Cough Flashcards
Cough chief pathology?
reverse flow of LU QI
Cough western diseases?
COPD, whooping cough, TB, pneumonia, bronchitis, bronchiectasis
Cough etiology?
EXO cough= Shi–>xie Qi—W-C–>heat
—W-H–>dry/phlegm-heat
ENDO cough= Shi+Xu–>1) other zang fu affecting LU–SHI–>Xu
2) LU disease--XU--->Shi
- --->1) phlegm(heat/cold)
- --->2) fire (Shi/Xu)
Organs involved in Cough?
*LU
LIV
SP
KID
Differentiate EXO/ENDO cough?
EXO= sudden onset ENDO=recurrent onset
acute duration chronic duration
exterior pattern(fever+chills) interior pattern(no fever+chill at same time) combination shi+xuEXO cough patterns?
1) W-C
2) W-H
3) Wind warm dryness
4) Wind cool dryness
ENDO cough patterns?
1) retention of phlegm-damp in Lung
2) retention of phlegm-heat in Lung
3) retention of Cold fluid in Lung
4) Liver-fire burning Lung
5) Lung Qi Xu
6) Lung yin xu
How can you differentiate cough?
1) time of cough
2) voice
3) aggravating factors
4) phlegm (quality, quantity)
Paraxsmal cough, hoarseness voice, yellow sticky sputum
Wind-heat cough
severe dry cough, little sputum, difficult to expectorate, may be blood
both Wind-warm-dryness, and Wind-cool-dryness
spasmodic cough, itchy throat, small quantity sputum, dilute, easy expectoration
Wind-cold cough
heavy cough, rattling sound, copious sticky sputum, greasy or thick white, full chest, nausea, poor appetite, lassitude
T-pale, puffy, white greasy coat
P-slippery, soft
Retention of Phelgm Damp in Lung
Unproductive cough, small sticky sputum, maybe blood
T-red, little coat
P-thready, rapid
LU yin xu
Irritating cough, small sticky sputum, difficult to expectorate, hypochondriac pain, red eyes/face, dry mouth/throat, effected by emotions
Liver-fire burning LU
Cough, copious clear white sputum, dilute/frothy, cold limbs, aversion to cold, often in winter
T-pale, puffy, slight purple, white slippery coat
P-soft
Retention of Cold Fluid-Phlegm in LU
heavy cough with rattling sound, yellow sticky sputum, feverish sensation, red face
T-red, yellow sticky coat
P-slippery, fast
Retention of Phelgm-heat in LU
cough, weak voice, SOB, copious clear dilute sputum, difficult to expectorate, pallor, aversion to wind, sweating, vulnerable to cold, lassitude, fatigue
T-pale, scallops, thin white coat
P-weak
LU Qi xu
What is the chief EPF for ENDO cough?
phlegm-fire
POT for EXO cough?
shi-remove xie Qi to benefit LU
POT for ENDO cough?
BEN-xu-tonify LU (SP/ST)
BIAO- shi- remove PH-fire to stop cough
Basic points for EXO cough?
GB-20, LI-4, LU-7, LU-5, UB-12, LU-1
point for W-C?
SJ-5
point for W-H?
LI-11
DU-14
point for W-warm-dryness?
K-6
point for W-cool-dryness?
K-6
Basic points for ENDO cough SHI?
LU-5, LU-7, ST-40, LU-1, UB-13
point for PH-D?
UB-20
point for PH-H?
UB-20, LI-11
point for cold-fluid retention with phlegm?
UB-20, ST-36, SP-9
points for LIV-fire cough?
LIV-2, LU-10, LU-8, UB-13, UB-18
Basic points for ENDO cough XU?
UB-13, LU-9, LU-7, LU-1
points for QI xu cough?
UB-20
points for yin xu cough?
K-6, UB-43
Alternative remedy:
1) cupping (EXO- W-C)
2) bleeding (EXO-W-H)
3) moxa+ moxa w/ ginger (1-DU-14, UB-13, RN-22
2-DU-13, Dingchuan, RN-21
3-DU-12, UB-12, RN-20
4- DU-11, UB-14, RN-17)
4) plumblossom-UB/DU
5) auricular- trachea, LU, LIV, shenmen, adrenal
6) herbs- Zi sou san
Education for cough?
1) keep warm to prevent EPF invasion
2) quit smoking
3) diet (no spicy, sweet, meat)
4) massage LI-20
5) moxa ST-36 at night
6) Qi gong (Qi xu)
7) reg. emotions
