Int 701-702: Wk 7
Internal Medicine I & II
Simi Rahman R.Ac, M.Sc
Lung Disorders
Common Cold (Gan Mao)
Key signs and symptoms: acute onset, nasal congestion, runny nose,
coughing, sneezing, headache, fever, general body aches
TCM Etiology:
Underlying Zheng Qi Def
Exogenous Pathogenic Invasion blocks LU Qi and Wei Qi
TCM Pathogenesis:
LU Qi is blocked, can’t D&D → cough, nasal congestion, sore throat
Wei Qi is blocked; it can’t properly warm the body → Chills, and, the fight
between Zheng Qi and Pathogens → Fever
Relevant Western Disease:
Common Cold, Viral infection of Upper Respiratory Tract, Influenza
Common Cold (Gan Mao)
Patterns Key S+S Trx Principle Acupoints Therapies +
Wind Aversion to cold, fever, no sweating, or Release the DU-16, BL-12, Ear: LU, Bronchi, Inner
Cold slight sweating, runny nose, thin white exterior, and GB-20, LU-7, LI-4 nose, Throat, Forehead.
mucus, HA, body aches. T: light red w/ expel the Cold Cupping, Guasha, Tuina
white coat. P: floating + tight
Wind Fever, slight aversion to wind, sweating, Release the DU-14, LI-11, Same as above
Heat nasal congestion, yellow mucus, sore exterior, and SJ-5, LI-4, LU-10,
throat. T: red or red tip w/yellow coat. P: clear Heat LU-11
floating + rapid
Summer Fever, aversion to wind, sweating, Release the LU-6, LI-4, ST-36, Same as above
Heat heaviness + soreness of body, HA w/fuzzy exterior, clear Ren-12, SJ-6
Damp feeling, thirst w/no desire to drink. T: red Heat, drain
w/yellow coat. P: soft + rapid Dampness
Qi Def Aversion to cold, HA, fever, nasal Release the ST-36, BL-13 Moxa. Same as above
w/Wind congestion w/white mucus, SOB, exterior, warm
Cold spontaneous sweating, pale complexion. Cold, tonify Qi
T: pale w/white coat. P: floating + soft
Yin Def Aversion to wind, fever, HA, slight Release the KI-7, BL-43 Same as above
w/Wind sweating, night sweats, thirst, dry throat, 5 exterior, nourish
Heat center heat. T: red w/scanty coat. P: Yin and clear
thready + rapid
Cough (Ke Shou)
Key signs and symptoms: coughing
TCM Etiology:
Exogenous Pathogenic Invasion
Excessive Cold, raw and greasy foods → Phlegm
Repressed emotions stagnates LR → Fire
Long-term illness depletes LU Qi + Yin
TCM Pathogenesis:
LU Qi reversed due to obstruction or lack of nourishment
Relevant Western Disease:
Tracheitis, Bronchitis, Bronchiectasis, Pneumonia, COPD, TB, Pleurisy,
Bronchial Carcinoma, HT Failure
Cough (Ke Shou)
Patterns Key S+S Trx Principle Acupoints Therapies +
Wind Acute onset cough, aversion to wind cold, thin white Release the exterior, BL-13, LU-7, Cupping. Plum
Cold mucus, HA, body aches. T: light red w/white coat. P: warm the cold, stop LI-4, SJ-5 Blossom therapy
floating + tight cough on upper back
Wind Acute onset cough, aversion to wind, thick yellow Release the exterior, BL-13, LU-5, Same as above
Heat sputum, dry and sore throat, thirst. T: red w/yellow clear Heat, stop LI-11, DU-14
coat. P: floating + rapid cough
Wind Acute onset dry cough, dry nose, lips and throat. T: Release the exterior, BL-13, BL-12, Same as above
Dryness Red or slight red w/white or yellow coat. P: floating + moisten dryness, LI-1, KI-7, KI-6
tight/rapid stop cough
Damp Recurrent cough w/rattling sound, copious thin white Transform Phlegm, BL-13, BL-20, Same as above
Phlegm sputum, chest congestion, bloating + nausea. T: drain Damp, stop ST-36, ST-40,
white, greasy coat. P: slippery cough LU-5, Ren-12
Phlegm Cough w/rapid respiration, thick, sticky yellow Clear Heat, BL-13, LU-5, Same as above
Heat sputum, oppressive sensation in chest, thirst. T: red w/ transform Phlegm, ST-40, ST-36
yellow, greasy coat. P: rapid + slippery stop cough
LR Fire Coughing spells after emotional stress, dry throat, Drain LR Fire, clear LU BL-13, BL-18, Same as above
insulting scanty sputum, chest + hypochondriac pain. T: red Heat, descend Qi, LU-8, LR-3
LU w/thin, yellow coat. P: rapid + wiry stop cough
LU Yin Chronic dry cough in short bursts, scanty sputum, Nourish Yin, clear BL-13, LU-1, Same as above
hoarse voice, dry mouth + throat. T: red w/no coat. Heat, stop cough LU-7, KI-6
Dyspnea (Chuan Zheng)
Key signs and symptoms: audible, labored breathing that is slightly rapid and
shallow
TCM Etiology:
Excessive factors like Wind, Cold, Phlegm or Qi Stagnation block the LU
Def of LU + KI can’t nourish LU
TCM Pathogenesis:
LU Qi cannot descend
Relevant Western Disease:
Asthma, Bronchitis, Pneumonia, COPD, Bronchial Carcinoma, Pulmonary
embolism, Left ventricular failure, Cor Pulmonale, Hysterical dyspnea,
Anemia
Dyspnea (Chuan Zheng)
Patterns Key S+S Trx Principle Acupoints
Wind Cold Dyspnea, w/coughing, gasping, rapid breathing, stifling Expel Wind Cold, BL-13, DU-14,
sensation in chest. T: thin, white, slippery coat. P: floating + tight soothe LU LU-7, BL-12, LI-4
Ext Cold + Audible, sighing dyspnea, rapid breathing, chest distension, Disperse LU Qi, BL-13, LU-10, LI-4,
LU Heat dilated nostrils, yellow phlegm, fever, HA. T: thin white or yellow drain Internal Heat BL-12
coat. P: floating, slippery, rapid
LU Phlegm Audible sighing dyspnea, stifling sensation in chest, cough, Resolve phlegm, BL-13, Ren-22, Ding
copious phlegm, poor appetite, no thirst. T: thick, white, greasy soothe LU Chaun, LU-5, ST-40
coat. P: slippery
Phlegm Audible dyspnea, heat in chest, distension + pain, thick, yellow Clear LU Heat, BL-13, Ren-22, LU-5,
Heat sputum, thirst w/desire for cold drinks, irritability, constipation. T: transform Phlegm ST-40, LU-10
yellow, greasy coat. P: slippery + rapid
Qi Stag Breathlessness from emotional stress, SOB w/suffocating, chest Soothe the LR, BL-13, LU-1, Ren-17,
obstructs oppression, insomnia, palpitations. T: thin white coat. P: wiry move Qi, descend LR-3
LU LU Qi
LU Def Signing dyspnea w/SOB, low + weak voice, cough w/low sound, Tonify LU, nourish BL-13, LU-9, ST-36,
thin white, scanty sputum, spontaneous sweating. T: pale. P: Yin, tonify Qi SP-3, w/Moxa
weak, thready or rapid
KI Def Longstanding audible dyspnea, difficult inhalation worse than Warm the Yang, BL-13, KI-3, Ren-17,
exhalation, cold intolerance, clammy skin + limbs, sore low back tonify KI to grasp Ren-6, DU-12,
Wheezing/Asthma (Xiao Zheng)
Key signs and symptoms: acute attacks of difficult breathing w/whistling
sounds. Often seen together w/Dyspnea
TCM Etiology:
Def of SP, LU or KI in metabolizing water → latent Phlegm
Exogenous Pathogenic Invasion
TCM Pathogenesis:
Exogenous Pathogens stirs up latent Phlegm in LU
Relevant Western Disease:
Allergic asthma, Bronchial asthma, Asthmatic bronchitis, Cardiac asthma,
Eosinophilia
Wheezing/Asthma (Xiao Zheng)
Patterns Key S+S Trx Principle Acupoints Therapies +
Cold Rapid breathing w/a wheezing sound in Warm the LU, disperse Ren-22, PC-6, Acute attack requires
throat, stifling sensation in chest, scanty Cold, transform Ding Chuan, an inhaler, like Ventolin
sputum, worse w/cold weather. T: white, Phlegm, stop LU-7, LI-4
wet coat. P: floating + tight Wheezing
Heat Heavy breathing with a high pitched Clear Heat, disperse Ren-22, PC-6, Same as above
wheezing, choking cough, thick sticky LU Qi, transform Ding Chuan,
yellow phlegm, anxiety, red face, thirst. T: Phlegm LU-5, ST-40, LU-6
red w/yellow coat. P: slippery + rapid
LU Def Spontaneous sweating, aversion to wind, Tonify LU Qi, BL-13, ST-36, LU-9 Moxa. Avoid raw,
SOB, weak voice, pale face, clear white consolidate Wei Qi cold, greasy, damp
phlegm. T: pale w/thin white coat. P: foods
weak + thready
SP Def Poor appetite, epigastric + Ab distension, Strengthen SP, BL-13, ST-36, Same as above
loose stool, wheezing, worse w/raw food, transform Phlegm BL-20, Ren-12
fatigue, SOB, weak voice. T: thin + greasy
coat. P: thready, weak, soft
KI Def SOB, shallow + rapid breathing, worse w/ Tonify KI to grasp Qi BL-13, ST-36, Moxa w/Yang Def and
exertion. T: enlarged or, red w/no coat. P: BL-23, Ren-4 same food restrictions.
deep, thready or thready + rapid Avoid hot, spicy foods
