Lung and Large Intestine Patterns

Question 1

Concept: Wind-Cold invading the Wei Qi level of the Lung system impairing dispersing function.

Answer 1

Wind-Cold Lung

Question 2

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).

Answer 2

Wind-Cold Lung

Question 3

Key Symptoms: Cough, clear watery sputum, stuffy nose, headache, achy all over, no sweating
Clinical Manifestations: aversion to cold with slight fever

Answer 3

Wind-Cold Lung

Question 4

Tongue: thin-white coat

Answer 4

Wind-Cold Lung

Question 5

Pulse: floating/tight pulse (no give, unlike the wiry pulse)

Answer 5

Wind-Cold Lung

Question 6

Concept: Wind-Heat invading the Wei Qi level of the Lung System

Answer 6

Wind-Heat Lung

Question 7

Analysis: Exterior Wind-Heat pathogen that is invading the Wei Qi level of Lungs

Answer 7

Wind-Heat Lung

Question 8

Key Symptoms: cough, and same symptoms of exterior Wind-Heat symptoms
Clinical Manifestations: front of tongue is red, thick nasal discharge

Answer 8

Wind-Heat Lung

Question 9

Tongue: red with thin yellow coat

Answer 9

Wind-Heat Lung

Question 10

Pulse: Floating and rapid

Answer 10

Wind-Heat Lung

Question 11

Concept: Just what is says a cold pathogen congesting the Lungs (no Wind or Damp)

Answer 11

Cold Pathogen Congesting the Lung

Question 12

Analysis: This is a sudden onset of cough and difficulty breathing along with a cold pattern signs and symptoms in the Lungs

Answer 12

Cold Pathogen Congesting the Lung

Question 13

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)

Answer 13

Cold Pathogen Congesting the Lung

Question 14

Tongue: Pale with White Coat

Answer 14

Cold Pathogen Congesting the Lung

Question 15

Pulse: slow to moderate

Answer 15

Cold Pathogen Congesting the Lung

Question 16

Concept: Spleen Qi Deficiency or chronic cough damaging the lung or a result of Wind-Cold-Damp Pathogenic Factor invading the Lung.

Answer 16

Phlegm-Damp Obstructing the Lung (Phlegm-Damp in the Lungs)

Question 17

Analysis: Mostly in chronic diseases, but can be acute

Answer 17

Phlegm-Damp Obstructing the Lung (Phlegm-Damp in the Lungs)

Question 18

Key Symptoms: cough with profuse white sticky sputum easy to expectorate (phlegm in throat, chest oppression and other damp signs life heaviness, wheezing, nausea.

Answer 18

Phlegm-Damp Obstructing the Lung (Phlegm-Damp in the Lungs)

Question 19

Tongue: pale with white greasy coat

Answer 19

Phlegm-Damp Obstructing the Lung (Phlegm-Damp in the Lungs)

Question 20

Pulse: slippery (or soggy)

Answer 20

Phlegm-Damp Obstructing the Lung (Phlegm-Damp in the Lungs)

Question 21

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

Answer 21

Heat Pathogen Congesting the Lung (Lung-Heat)

Question 22

Analysis: Usually originally caused by wind-heat or wind-cold pathogen invading and transforming into heat and congesting the lung

Answer 22

Heat Pathogen Congesting the Lung (Lung-Heat)

Question 23

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

Answer 23

Heat Pathogen Congesting the Lung (Lung-Heat)

Question 24

Tongue: Red with Yellow coat

Answer 24

Heat Pathogen Congesting the Lung (Lung-Heat)

Question 25

Pulse: (overflowing) rapid

Answer 25

Heat Pathogen Congesting the Lung (Lung-Heat)

Question 26

Concept: Phlegm combines with heat leading to improper dispersing and descending and manifests as heat along the lung channel

Answer 26

Phelgm-Heat Obstructing the Lung (Phlegm-Heat in the Lungs)

Question 27

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.

Answer 27

Phelgm-Heat Obstructing the Lung (Phlegm-Heat in the Lungs)

Question 28

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

Answer 28

Phelgm-Heat Obstructing the Lung (Phlegm-Heat in the Lungs)

Question 29

Tongue: red (swollen) with yellow greasy coat

Answer 29

Phelgm-Heat Obstructing the Lung (Phlegm-Heat in the Lungs)

Question 30

Pulse: Slippery and rapid

Answer 30

Phelgm-Heat Obstructing the Lung (Phlegm-Heat in the Lungs)

Question 31

Concept: Weakening function of the Lung’s ability to govern Qi and dominate the Wei (defensive) function.

Answer 31

Lung Qi Deficiency

Question 32

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).

Answer 32

Lung Qi Deficiency

Question 33

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

Answer 33

Lung Qi Deficiency

Question 34

Tongue: pale (with white coat)

Answer 34

Lung Qi Deficiency

Question 35

Pulse: weak (empty, esp on right front (Cun) position

Answer 35

Lung Qi Deficiency

Question 36

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.

Answer 36

Lung Yin Deficiency

Question 37

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

Answer 37

Lung Yin Deficiency

Question 38

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

Answer 38

Lung Yin Deficiency

Question 39

Tongue: red with scanty (unrooted) fluids (looks dry)

Answer 39

Lung Yin Deficiency

Question 40

Pulse: rapid and thready

Answer 40

Lung Yin Deficiency

Question 41

Concept: Exterior dryness pathogen in autumn invading the Wei Qi level and injures fluids of the Lung system.

Answer 41

Lung Dryness (Also called Dryness invading the Lungs) Two types: warm-dryness and cool dryness

Question 42

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)

Answer 42

Lung Dryness

Question 43

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)

Answer 43

Lung Dryness (Lung Dryness will lead to Lung Yin Deficiency over time)

Question 44

Tongue: thin dry tongue coat

Answer 44

Lung Dryness

Question 45

Pulse: floating and rapid or floating and tight

Answer 45

Lung Dryness

Question 46

Concept: When the Large Intestine is not able to transmit fluids properly due to damp-heat in the intestinal tract.

Answer 46

Large Intestine Damp-Heat

Question 47

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.

Answer 47

Large Intestine Damp-Heat

Question 48

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

Answer 48

Large Intestine Damp-Heat

Question 49

Concept: When both dryness and heat pathogenic factors combine and create blockage in the stool.

Answer 49

Heat Obstructing the Large Intestine

Question 50

Analysis: Caused by strong heat pathogen and excessive sweating or improper medicinal to induce sweating with bind and blocks the intestinal track

Answer 50

Heat Obstructing the Large Intestine

Question 51

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.

Answer 51

Heat Obstructing the Large Intestine

Question 52

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.

Answer 52

Large Intestine Dryness

Question 53

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).

Answer 53

Large Intestine Dryness

Question 54

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

Answer 54

Large Intestine Dryness

Question 55

Tongue: dry and red (or pale both with rootless coat)

Answer 55

Large Intestine Dryness

Question 56

Pulse: thready and choppy (fine)

Answer 56

Large Intestine Dryness

Question 57

Concept: Due to Yang deficiency of the large intestine (also Spleen Yang Deficiency - precursor)

Answer 57

Large Intestine Deficient Cold

Question 58

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.

Answer 58

Large Intestine Deficient Cold

Question 59

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.

Answer 59

Large Intestine Deficient Cold