Pneumonia Flashcards
What is pneumonia and when can it occur?
Pneumonia is an infection of the lungs. the small alveolar sacs fill up with pus and fluid. It occurs in every season thought mostly winter and spring.
What are the main symptoms of pneumonia?
- Breathing with grunting and wheezing
- Chest pain
- Cough
- Dark lips
- Fatigue (kid less active)
- Fever and chills
- Loss of appetite or poor feeding in babies
- Pale complexion
- Phlegm
- Rapid and laboured breathing
- Stomach pain
- Vomiting
Compare bronchitis to pneumonia, main differences?
Bronchitis has less severe shortness of breath. Does not have rapid breathing.
What organs are involved in pneumonia?
Primarily Lungs but can also affect the Liver, Spleen, Heart, Bladder and Large Intestine.
When a newborn has pneumonia what are some S/S? If it is serious what will you see?
- They will not drink milk
- Will have a yellowish complexion
- Slow reaction times
Severe:
* Dark lips
* Difficult breathing
* Fast breathing
* High fever
* Irritability
* Phlegm
* Wheezing
How can pneumonia be diagnosed with Western medicine?
- Scattered crackles sound on stehoscope
- X-ray: The presence of an infiltrate on plain chest radiograph is considered the gold standard for diagnosing pneumonia when clinical and microbiologic features are supportive.
- Blood test
Syndrome Differentiation chart for pneumonia? (What pathogens and symptoms, what is the progression)
What are the six main patterns for pneumonia?
- Wind Cold Obstructing Lungs
- Wind Heat Obstructing Lungs
- Phlegm and Heat Obstructing Lungs
- Heat Toxins Obstructing Lungs
- Yin Deficiency and Lung Heat Syndrome
- Lung Spleen Qi Deficiency
What are two less common, late stage, very severe patterns?
- Heart Yang Collapse
- Invasion into Jue Yin
Wind Cold Pneumonia S/S, TX, Formula, Main herbs?
S/S: Cough, ithcy throat, wheezing, white clear phlegm, fever, aversion to cold, no sweat, stuffy nose, strong respiration, Tongue: pale and red with thin coat or greasy and white if more phlegm Pulse: superficial and tight, Finger: superficial red
TX: Disperse wind and cold, Expel phlegm, Regulate Lung, Release exterior, Stop cough
Formula: Hua Gai San
Main herbs: Ma Huang (Release ext W-C), Zi Su Zi (Perilla seed; Transform phlegm, Stop cough) Sang Bai Pi (Mulberry Root Bark; Transform phlegm, Stop cough), Xing Ren (Apricot kernel; Transform phlegm, Stop cough)
Wind Heat pneumonia, S/S, TX, Formula, Main herbs
S/S: Cough strong and uncomfortable, phlegm (yellow, sticky, thick and a lot, not easy to expectorate), thirst, throat pain, aversion to wind, sweating, headache, Tongue: red, thin, with yellow coat, Pulse: superficial and rapid, or slippery and rapid, Finger: superficial purple
Acute: high fever, irritability, dry stool, scanty urine
TX: Release wind, Dissipate heat, Regulate Lungs, Stop cough
Formula: Yin Qiao San + Ma Xing Shi Gan Tang
Main Herbs: Jin Yin Hua, Lian Qiao, Niu Bang Zi, Bo He, Jie Geng, Jing Jie, Dan Zhu Ye, Dan Dou Chi, Lu Gen + Ma Huang, Xing Ren, Shi Gao, Gan Cao
Phlegm Heat Obstructing Lungs pneumonia: S/S, TX, Formula
S/S: cough, phlegm (yellow, thick, hard to expectorate, lots of it), wheezing, fever or hot sensation, thirst, irritability, scanty urine, dry stool, strong breathing, Tongue: greasy coating, Pulse: slippery and rapid, Finger: purple
TX: Clear Lungs, Dispel phlegm, Regulate Lungs, Stop wheezing
Formula: Wu Hu Tang (Ma Xing Shi Gan Tang plus Sheng Jiang) + Ting Li Da Zao Xie Fei Tang
Ma Xing Shi Gan Tang plus Sheng Jiang
- Ma Huang
- Xing Ren
- Shi Gao
- Gan Cao
- Sheng Jiang
Ting Li Da Zao Xie Fei Tang:
- Ting Li (Lepidium seed, Transform phlegm, Stop cough) - - Da Zao (Chinese Date, Tonify Qi)
Heat Toxins Obstructing the Lungs pneumonia; S/S, TX, Formulas
S/S: Constant fever, cough (strong and frequent), strong and rapid breathing, wheezing, no mucus, dry nose, red face, irritability, thirst, constipation, Tongue: red and dry, thick yellow coat, Pulse; slippery and rapid, Finger: deep purple
TX: Clear heat, Eliminate toxins, Clear and regulate lungs
Formula: San Ao Tang + Huang Lian Jie Du Tang
San Ao Tang ingredients
- Ma Huang
- Xing Ren
- Gan Cao
Huang Lian Jie Du Tang ingredients (Coptis Decoction to Relieve Toxicity)
- Huang Lian (Coptis rhizome; Herbs that clear heat and dry damp)
- Huang Qin (Scute, Skullcap root; Herbs that clear heat and drain dampness)
- Huang Bai (Phellodendron bark; Herbs that clean heat and dry damp
- Zhi Zi (Gardenia pod; Herbs that clear heat in Qi stage)
Yin Xu and Heat in Lungs pneumonia, S/S, TX, Formula, Main herbs
S/S: chronic, low fever, night sweats, dry cough without phlegm, red face, Tongue: red and dry, no coat, Pulse: thready and rapid
TX: Nourish Yin, Moisten lungs, Clear heat
Formula: Sha Shen Mai Dong Tang
Main herbs: Sha Shen (Glehnia root; Tonify yin), Mai Men Dong (Ophiopogon tuber; Tonify Yin); Yu Zhu (Polygonata, Solomon Seal; Tonify Yin)
Lung and Spleen Qi Xu pneumonia: S/S, TX, Formula, Main herbs
S/S: low fever, pale complexion, sweating when moving, weak cough, sticky stool, fatigue, Tongue: pale with white coat, Pulse: thready and forceless
TX: Invigorate Spleen, Tonify Lung, Nourish Qi, Transform damp
Formula: Ren Shen Wu Wei Zi Tang
Main herbs: Ren Shen (Ginseng; tonify Qi), Wu Wei Zi (Shisandra; Stabilize and bind); Fu Ling (Poria; Drain damp), Bai Zhu (White Atractylodes; Tonify Qi)
