expel phlegm , check upward flow of Qi to relieve asthma
What is the treatment principle for phlegm heat in the Lung
Clear heat facilitate the lung, transform phlegm to relieve asthma
Signs of Lu deficiency in asthma?
Worse after exercise, SOB, pallor complexion, easy to catch cold
How would you educate you patients?
Keep warm, prevent EPF Invasion
Regular exercise to build Zheng Qi
Avoid smoking, alcohol, spicy foods, seafood, regulate diet, avoid over straining and emotional stimulation
What would you treat a patient would is going through an asthma attack?
Remove Xie Qi - transform phlegm and regulate Qi
When and how would treat someone who is not having an asthma attack?
Tonify Zheng Qi treat during the summer
