Lung and Large Intestine Patterns Flashcards
Concept: Wind-Cold invading the Wei Qi level of the Lung system impairing dispersing function.
Wind-Cold Lung
Analysis: Exterior Pathogenic Factor attacking the Lungs. Lungs counterflow upward (cough), fluids collect, and orifices are blocked (clear-watery sputum and stuffy nose). Plus all the signs of Cold including headache, body pain (contracts and obstructs the sweat pores - no sweating).
Wind-Cold Lung
Key Symptoms: Cough, clear watery sputum, stuffy nose, headache, achy all over, no sweating
Clinical Manifestations: aversion to cold with slight fever
Wind-Cold Lung
Tongue: thin-white coat
Wind-Cold Lung
Pulse: floating/tight pulse (no give, unlike the wiry pulse)
Wind-Cold Lung
Concept: Wind-Heat invading the Wei Qi level of the Lung System
Wind-Heat Lung
Analysis: Exterior Wind-Heat pathogen that is invading the Wei Qi level of Lungs
Wind-Heat Lung
Key Symptoms: cough, and same symptoms of exterior Wind-Heat symptoms
Clinical Manifestations: front of tongue is red, thick nasal discharge
Wind-Heat Lung
Tongue: red with thin yellow coat
Wind-Heat Lung
Pulse: Floating and rapid
Wind-Heat Lung
Concept: Just what is says a cold pathogen congesting the Lungs (no Wind or Damp)
Cold Pathogen Congesting the Lung
Analysis: This is a sudden onset of cough and difficulty breathing along with a cold pattern signs and symptoms in the Lungs
Cold Pathogen Congesting the Lung
Key Symptoms: Lung system dysfunctions (not nourishing - cough, scanty sputum, along with dryness of fluids patterns)
Clinical Manifestations: white watery sputum, cold body, limbs, dyspnoea (Shortness of Breath)
Cold Pathogen Congesting the Lung
Tongue: Pale with White Coat
Cold Pathogen Congesting the Lung
Pulse: slow to moderate
Cold Pathogen Congesting the Lung
Concept: Spleen Qi Deficiency or chronic cough damaging the lung or a result of Wind-Cold-Damp Pathogenic Factor invading the Lung.
Phlegm-Damp Obstructing the Lung (Phlegm-Damp in the Lungs)
Analysis: Mostly in chronic diseases, but can be acute
Phlegm-Damp Obstructing the Lung (Phlegm-Damp in the Lungs)
Key Symptoms: cough with profuse white sticky sputum easy to expectorate (phlegm in throat, chest oppression and other damp signs life heaviness, wheezing, nausea.
Phlegm-Damp Obstructing the Lung (Phlegm-Damp in the Lungs)
Tongue: pale with white greasy coat
Phlegm-Damp Obstructing the Lung (Phlegm-Damp in the Lungs)
Pulse: slippery (or soggy)
Phlegm-Damp Obstructing the Lung (Phlegm-Damp in the Lungs)
Concept: Invasion of the lung by a heat pathogen (no wind or damp at this point) Can also be called a Lung Heat Pattern or Lung Fire Pattern
Heat Pathogen Congesting the Lung (Lung-Heat)
Analysis: Usually originally caused by wind-heat or wind-cold pathogen invading and transforming into heat and congesting the lung
Heat Pathogen Congesting the Lung (Lung-Heat)
Key Symptoms: symptoms of interior excess HEAT plus symptoms of lung problems. Cough, labored breathing, nostrils flaring, chest pain, swollen and sore throat, fever, thirst, constipation (cough with a feeling of heat and red tongue are enough to diagnose Heat in Lung)
Clinical Manifestations: can have scanty deep-red urine
Heat Pathogen Congesting the Lung (Lung-Heat)
Tongue: Red with Yellow coat
Heat Pathogen Congesting the Lung (Lung-Heat)
Pulse: (overflowing) rapid
Heat Pathogen Congesting the Lung (Lung-Heat)
Concept: Phlegm combines with heat leading to improper dispersing and descending and manifests as heat along the lung channel
Phelgm-Heat Obstructing the Lung (Phlegm-Heat in the Lungs)
Analysis: After pathogens have invaded the lung, and then stagnating which then turns up the heat, injuring lung fluids forming phlegm. Or it can be long-standing phlegm that turns into heat, either way it obstructs the Lung function.
Phelgm-Heat Obstructing the Lung (Phlegm-Heat in the Lungs)
Key Symptoms: cough with profuse (yellow/green) sputum and all symptoms of interior excess heat and damp.
Clinical Manifestations: gurgling sound in throat, SOB, pus with blood in sputum, chest pain, thirst, foul smell to phlegm, scanty dark urine
Phelgm-Heat Obstructing the Lung (Phlegm-Heat in the Lungs)
Tongue: red (swollen) with yellow greasy coat
Phelgm-Heat Obstructing the Lung (Phlegm-Heat in the Lungs)
Pulse: Slippery and rapid
Phelgm-Heat Obstructing the Lung (Phlegm-Heat in the Lungs)
Concept: Weakening function of the Lung’s ability to govern Qi and dominate the Wei (defensive) function.
Lung Qi Deficiency
Analysis: Either a chronic cough will damage the Lung Qi or, Spleen deficiency is not able to transform enough food into essence Qi for nourishing the Lung (too much sitting bent over a desk-not breathing).
Lung Qi Deficiency
Key Symptoms: weak cough, SOB, low or hoarse voice, clear watery sputum and other signs of Qi deficiency (spontaneous sweating)
Clinical Manifestations: SOB worse with exertion, low voice, fatigue, pale complexion
Lung Qi Deficiency
Tongue: pale (with white coat)
Lung Qi Deficiency
Pulse: weak (empty, esp on right front (Cun) position
Lung Qi Deficiency
Concept: Yin deficiency in the lung allowing internal heat to rise, damaging the lung further so it cannot dominate the descending function. If not a lot of heat is apparent it is called Lung Dryness with injured fluids pattern.
Lung Yin Deficiency
Analysis:Caused by heat-dryness or by infection like tuberculosis or after a febrile (heat) disease. It can also be caused by excessive sweating which has depleted the yin fluids and lastly an “enduring” chronic cough which consumes Lung Yin
Lung Yin Deficiency
Key Symptoms: Dry (tickly) cough with scanty sticky sputum (hard to expectorate), and signs of deficiency heat from Yin deficiency (night sweating).
Clinical Manifestations: red cheeks, cough with blood tinge sputum, annoying tickly cough at night, hoarseness, dry mouth, emaciation
Lung Yin Deficiency
Tongue: red with scanty (unrooted) fluids (looks dry)
Lung Yin Deficiency
Pulse: rapid and thready
Lung Yin Deficiency
Concept: Exterior dryness pathogen in autumn invading the Wei Qi level and injures fluids of the Lung system.
Lung Dryness (Also called Dryness invading the Lungs) Two types: warm-dryness and cool dryness
Analysis: This pattern is dryness invading the lung and damaging lung fluids creating disharmony of Wei Qi, or by Wind-Heat (can be artificial) turning into dryness, again injuring fluids. Early autumn is more about warm-dryness and late autumn is more about cool-dryness. (Precursor is usually Stomach Yin Deficiency)
Lung Dryness
Key Symptoms: dry cough, scanty sputum (maybe with blood), along with dryness of fluids patterns.
Clinical Manifestations: maybe dry stool, scanty urine, slight aversion to wind-cold, no sweating, expistaxis (nose bleeds)
Lung Dryness (Lung Dryness will lead to Lung Yin Deficiency over time)
Tongue: thin dry tongue coat
Lung Dryness
Pulse: floating and rapid or floating and tight
Lung Dryness
Concept: When the Large Intestine is not able to transmit fluids properly due to damp-heat in the intestinal tract.
Large Intestine Damp-Heat
Analysis: Mostly caused by summer-heat dampness assailing the stomach and intestines or by irregular (improper) intake of food, or a combination of both. This turbidity is transferred to the LI from the Stomach.
Large Intestine Damp-Heat
Key Symptoms: dysentery or diarrhea (offensive odor) with signs of damp (mucus in stools) and heat symptoms (bleeding in stools)
Clinical Manifestations: maybe even blood and mucus in stools, foul smelling hard to move stools with burning of anus on passing, scanty dark urine, thirst with dry mouth but no desire to drink
Large Intestine Damp-Heat
Concept: When both dryness and heat pathogenic factors combine and create blockage in the stool.
Heat Obstructing the Large Intestine
Analysis: Caused by strong heat pathogen and excessive sweating or improper medicinal to induce sweating with bind and blocks the intestinal track
Heat Obstructing the Large Intestine
Key Symptoms: distention, fullness, pain and rigid feeling in the abdomen, constipation, with interior excess heat signs (fever)
Clinical Manifestations: high fever, late afternoon fever, pain worse with pressure, sweating, thirst, mania or delirium, scanty dark urine.
Heat Obstructing the Large Intestine
Concept: Due to the deficiency of fluids in large intestine failing to moisten and creates constipation and dry stool. Can be from dry external conditions as well.
Large Intestine Dryness
Analysis: Can be caused by Yin deficiency or Yin-Blood deficiency, especially in old age. Or by damage of body fluids from diarrhea, vomiting, chronic fluid consuming diseases such as a warm heat diseases (not high fever).
Large Intestine Dryness
Key Symptoms: dry stool (other dry signs), constipation, (maybe several days no BM), foul breath, along with yin-fluid deficiency pattern signs and symptoms.
Clinical Manifestations: sometimes maybe dizziness, dry mouth with foul breat
Large Intestine Dryness
Tongue: dry and red (or pale both with rootless coat)
Large Intestine Dryness
Pulse: thready and choppy (fine)
Large Intestine Dryness
Concept: Due to Yang deficiency of the large intestine (also Spleen Yang Deficiency - precursor)
Large Intestine Deficient Cold
Analysis: Often caused by over consumption of raw and cold foods, or by chronic disease or chronic diarrhea which damages yang qi. It can also be from innate yang deficiency.
Large Intestine Deficient Cold
Key Symptoms: irregular bowel habits such as loose stool (like duck droppings) with symptoms of a deficient- cold pattern (dull abdominal pain, boryborgumus, profuse pale urine, cold limbs). Clinical Manifestations: incontinence, rectal or anal prolapse possible, weak constitution.
Large Intestine Deficient Cold
