Asthma - Xiao Chuan

Question 0

What are some symptoms of an asthma attack?

Answer 0

1. Non productive cough
2. Chest tightness, dyspnea
3. Attack at night due to parasympathetic nerves which causes bronchus to contract
4. Won’t last for more than a couple hours
5. Change of signs and symptoms from a non productive cough to a non productive cough
   An indication of asthma subsiding
6. 5% of population diagnosed with asthma

Question 1

Meaning of xiao chuan

Answer 1

Xiao: wheezing, gurgling
Chuan: difficulty breathing

Question 2

In western medicine what are some causes of asthma?

Answer 2

1. Bronchitis
2. Pneumonia
3. Pulmonary heart disease
4. Heart failure
5. Lung failure
6. Hysteria

Question 3

Chief pathology of asthma?

Answer 3

Phlegm mix with Qi blocking the air passage and impairing the dispersing and descending functions of lung

Question 4

What are the major organs involved?

Answer 4

Lung, kid and spleen

Question 5

What is the hiding root (su gen) of Asthma?

Answer 5

Phlegm - stored very deeply in the body

Question 6

What organs are involve in water metabolism?

Answer 6

Kidney, lung and spleen

Question 7

What are some intrinsic factors involved in asthma?

Answer 7

Respiratory tract issues, emotional stress, fatigue

Question 8

What are some extrinsic factors involved in asthma?

Answer 8

Mold, pollen, chemicals, foods, dust

Question 9

What are the symptoms of kidney deficiency in asthma? (Remission stage)

Answer 9

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

Question 10

Symptoms of spleen deficiency during remission stage?

Answer 10

Poor appetite, abdominal distension - worse after eating, loose stools, lassitude

Question 11

Symptoms of lung deficiency during remission?

Answer 11

Pale complexion, spontaneous sweats, aversion to wind, susceptibility to cold or dryness of mouth and throat

Question 12

What is the treatment principle of lung deficiency/xu?

Answer 12

Tonify lung Qi or Yin to strengthen the body surface

Question 13

Which pattern would you use these points?

Answer 13

UB20, ST 36 and CV 6

Question 14

What are some basic points for Asthma during an attack?

Answer 14

Dingchuan, Lu7, Lu5, Lu 1, St40,

Question 15

What are the 2 types of deficient asthma (during an attack)

Answer 15

1. Yin deficiency with phlegm heat

2. Yang Qi deficiency with phlegm damp

Question 16

What type of breathing would be presented during an attack? (deficiency type)

Answer 16

Inconsistent breathlessness - especially on exertion or severe wheezing esp at inhalation or continued asthma, rattling sound in throat

Question 17

List the hats / significances of the basic asthma points

1. Dingchuan
2. Lung 1,5, 7
3. St40
4. CV 17 and 22

Answer 17

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

Question 18

What is treatment principle of cold phlegm in the lung?

Answer 18

Warm lung, disperse cold, transform phlegm to relieve asthma

Question 19

What would your treatment principle be for phlegm damp in lung

Answer 19

Expel phlegm , check upward flow of Qi to relieve asthma

Question 20

What is the treatment principle for phlegm heat in the Lung

Answer 20

Clear heat facilitate the lung, transform phlegm to relieve asthma

Question 21

Signs of Lu deficiency in asthma?

Answer 21

Worse after exercise, SOB, pallor complexion, easy to catch cold

Question 22

How would you educate you patients?

Answer 22

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

Question 23

What would you treat a patient would is going through an asthma attack?

Answer 23

Remove Xie Qi - transform phlegm and regulate Qi

Question 24

When and how would treat someone who is not having an asthma attack?

Answer 24

Tonify Zheng Qi treat during the summer