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T1 Cough Lumiere
| Question | Answer |
|---|---|
| What is the Differential diagnosis for Cough | 1) External pathogenic Ddxs Wind cold Wind heat Wind damp Wind dryness 2) Internal pathogenic Ddxs Lung and spleen qi deficiency Lung and kidney yin deficiency Liver attacking lung |
| Where is cough mechanism located? | Located in the nose, sinuses, auditiory canals, nasopharnyx, larnyx, trachea, bronchi, pleurar, diaphram, and possibly the pericardium and GI tracts |
| Describe the mechanism of coughing? | 1) Vagus and glossophayngeal nerves transmit impulse to the medulla 2) Deep inspiration 3) Closure of the glottis 4) Relaxation of diaphram and contraction of abdominal and intercostal muscles |
| Describe cough in relation to Qi | Characterized by the reverse flow of lung qi |
| What ZanfFu create a cough? | Primarily results from diseases of the lung, or dysfunction of liver, spleen, or kidney |
| Describe external invasion that creates cough: | External invasion of lung by the six exogenous pathogens: wind, damp, cold, heat, dryness, summerheat |
| Describe internal injury that creates cough: | Internal injury caused by deficiency of lung qi and yin, spleen qi, kidney qi and yin, or by liver fire attacking the lung |
| Main Sx of Wind cold cough | : Chills and fever (w/chills predominating) Aversion to cold Headache, stuffy nose, clear mucus, choking cough |
| Tongue and Pulse of Wind cold cough | Tongue: Thin, white coating Pulse: Floating, tight (indicates cold predominates) |
| Tx principles of Wind cold cough | Release the exterior Expel wind Circulate lung qi Dispel cold |
| Main points and methods of Wind cold cough: | LU 1, UB 12, UB 13, LU 7, LU 9, LI 4, Du 16, GB 20 Gua sha, Wind Gate flash cupping, moxa |
| Main Sx of Wind heat cough: | Fever, sore throat, thirst Cough with yellow sputum |
| Tongue and pulse of Wind heat cough: | Tongue: thin, yellow coat Pulse: floating, fast |
| Tx principles of Wind heat cough: | Expel wind heat Release the exterior Circulate lung qi |
| Main points and methods of Wind heat cough: | UB 12, UB 13, LU 5, LU 10, SJ 5, Du 10, LI 20, UB 60 Gua sha w/ water or White Flower liniment |
| Main Sx Wind damp cough: | Profuse mucus, productive cough Heavy sensation in lungs and body |
| Tongue and pulse Wind damp cough: | Tongue: greasy, thick coating Pulse: floating, slippery |
| Tx principles Wind damp cough: | Expel wind Resolve dampness LU 5, LU 7, SP 5, SP 9, Ren 12 Gua sha, moxa |
| Main Sx Wind Dryness cough: | Dry cough w/o sputum Dry mouth, nose & throat. |
| Tongue and pulse Wind Dryness cough: | Tongue: red tip, dry Pulse: floating Tx principles wind dryness cough: |
| Main points and methods wind dryness cough: | UB 12, UB 13, LU 9, KI 7, Ren 12, SP 6 Dietary therapy |
| Main Sx Lung and kidney yin deficiency: | Unproductive cough, scanty/no sputum, possibly blood tinged Tidal fever, night sweats, mallor flush, five palms hot |
| Tongue and Pulse Lung and kidney yin deficiency: | Tongue: red, no coating Pulse: thin, rapid |
| Tx principles Lung and kidney yin deficiency: | Moisten lung Nourish yin Descend lung qi |
| Main points and methods Lung and kidney yin deficiency: | KI 3, KI 6 (w/ LU 7), LU 5, LU 6, SP 6, UB 13, UB 23, UB 43 Dietary and herbal therapy |
| Main Sx Spleen qi or yang deficiency | Poor appetite, gas and bloating, loose stools, possibly w/ undigested food Fatigue, weakness, cold extremities Pale face, cough w/profuse sweating |
| Tongue and pulse Spleen qi or yang deficiency | Tongue: empty/soft (w/deficiency) or slippery (w/excess phlegm-damp) Pulse: pale, swollen, greasy tongue coat |
| Tx principles Spleen qi or yang deficiency: | Tonify spleen Transform phlegm Relive cough |
| Main points and methods Spleen qi or yang deficiency: | UB 13, UB 20, UB 23, ST 36, Ren 4, Ren 6, Ren 12, Du 4, ST 40 Moxa |
| Main Sx Liver fire attacking lung: | Possibly blood tinged cough Costal pain, irritability |
| Tongue and pulse Liver fire attacking lung: | Tongue: red w/yellow coating Pulse: wiry, rapid |
| Tx principles Liver fire attacking lung | Clear liver heat Stop cough |
| Main points and methods Liver fire attacking lung | LIV 2, LIV 14, GB 34, UB 43, LU 5 Herbal therapy |
| What diet do you Incorporate in diet for Cough? | Light, clear foods – meat and vegetable soups are ideal Steamed vegetables Steamed grains Specific foods: pears, alliums |
| What diet do you Avoid for cough? | Dairy Sugar Seafood or other potential allergens Cold food Greasy food Spicy food |
| What are the Herbal formulas for cough? | Xiao Qing Long Wan (Pian): wind damp cold cough and asthma Qing Qi Hua Tan Pian: removes heat from the lung and dissolves phlegm, relieves cough and asthma Bai He Gu Jin Wan: nourishes lung yin; for dry cough and dry throat |
| Describe Xiao Qing Long Wan (Pian): | wind damp cold cough and asthma |
| Describe Qing Qi Hua Tan Pian | : removes heat from the lung and dissolves phlegm, relieves cough and asthma |
| Describe Bai He Gu Jin Wan: | nourishes lung yin; for dry cough and dry throat |
Created by:
bastyr41
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