Pleurisy

Question 0

Pleurisy etiology?

Answer 0

1) EPF
2) weak constitution–\
3) prolonged illness——LU xu/wei xu

Xie Qi invade LU/shaoyang–>retention of fluids in chest/hypochondrium–>disharmony of collaterals
–>Qi stg to fire–>LU yin xu

Question 1

What is the Chinese name for pleurisy?

Answer 1

Xuan Yin

Question 2

What are the two types of Pleurisy?

Answer 2

1) wet (exudative)= liquid squeezes LU, difficulty breathing

2) dry (adhesive)= friction between layers= pain

Question 3

Pleurisy clinical features?

Answer 3

sudden onset, chest pain on one side, enlarged intercostal, pain aggravated by breathing/coughing, dry cough, fever/chills, fatigue, loss of appetite, shallow rapid breathing

Question 4

What are pleurisy patterns?

Answer 4

1) retention of phlegm-heat in shaoyang
2) retained fluids in chest and hypochondrium
3) disharmony of collaterals
4) LU yin xu

Question 5

Which pleurisy pattern is the wet type?

Answer 5

retained fluids in chest/hypochondrium

Question 6

Which pleurisy pattern is dry type?

Answer 6

retention of phlegm heat in shaoyang

Question 7

Pain in chest and hypochondriac, oppression feeling in the chest, difficulty breathing, chronic cough

Answer 7

Disharmony of collaterals

Question 8

Chest and hypochondriac pain subside, while dispnea gets worse, fullness/swelling of chest and hypochondrium, cannot lie flat or lie on ill side

Answer 8

Retained fluids in chest and hypochondrium

Question 9

Spasmodic dry cough with little sputum, dull chest and hypochondriac pain, afternoon fever, malar flush, dry mouth/throat, restlessness, night sweats

Answer 9

LU yin xu

Question 10

Alternate chills/fever, sweats, cough with little sputum, SOB, stabbing pain in chest and hypochondriac region which is worse on breathing and turning, fullness in epigastric region, dry vomit, bitter taste in the mouth, dry throat

Answer 10

Retention of phlegm heat in shaoyang

Question 11

What does Orthopnea mean?

Answer 11

cannot lie flat

Question 12

Retention of phlegm heat in shaoyang tongue/pulse?

Answer 12

T= thin white or thin yellow coating
P= wiry, rapid

Question 13

Disharmony of collaterals tongue/pulse?

Answer 13

T= thin
P= wiry

Question 14

Retained fluids in chest hypochondrium tongue/pulse?

Answer 14

T= thin and white
P= deep wiry, or wiry slippery

Question 15

LU yin xu tongue/pulse?

Answer 15

T= red, little coat
P= thin, rapid

Question 16

POT for LU yin xu?

Answer 16

nourish yin to clear heat

Question 17

POT for disharmony of collaterals?

Answer 17

Reg. Qi and circulate the channels

Question 18

POT for retention of phlegm heat in shaoyang?

Answer 18

harmonize shaoyang to remove phlegm heat

Question 19

POT for retained fluids in chest and hypochondrium

Answer 19

drain retained fluids from lung

Question 20

disharmony of collaterals points?

Answer 20

SJ-6, GB-34, LU-5, SP-21, LV-5

Question 21

LU yin xu points?

Answer 21

UB-13, UB-43, LU-1, LU-9

Question 22

retained fluids in chest/hypochondrium points?

Answer 22

RN-17, LU-1, LV-13, SP-9, ST-40, ST-36

Question 23

retention of phelgm heat in shaoyang points?

Answer 23

SJ-6, GB-34, LU-5, LU-10

Question 24

Approximately how long is the treatment period for Pleurisy?

Answer 24

6 months or longer (if cancerous or bacterial infection)

Question 25

Pleurisy Alternative remedies?

Answer 25

1) auricular (chest, LU, shenmen, sympathetic)

2) moxa (direct-rice moxa) (SP-9, SP-21, LV-5) ESP retained fluids in chest and hypochondrium

Question 26

What are the two layers in the chest involved in pleurisy?

Answer 26

1) inside layer= visceral
2) outside layer= parietal

• fluid accumulates between layers

Question 27

Western causes of Pleurisy?

Answer 27

allergic rxn, immune disorder, cancer, bacteria, trauma, kidney failure

Question 28

Western Plerisy Tx?

Answer 28

1) antibiotic
2) pain killer
3) draw fluid