Cough Flashcards
Cough
Describe Ke vs Suo
Ke - Sound without phlegm; More heat signs or Yin Xu
Suo - No sound, with phlegm; More cold and damp
Most common age and most common season for cough?
Toddler
Winter-Spring
What is bronchitis? Signs and symptoms?
Inflammation of the lining of the bronchial tubes. May be either acute or chronic.
* Chest discomfort
* Cough
* Fatigue
* Mucus that is clear, white, yellow, gray or green, maybe streaked with blood
* Shortness of breath
* Slight fever and chills
Location for bronchitis? Causes?
Lung and Spleen
1. External pathogen
2. Weak and deficient Spleen
What is a common progression from exterior invasion to interior deficiency for bronchitis? (5 syndromes)
- External pathogen
- Heat and phlegm invade Lungs
- Phlegm and damp invade Lungs
- Lung Qi Deficiency
- Lung Yin Deficiency
How to diagnose bronchitis?
- Common cold history
- Cough is most important symptom
- When auscultating there is a wheezing or ronchi sound
- Normal X-ray
- Less WBC if a virus
- Increased WBC if bacterial
Differentiate bronchitis from pulmonary tuberculosis?
TB has fever, cough and night sweating. Bronchitis will have cough and may have slight fever but unlikely to have night sweats.
What are the six types of cough?
- Wind Cold
- Wind Heat
- Phlegm heat
- Phlegm damp
- Qi Deficiency
- Yin Deficiency
Wind Cold Common Cold type cough. Symptoms, Treatment Principle, Herbal Formula
S/S: Constant cough, itchy throat, white clear phlegm, fever, aversion to cold, no sweat, headache, stuffy nose, pale and/or red tongue, white thin coat, superficial and tight pulse, superfical red finger
TX: Release wind, dissipate cold, regulate lungs, stop cough
Formula: Jin Fei Cao San
Main herbs: Xuan Fu Hua (Inula flower, transform cold phlegm), Ma Huang (Warm acrid surface releasing), Qian Hu (Hogfennel, transform phlegm and stop cough)
Wind Heat Common Cold type cough. S/S, TX, Formula, Main herbs?
S/S: Cough, yellow thick phlegm, thirst, throat pain, sweating, headaches, thirst, aversion to wind, tongue red, thin yellow coat, pulse superficial and rapid, finger superficial purple
TX: Release wind, dissipate heat, regulate lung, stop cough
Formula: Sang Ju Yin
Main herbs: Sang Ye (Mulberry leaf), Ju Hua (Chrysanthemum), Lian Qiao (Forsythia) all three cool acrid herbs that release exterior wind heat
Phlegm Heat cough. S/S, TX, Formula, Main herbs?
S/S: cough, copious sputum, yellow thick phlegm, hard to cough out, hot sensation, fever, thirst, scanty yellow urine, tongue: greasy coat, pulse: slipper and rapid
TX: Clear Lungs, Clear heat, Transform phlegm, Stop cough
Formula: Qing Jin Hua Tan Tang
Main herbs: Huang Qin (Scutellaria, clear heat dry damp); Zhi Zi (Gardenia, clear heat drain fire); Zhi Mu (Anemorrhena, clear heat in Qi stage); Ju Hua (Chrysanthemum flower); Sang Bai Pi (Mulberry Root bark)
Phlegm damp cough. S/S, TX, Formula, Main herbs
S/S: Cough, white but not sticky phlegm, phlegm in throat, chest oppression, lack of appetite, fatigue, Tongue: red, pale with white greasy coat, Pulse: slippery
TX: Dry damp, Transform phlegm, Stop cough
Formula: San Ao Tang + Er Chen Tang (picture)
Main Herbs:
Ma Huang (Ephedra) - Release ext W-C
Xing Ren (Apricot seed) - Transform phlegm relieve cough and wheezing
Ban Xia (Pinellia) - Warm herbs that transform cold phlegm
Chen Pi (Tangerine peel) - Regulate Qi, dry damp, transform phlegm
Qi Deficiency cough. S/S, TX, Formula, Main herbs
S/S: Weak cough, white and clear sputum, pale complexion, lack of breath, weak voice, spontaneous sweat, slight aversino to cold, Tongue: tender with teeth marks, Pulse: thready and forceless
TX: Invigorate Spleen, Tonify Lung, Nourish Qi, Transform damp
Formula: Liu Jun Zi Tang
Main herbs: Ren Shen (Ginseng, Tonify Qi) Bai Zhu (White Atractylodes, Tonify Qi), Gan Cao (Licorice, tonify Qi) Fu Ling (Poria, Dry damp), Chen Pi (Tangerine peel, Regulate Qi), Ban Xia (Pinellia, Transform cold phlegm)
Yin Deficiency Cough. S/S, TX, Formula, Main herbs
S/S: Dry type cough, less or no sputum, hard to expectorate, with blood, dry throat, thirst, fever, five palm heat, Tongue: red with no coat or less coat, Pulse: thready and rapid
TX: Nourish Yin, Moisten Lungs, Clear heat
Formula: Sha Shen Mai Dong Tang
Main Herbs: Sha Shen (Glehnia root; Tonify Yin), Mai Men Dong (Ophiopogon tuber; Tonify Yin), Yu Zhu (Solomon’s seal, Polygonata; Tonify Yin), Sang Ye (White Mulberry Leaf; Release ext. W-H); Tian Hua Fen (Trichosanthes root; Clear heat, drain fire)
Actions of Jin Fei Cao San?
(Bonus: name herbs)
- Calm wheezing
- Disperse Wind cold
- Descend Lung Qi
- Stop cough
- Transform phlegm
Uses and Actions of Sang Ju Yin?
(Bonus: name herbs)
Patterns:
1. Wind Heat Attacks Lungs (Initial stage)
2. Wen Bing Wei Stage Dry Heat
3. Summer Heat with Damp
4. Damp Heat
Actions:
* Clear lungs
* Disperse Wind Heat
* Stop cough
Uses and Actions of Qing Jin Hua Tan Tang?
(Bonus: name herbs)
Pattern:
Heat Invading Lungs
Actions:
* Clear Lung heat
* Stop cough
* Transform phlegm
Uses and Actions for San Ao Tang
(Bonus: name herbs)
Pattern:
Exterior Invasion of Wind Cold
Actions:
1. Release Exterior
2. Spread Lung Qi
Uses and Actions of Er Chen Tang
(Bonus: Name herbs)
Patterns:
1. Phlegm Damp Obstructs Lung
2. Spleen Damp Disturbs Lung
3. Damp Phlegm Retention (Shi Tan)
4. Internal Phlegm Damp with Qi Xu
5. Wind Phlegm (Feng Tan)
Actions:
* Dries dampness
* Harmonizes Middle jiao
* Regulates Qi
* Transforms phlegm
Actions for Si Jun Zi Tang
(Bonus name herbs)
- Strengthens Spleen and Stomach
- Tonifies Qi
Liu Jun Zi Tang herbs and actions?
Si Jun Zi Tang plus Chen Pi and Ban Xia
Actions:
* Strengthens SP/ST
* Tonifies Qi
* Circulates Qi
* Dries damp
* Harmonize MJ
* Stop vomiting
* Transform phlegm
Xiang Sha Liu Jun Zi Tang added herbs and actions?
Liu Jun Zi Tang plus Mu Xiang and Sha Ren
Actions:
* Harmonize Stomach
* Regulate Qi
* Strengthen Spleen
* Stop pain
* Tonify Qi
Patterns for Liu Jun Zi Tang (or Xiang Sha Liu Jun Zi Tang)? Main S/S?
- Stomach Qi Xu
- Spleen and Stomach Qi Xu with Phlegm Damp Retention
- Atrophy Wei Disorder d/t SP and ST Qi Xu
Patterns and Actions for Sha Shen Mai Dong Tang (Bonus name herbs)
Patterns:
Lung Yin Deficiency
Actions:
* Clear and nourish Lungs and Stomach
* Promote body fluid and stop thirst
* Regulate Lungs
Main symptoms if choosing Sha Shen Mai Dong Tang?
- Dry throat
- Epigastric pain
- Hacking cough with scanty sputum
- Low grade fever
- Night sweats
- Tongue: Red with scanty or no coat
- Pulse: thready and rapid
8 Acupuncture points for cough
(Bonus, describe what each does)
- LI11 (He Sea, Earth, Reinforcing, Ghost point; Release exterior wind, Cool heat)
- RN22 (Window of Heaven; Spread Lung Qi, transform phlegm, benefit throat)
- SP3 (Shu stream, Earth, Tonifying, Yuan; Support Spleen, harmonize MJ)
- LR3 (Shu Stream, Earth, Tonifying, Yuan; Spread Liver Qi, Discharge damp heat, nourish liver blood and yin, sedate Liver Yang; angry and emotional start to have breathing problems, Wood insults Metal)
- LU5 (He Sea, Water, Son, Reducing; Drain Lung heat, transform phlegm, discharge lung fire)
- PC6 (Luo Connecting, Confluent Yin Wei, Sedating, Command for Heart, chest, epigastrium; Calm Heart and spirit, Relax chest and regulate Qi, Suppress rebellious Qi)
- BL13 (Back shu of Lung, Tonifying; Regulate Lung Qi, Reduce fever, Clear heat)
- ST40 (Luo Connecting ST; Transform phlegm and damp, Calm spirit, Harmonize ST)
Compare common cold formulas to cough formulas for Wind Cold and Wind Heat
Wind Cold common cold: Jing Fang Bai Du San
Wind Cold common cough: Jin Fei Cao San
Note: both have Jing Jie (Catnip) and Qian Hu (Hogfennel)
Wind Heat common cold: Yin Qiao San
Wind Heat common cough: Sang Ju Yin
Note: Both have Jie Geng (Balloon Flower root) and Lian Qiao (Forsythia)
