Lung Patterns Flashcards
Functions of the Lung
Governs Qi and Respiration
Controls channels and Blood Vessels
Control Diffusing and Descending of Qi
Regulate all Physiological activities.
Regulate Water Passages
Control Skin and Hair
Open into the Nose
Control Nasal mucus
House the Corporea Soul (Po)
Lungs - General Aetiology
Exterior pathogenic factors: Wind, Dryness, Dampness
Diet—Excessive consumption of cold and raw, greasy foods and dairy can generate internal dampness and phlegm, which derives from Spleen dysfunction and is often stored in the Lungs.
Emotions - Sadness and grief deplete Lung Qi, causing deficiency and with time stagnation of Lung-Qi. Worry knots Qi in the chest.
Lifestyle - Slumping over a desk can impede Lung-Qi, Smoking drys up the Lungs and damages Lung fluids.
Lung-Qi Deficiency - Clinical Manifestations
*Slight shortness of breath
Slight Cough
*Weak Voice
Spontaneous Daytime sweating
Dislike of speaking
Bright-Pale complexion
Propensity to catch colds
Tiredness
Dislike of cold
Tongue: Pale
*Pulse: RDP: Reduced Substance, Feeble, Absent, Yeilding.
Lung-Qi - Deficiency - Pulse
*Pulse: RDP: Reduced Substance, Feeble, Absent, Yeilding.
Lung-Qi - Deficiency - Tongue
Pale
Lung-Qi - Deficiency - Aetiology
Emotional Stress - Sadness and Grief deplete Lung-Qi causing Lung-Qi deficiency and in time Lung-Qi stagnation.
Lifestyle - Stooping over a desk, excessive use of the voice.
Exterior Pathogenic factors - Wind-cold or Wind-HEat remaining in the body.
Lung-Qi Deficiency - Pathology
Shortness of breath - Lungs govern Qi and respiration
Slight cough - deficient Lung-Qi failing to ascend Qi.
Weak voice and dislike of speaking - Weak gathering (Zong) Qi which depends on Lung-Qi
Sweating - Lung-Qi failing to control the pores.
Dislike of cold - deficient defensive Qi to warm the skin and muscles
Bright Pale complexion - reflects deficiency of Yang
Prone to invasion by exterior Wind - Defensive Qi is not strong enough or properly diffused by the Lungs.
Lung-Qi - Deficiency - Precursors
Spleen-Qi deficiency - Earth is the Mother of Metal
Heart-Qi deficiency - Close relationship of Heart and Lung in the chest, especially common when emotional stress is the cause.
Lung-Qi Deficiency - Developments
Lung-Qi stagnation
Spleen-Qi deficiency - affect each other Vice-versa
Lung-Qi - Deficiency - Treatment Principle
Tonify Lung-Qi
Warm Yang
Lung-Qi Deficiency - Acupuncture
L9 - Tonify Lung-Qi (Source point of the Lungs)
L7 - Tonifies Lung-Qi
REN6 - Tonifies Lung-Qi - The deep pathway of the Lung channel reaches this point where it connects with the Large Intestine
BL13 - Tonifies Lung-Qi
DU12 - Tonifies Lung-Qi especially useful in chronic cases
ST36 - Tonify Qi - Strengthen Earth to nourish Metal
REN12 - Tonift Qi - The deep pathway of the Lung channel starts in this region.
Wind-Cold invading the Lungs - Clinical manifestations
*Aversion to cold
Fever
Cough
Aversion to cold
Itchy throat
Slight breathlessness
Blocked or runny nose with clear watery discharge
*Sneezing
Occipital headaches
Body Aches
Tongue - Thin, white coating
*Pulse - EP: Tense possibly floating and slower
RDP: Tense
Wind-Cold invading the Lungs - Tongue
Thin, white coating
Wind-Cold invading the Lungs - Pulse
Pulse - EP: Tense possibly floating and slower
RDP: Tense
Wind-Cold invading the Lungs - Aetiology
Exposure to pathogenic Wind-Cold - Invasion of pathogenic Wind-Cold is due to the relative weakness of the body’s Qi in relation to the pathogenetic factor at the particular time.
Excess pattern by nature despite cause being a relative weakness.
Wind-Cold invading the Lungs - Pathology
Aversion to cold - Ostruction of the space between the skin and the muscles by exterior Wind so that Defensive-Qi does not circulate well and fails to warm the muscles.
Fever - result of a fight between the defensive Qi and the exterior Wind-Cold pathogenic factor. May be a palpable emission of heat from the patient’s body rather than a measurable raised temperature on a thermometer.
Cough, blocked nose, sneezing - failure in the descending and dispersing of Lung-Qi
Occipital headaches - Obstruction of the circulation of Defensive Qi
Body aches - Defensive-Qi dies not circulate properly in the spaces between the skin and the muscles.
Wind-Cold invading the Lungs - Precursors
Weak defensive-Qi
Wind-Cold invading the Lungs - Developments
The exterior pathogenic factor penetrates into the interior.
The patient is left with a residual pathogenic factor, often Damp-Phlegm or Phlegm-Heat in the Lungs.
Wind-Cold invading the Lungs - Treatment Principle
Release the Exterior
Expel Cold
Stimulate the descending and diffusing of Lung-Qi
Wind-Cold invading the Lungs - Acupuncture
LU7 - Expels Wind, releases the Exterior and stimulates the Descending and Diffusing of Lung-Qi
BL12 - releases the exterior and expels Wind. Moxa can be used after needling. Cupping this point is extremely effective to expel Wind.
DU16 - Expels Wind and is especially useful if there is a headache.
Wind-Heat invading the Lungs - Clinical Manifestations
Aversion to cold
Fever
Cough
Sore throat
Blocked or runny nose with yellow discharge
Sneezing
Headache
Body Aches
Slight sweating
Slight thirst
Swollen tonsils
Tongue - slightly red on the sides in the chest areas or on the front part.
Pulse: EP: yielding, poss. floating and faster
RDP: Tense, robust pounding
Wind-Heat invading the Lungs - Tongue
Tongue - slightly red on the sides in the chest areas or on the front part.
Wind-Heat invading the Lungs - Pulse
Pulse: EP: yielding, poss. floating and faster
RDP: Tense, robust pounding
Wind-Heat invading the Lungs - Aetiology
Exposure to environmental Wind-Heat
Wind-Heat invading the Lungs - Pathology
Pathology is the same as for invasion of Wind-Cold.
Aversion to cold - The pathogenic factor obstructs the circulation of the Defensive-Qi which therefore cannot warm the muscles.
Thirst and sore throat - Exterior Heat dries up Body Fluids.
Wind-Heat invading the Lungs - Precursors
Weak defensive-Qi
Wind-Heat invading the Lungs - Developments
The exterior pathogenic factor penetrates into the interior.
The patient is left with a residual pathogenic factor, often Phlegm-Heat in the Lungs.
Wind-Heat invading the Lungs - Treatment Principle
Release the exterior
Clear Heat
Stimulate the descending and dispersing of Lung-Qi
Wind-Heat invading the Lungs - Acupuncture
LU7 - Stimulate the diffusing of Lung-Qi to Expel Wind
LI4, LI11 - Release the exterior and clear Heat
LU11 - Pricked to bleed is especially indicated for a sore throat and swollen tonsils.
DU14 - clears Heat
BL12, DU16, GB20 - Expel exterior Wind
SJ5 - Expels Wind-Heat and releases the exterior
Cold-Phlegm in the Lungs - Clinical manifestations
*Cough with expectoration of white, watery sputum
Aggrevated by exposure to cold
Feeling cold
Cold hands
*Phlegm in the throat
Dizziness
A feeling of oppression of the chest
A feeling of cold of the chest
A feeling of heaviness
Muzziness and dizziness of the head.
*Tongue: Swollen and wet tongue with a sticky white coating
Pulse:
Cold-Phlegm in the Lungs - Tongue
*Tongue: Swollen and wet tongue with a sticky white coating
Cold-Phlegm in the Lungs - Aetiology
External pathogenic factors - Repeated invasions of Wind-Cold may weaken the Lungs and Spleen and lead to the formation of Cold-Phlegm. Especially if constitutionally Yang deficient.
Diet - excessive consumption of diary foods, cold and raw foods and iced drinks may lead to Cold-Phlegm
Cold-Phlegm in the Lungs - Pathology
White, watery sputum, cold hands and feeling of cold - Cold pathogen
Sputum in throat and feeling of oppression - Phlegm
Dizziness, heaviness and muzziness of the head- oppression of the head offices by Phlegm
Cold-Phlegm in the Lungs - Precursors
Spleen-Yang Deficiency - usually a pre-condition as predisposes the patient to the formation of Dampness and/or phlegm
Kidney-Yang deficiency - especially in the elderly
Cold-Phlegm in the Lungs - Developments
Spleen deficiency - Dampness and Phlegm obstruct the Spleen.
Dryness - Long-term retention of Phlegm especially in elderly may lead to dryness. Also in the elderly Phlegm may either lead to or aggravate Blood stasis.
Cold-Phlegm in the Lungs - Treatment Principle
Resolve Phlegm
Expel Cold
Warm Yang
Restore the descending of Lung-Qi
Cold-Phlegm in the Lungs - Acupuncture
LU5 - Expels Phlegm from the Lungs
LU7 - Restores the descending of Lung-Qi and stops cough
LU1 - Stops cough, restores the descending of Lung-Qi and resolves phlegm
REN17 - Restores the descending of Lung-Qi
ST40 - Resolves Phlegm
P6 - Opens the chest and expels phlegm from the chest.
REN22 - Expels Phlegm from the throat.
REN12, BL20 - Tonify the Spleen to resolve Phlegm
REN9 - Stimulates the Spleen’s function of transformation and transportation and resolves Phlegm
BL13 - restores the descending of Lung-Qi
BL23 - is reinforced to tonify Kidney- Yang
Phlegm-Heat in the Lungs - Clinical manifestations
Barking cough with profuse sticky yellow or green sputum
Shortness of breath
Wheezing
A feeling of oppression in the chest
Phlegm in the throat
A feeling of heat
Thirst
Insomnia
Agitation
A feeling of heaviness and muzziness of the head.
Dizziness
Tongue: Red, swollen with a sticky yellow coating.
Pulse: EP: F/E, F/O, Robust pounding
RDP: Slippery, Robust pounding, Tense
RMP: Slippery, tense - tight or F/O, F/E, Robust Pounding, Tense
Phlegm-Heat in the Lungs - Tongue
Tongue: Red, swollen with a sticky yellow coating.
Phlegm-Heat in the Lungs - Pulse
Pulse: EP: F/E, F/O, Robust pounding
RDP: Slippery, Robust pounding, Tense
RMP: Slippery, tense - tight or F/O, F/E, Robust Pounding, Tense
Phlegm-Heat in the Lungs - Aetiology
Diet - Excessive consumption of greasy and hot foods (fried meats, alcohol, greasy and pungent foods) leading to the formation of Damp and Phlegm -irregular eating disrupts the ascending of Spleen-Qi and descending of Stomach-Qi, leading to the formation of Phlegm
Lifestyle - Smoking due to the dry, hot energy of tobacco.
Exterior pathogenic factors - Can be precipitated or aggravated by invasion of exterior Wind-Heat. - In chronic conditions may be a residual pathogenic factor after an invasion of Wind.
Emotional stress - Anger, Frustration and resentment lead to Qi stagnation, which in turn may lead to the formation of Heat.
Phlegm-Heat in the Lungs - Pathology
Chronic condition
Phlegm formation - Spleen-Qi deficiency
Excess-Hot-Interior condition
In chronic cases - Phlegm results from a dysfunction of the Lungs, Spleen and Kidneys. Seen more in middle-aged or elderly people. Frequently a residual pathogenic factor after an invasion of Wind.
Phlegm-Heat in the Lungs - Precursors
Spleen-Qi deficiency - usually a precondition as predisposes the patient to formation of Damp and/or Phlegm
Kidney deficiency - especially in the elderly
Phlegm-Heat in the Lungs - Developments
Spleen deficiency - Dampness and Phlegm obstruct the Spleen.
Dryness
Blood stasis
Yin deficiency - Heat may dry up the Body Fluids.
Phlegm-Heat in the Lungs - Treatment Principle
Resolve Phlegm
Clear Heat
Stimulate the descending of Lung-Qi
Phlegm-Heat in the Lungs - Acupuncture
LU5 - Clears Heat and Phlegm from the Lungs
LU7 - Restores the descending of Lung-Qi and stops cough
LU10 - Clears Heat from the Lung
LI11 - Clears Heat
LU1 - Restores the descending of Lung-Qi and clears Lung-Heat
ST40 - Resolves Phlegm
BL13 - Clears Lung-Heat
REN12 - resolves Phlegm
