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DX2 > Cough (KE SOU) > Flashcards

Cough (KE SOU) Flashcards

1
Q

Ke Sou vocablualry

A 
Ke= sound
Sou = phlegm
Ke sou= cough
Chuan= panting (SOB)
Xiao = wheezing, phlegm rales
Rales= clicking, rattling, cracking noises
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2
Q

Cough characteristics

A

Always involve LU
Loud= excess
Soft= deficiency
Dry= dryness (excess) or LU Yin Xu

LUs govern qi (heavenly qi- that wc we breath; earth qi- that which we eat).
Take heavenly qi turn into what we can use
govern exhale.
Depurative

(SP stores phlegm in LU, can disrupt flow of qi- cause cough- why PTs need to take care of SP)

KD initiates inhale, grasps the qi, pulls it down=little discussed respiratory organ

*inhale v exhale not that useful diagnostically

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3
Q

Cough types

A

Enduring: months/years
Night: something to do w/ esophagus
Fifth watch: before sunrise, phlegm
Dry cough: >10x before phlegm comes out, dry throat
Wheezing cough: xiao (asthmatic)
Mute cough (hoarse/no sound)
Long bout cough/whooping cough (pertussis) woop on inhale on last cough

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4
Q

Exterior Cough Patterns

A

Wind cold damage
Wind strike
Wind heat
Autumn dryness

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5
Q

Wind-strike

A

Cough, itchy throat
thin, white phlegm, aversion to wind, fever, sweat, nasal block, headache
P: moderate, floating

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6
Q

Wind cold

A

Thin, white phlegm
more turbid sound, aversion to cold, no sweat, fever, nasal block, headache
P: tight, floating

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7
Q

Wind heat cough

A

More heat signs
louder cough, barking
yellow phlegm, fever, headache, red swollen painful throat, thirst
P: rapid/floating

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8
Q

Autumn Dryness Cough

A

must occur in Autumn
Phlegm reduced= dry cough, harder to expectorate, might be streaks of blood,
LU loaths dryness/likes moisture
dry mouth, thirst, dry nose
slants toward warm dry or cold dry
challenge: moisten LU w/o creating phlegm

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9
Q

Interior Cough Patterns

A 
Cold evil settling in LU
Heat Evil Congesting LU
Summer-heat Damage
Dryness Evil Damages LU
Long Bout 9.100 days)
Diptheria: membrane
Measles: millet like spots
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10
Q

Cold Evil Settling in LU

A

(Did not catch the invasion on the exterior and it has now gone inside)

Heavy turbid cough
Interior (no chills, aversion to cold/wind), Fifth watch or night cough,
White phlegm (thick or thin), cool limbs, pale face, lack of thirst, clear, long urination

T: white tongue coat
P: slow

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11
Q

Heat Evil Congesting LU

A

Pure EXCESS pattern
HOT phlegm
Loud cough
hyperactivity, panting/rough breathing, fever, no chills
Bronchitis, thick, smelly, yellow or green phlegm, maybe blood streaked,
hurts chest to cough, rib side pain, thirst, reddish urine, bound stools
T: red w/ yellow fur
P: big, forceful, rapid

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12
Q

Summer heat

A

(must occur during summer-heat period)
Damage dry cough w/o phlegm or scanty frothy sputum, rapid breathing, pain in chest, vigorous fever, vexing thirst, profuse sweat, head ache, dizziness, fatigued limbs and spirit fatigue
P: surging/rapid

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13
Q

Dryness Evil Damages LU

A

Dryness is external Pathogen,
dry cough w/ phlegm difficult to expectorate like strands of flour,
May be blood streaked
panting w/ white frothy sputum,
cough more severe with pain
nose, throat, entire LU system dry: trachea, sinuses
Thirsty- want to drink
dry skin, stools. scanty urine
T: dry w/ tin white fur
P: thin (even tho is excess- causes yin def), rapid

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14
Q

Long bout cough

A 
100 days of cough
woop on the end
cough takes whole body to do
body bent forward
curled hands
neck & head engaged
hard to get out evil
use ancillary muscles
eyes red swollen
common in kids
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15
Q

Diptheria

A 
barking cough
white sticky membrane in back of throat
cannot take it off
hoarseness
foul odor in mouth
blue/green lips
palpitations; throat swells up
20% of kids under 5 die
5% fatality in adults
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16
Q

Measles

A

fever
sticky white spots in mouth (sesame seeds)
skin rash
4 Cs: cough, Coplis’s spots, conjunctivitis (tearing of eyes), Coryza (nasal inflammation)

17
Q

Vacuity & Misc COugh patterns

A 
Lung Qi Xu
Lung Yin Xu
Damp-phlegm obstructing
Water-cold invades LU (spillage rheum)
Propping Rheum
LV fire invades LU
Blood stasis cough
18
Q

LU Qi Def Cough

A 
Forceless, soft, panting
long-term, chronic, worse @ night (tired at night)
not a lot of phlegm- white
SOB
closely related to Wei Qi- person suceptible to gettting sick a lot
chronic allergies, asthma, colds
T: qi def, pale, white coating
P: def, empty, weak
19
Q

LU Yin Def Cough

A

Dry, thirst + dry throat
enduring (long term), phlegm a little bit blood streaked
night heat
P: thin, rapid

20
Q

Damp Phlegm Obstructing LU

A

excess pattern
color of phlegm helps, 8 principles helps
Chronic or W-C invasion
been around awhile
phlegm heat= yellow, sticky
cold= junky cough, wheezing, profuse white phlegm, heaviness in chest, glomus feeling
failure of fluids to TnT (SP/Qi def)
T; Scallops, wet, swollen
Phlegm lines (bubbly/white) on tongue, sticky, greasy thick, slimy

21
Q

Rheum types

A

suspended Rheum= upper jiao, H2O stuck in rib sides=SOB, panting, pain
spillage rheum= edema limbs
propping rheum= accumulation of H2O in abdomen, chronic, can last years-wei qi/yin def & yang def

floating edema=face
sinking edema= limbs

22
Q

Water cold invades LU

A 
spillage Rheum: cough, deficient
copious, thin white frothy phlegm
edema in limbs/ankles-water getting stuck in tissue- not TnTing, COPD, emphazema
SP Yang compromised, Maybe KI too
scanty urine (KI yang not working)
Fluids stag and affect HT=palpitations
KI root of SP= sloppy wet stools, UFP, sore back/knees
cold (likes covers)
23
Q

Propping Rheum

A 
propping up bec otherwise PT cant beath
water below HT
long standing
Chest fullness, SOB
profuse, white, frothy phlegm
Edema of face and head
dizziness (water forced to head)
sooty black complexion
T; White, slimy tongue fur
P: taught, wiry, string like
body under distress- makes HT tight
24
Q

LV fire invades LU

A

LU grandparent of LV
metal grandparent of wood
over controlling attacking in this case

Angry, bitter taste, red hot Sxs: spasmodic cough, ribside pain, angry/emotional
Heat can cause bleeding
Epistaxis
P: rapid, string taught, wiry (LV)
T:
25
Q

Blood Stasis Cough

A 
HT/PC/LU
comes with dark, purple blood
foul smell
long term festering stag in upper jiao
gargle but not drink
SOB
palpitations, pain/oppression in chest/ HT disease pattern (send to DR)

T: Purple, macules
P: bound, choppy, regularly irregular= Dai Mai pulse

26
Q

Panting (Xiao Chuan)

A

Hasty Panting = fast SOB
counterflow panting= LU supposed to bring down-instead wheezing (audible breathing), cough & qi going up.
Dyspnea=SOB
1) asthma- wheezing component-phlegm involved
2) frog rail throat

27
Q

Xiao Chuan Patterns

A 
share cough patterns
Wind-cold Exterior Invasion (taiyang cold damage)
Heat Evil Congesting LU
Phlegm turbidity obstructing LU
Suspended Rheum
Propping Pheum
Water-cold invades LU (spillage Rheum)
28
Q

Wind-cold external invasion

A

can have panting/cough
light, white, thin d/c down throat
suden onset
chills/fever.

29
Q

Wind-cold external invasion

A

can have panting/cough
light, white, thin d/c down throat
suden onset
chills/fever.

30
Q

Heat Evil congesting LU

A 
Thick yellow smelly (bloody) phlegm
fluids cooked down- rapid, breathing/panting
painful cough
pain in chest
rib side
fever
restlessness
sweating
P: rapid, rolling/slippery
T: yellow, sticky coating

*Path once was exterior/Qi level pattern w/ p hlegm in LUs
can be hot or cold

31
Q

Phlegm turbidity Obstructing LU

A 
panting
turbid
long-standing
copious, difficult to expectorate phlegm
fullness, oppression in chest
heavy limbs, fatigue
sometimes cough so severe, people vomit 
expect SP, QI Def signs/mixed excess& def
T: white, shiny
P: slippery
32
Q

Deficient Xiao Chuan Patterns (panting)

A

LU Qi Xu- spontaneous sweating

LU Yin Xu-hasty panting, malar flush, dry, day cough, thirst

KI Yang Xu-panting, exhale greater than inhale, SOB- worse w/ exertion, Prob LU Qi def too, ancillary of muscles of neck used minimal forceless pulse in 3rd pos

KI Yin Xu- looks like Jing Def: forgetfulness, insomnia, 5-palm heat, night heat, tidal fevers
T: Red, dry peeled, can be deep red (deng says purple)

Dual vacuity of KI & LU

33
Q

Dual Vacuity of KI and LU

A

unbearable agitation with panting and sweating
floating w/ no root
yang departing
terminal panting/coughing

34
Q

Xiao Chuan Misc Patterns

A
  1. Pregnancy: SOB, fatigue, diaphragm cant move down. If complains, check for blood def.
  2. throat wind (Hou Feng):
    a) Acute throat wind: sudden/anaphylactic
    b) Putrefying throat wind- ulceration of throat/infection/HSV
    c) throat locking wind- clenched jaws/epileptic seizure, panting
    d) throat entwining wind/rigid neck
  3. Diptheria- white, patchy spot, cough like dog barking

DX2 (11 decks)

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