Cough - Ke Sou

Question 0

What is the chief pathology of cough?

Answer 0

Reverse flow of lung Qi leading to cough

Question 1

What does “ke” and “sou” mean?

Answer 1

Ke - without phlegm and sound

Sou - no sound with phlegm

Question 2

What are the chief and related organs related to cough?

Answer 2

Lung - direct

Related - Spleen, Kidney and Liv

Question 3

What pattern would present with white, frothy phlegm?

Answer 3

Deficiency cold

COPD, Chronic cough

Question 4

Causes of endogenous cough?

Answer 4

Weak Zheng Qi, therefore W-H and W-C is easily able to trigger the attack

Question 5

Differentiate been exogenous and endogenous cough

Answer 5

Exogenous
Sudden onset
Short duration
Combine with exterior syndrome

Endogenous
Recurrent 
No exterior syndrome 
Chronic
Mix (excess with deficiency pattern)
Need to separate biao and Ben

Question 6

Signs of Lung heat/phlegm heat and or pulmonary abscess

Answer 6

Phlegm with fishy smell/filthy odor

Question 7

What pattern would be presented when a patient spits out blood tinted sputum?

Answer 7

Lung heat/Yin deficiency

Question 8

Signs of heat?

Answer 8

Thick, yellow phlegm

Question 9

General signs of Exogenous cough?

Answer 9

Sudden onset
Short duration
Combine with exterior syndrome

Question 10

General signs of exogenous cough

Answer 10

Recurrent
No exterior syndrome
Chronic condition
Mix pattern (excess with deficiency pattern)
Need to separate from biao and Ben

Question 11

How determine a cough pattern?

Answer 11

1. Chief complain - cough and phlegm
2. Time of cough - morning/afternoon/evening
3. Voice of cough
4. What exaggerates the cough?

Question 12

What would be presented in a morning cough? And what pattern would it be?

Answer 12

Turbid/heavy cough
Feels relieve after phlegm has been expelled
Phlegm damp/Phlegm heat

Question 13

What pattern would be present if an individual were to have a single cough at night - it’s usually short and mild

Answer 13

Lung Yin deficiency and dryness

Question 14

What pattern would be present if they are present with a :
Constant cough at night
As soon as they lie down
Presented with COPD, dyspnea, SOB

Answer 14

Deficiency cold

Question 15

What pattern would be presented with a loud cough?

Answer 15

Excess pattern

Question 16

What pattern is present after eating greasy, sweet, raw or cold food?

Answer 16

Phlegm damp

Question 17

How would you treat a exogenous cough? (Wind cold, wind heat and wind dry)

Answer 17

Expel EPF/Xie Qi To benefit lungs

Question 18

What is the pathological factor of a endogenous cough?

Answer 18

Phlegm and fire

Question 19

What kind of home care would you give your patient?

Answer 19

1. Keep warm to prevent EPF invasion
2. Have smokers quit smoking, decrease spicy food, grapefruit sand tangerine
3. Self massage - LI 20, moxa ST36 at night and tonify Sp/St
4. Chronic cough - practice Qi Gong

Question 20

What is the difference between endogenous cough and a exogenous cough?

Answer 20

Exogenous is caused by EPF, and mistreatment of cough or failure to treat
Endogenous cough is caused by weak Zheng Qi therefore EFP is able to trigger an attack

Question 21

What points would you use to treat a cough?

Answer 21

Host/guest points - LI 4 and Lu 7
Back Shu
GB 20 (W-C)

Question 22

What points to use for a sore throat?

Answer 22

Local - LI 18,SI 17
Distal - Lu 1, LI 1 (bleed)
Have patient swallow when bleeding

Question 23

What other remedies would you recommend?

Answer 23

Moxa for chronic lingering cough
Moxa with ginger for chronic bronchitis
Herbal pasta for a few days to keep warm especially during the summer
Plum blossom needles - UB/Du meridian gentle tapping once a day
Auricular - Lu, Shenmen, Liv, adrenal gland stimulate for 10 - 20 mins /day