Pneumonia

Question 0

Pneumonia Syndromes

Answer 0

Invasion of Wind Heat in the Lung

Retention of Phlegm-Heat in the Lung

Invasion of Heat in the Pericardium

Depletion of Yang

Question 1

Etiology

Answer 1

EPFs (Wind, heat, cold, damp)

Weak Constitution } Deficiency of Lung and Wei Qi
Prolonged Illness

Overstrain

Invasion of Wind Heat in the Lung (Early Stage) –>Dispersing and Descending of Lung —> Fails to regulate water passages—> Phlegm and Heat –> Retention of Phlegm Heat in the lung (Middle Stage) —> 1. Blockage of Collaterals = Disharmony of Collaterals (Late Stage)
2. Severe Xie Qi, Weak Zheng Qi (Critical Stage) =Depletion of Yang
Invasion of heat in PC

Question 2

Pneumonia Basic Points

Answer 2

Du 14
Du 12
UB 13
Ub 15
Ren 17

Question 3

Acute onset with shaking chills, fever, cough, chest pain

T: Red tip with slightly yellow coating
P: Superficial Rapid

Answer 3

Invasion of Wind heat in the lung

Question 4

POT or Invasion of Wind Heat in the Lung

Answer 4

Disperse wind

Clear heat from lung

Question 5

What is Orthopnea?

Answer 5

SOB in the recumbent position and relieved by sitting or standing

Question 6

Points for Invasion of Wind Heat in the Lung

Answer 6

Lu 10
LI 11
St 44

Question 7

High fever, cough with rust sputum, dyspnea, chest pain

T: Red tongue with sticky yellow coating
P: Slippery and rapid

Answer 7

Retention of Phlegm heat in the lung

Question 8

POT for Retention of phlegm heat in the lung

Answer 8

Transform phlegm

Clear heat from the lung

Question 9

Points for Retention of Phlegm Heat in the lung

Answer 9

Lu 5
LI 4
St 40

Question 10

High fever, mental restlessness, mental confusion, loss of consciousness, delirium

T: Deep red tongue
P: Thready and rapid

Answer 10

Invasion of Heat in the Pericardium

Question 11

POT for Invasion of heat in the Pericardium

Answer 11

Clear heat from PC

Revive consciousness

Question 12

Points for Invasion of Heat in Pericardium

Answer 12

Pc 6
SI 3
Pc 9

Question 13

Profuse cold sticky sweat, cold body and extremities, low blood pressure

T: Pale or red
P: Thready, fading and rapid

Answer 13

Depletion of Yang

Question 14

POT for Depletion of Yang

Answer 14

Restore yang to promote resucitation

Question 15

Points for Depletion of Yang

Answer 15

Ren 8
Du 26
Du 25
Pc 6

Question 16

3 Types of Bacteria that cause Pneumonia

Answer 16

Pneumococcus ( Main cause)
Staphylococcus
Streptococcus

Question 17

Definition

Answer 17

Acute inflammation and infection of the lung/bronchioles/respiratory tissue

Question 18

Common Symptoms

Answer 18

Cough with rust sputum
High fever - above 40c
Dyspnea
Sudden Onset 
*Cold/chills - Indicates High fever*
Malaise
Nausea/vomiting

~ Starts as cough/cold and symptoms gradually get worse

Question 19

Western Diagnosis

Answer 19

Chest X-ray - Shallow lung lobe

• Pneumonia takes over the whole lobe
• TB only affects the upper part of the lobe

Question 20

Organs Involved

Answer 20

Lung
Large Intestine
Heart
Pericardium

Question 21

4 Stages of Pneumonia

Answer 21

1st Stage: Congestion: first 24 hours, vascular

2nd Stage: Red Hepatization ( Looks like liver): The lung becomes solid

3rd Stage: Grey Hepatization: Red cells disintegrate turning the lung gray

4th Stage: Resolution: Cleared by macrophages

Question 22

TCM Treatment

Answer 22

Tcm doesn’t treat pneumonia still need antibiotics but can help manage

Early: disperse wind - GB 20
Middle: clear heat, dispel phlegm - bleed LU 11, St 40, LI 11, Ren 12
Late: nourish Yin - tonify kid 3, UB 43

Yang Qi Depletion- Ren 4/6, Du 20

Ear bleeding
Herbal
Cupping and Guasha (early to middle stage)

Question 23

Education

Answer 23

Adequate fluid intake
Avoid EPF
Monitor temp
No greasy food 
Eat soup
Rest