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Internal Medicine > Common Cold, Cough, Asthma (Wheezing + Dyspnea) > Flashcards

Common Cold, Cough, Asthma (Wheezing + Dyspnea) Flashcards

Etiology, Pathogensis, Patterns, S/sx, Treatment Principles + Principle Points

1
Q

What is Common Cold called in TCM?

A

‘Wind injury’

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2
Q

Is ‘Wind injury’ an external or internal disease?

A

Externally-contracted disease

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3
Q

The following are pattern differentiation of what disease?

Wind-Cold
Wind-Heat
Summer-heat + Dampness
Qi Xu
Yin Xu
Epidemic Cold (Influenza)

A

Common Cold

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4
Q

What pulse is indicative of an external disease?

A

Floating

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5
Q

Differentiation of Wind-Cold in Common Cold Disease

A

Mild fever, severe aversion to cold, no sweating, clear nasal discharge, body aches
T: thin, white coating
P: Floating + tight

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6
Q

Differentiation of Wind-Heat in Common Cold Disease

A

Severe fever, slight aversion to cold, sweating, turbid nasal discharge, thirst, sore throat
T: thin, white coating
P: Floating + Rapid

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7
Q

Differentiation of Summer-heat w/ Dampness in Common Cold Disease

A

Fever, dizziness, distending pain in head, sore + heavy feeling in body, restlessness, vomiting, only occurring in late summer
P: Floating + Soggy

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8
Q

Differentiation of Qi Xu in Common Cold Disease

A

Mild fever, severe aversion to cold, lassitude, fatigue, weak constitution
P: Floating + Weak

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9
Q

Differentiation of Yin Xu in Common Cold

A

Fever, mild aversion to cold, scanty sweating, restlessness, dry cough
T: Red w/ scanty coating
P: Thready + Rapid

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10
Q

Differentiation of Epidemic Cold in Common Cold

A

Sudden attack, high fever, aversion to cold, severe headache, general body aches, contagious
P: Floating + Rapid

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11
Q

How does the Common Cold enter the body?

A

Through mouth, nose, skin + hair

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12
Q

What type of Qi fights the external evil of Wind?

A

Wei Qi + closely related to the Lungs

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13
Q

What is the pathogenesis of Wind Evil?

A

Disharmony between Wei + exterior

Failure of Lung to purify + descend Qi causes abnormal rising of Lung Qi

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14
Q

Principal Tx points for Common Cold

A

LI-4: Regulates Wei Qi + adjusts sweating
LU-7: Luo-connecting + diffuses LU Qi
GB-20: Resists wind
DU-14: Releases exterior + Expels wind + Clears heat from Yang channels

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15
Q

Supplementary points for Common Cold, with the pattern of Wind-Cold

A

LI-4 + LU-7 + GB-20 + DU-14 (use moxa)
AND
BL-12: Wind Gate
BL-13: Back-shu of Lungs

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16
Q

Supplementary points for Common Cold, with the pattern of Wind-Heat

A

LI-4 + LU-7 + GB-20 + DU-14 (Bloodlet)
AND
LI-11: clears heat from whole body
LU-5: He-sea + Clears heat from Lung + descends rebellious Qi

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17
Q

Supplementary points for Common Cold, with the pattern of Dampness

A

LI-4 + LU-7 + GB-20 + DU-14
AND
SP-9: Disolves dampness

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18
Q

Supplementary points for Common Cold, with the pattern of Summer-heat

A

LI-4 + LU-7 + GB-20 + DU-14
AND
SP-9: Disolves dampness
BL-40: Clears summer-heat + stops vomiting + diarrhea

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19
Q

Supplementary points for Common Cold, with the pattern of Epidemic ie: general malaise

A

LI-4 + LU-7 + GB-20 + DU-14
AND
DU-12: Clear heat from LU + HT, calms Shen

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20
Q

Supplementary points for Common Cold, with the pattern of Qi Xu

A

LI-4 + LU-7 + GB-20 + DU-14
AND
ST-36: Tonify Qi + Blood

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21
Q

Supplementary points for Common Cold, with the pattern of Wind-Cold with nasal discharge

A

LI-4 + LU-7 + GB-20 + DU-14
AND
LI-20: Benefits the nose

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22
Q

Supplementary points for Common Cold, with the pattern of Wind-Heat causing headache

A

LI-4 + LU-7 + GB-20 + DU-14
AND
Taiyang: Eliminates wind + clears heat + relieves pain

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23
Q

Supplementary points for Common Cold, with the pattern of Wind-Heat causing swollen, painful throat

A

LI-4 + LU-7 + GB-20 + DU-14
AND
LU-11: Clears heat + benefits the throat

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24
Q

Treatment points for Common Cold, with the pattern of Wind-Heat or Wind-Cold causing hoarse voice

A

LI-4: Regulates Wei Qi + adjusts sweating
LU-7: Luo-connecting + diffuses LU Qi
DU-14: Cleats heat + expels wind
LI-11: Clears whole body heat
HT-5: benefits the throat
REN-23: benefits the throat

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25
Q

Treatment points for Common Cold, with the pattern of Wind-Heat or Fire Poisin causing tonsillitis

A

LI-4: Regulates Wei Qi + adjusts sweating
LU-7: Luo-connecting + diffuses LU Qi
LI-11: Clears whole body heat
ST-44: Clears ST heat
REN-22: Descends rebellious Qi
LU-11: Clears heat + benefits the throat
LU-10: expel Wind-Heat, resolve Fire-Poison + soothe the throat

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26
Q

Name 2 alternative methods of treatment for a Common Cold.

A

Cupping for Wind-Cold
Wet cupping for Wind-Heat

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27
Q

What is a Cough in TCM?

A

Lung disease/disharmony characterized by cough + expectoration of phlegm

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28
Q

What are the 2 main etiologies of Cough?

A
  1. Externally-contracted Evil ie: Common Cold
  2. Internally-injured
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29
Q

The following patterns are the differentiations of __________?

Wind-Cold
Wind-Heat
Phlegm-Dampness in Lungs
Liver Fire Scorching Lungs
Lung Qi Xu

30
Q

Principle points for Cough due to Wind-Cold

A

LU-7: Luo-connecting + Commander of Head + Neck + Disperses LU Qi
LI-4: Regulates Wei Qi + adjusts sweating
BL-13: Back-shu of LY
LU-9: Yuan + Tonifys LU Qi
BL-12: Wind Gate + Dispels Wind

31
Q

Principle points for Cough due to Wind-Heat

A

LU-7: Luo-connecting + Commander of Head + Neck + Disperses LU Qi
LI-4: Regulates Wei Qi + adjusts sweating
BL-13: Back-shu of LU
DU-14: Releases exterior + Expels wind + Clears heat from Yang channels
LI-11: Clears whole body’s heat

w/ sore throat bloodlet LU-11: Jing-well + clears heat + benefits the throat

32
Q

Principle treatment point for Cough due to pattern of Lung Qi + Lung Yin Xu?

A

LU-9: Yuan + tonifys LU Qi
SP-6: Tonifys Qi
BL-13: Back-shu of LU
KI-3: Anchors Qi + benefits tLU
ST-36: Tonifys Qi
SP-9: Resolves dampness

33
Q

Treatment points for Cough due to Phlegm-Dampness?

A

LU-9 + SP-6 + BL-13
PLUS
ST-40: Dissolves phlegm
SP-9: Regulates SP + transforms dampness

34
Q

Treatment points for Cough due to Liver Fire scorching Lung?

A

LU-9 + SP-6 + BL-13
PLUS
LR-2: Ying-spring + clears Liver Fire

w/ coughing of Blood, add LU-6: Xi-cleft + stops bleeding

35
Q

Treatment points for Cough due to Lung Qi Xu?

A

LU-9 + SP-6 + BL-13
PLUS
BL-43: Nourish LU Yin

36
Q

What does a weak-sounding cough indicate?

A

A weak-sounding cough indicates Deficiency.

37
Q

What does a loud cough indicate?

A

A loud cough indicates Excess.

38
Q

What does a barking cough denote?

A

A barking cough denotes Heat.

39
Q

What does a loose, rattling cough indicate?

A

A loose, rattling cough indicates the presence of Phlegm.

40
Q

What does a cough occurring in the late afternoon or evening indicate?

A

A cough occurring in the late afternoon or evening indicates Yin deficiency.

41
Q

What does a cough that is worse in the morning usually indicate?

A

A cough that is worse in the morning is usually due to Phlegm.

42
Q

What does a cough without sputum indicate?

A

A cough without sputum indicates either Deficiency or Heat.

43
Q

What does abundant sputum indicate?

A

Abundant sputum is due to Phlegm.

44
Q

What does yellow sputum denote?

45
Q

What does white sputum denote?

46
Q

What does sticky white sputum indicate?

A

Prevalence of Dampness and Phlegm over Cold

47
Q

What does dilute white sputum indicate?

A

Prevalence of Cold over Dampness or Phlegm

48
Q

What does blood-tinged sputum indicate?

A

Full- or Empty-Heat

49
Q

What does greenish sputum indicate?

50
Q

What does white, very watery and frothy sputum indicate?

A

Phlegm-Fluids

51
Q

What does ‘Xiaochuan’ refer to?

A

‘Xiaochuan’ is characterized by wheezing in the throat.

52
Q

What does ‘Chuan’ refer to?

A

‘chuan’ refers to dyspnea, which is the difficulty in breathing.

53
Q

What are the physical signs of ‘chuan’?

A

‘Chuan’ can involve breathing with the mouth open and the shoulders raised.

54
Q

What are the main characteristics of asthma?

A

Asthma is characterized by wheezing attacks with shortness of breath, usually worse at night.

55
Q

What symptoms may accompany asthma attacks?

A

Sometimes there is a dry cough, which is also worse at night.

56
Q

What precedes the onset of an asthma attack?

A

The onset is sudden and is preceded by tightness of the chest.

57
Q

When do dyspnoea and wheezing occur in asthma?

A

Dyspnoea and wheezing occur mainly on exhalation with fixing of the shoulder-girdle.

58
Q

What position do asthma patients prefer during an attack?

A

The patient likes to sit up.

59
Q

When do asthma attacks typically occur?

A

Attacks occur year-round, especially during cold seasons or drastic climate changes.

60
Q

What is the main etiology of Asthma?

A

Internal retention of Phlegm-Fluid

61
Q

What is asthma primarily caused by?

A

Asthma is due to both a root cause of underlying weakness in resistance and branch excess due to the invasion of external pathogens

62
Q

What is the root cause of asthma?

A

The root cause is the hypofunction of the Lung, Spleen + Kidney.

63
Q

What are the branch excess factors contributing to asthma?

A

Branch excess factors include external invasion, phlegm, dampness, and blood stasis.

64
Q

Principle treatment points for Excess Asthma?

A

LU-7: diffuse LU Qi + unblock LU Qi
REN-17: ‘Sea of Qi’ + unbinds chest + local point
LU-5: He-sea point of LU + treats cough
BL-13: Tonify LU Qi
Dingchuan: Calm Dsyponea

65
Q

Treatment points to treat Asthma due to Phlegm-heat?

A

LU-7 + LU-5 + REN-17 + BL-13 + Dingchuan
PLUS
LI-11 + DU-14 + ST-40

66
Q

Treatment point to treat Asthma due to severe Dyspnea?

A

LU-7 + LU-5 + REN-17 + BL-13 + Dingchuan
PLUS
REN-22: Descends rebellious Qi + sudden onset diseases

67
Q

Treatment points to treat Asthma due to Phlegm-Dampness?

A

LU-7 + LU-5 + REN-17 + BL-13 + Dingchuan
PLUS
SP-9 + ST-40

68
Q

Principle points for treatment for Asthma due to Deficiencies?

A

LU-9: Yuan + tonifies Lung
BL-13: Back-shu of Lungs
BL-23: Back-shu of Kidneys
BL-43: Tonifies Qi + Yin
KI-3: Tonifies KI Yang
ST-36: Tonfiies Qi + Blood, fortifies Spleen
Dingchuan: Calms dyspnea

69
Q

Treatment points for Asthma due to Lung Qi Xu?

A

LU-9 + BL-13 + BL-23 + BL-4 + KI-3 + ST-36 + Dingchuan
PLUS
LU-5: He-Sea + decends counterflow Qi
REN-6: Fosters Original Qi + fortifies Yang

70
Q

Treatment points for Asthma due to Kidney Qi Xu?

A

LU-9 + BL-13 + BL-23 + BL-4 + KI-3 + ST-36 + Dingchuan
PLUS
KI-10: He-sea + benefits Kidneys
REN-4: Tonify + nourishes Yin, Blood + Kidneys

71
Q

A dry cough that occurs only in the late afternoon or evening indicates?

Internal Medicine (25 decks)

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