Pleurisy Flashcards
Pleurisy etiology?
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
What is the Chinese name for pleurisy?
Xuan Yin
What are the two types of Pleurisy?
1) wet (exudative)= liquid squeezes LU, difficulty breathing
2) dry (adhesive)= friction between layers= pain
Pleurisy clinical features?
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
What are pleurisy patterns?
1) retention of phlegm-heat in shaoyang
2) retained fluids in chest and hypochondrium
3) disharmony of collaterals
4) LU yin xu
Which pleurisy pattern is the wet type?
retained fluids in chest/hypochondrium
Which pleurisy pattern is dry type?
retention of phlegm heat in shaoyang
Pain in chest and hypochondriac, oppression feeling in the chest, difficulty breathing, chronic cough
Disharmony of collaterals
Chest and hypochondriac pain subside, while dispnea gets worse, fullness/swelling of chest and hypochondrium, cannot lie flat or lie on ill side
Retained fluids in chest and hypochondrium
Spasmodic dry cough with little sputum, dull chest and hypochondriac pain, afternoon fever, malar flush, dry mouth/throat, restlessness, night sweats
LU yin xu
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
Retention of phlegm heat in shaoyang
What does Orthopnea mean?
cannot lie flat
Retention of phlegm heat in shaoyang tongue/pulse?
T= thin white or thin yellow coating P= wiry, rapid
Disharmony of collaterals tongue/pulse?
T= thin P= wiry
Retained fluids in chest hypochondrium tongue/pulse?
T= thin and white P= deep wiry, or wiry slippery
LU yin xu tongue/pulse?
T= red, little coat P= thin, rapid
POT for LU yin xu?
nourish yin to clear heat
POT for disharmony of collaterals?
Reg. Qi and circulate the channels
POT for retention of phlegm heat in shaoyang?
harmonize shaoyang to remove phlegm heat
POT for retained fluids in chest and hypochondrium
drain retained fluids from lung
disharmony of collaterals points?
SJ-6, GB-34, LU-5, SP-21, LV-5
LU yin xu points?
UB-13, UB-43, LU-1, LU-9
retained fluids in chest/hypochondrium points?
RN-17, LU-1, LV-13, SP-9, ST-40, ST-36
retention of phelgm heat in shaoyang points?
SJ-6, GB-34, LU-5, LU-10
Approximately how long is the treatment period for Pleurisy?
6 months or longer (if cancerous or bacterial infection)
Pleurisy Alternative remedies?
1) auricular (chest, LU, shenmen, sympathetic)
2) moxa (direct-rice moxa) (SP-9, SP-21, LV-5) ESP retained fluids in chest and hypochondrium
What are the two layers in the chest involved in pleurisy?
1) inside layer= visceral
2) outside layer= parietal
- fluid accumulates between layers
Western causes of Pleurisy?
allergic rxn, immune disorder, cancer, bacteria, trauma, kidney failure
Western Plerisy Tx?
1) antibiotic
2) pain killer
3) draw fluid
