tcvm lung disharmonies. tcvm lung disease lung physiology lung physiology lung pathology lung...

TCVM Lung DisharmoniesTCVM Lung Disharmonies

TCVM Lung DiseaseTCVM Lung Disease

Lung PhysiologyLung Physiology Lung PathologyLung Pathology CasesCases

MetalMetal

SoundSound– weepingweeping

EmotionEmotion– griefgrief

ClimateClimate– dry-cooldry-cool

SeasonSeason– autumnautumn

DirectionDirection– westwest

OpeningOpening– nosenose

Body PartBody Part– skinskin

Zang/FuZang/Fu– LU/LILU/LI

Relationship Between LU & LIRelationship Between LU & LI

LI is husband of LULI is husband of LU

Both are related to Both are related to elimination of wasteselimination of wastes

Another reason to Another reason to beware of airport beware of airport infrared securityinfrared security

Lung TCVM PhysiologyLung TCVM Physiology

The Lung is the Metal The Lung is the Metal Phase Zang organ in Phase Zang organ in Wu Xing or Five Phase Wu Xing or Five Phase theorytheory

It is benefited by It is benefited by proper use of the proper use of the Pungent flavorPungent flavor

The Lung is benefited byThe Lung is benefited bythe Pungent flavorthe Pungent flavor

Smelly garlic: A lung tonic?Smelly garlic: A lung tonic?

From San Diego, at the Experimental Biology 2005 From San Diego, at the Experimental Biology 2005 meetingmeeting – Many people suffer from acute pulmonary hypertension, Many people suffer from acute pulmonary hypertension,

where blood pressure is selectively elevated in the lungswhere blood pressure is selectively elevated in the lungs– The potentially lethal condition can make the right side The potentially lethal condition can make the right side

of the heart work too hard and thus lead to heart failureof the heart work too hard and thus lead to heart failure– This particular form of high blood pressure might be This particular form of high blood pressure might be

prevented by a daily downing of two cloves of fresh prevented by a daily downing of two cloves of fresh garlic or its powdered equivalent, a new study in rats garlic or its powdered equivalent, a new study in rats suggests suggests


The Earth Phase (Spleen/Stomach) is the The Earth Phase (Spleen/Stomach) is the nourishing parent of the Lung, while the nourishing parent of the Lung, while the Water Phase (Kidney/Bladder) is the Water Phase (Kidney/Bladder) is the draining child of the Lungdraining child of the Lung

It is also thought that since perturbed It is also thought that since perturbed Spleen function creates Phlegm, the Lung Spleen function creates Phlegm, the Lung then stores Phlegmthen stores Phlegm

The emotion correlated with the Lung is grief The emotion correlated with the Lung is grief


The TCVM Lung is The TCVM Lung is commonly the first to commonly the first to be invaded by Wind-be invaded by Wind-Heat, Wind-Cold and Heat, Wind-Cold and Dry pathogensDry pathogens

Thus it is said in TCVM Thus it is said in TCVM that the Lung is the that the Lung is the “delicate” organ and “delicate” organ and dislikes drydislikes dry

The Lung is the “delicate” organ and The Lung is the “delicate” organ and dislikes drydislikes dry

Drug for dry mouth may prevent lung cancerDrug for dry mouth may prevent lung cancer

From San Francisco, at a meeting of the American From San Francisco, at a meeting of the American Association for Cancer ResearchAssociation for Cancer Research

A drug that has been prescribed for 30 years for a A drug that has been prescribed for 30 years for a condition known as dry mouth can also stymie the condition known as dry mouth can also stymie the formation of precancerous lung lesions in cigarette formation of precancerous lung lesions in cigarette smokers, particularly those who have quitsmokers, particularly those who have quit


Since we know the above functions of the Since we know the above functions of the TCVM Lung, we can predict that Lung TCVM Lung, we can predict that Lung Disharmonies will affect:Disharmonies will affect:

– the energetic status of our patientsthe energetic status of our patients– the respiratory systemthe respiratory system– water metabolism and build-up in the body water metabolism and build-up in the body

(particularly the upper body)(particularly the upper body)


Since we know the above functions of the Since we know the above functions of the TCVM Lung, we can predict that Lung TCVM Lung, we can predict that Lung Disharmonies will affect:Disharmonies will affect:

– the ability to adequately ventilate with deep and the ability to adequately ventilate with deep and unobstructed inspirations and expirationsunobstructed inspirations and expirations

– and contribute to rhinitis and sinusitisand contribute to rhinitis and sinusitis– and be involved in the emotions of sadness and and be involved in the emotions of sadness and

grief grief

TCM TCM LUNGLUNG PhysiologyPhysiology

Governs Qi & RespirationGoverns Qi & Respiration

Dominates Ascending & Dominates Ascending & DescendingDescending

Control the Body SurfaceControl the Body Surface

Opens in the NoseOpens in the Nose

TCVM Lung Disharmonies: TCVM Lung Disharmonies: IntroductionIntroduction

The Lung functions include all of the The Lung functions include all of the following in TCVM:following in TCVM:– Govern Qi and respiration Govern Qi and respiration – Control channels and blood vesselsControl channels and blood vessels– Control dispersing and descendingControl dispersing and descending– Regulate the water passagesRegulate the water passages– Control skin and hairControl skin and hair– Open into the noseOpen into the nose– House the Corporeal Soul (Po) House the Corporeal Soul (Po)

TCVM Lung Disharmonies: TCVM Lung Disharmonies: IntroductionIntroduction

Western Lungs: Western Lungs:

– Govern aerobic metabolism and respiration Govern aerobic metabolism and respiration – Are the site of modification of ACE enzymesAre the site of modification of ACE enzymes– Interact with hormones utilized by the kidney Interact with hormones utilized by the kidney

systemsystem– Are derived from ectoderm like the skin and hairAre derived from ectoderm like the skin and hair– Are involved with emotional sadnessAre involved with emotional sadness

depresses breathing and increases sighing depresses breathing and increases sighing

Govern Qi and respirationGovern Qi and respiration Breath training aids sprint Breath training aids sprint

powerpower

From San Diego, at the From San Diego, at the Experimental Biology 2005 Experimental Biology 2005 meetingmeeting

Athletes who perform short, Athletes who perform short, high-intensity activities high-intensity activities benefit from training their benefit from training their lungs as well as their arms lungs as well as their arms and legsand legs


Governs Qi & RespirationGoverns Qi & Respiration– Inhales “clear” QiInhales “clear” Qi– Exhales “stale” QiExhales “stale” Qi– Forms Zong Qi from Gu Qi & Forms Zong Qi from Gu Qi &

clear Qiclear Qi– Qi help propel the Blood so Lung Qi help propel the Blood so Lung

and Heart work togetherand Heart work together– Stagnation of Lung Qi leads to Stagnation of Lung Qi leads to

cough and asthmacough and asthma


““Lungs govern Qi and respiration”Lungs govern Qi and respiration”

The Lung inhales “pure Qi” and exhales “dirty Qi” The Lung inhales “pure Qi” and exhales “dirty Qi” and this exchange is essential to the proper and this exchange is essential to the proper functioning of all of the body’s physiological functioning of all of the body’s physiological processesprocesses

The second way that the Lungs govern Qi is due The second way that the Lungs govern Qi is due to their role in the generation of Zong Qi to their role in the generation of Zong Qi (Gathering Qi) of the body(Gathering Qi) of the body


The Spleen sends Gu Qi (Food Qi) to the The Spleen sends Gu Qi (Food Qi) to the Lungs where it is combined with the Qing Qi Lungs where it is combined with the Qing Qi (clear Qi of the atmosphere) in the chest (clear Qi of the atmosphere) in the chest (the Upper Sea of Qi) to make the Zong Qi(the Upper Sea of Qi) to make the Zong Qi

The Lung then spreads Qi all over the body The Lung then spreads Qi all over the body to nourish all the tissues and Zang-Fu to nourish all the tissues and Zang-Fu organsorgans


““The Lung controls Channels and blood The Lung controls Channels and blood vessels”vessels”

The Lungs govern Qi and Qi is the force that The Lungs govern Qi and Qi is the force that empowers the Heart to circulate Bloodempowers the Heart to circulate Blood

Further, Lung Qi controls the circulation of Further, Lung Qi controls the circulation of Ying Qi (Nutritive Qi) in the channelsYing Qi (Nutritive Qi) in the channels


If Lung Qi is strong the If Lung Qi is strong the circulation of Qi and Blood circulation of Qi and Blood will be uncompromised will be uncompromised and the limbs and digits and the limbs and digits will be warmwill be warm

If the Lung Qi is weak, Qi If the Lung Qi is weak, Qi will be inadequate to move will be inadequate to move the Blood and the limbs the Blood and the limbs and especially the digits and especially the digits will be cool or cold will be cool or cold


Dominates Ascending & Dominates Ascending & DescendingDescending

– Distributes defensive (wie) Qi Distributes defensive (wie) Qi and body fluid to entire bodyand body fluid to entire body

– Helps maintain normal Helps maintain normal descending function, while descending function, while receiving the ascending water receiving the ascending water vapor from the kidneyvapor from the kidney


The Lungs control the dispersing and The Lungs control the dispersing and descending functiondescending function

By dispersing it is meant that the Lungs By dispersing it is meant that the Lungs control the spreading of Wei Qi (Defensive control the spreading of Wei Qi (Defensive Qi) and Body Fluids throughout the body Qi) and Body Fluids throughout the body surface in the space between the skin and surface in the space between the skin and musclesmuscles


This dispersion of Wei Qi both warms the This dispersion of Wei Qi both warms the skin and protects against exterior skin and protects against exterior pathogenic invasionpathogenic invasion

Weak Lung function may lead to a decrease Weak Lung function may lead to a decrease in Wei Qi in the skin and an increased in Wei Qi in the skin and an increased incidence of exterior pathogenic invasionincidence of exterior pathogenic invasion


The Lung also spreads Body Fluids to the The Lung also spreads Body Fluids to the skin in the form of a mist skin in the form of a mist

This mist or Body Fluids both moistens the This mist or Body Fluids both moistens the skin and regulates the opening and closing skin and regulates the opening and closing of pores and sweatingof pores and sweating


Excess conditions such as Wind-Cold (Cold Excess conditions such as Wind-Cold (Cold predominate) may lead to a cessation of sweating predominate) may lead to a cessation of sweating while Deficiency conditions such as Wind-Cold while Deficiency conditions such as Wind-Cold (Wind predominate) or Yang deficiency may lead (Wind predominate) or Yang deficiency may lead to spontaneous sweatingto spontaneous sweating

If the Lung function of dispersing is compromised, If the Lung function of dispersing is compromised, edematous fluids may accumulate under the skin edematous fluids may accumulate under the skin of the upper body and face of the upper body and face


The Lung controls the descending function The Lung controls the descending function since it is the “uppermost” organ and the Qi since it is the “uppermost” organ and the Qi generated in the Lung must descendgenerated in the Lung must descend

Lung Qi especially descends to the Kidney Lung Qi especially descends to the Kidney where the Kidney then “grasps” itwhere the Kidney then “grasps” it


The Body Fluids are also descended down to the The Body Fluids are also descended down to the Kidneys and BladderKidneys and Bladder

Compromised descending function of Lung Qi may Compromised descending function of Lung Qi may cause cough, breathlessness and stuffiness in the cause cough, breathlessness and stuffiness in the chestchest

If the Large Intestine (Yang husband of the Lung) If the Large Intestine (Yang husband of the Lung) does not receive the Lung Qi, Qi deficient does not receive the Lung Qi, Qi deficient constipation may occur constipation may occur


““The Lung regulates the The Lung regulates the water passages”water passages”– in relation to its dispersing in relation to its dispersing

and descending functionand descending function

If the dispersing function of If the dispersing function of “misting” under the skin is “misting” under the skin is blockedblocked– edematous fluids may edematous fluids may

accumulate beneath the skinaccumulate beneath the skin


Since the Lung descends fluids down to the Since the Lung descends fluids down to the Kidneys and Bladder, the Kidney is kept Kidneys and Bladder, the Kidney is kept moist (and may “steam” fluids back up to moist (and may “steam” fluids back up to moisten the Lung) and the Bladder is moisten the Lung) and the Bladder is influenced to release its urineinfluenced to release its urine

If Lung Qi is impaired, urinary retention may If Lung Qi is impaired, urinary retention may occuroccur


Control the Body SurfaceControl the Body Surface

– Distributes body fluid to Distributes body fluid to the tissues which in turn the tissues which in turn helps regulate skin helps regulate skin moisture and sweatingmoisture and sweating

– Provides Wei QiProvides Wei Qi


The Lung “controls the skin and hair” is also The Lung “controls the skin and hair” is also related to the dispersing/descending and related to the dispersing/descending and regulating the water passages functions of the regulating the water passages functions of the LungLung

The Lungs receive, along with Gu Qi, fluids from The Lungs receive, along with Gu Qi, fluids from the Spleen and spreads them over the entire body, the Spleen and spreads them over the entire body, skin, and hair to give nourishment and moistureskin, and hair to give nourishment and moisture

If the Lung is functioning normally, the fur will have If the Lung is functioning normally, the fur will have luster and the opening and closing of the pores will luster and the opening and closing of the pores will be normalbe normal


If the Lung function is somehow compromised the If the Lung function is somehow compromised the skin and hair will lack nourishment and moisture skin and hair will lack nourishment and moisture and may be dry and roughand may be dry and rough

Of course we remember that the Lungs maintain Of course we remember that the Lungs maintain the flow of Wei Qi under the skin when functioning the flow of Wei Qi under the skin when functioning normallynormally

Abnormal function or Wind invasion of the skin can Abnormal function or Wind invasion of the skin can lead to a blockage and impair Lung dispersing lead to a blockage and impair Lung dispersing function leading to sneezing and coughing function leading to sneezing and coughing


The Lung opens into the nose and thus The Lung opens into the nose and thus receives the Qing Qi of the atmosphere in receives the Qing Qi of the atmosphere in order to make Zong Qiorder to make Zong Qi

The Jing-Shen of a healthy Lung leads to The Jing-Shen of a healthy Lung leads to good olfactory sensation and good Lung Qi good olfactory sensation and good Lung Qi leads to open nostrils and healthy leads to open nostrils and healthy respirationrespiration


If Lung Qi is weak or there is an invasion of If Lung Qi is weak or there is an invasion of an exogenous pathogen, the nose may be an exogenous pathogen, the nose may be blocked and there may be a loss or blocked and there may be a loss or reduction in olfaction or sneezingreduction in olfaction or sneezing

If the Lungs are invaded by pathogenic If the Lungs are invaded by pathogenic Heat, the nares may flare and there may be Heat, the nares may flare and there may be epistaxis epistaxis

If Lung Qi is weak there can be an If Lung Qi is weak there can be an invasion of an exogenous pathogeninvasion of an exogenous pathogen

Conduit to the Brain: Particles enter the nervous Conduit to the Brain: Particles enter the nervous system via the nosesystem via the nose

Like stealthy intruders, minute airborne particles Like stealthy intruders, minute airborne particles can apparently invade the brain through a can apparently invade the brain through a vulnerable portalvulnerable portal

At least some such particles, when inhaled into the At least some such particles, when inhaled into the nose, shimmy up the nerve bundle that governs nose, shimmy up the nerve bundle that governs smell and infiltrate the central nervous system, smell and infiltrate the central nervous system, bypassing the natural firewall between brain tissue bypassing the natural firewall between brain tissue and the main circulatory system and the main circulatory system


The Lungs house the Po or Corporeal SoulThe Lungs house the Po or Corporeal Soul

The Po The Po – pertains to the bodypertains to the body– is the “spirit” of the bodyis the “spirit” of the body– is Yin and quiescentis Yin and quiescent– is related to Essenceis related to Essence– represents the movement of Essence inwardlyrepresents the movement of Essence inwardly– is connected to Qi and Yangis connected to Qi and Yang– is purely individual and at death dissolves and returns to the earthis purely individual and at death dissolves and returns to the earth

Disharmony of the Po tends to cause problems in the Disharmony of the Po tends to cause problems in the daytime and causes a lack of vigor and vitality daytime and causes a lack of vigor and vitality


Opens in the NoseOpens in the Nose

– Lung is a canopy Lung is a canopy over the other over the other organs and very organs and very delicatedelicate

– Easily affected by Easily affected by pathogens (wind, pathogens (wind, heat, cold or heat, cold or dryness)dryness)


Since they have intimate contact with the Since they have intimate contact with the outer world through the air, the Lungs are outer world through the air, the Lungs are considered the most external Yin organconsidered the most external Yin organ

Because of this “external” position, the Lung Because of this “external” position, the Lung is considered the “tender” organ and is most is considered the “tender” organ and is most vulnerable to attack by exogenous vulnerable to attack by exogenous pathogenic factors pathogenic factors

the “tender” organthe “tender” organ

Inhaled particles damage vascular liningInhaled particles damage vascular lining

Though arteries and veins move large flows Though arteries and veins move large flows of blood around the body, tinier vessels of blood around the body, tinier vessels called arterioles distribute blood to the called arterioles distribute blood to the capillaries in tissuescapillaries in tissues

To regulate this microflow minute to minute according to To regulate this microflow minute to minute according to tissues' needs, arterioles continually dilate and constricttissues' needs, arterioles continually dilate and constrict

An animal experiment now indicates that breathing soot An animal experiment now indicates that breathing soot and other airborne particles compromises the arterioles' and other airborne particles compromises the arterioles' capacity to dilate capacity to dilate

The finding, reported in Pittsburgh in October at the Society The finding, reported in Pittsburgh in October at the Society of Environmental Journalists annual meeting, offers one of Environmental Journalists annual meeting, offers one explanation for epidemiological studies that have linked explanation for epidemiological studies that have linked cardiovascular disease and polluted air cardiovascular disease and polluted air


Diesel fumes suppress immune responseDiesel fumes suppress immune response

Recurring exposure to soot particles from Recurring exposure to soot particles from diesel exhaust reduces the immune diesel exhaust reduces the immune system's capacity to fend off infection more system's capacity to fend off infection more persistently than does a one-time exposure persistently than does a one-time exposure to an equivalent amount of particles, tests to an equivalent amount of particles, tests on rodents indicate on rodents indicate

Inhaling particles less than 2.5 Inhaling particles less than 2.5 μμm across is m across is harmful to the heart and lungs harmful to the heart and lungs


Is the Increase in Asthma Prevalence Linked Is the Increase in Asthma Prevalence Linked to an Increase in Allergic Antigen Load,"to an Increase in Allergic Antigen Load,"

AllergyAllergy, 1995;50:935-938. #24296, 1995;50:935-938. #24296

What role does air pollution have in asthma prevalence? What role does air pollution have in asthma prevalence?

AW & JP: Industrial air pollutants are not thought to have AW & JP: Industrial air pollutants are not thought to have been important in increasing the prevalence of asthmabeen important in increasing the prevalence of asthma

There is no doubt that some countries in Eastern Europe, There is no doubt that some countries in Eastern Europe, such as East Germany and Poland, have had high levels of such as East Germany and Poland, have had high levels of industrial pollutants, such as sulfur dioxide and nitrogen industrial pollutants, such as sulfur dioxide and nitrogen dioxide in recent yearsdioxide in recent years

These pollutants appear to be responsible for high levels of These pollutants appear to be responsible for high levels of respiratory infections in children but the prevalence of respiratory infections in children but the prevalence of asthma is lower than in Western Europeasthma is lower than in Western Europe

Lung PatternsLung Patterns

TCM 24 Hour ClockTCM 24 Hour Clock

GB 11- 1AM

TH 9- 11 PM

PC 7- 9 PM

KID 5- 7 PM

BL 3- 5 PM SI 1- 3 PM

HT 11- 1 PM

SP 9- 11 AM

ST 7- 9 AM

LI 5- 7 AM

LU 3- 5 AMLIV 1- 3 AM

Common TCVM Lung PathologyCommon TCVM Lung Pathology PatternsPatterns

Wind-Cold Invading the LungsWind-Cold Invading the Lungs Wind-Heat Invading the LungsWind-Heat Invading the Lungs Wind(-Heat)-DampnessWind(-Heat)-Dampness Wind-Dryness (with Heat)Wind-Dryness (with Heat) Lung-HeatLung-Heat Lung Phlegm-HeatLung Phlegm-Heat Damp-Phlegm (or Cold Phlegm) in the LungsDamp-Phlegm (or Cold Phlegm) in the Lungs Lung Qi DeficiencyLung Qi Deficiency Lung Qi ObstructedLung Qi Obstructed Lung Yin DeficiencyLung Yin Deficiency Lung DrynessLung Dryness Lung Yin Deficiency with Empty-HeatLung Yin Deficiency with Empty-Heat

Wind-Cold Invading the LungsWind-Cold Invading the Lungs

Commonly seen as asthma, allergic rhinitis, Commonly seen as asthma, allergic rhinitis, cough, and influenzacough, and influenza

Clinical signs: chills greater than fever, sneezing Clinical signs: chills greater than fever, sneezing and clear watery nasal discharge, body aches, and clear watery nasal discharge, body aches, itchy throatitchy throat

Tongue: thin white coatTongue: thin white coat Pulse: superficial, tightPulse: superficial, tight

Treatment Principle: release the Exterior, expel Treatment Principle: release the Exterior, expel Wind-Cold, calm asthma, calm the ShenWind-Cold, calm asthma, calm the Shen

Gui Zhi TangGui Zhi Tang Cinnamon Twig Cinnamon Twig DecoctionDecoction

Gui Zhi Gui Zhi cinnamomumcinnamomum warm kidneys, warm kidneys, fortify fortify Yang, disperse Yang, disperse ColdCold

Bai Shao Yao Bai Shao Yao paeoniapaeonia nourish blood & nourish blood & perserve Yinperserve Yin

Sheng JiangSheng Jiang zingiberzingiber warms middle & warms middle & expels Cold expels Cold

Da Zao Da Zao ziziphusziziphus tonify Qi, tonify Qi, hamronize, hamronize, calm shencalm shen

Gan Cao Gan Cao glycyrrizaglycyrriza tonify Qi, harmonizetonify Qi, harmonize

– Actions: releases pathogenic influences from the muscle layer and Actions: releases pathogenic influences from the muscle layer and regulates the Ying (Nutritive) and Wei (Defensive)regulates the Ying (Nutritive) and Wei (Defensive)


Western Biomedicine: URTI, influenza, Western Biomedicine: URTI, influenza, allergic rhinitis, angioedema, eczema, allergic rhinitis, angioedema, eczema, urticariaurticaria

Acupuncture: Acupuncture: – Dingchuan to stop acute asthmaDingchuan to stop acute asthma– BL 12 to expel WindBL 12 to expel Wind– BL 13, CV 22, LU 7, to normalize descending BL 13, CV 22, LU 7, to normalize descending

Lung QiLung Qi


– LU 6 Xi-Cleft point for acute processLU 6 Xi-Cleft point for acute process

– HT 7, CV 15 (or 17) calm the Shen, unblock the chest HT 7, CV 15 (or 17) calm the Shen, unblock the chest and descend chest Qiand descend chest Qi

– GB 20, GB 21 relax the neck (ease breathing) and GB 20, GB 21 relax the neck (ease breathing) and descend Qidescend Qi

– ST 36, SP 6 to harmonize Ying and Wei QiST 36, SP 6 to harmonize Ying and Wei Qi

Jing-Tang: Jing-Tang: Zhi Sou SanZhi Sou San (F0045) to moisten the (F0045) to moisten the Lung, transform phlegm and stop coughLung, transform phlegm and stop cough

Zhi Sou SanZhi Sou San

Bai BuBai BuStamonaStamona Moisten Lung, stop coughMoisten Lung, stop cough

Bai QianBai Qian CynanchumCynanchum Descend Lung Qi, stop coughDescend Lung Qi, stop cough

Chen PiChen Pi CitrusCitrus Move Qi, transform phlegmMove Qi, transform phlegm

Fu LingFu Ling PoriaPoria Drain Damp, strengthen SpleenDrain Damp, strengthen Spleen

Gan CaoGan Cao LicoriceLicorice HarmonizeHarmonize

Zi WanZi Wan AsterAster Moisten Lung, stop coughMoisten Lung, stop cough

– Action: Moisten the Lung, transform phlegm and stop cough Action: Moisten the Lung, transform phlegm and stop cough

Wind-Heat Invading the LungsWind-Heat Invading the Lungs

Commonly seen as asthma, allergic rhinitis, sinusitis, Commonly seen as asthma, allergic rhinitis, sinusitis, cough, and influenzacough, and influenza

Clinical signs: fever and aversion to cold, headache, Clinical signs: fever and aversion to cold, headache, tightness of the chest, loud wheezing, barking cough, tightness of the chest, loud wheezing, barking cough, asthma, mental restlessness, slight thirstasthma, mental restlessness, slight thirst

Tongue: red sides towards the frontTongue: red sides towards the front Pulse: superficial, rapidPulse: superficial, rapid

Treatment principles: release the Exterior, restore the Treatment principles: release the Exterior, restore the descending of Lung Qi, expel Wind-Heat, calm asthma, descending of Lung Qi, expel Wind-Heat, calm asthma, calm the Shencalm the Shen

Sang Ju YinSang Ju Yin Mulberry Leaf and Mulberry Leaf and Chrysanthemum DecoctionChrysanthemum Decoction

Sang Ye Sang Ye morus fruitmorus fruit expel wind & clear Lung heatexpel wind & clear Lung heat Ju Hua Ju Hua chrysanthemumchrysanthemum disperse wind & clear heatdisperse wind & clear heat Bo He Bo He menthamentha disperse wind heatdisperse wind heat Xing Ren Xing Ren prunusprunus stop cough & calm wheezingstop cough & calm wheezing Lu Gen Lu Gen phragmitesphragmites clear heat (LU) & generate fluidsclear heat (LU) & generate fluids Jie Geng Jie Geng platycodonplatycodon open & disseminate Lung Qi, open & disseminate Lung Qi,

expels phlegm, expels phlegm, transportertransporter

Lian QiaoLian Qiao forsythiaforsythia clear heat & toxins, dissipate clear heat & toxins, dissipate nodulesnodules

Gan Cao Gan Cao glycyrrizaglycyrriza tonify Spleen & Qi, moisten tonify Spleen & Qi, moisten Lungs & stops coughLungs & stops cough

– Actions: releases exterior Wind-Heat and stops coughing by facilitating the Actions: releases exterior Wind-Heat and stops coughing by facilitating the correct flow of Lung Qicorrect flow of Lung Qi


Western Biomedicine: URTI, influenza, early-stage Western Biomedicine: URTI, influenza, early-stage acute bronchitis, acute tonsillitis, acute conjunctivitisacute bronchitis, acute tonsillitis, acute conjunctivitis

Acupuncture: Acupuncture: – LU 5 clears Lung HeatLU 5 clears Lung Heat– LU 7, LU 1, BL 13 restore the descending function of the LU 7, LU 1, BL 13 restore the descending function of the

LungLung– LU 6 Xi-Cleft for acute onsetLU 6 Xi-Cleft for acute onset– LU 11 expels Wind-Heat and soothes the throatLU 11 expels Wind-Heat and soothes the throat– Ding Chuan stops acute asthmaDing Chuan stops acute asthma– HT 7, CV 15 calm the Shen HT 7, CV 15 calm the Shen

Yin Qiao SanYin Qiao San Honeysuckle Honeysuckle and Forsythia Powderand Forsythia Powder

Ban Lan GenBan Lan Gen IsatisIsatis Clear Heat-toxinClear Heat-toxin Bo HeBo He MenthaMentha Clear Wind-HeatClear Wind-Heat Dan Zhu YeDan Zhu Ye BambooBamboo Clear Heat and benefit the Clear Heat and benefit the

urinationurination Gan CaoGan Cao LicoriceLicorice HarmonizeHarmonize Jie GengJie Geng PlatycodonPlatycodon Open the Lung and eliminate Open the Lung and eliminate

phlegmphlegm Jin Yin HuaJin Yin Hua LoniceraLonicera Clear Heat-toxin, dissipate the Clear Heat-toxin, dissipate the

exteriorexterior Jing JieJing Jie SchizonapetaSchizonapeta Clear Wind-ColdClear Wind-Cold Lian QiaoLian Qiao ForsythiaForsythia Clear Heat-toxin, dissipate the Clear Heat-toxin, dissipate the

swellingswelling Lu GenLu Gen PhragmitesPhragmites Clear Heat and promote body Clear Heat and promote body

fluidfluid Niu Bang ZiNiu Bang Zi ArctiumArctium Clear Wind-Heat, benefit the Clear Wind-Heat, benefit the

throatthroat

– Actions: disperses Wind-Heat, clears Heat and relieves toxicity Actions: disperses Wind-Heat, clears Heat and relieves toxicity


Western Biomedicine: URTI, influenza, acute Western Biomedicine: URTI, influenza, acute bronchitis, measles, acute endometritis, early-bronchitis, measles, acute endometritis, early-stage encephalitis or meningitisstage encephalitis or meningitis

Acupuncture: Acupuncture: – LU 5 clears Lung HeatLU 5 clears Lung Heat– LU 7, LU 1, BL 13 restore the descending function of the LU 7, LU 1, BL 13 restore the descending function of the

LungLung– LU 6 Xi-Cleft for acute onsetLU 6 Xi-Cleft for acute onset


– LU 11 expels Wind-Heat and soothes the throatLU 11 expels Wind-Heat and soothes the throat

– LI 11, ST 36, GV 14 to dispel HeatLI 11, ST 36, GV 14 to dispel Heat

– Ding chuan stops acute asthmaDing chuan stops acute asthma

– HT 7, CV 15 calm the ShenHT 7, CV 15 calm the Shen

Jing-Tang: Jing-Tang: Equine Yin QiaoEquine Yin Qiao (E0130) to relieve the (E0130) to relieve the exterior, dispel Wind-Heat, eliminate Interior Heat exterior, dispel Wind-Heat, eliminate Interior Heat and detoxifyand detoxify

Equine Yin QiaoEquine Yin Qiao (E0130) (E0130) Ban Lan GenBan Lan Gen IsatisIsatis clear heat-toxinclear heat-toxin Bo HeBo He MenthaMentha clear wind-heatclear wind-heat Dan Zhu YeDan Zhu Ye BambooBamboo clear heat & benefit urinationclear heat & benefit urination Gan CaoGan Cao LicoriceLicorice harmonizeharmonize Jie GengJie Geng PlatycodonPlatycodon open Lung & eliminate phlegmopen Lung & eliminate phlegm Jin Yin HuaJin Yin Hua LoniceraLonicera clear heat-toxin, dissipate clear heat-toxin, dissipate

exteriorexterior Jing JieJing Jie SchizonapetaSchizonapeta clear wind-coldclear wind-cold Lian QiaoLian Qiao ForsythiaForsythia clear heat-toxin, dissipate clear heat-toxin, dissipate

swellingswelling Lu GenLu Gen PhragmitesPhragmites clear heat & promote body fluidclear heat & promote body fluid Niu Bang ZiNiu Bang Zi ArctiumArctium clear wind-heat, benefit the clear wind-heat, benefit the

throatthroat

– Action: Relieve the Exterior, dispel Wind-Heat, eliminate Interior Heat and Action: Relieve the Exterior, dispel Wind-Heat, eliminate Interior Heat and detoxify detoxify

Wind(-Heat)-DampnessWind(-Heat)-Dampness Commonly seen as headaches with or without Commonly seen as headaches with or without

influenzainfluenza

Clinical Signs: aversion to cold, shivering, fever, Clinical Signs: aversion to cold, shivering, fever, nausea, vomiting, swollen lymph nodes, nausea, vomiting, swollen lymph nodes, headache, feeling worse in the afternoon, chest headache, feeling worse in the afternoon, chest oppression, sticky feeling in mouthoppression, sticky feeling in mouth

Tongue: sticky yellow coatingTongue: sticky yellow coating Pulse: slippery and floatingPulse: slippery and floating

Treatment Principle: release the Exterior, expel Treatment Principle: release the Exterior, expel Wind-Heat and resolve DampnessWind-Heat and resolve Dampness

Wind(-Heat)-DampnessWind(-Heat)-Dampness

Western Biomedicine: influenza, intestinal flu, Western Biomedicine: influenza, intestinal flu, nonspecific acute colitis and acute gastroenteritisnonspecific acute colitis and acute gastroenteritis

Acupuncture: Acupuncture: – LI 4 Hegu and LI 11 to release the exterior, expel Wind-LI 4 Hegu and LI 11 to release the exterior, expel Wind-

Heat and resolve Damp-HeatHeat and resolve Damp-Heat

– SP 9 resolves Damp-HeatSP 9 resolves Damp-Heat

– CV 13 resolves Dampness, harmonizes the middle CV 13 resolves Dampness, harmonizes the middle burner and subdues rebellious Stomach Qiburner and subdues rebellious Stomach Qi

Wind(-Heat)-DampnessWind(-Heat)-Dampness

– TH 5 expels Wind-HeatTH 5 expels Wind-Heat

– GV 14 clears HeatGV 14 clears Heat

– LU 11 hemo-AP expels Wind-Heat and benefits LU 11 hemo-AP expels Wind-Heat and benefits the throat (may substitute LU 10 in small the throat (may substitute LU 10 in small animals)animals)

Jing-Tang: Jing-Tang: Huo Xiang Zheng QiHuo Xiang Zheng Qi

Huo Xiang Zheng Qi SanHuo Xiang Zheng Qi San Agastache Powder Agastache Powder to Rectify the Qito Rectify the Qi

Huo Xiang Huo Xiang agastachesagastaches transform damp, harmonize middle burner, transform damp, harmonize middle burner, stop vomitingstop vomiting

Hou Po Hou Po cortex magnoliacortex magnolia move Qi, transform damp, resolve stagnation move Qi, transform damp, resolve stagnation Zi Su Ye Zi Su Ye folium perillafolium perilla release exterior & disperse cold, move Qi, release exterior & disperse cold, move Qi,

expand chest expand chest Bai Zhi Bai Zhi angelica dahuricaangelica dahurica expel wind, alleviate pain, reduce swelling & expel wind, alleviate pain, reduce swelling &

expel pus & damp expel pus & damp Ban Xia Ban Xia pinellapinella dry damp, transform phlegm, descend dry damp, transform phlegm, descend

rebellious Qi, stop vomiting rebellious Qi, stop vomiting Da Fu Pi Da Fu Pi arecaareca move Qi down, reduce food stagnation, move Qi down, reduce food stagnation,

expel expel damp, promote urinationdamp, promote urination Bai Zhu Bai Zhu actractylodesactractylodes tonify Spleen & Qi, strengthen Spleen & dry tonify Spleen & Qi, strengthen Spleen & dry

damp damp Fu Ling Fu Ling poriaporia drain damp, strengthen Spleendrain damp, strengthen Spleen Jie Geng Jie Geng platycodonplatycodon open Lung & eliminate phlegmopen Lung & eliminate phlegm Zhi Gan CaoZhi Gan Cao honey-fry licoricehoney-fry licorice tonify Spleen & Kidney Qi & Yang, moisten tonify Spleen & Kidney Qi & Yang, moisten

Lungs & stops coughLungs & stops cough

– Actions: releases the exterior, transforms Dampness, regulates the Qi, and Actions: releases the exterior, transforms Dampness, regulates the Qi, and harmonizes the middle burnerharmonizes the middle burner

Wind-Dryness (with Heat)Wind-Dryness (with Heat) Commonly seen as cough, nasal or lung bleeding, or Commonly seen as cough, nasal or lung bleeding, or

influenzainfluenza

Clinical Signs: aversion to cold, fever, slight sweating, Clinical Signs: aversion to cold, fever, slight sweating, dryness of nose, mouth and throat, dry skin with dry cough dryness of nose, mouth and throat, dry skin with dry cough and desire to drinkand desire to drink

Tongue: slightly red near the tip, dryTongue: slightly red near the tip, dry Pulse: floating, may be rapidPulse: floating, may be rapid

Treatment Principles: release the exterior, expel Wind, Treatment Principles: release the exterior, expel Wind, restore the descending function of Lung Qi, benefit Body restore the descending function of Lung Qi, benefit Body FluidsFluids

Sang Xing TangSang Xing Tang Mulberry Leaf and Mulberry Leaf and Apricot Kernel DecoctionApricot Kernel Decoction

Sang Ye Sang Ye folium morifolium mori expel wind & clear expel wind & clear Lung heatLung heat

Zhi Zi Zhi Zi gardeniagardenia clear heat, reduce clear heat, reduce irritability, drain damp irritability, drain damp

heat heat Dan Dou Chi Dan Dou Chi prep soybeanprep soybean release exterior hot release exterior hot

or coldor cold Xing Ren Xing Ren apricot seedapricot seed stop cough & calm stop cough & calm

wheezing wheezing Zhe Bei Mu Zhe Bei Mu fritillariafritillaria clear & transform clear & transform

phlegm heat phlegm heat Sha shen Sha shen glehniaglehnia moisten lungs & moisten lungs &

clear heat clear heat Li Pi Li Pi pyri fruitpyri fruit clear heat, clear heat,

strengthen Spleenstrengthen Spleen

– Actions: clears and disperses warm-drynessActions: clears and disperses warm-dryness

Wind-Dryness (with Heat)Wind-Dryness (with Heat)

Western Biomedicine: URTI, pharyngitis, Western Biomedicine: URTI, pharyngitis, pertussis, bronchitis, and bronchiectasispertussis, bronchitis, and bronchiectasis

Acupuncture: Acupuncture: – LU 7, LI 4, LI 11 release the exterior and expel LU 7, LI 4, LI 11 release the exterior and expel

Wind-HeatWind-Heat

– CV 12, SP 6 and KID 6 promote Body FluidsCV 12, SP 6 and KID 6 promote Body Fluids

– KID 6 soothes the throatKID 6 soothes the throat

Lung HeatLung Heat

Commonly seen as sinusitis, cough, atrophy Commonly seen as sinusitis, cough, atrophy syndrome, or influenzasyndrome, or influenza

Clinical Signs: high fever, feeling of heat, cough, Clinical Signs: high fever, feeling of heat, cough, breathlessness, coughing of yellow sputum, thirst, breathlessness, coughing of yellow sputum, thirst, restlessness, sweating, pantingrestlessness, sweating, panting

Tongue: red with yellow coatTongue: red with yellow coat Pulse: overflowing and rapidPulse: overflowing and rapid

Treatment Principles: clear Lung-Heat, prevent Treatment Principles: clear Lung-Heat, prevent injury of Yin by Heatinjury of Yin by Heat

Ma Xing Shi Gan TangMa Xing Shi Gan Tang Ephedra, Apricot Ephedra, Apricot Kernel, Gypsum and Licorice DecoctionKernel, Gypsum and Licorice Decoction

Ma Huang Ma Huang ephedraephedra release exterior, release exterior, disperse cold, move disperse cold, move lung Qi, promote lung Qi, promote urinationurination

Shi Gao Shi Gao gypsumgypsum clear heat & drain fireclear heat & drain fire Xing Ren Xing Ren apricot seedapricot seed stop cough & calm stop cough & calm

wheezing, moisten wheezing, moisten intestinesintestines

Zhi Gan Cao Zhi Gan Cao honey-fry licoricehoney-fry licorice tonify Spleen & Kidney tonify Spleen & Kidney Qi & Yang, moisten Qi & Yang, moisten Lungs & stops coughLungs & stops cough

– Actions: facilitates the flow of Lung Qi, clears Heat, and Actions: facilitates the flow of Lung Qi, clears Heat, and calms wheezing by directing rebellious Qi downwardcalms wheezing by directing rebellious Qi downward

Lung HeatLung Heat

Western Biomedicine: URTI, lobar pneumonia, bronchial Western Biomedicine: URTI, lobar pneumonia, bronchial pneumonia, bronchial asthma, bronchiolitis, pertussispneumonia, bronchial asthma, bronchiolitis, pertussis

Acupuncture: Acupuncture: – LU 10 clears Lung HeatLU 10 clears Lung Heat– LU 5 resolves Phelgm-Heat from the LungsLU 5 resolves Phelgm-Heat from the Lungs– LU 1 clears Lung HeatLU 1 clears Lung Heat– GV 14 clears HeatGV 14 clears Heat– SP 6 prevents injury of Yin by HeatSP 6 prevents injury of Yin by Heat

Jing-Tang: Jing-Tang: Wei Jing TangWei Jing Tang (E0084) to clear Lung Heat and (E0084) to clear Lung Heat and dispel pusdispel pus

Red Lung (B0071)Red Lung (B0071) Huang Qin Huang Qin scutellariascutellaria Clear Lung HeatClear Lung Heat

Huang Yao Zi Huang Yao Zi dioscoreadioscorea Clear Lung HeatClear Lung Heat

Chuan Bei MuChuan Bei Mu fritillariafritillaria Moisten Lung & clear phlegm Moisten Lung & clear phlegm

Jie Geng Jie Geng platycodonplatycodon Open Lung & benefit the Open Lung & benefit the upper upper Jiao Jiao

Dan Shen Dan Shen condonopsiscondonopsis Tonify QiTonify Qi

Wu Wei Zi Wu Wei Zi schisandraschisandra Consolidate & nourish Lung Consolidate & nourish Lung Yin Yin

Dan Shen Dan Shen salviasalvia Cool & activate BloodCool & activate Blood

Sheng Di Huang Sheng Di Huang raw rehmanniaraw rehmannia Nourish YinNourish Yin

Xuan Shen Xuan Shen scrophulariascrophularia Cool Blood & nourish YinCool Blood & nourish Yin

– Actions: Clear Fire, cool the Lung Actions: Clear Fire, cool the Lung

Red Lung (B0071)Red Lung (B0071)

Western Biomedicine: Exercised-induced Western Biomedicine: Exercised-induced pulmonary hemorrhage (EIPH) and nosebleed, pulmonary hemorrhage (EIPH) and nosebleed, prevention and treatmentprevention and treatment

Related Jing-Tang Formulas: Single Immortal Related Jing-Tang Formulas: Single Immortal (B0072) to stop pulmonary hemorrhage(B0072) to stop pulmonary hemorrhage

Red Lung Plus (B0073) to stop pulmonary Red Lung Plus (B0073) to stop pulmonary hemorrhage (more powerful than Single Immortal)hemorrhage (more powerful than Single Immortal)

Xie Bai SanXie Bai San Drain the White Powder Drain the White Powder

Chao Sang Bai Pi Chao Sang Bai Pi dry-fried mulberry cortexdry-fried mulberry cortex drains Lung heat, drains Lung heat, calm wheezing & calm wheezing & coughcough

Di Gu Pi Di Gu Pi lycium rootlycium root clears deficient clears deficient heat heat

Zhi Gan Cao Zhi Gan Cao honey-fried licoricehoney-fried licorice tonify Spleen & tonify Spleen & Kidney Qi & Kidney Qi & Yang, moisten Yang, moisten Lungs, stop Lungs, stop coughcough

Geng Mi Geng Mi nonglutinous ricenonglutinous rice protect Spleenprotect Spleen

– Actions: drains Heat from the Lungs and calms wheezingActions: drains Heat from the Lungs and calms wheezing

Lung HeatLung Heat Western Biomedicine: bronchitis, pneumonia, pulmonary Western Biomedicine: bronchitis, pneumonia, pulmonary

tuberculosis, pleurisytuberculosis, pleurisy

Acupuncture: Acupuncture: – LU 10 clears Lung HeatLU 10 clears Lung Heat– LU 5 resolves Phelgm-Heat from the LungsLU 5 resolves Phelgm-Heat from the Lungs– LU 1 clears Lung HeatLU 1 clears Lung Heat– GV 14 clears HeatGV 14 clears Heat– SP 6 prevents injury of Yin by HeatSP 6 prevents injury of Yin by Heat– Ding Chuan arrests coughingDing Chuan arrests coughing

Jing-Tang: Jing-Tang: Qing Fei SanQing Fei San (E0087) to clear Lung Heat and (E0087) to clear Lung Heat and stop cough/asthmastop cough/asthma

Lung Phlegm-HeatLung Phlegm-Heat

Commonly seen as breathlessness, cough, Commonly seen as breathlessness, cough, and/or influenzaand/or influenza

Clinical Signs: high fever, restlessness, Clinical Signs: high fever, restlessness, thirst, vomiting after drinking, cough, thirst, vomiting after drinking, cough, breathlessness, chest pain, coughing of breathlessness, chest pain, coughing of profuse amounts of yellow-sticky sputum, profuse amounts of yellow-sticky sputum, nausea, dry stools, dark urinenausea, dry stools, dark urine


Tongue: red with a sticky-yellow coatingTongue: red with a sticky-yellow coating Pulse: slippery and rapidPulse: slippery and rapid

Treatment Principles: clear Lung-Heat, resolve Treatment Principles: clear Lung-Heat, resolve Phlegm, restore the descending of Lung Qi and Phlegm, restore the descending of Lung Qi and prevent injury to Yinprevent injury to Yin

Qing Jin Hua TanQing Jin Hua Tan Tang Tang Clear Metal and Clear Metal and Absorb Phlegm DecoctionAbsorb Phlegm Decoction

Huang Qi Huang Qi scutellariascutellaria tonify Spleen Qitonify Spleen Qi Zhi Zi Zhi Zi gardeniagardenia clears heat, drain damp heatclears heat, drain damp heat Fu Ling Fu Ling poriaporia promote urination, drain promote urination, drain

damp, damp, strengthen Spleenstrengthen Spleen Zhe Bei Mu Zhe Bei Mu fritillariafritillaria clear & transform phlegm heat clear & transform phlegm heat Jie Geng Jie Geng platycodonplatycodon open & disseminate Lung Qi, open & disseminate Lung Qi,

expels phlegm, expels phlegm, transportertransporter

Gua Lou Gua Lou trichosanthestrichosanthes clear & transform phlegm heat clear & transform phlegm heat Zhi Mu Zhi Mu anemarrhenaanemarrhena clear heat & drain fire clear heat & drain fire Sang Bai Pi Sang Bai Pi mulberrymulberry stop cough & wheezing, drain stop cough & wheezing, drain

Lung heat Lung heat Mai Men Dong Mai Men Dong ophiopogonophiopogon moisten Lungs & stop cough moisten Lungs & stop cough Gan Cao Gan Cao glycyrrizaglycyrriza tonify Qi, harmonizetonify Qi, harmonize

– Actions: clears Heat from the Lungs, dispels Phlegm and preserves Actions: clears Heat from the Lungs, dispels Phlegm and preserves the Yin of the Lungthe Yin of the Lung


Western Biomedicine: bronchitis, Western Biomedicine: bronchitis, pneumonia, bronchopneumonia, pulmonary pneumonia, bronchopneumonia, pulmonary tuberculosis, all with mucopurulent materialtuberculosis, all with mucopurulent material

Acupuncture: Acupuncture: – LU 5 resolves Phlegm-Heat from LungsLU 5 resolves Phlegm-Heat from Lungs– LU 1 clears Lung HeatLU 1 clears Lung Heat– ST 40 resolves PhlegmST 40 resolves Phlegm


– CV 22 resolves Phlegm and descends Lung QiCV 22 resolves Phlegm and descends Lung Qi– PC 6 opens the chestPC 6 opens the chest– GV 14 clears HeatGV 14 clears Heat

Jing-Tang: Jing-Tang: Wei Jing TangWei Jing Tang (E0084) to clear (E0084) to clear Lung Heat and dispel pusLung Heat and dispel pus

Wei Jing TangWei Jing Tang (E0084) (E0084)

Ban Lan GenBan Lan Gen IsatisIsatis clear Lung heatclear Lung heat Dong Gua ZiDong Gua Zi CordycepsCordyceps transform transform

phlegm, dispel phlegm, dispel puspus

Jie GengJie Geng PlatycodonPlatycodon transform phlegm, transform phlegm, dispel pusdispel pus

Lu GenLu Gen PhragmitesPhragmites clear Lung heatclear Lung heat Tao RenTao Ren PersicaPersica move bloodmove blood Yi Yi RenYi Yi Ren CoixCoix drain damp & drain damp &

dispel dispel puspus

– Action: Clear Lung Heat and dispel pus Action: Clear Lung Heat and dispel pus

Damp-Phlegm (or Cold Phlegm) in Damp-Phlegm (or Cold Phlegm) in the Lungsthe Lungs

Commonly seen as breathlessness, Commonly seen as breathlessness, wheezing, and coughwheezing, and cough

Clinical Signs: coughing and wheezing with Clinical Signs: coughing and wheezing with watery, copious sputum, shortness of breath watery, copious sputum, shortness of breath with labored inspiration and smooth with labored inspiration and smooth expirationexpiration


Tongue: white slippery or greasy coatingTongue: white slippery or greasy coating Pulse: weak, slipperyPulse: weak, slippery

Treatment Principles: warm the Lung, scatter Treatment Principles: warm the Lung, scatter Cold, resolve Phlegm and relieve Cold, resolve Phlegm and relieve breathlessnessbreathlessness

Su Zi Jiang Qi TangSu Zi Jiang Qi Tang Perilla Fruit Decoction for Perilla Fruit Decoction for Directing Qi DownwardDirecting Qi Downward

Zhi Gan Cao Zhi Gan Cao glycyrrizaglycyrriza tonify Spleen & Kidney Qi & tonify Spleen & Kidney Qi & Yang, Yang, moisten Lungs, stop moisten Lungs, stop coughcough

Ban Xia Ban Xia pinelliapinellia dry damp, transform phlegm, dry damp, transform phlegm, descends rebellious Qi descends rebellious Qi

Zi Su Zi Zi Su Zi perilla seedperilla seed stop cough & wheezing, redirect Qi stop cough & wheezing, redirect Qi down, dissolve phlegm down, dissolve phlegm

Dang Gui Dang Gui angelicaangelica tonify blood tonify blood Hou Po Hou Po magnoliamagnolia move Qi, transform damp, resolve move Qi, transform damp, resolve

stagnation stagnation Qian Hu Qian Hu peucedanumpeucedanum redirects Qi downwards, expel redirects Qi downwards, expel

phlegm phlegm Rou Gui Rou Gui cinnamomumcinnamomum tonify Qi, warms channels, disperse tonify Qi, warms channels, disperse

cold, unblock yang cold, unblock yang Sheng Jiang Sheng Jiang zingiberzingiber release exterior, disperse cold in release exterior, disperse cold in

middle jiao middle jiao Zi Su Ye Zi Su Ye perilla leafperilla leaf releaseexterior & disperse cold releaseexterior & disperse cold Da Zao Da Zao ziziphusziziphus tonify Qi, harmonizetonify Qi, harmonize

– Actions: directs rebellious Qi downward, arrests wheezing, stops coughing, Actions: directs rebellious Qi downward, arrests wheezing, stops coughing, warms and transforms Phlegm-Coldwarms and transforms Phlegm-Cold


Western Biomedicine: chronic bronchitis, Western Biomedicine: chronic bronchitis, emphysema, bronchial asthma, cardiogenic emphysema, bronchial asthma, cardiogenic asthmaasthma

Acupuncture: Acupuncture: – LU 7, BL 13 and LU 1 restore the descending of LU 7, BL 13 and LU 1 restore the descending of

Lung Qi and stop wheezingLung Qi and stop wheezing

– LU 6 stops wheezing in acute casesLU 6 stops wheezing in acute cases


– CV 22 restores the descending of Lung Qi and CV 22 restores the descending of Lung Qi and resolves Phlegmresolves Phlegm

– CV 17 moves Qi in the chestCV 17 moves Qi in the chest

– ST 40 and PC 6 open the chest, relieve ST 40 and PC 6 open the chest, relieve breathlessness and resolve Phlegmbreathlessness and resolve Phlegm

Jing-Tang: Jing-Tang: Zhi Sou SanZhi Sou San (F0045) to moisten (F0045) to moisten the Lung, transform phlegm and stop coughthe Lung, transform phlegm and stop cough

Zhi Sou SanZhi Sou San (F0045) (F0045) Bai BuBai Bu StamonaStamona moisten Lung, moisten Lung,

stop coughstop cough Bai QianBai Qian CynanchumCynanchum descend Lung Qi, descend Lung Qi,

stop coughstop cough Chen Pi Chen Pi CitrusCitrus move Qi, move Qi,

transform phlegmtransform phlegm Fu LingFu Ling PoriaPoria drain damp, drain damp,

strengthen SPstrengthen SP Gan CaoGan Cao LicoriceLicorice harmonizeharmonize Zi WanZi Wan asteraster moisten Lung, moisten Lung,

stop coughstop cough

– Action: Moisten the Lung, transform phlegm and stop cough Action: Moisten the Lung, transform phlegm and stop cough

Lung Qi DeficiencyLung Qi Deficiency

Commonly seen as breathlessness, Commonly seen as breathlessness, wheezing, asthma, allergic rhinitis, cough, wheezing, asthma, allergic rhinitis, cough, tiredness, enuresis and incontinencetiredness, enuresis and incontinence

Clinical Signs: tiredness, slight Clinical Signs: tiredness, slight breathlessness, weak vocalizations, slight breathlessness, weak vocalizations, slight spontaneous weak panting, timidity, spontaneous weak panting, timidity, propensity to Lung Wind-Heat or Wind-Cold propensity to Lung Wind-Heat or Wind-Cold invasioninvasion


Tongue: slightly paleTongue: slightly pale Pulse: weak or empty, especially in the Lung Pulse: weak or empty, especially in the Lung

positionposition

Treatment Principles: tonify Lung QiTreatment Principles: tonify Lung Qi

Lung Qi DeficiencyLung Qi Deficiency Western Biomedicine: fatigue, exercise intoleranceWestern Biomedicine: fatigue, exercise intolerance

Acupuncture: Acupuncture: – LU 9 tonifies Lung QiLU 9 tonifies Lung Qi– ST 36 tonifies ST Qi and is the Mother of MetalST 36 tonifies ST Qi and is the Mother of Metal– CV 6 tonifies global Qi and the deep Lung Channel CV 6 tonifies global Qi and the deep Lung Channel

passes through CV 6passes through CV 6– BL 13 tonifies Lung Qi and descends Lung QiBL 13 tonifies Lung Qi and descends Lung Qi

Jing-Tang: Jing-Tang: Bu Fei SanBu Fei San (A0085) to tonify Lung Qi, (A0085) to tonify Lung Qi, stop cough and asthmastop cough and asthma

Bu Fei TangBu Fei Tang Tonify the Lungs Tonify the Lungs DecoctionDecoction

Bai GuoBai Guo GingkoGingko astringently consolidate astringently consolidate Lung, Lung, stop asthma/coughstop asthma/cough

Dang ShenDang Shen CodonopsisCodonopsis tonify Qitonify Qi Di LongDi Long LumbricusLumbricus activate channel, stop activate channel, stop

asthmaasthma Gan Cao Gan Cao LicoriceLicorice harmonizeharmonize Huang QiHuang Qi AstragalusAstragalus tonify Lung Qitonify Lung Qi Jie GengJie Geng PlatycodonPlatycodon open the Lung, transform open the Lung, transform

phlegmphlegm Wu Wei ZiWu Wei Zi SchisandraSchisandra astringently consolidate Lungastringently consolidate Lung Zi Su ZiZi Su Zi PerillaePerillae clear Wind-Heat, stop coughclear Wind-Heat, stop cough Zi WanZi Wan asteraster moisten Lung, stop cough/asthmamoisten Lung, stop cough/asthma

– Actions: Tonify Lung Qi, stop cough and asthmaActions: Tonify Lung Qi, stop cough and asthma

Lung Qi ObstructedLung Qi Obstructed Commonly seen as sudden breathlessnessCommonly seen as sudden breathlessness

Clinical Signs: sudden attacks of breathlessness Clinical Signs: sudden attacks of breathlessness precipitated by emotional stress, no wheezing precipitated by emotional stress, no wheezing sounds, palpitations, chest oppression, restless sounds, palpitations, chest oppression, restless sleepsleep

Tongue: red sidesTongue: red sides Pulse: wiryPulse: wiry

Treatment Principles: soothe the Liver, move Qi, Treatment Principles: soothe the Liver, move Qi, restore descending of Lung Qi, stop restore descending of Lung Qi, stop breathlessnessbreathlessness

Wu Mo Yin ZiWu Mo Yin Zi Five Milled-Herb Five Milled-Herb DecoctionDecoction

Mu Xiang Mu Xiang aucklandiaaucklandia move Qi, alleviate move Qi, alleviate pain pain

Chen Xiang Chen Xiang aquilariaaquilaria move Qi, stop pain move Qi, stop pain Bing Lang Bing Lang arecaareca move Qi, reduce move Qi, reduce

stagnation stagnation Zhi ShiZhi Shi im citri aurantiumim citri aurantium break up stagnant break up stagnant

Qi Qi Wu Yao Wu Yao linderalindera move Qi, stop pain move Qi, stop pain

– Actions: promotes the movement of Qi and sends Actions: promotes the movement of Qi and sends upward rebelling Qi downwardupward rebelling Qi downward

Lung Qi ObstructedLung Qi Obstructed

Western Biomedicine: emotionally generated Western Biomedicine: emotionally generated hypochondriac pain and breathlessnesshypochondriac pain and breathlessness

Acupuncture: Acupuncture: – LIV 3 and LIV 14 (local on chest) soothe the Liver and LIV 3 and LIV 14 (local on chest) soothe the Liver and

relieve stagnationrelieve stagnation– SP 4 and PC 6 open the Chong Mai, free the chest and SP 4 and PC 6 open the Chong Mai, free the chest and

subdue rebellious Qi in the chestsubdue rebellious Qi in the chest– LU 1, CV 17 and LU 7 restore the descending of Lung LU 1, CV 17 and LU 7 restore the descending of Lung

Qi, free the chest and relieve fullnessQi, free the chest and relieve fullness– ST 40 is used to resolve insubstantial PhlegmST 40 is used to resolve insubstantial Phlegm– HT 7 calms the ShenHT 7 calms the Shen

Lung Yin DeficiencyLung Yin Deficiency

Commonly seen as breathlessness, asthma, Commonly seen as breathlessness, asthma, cough, and tirednesscough, and tiredness

Clinical Signs: coughing with blood-streaked Clinical Signs: coughing with blood-streaked or yellow sputum that is difficult to or yellow sputum that is difficult to expectorate, wheezing, a dry and sore expectorate, wheezing, a dry and sore throat, hot feet, restless at nightthroat, hot feet, restless at night


Tongue: red with scanty coatingTongue: red with scanty coating Pulse: thin and rapidPulse: thin and rapid

Treatment Principles: nourish Lung Yin and Treatment Principles: nourish Lung Yin and restore the descending function of Lung Qirestore the descending function of Lung Qi

Bai He Gu Jin TangBai He Gu Jin Tang Lily Bulb Lily Bulb Decoction to Preserve the MetalDecoction to Preserve the Metal

Bai He Bai He lily bulblily bulb moisten Lungs, clear heat & stop moisten Lungs, clear heat & stop coughcough

Sheng Di Huang Sheng Di Huang prep rehmanniaprep rehmannia clear heat, cool blood, nourish clear heat, cool blood, nourish Yin Yin

Mai Men Dong Mai Men Dong ophiopogonophiopogon moisten Lungs & stop coughmoisten Lungs & stop cough Xuan Shen Xuan Shen scrophulariascrophularia clear heat, cool blood, nourish clear heat, cool blood, nourish

Yin Yin Bei Mu Bei Mu fritillariafritillaria clear heat, transform phlegm, clear heat, transform phlegm,

stop coughstop cough Jie Geng Jie Geng platycodonplatycodon open the Lung, transform open the Lung, transform

phlegmphlegm Dang Gui Dang Gui angelicaangelica tonify blood tonify blood Bai Shao Bai Shao peonypeony nourish blood & Yinnourish blood & Yin Gan Cao Gan Cao glycyrizzaglycyrizza tonify Qi, harmonizetonify Qi, harmonize

– Actions: nourishes the Yin, moistens the Lungs, transforms phlegm, Actions: nourishes the Yin, moistens the Lungs, transforms phlegm, stops coughingstops coughing


Western Biomedicine: chronic bronchitis, Western Biomedicine: chronic bronchitis, bronchiectasis, pharyngitis, spontaneous bronchiectasis, pharyngitis, spontaneous pneumothorax, cor pulmonale, silicosispneumothorax, cor pulmonale, silicosis

Acupuncture: Acupuncture: – LU 9 nourish Lung YinLU 9 nourish Lung Yin– LU 7, KID 6 open the Ren Mai, nourish Yin, LU 7, KID 6 open the Ren Mai, nourish Yin,

restore Lung Qi descending function and benefit restore Lung Qi descending function and benefit throatthroat

– BL 43 nourishes Lung Yin in chronic diseaseBL 43 nourishes Lung Yin in chronic disease


– BL 13, GV 12 tonify Lung QiBL 13, GV 12 tonify Lung Qi– CV 4, KID 3 and SP 6 nourishes global YinCV 4, KID 3 and SP 6 nourishes global Yin

Jing-Tang: Jing-Tang: Lily CombinationLily Combination (A0050) to nourish (A0050) to nourish Yin, moisten the Lung, stop cough and asthmaYin, moisten the Lung, stop cough and asthma

Jing-Tang: Jing-Tang: Breath EaserBreath Easer (F0082) to tonify Lung (F0082) to tonify Lung and Kidney, nourish Lung Yin, stop asthma and and Kidney, nourish Lung Yin, stop asthma and coughcough

Lung DrynessLung Dryness

Commonly seen as chronic mild coughCommonly seen as chronic mild cough

Clinical Signs: dry cough, dry and sore throat, sore Clinical Signs: dry cough, dry and sore throat, sore trachea, dry lips, dry mouth, stuffed nose, trachea, dry lips, dry mouth, stuffed nose, headacheheadache

Tongue: slightly red front or front sidesTongue: slightly red front or front sides Pulse: floatingPulse: floating

Treatment Principles: release the exterior, restore Treatment Principles: release the exterior, restore the descending Lung Qi, promote fluids, stop the descending Lung Qi, promote fluids, stop coughcough

Sha Shen Mai Men Dong TangSha Shen Mai Men Dong Tang Glehnia and Glehnia and Ophiopogon DecoctionOphiopogon Decoction

Sha ShenSha Shen glehniaglehnia moisten Lungsmoisten Lungs Mai Men DongMai Men Dong ophiopogonophiopogon moisten Lungs & stop moisten Lungs & stop

coughcough Yu ZhuYu Zhu polygonumpolygonum nourish Yin, moistens nourish Yin, moistens

dryness dryness Sang YeSang Ye mulberrymulberry expel wind & clear Lung expel wind & clear Lung

heat heat Tian Hua FenTian Hua Fen trichosanthistrichosanthis clear & drain Lung heat, clear & drain Lung heat,

transform phlegm, transform phlegm, moisten moisten Lung Lung

Bai Bian DouBai Bian Dou dolichorisdolichoris clear summerheat clear summerheat Gan CaoGan Cao glycyrizzaglycyrizza tonify Qi, harmonizetonify Qi, harmonize

– Actions: clears and nourishes the Lungs and Stomach, Actions: clears and nourishes the Lungs and Stomach, generates fluids, and moistens drynessgenerates fluids, and moistens dryness

Lung DrynessLung Dryness

Western Biomedicine: chronic bronchitis, chronic Western Biomedicine: chronic bronchitis, chronic exposure to Exogenous Wind-Dry exposure to Exogenous Wind-Dry

Acupuncture: Acupuncture: – LU 7 releases the exterior and restores the descending LU 7 releases the exterior and restores the descending

of Lung Qi to stop coughof Lung Qi to stop cough– LU 9 nourishes the Lung’s fluidsLU 9 nourishes the Lung’s fluids– CV 12 promotes fluidsCV 12 promotes fluids– KID 6 promotes fluids and benefits and moistens the KID 6 promotes fluids and benefits and moistens the

throatthroat– SP 6 promotes fluids and nourishes global YinSP 6 promotes fluids and nourishes global Yin

Lung Yin Deficiency with Empty-Lung Yin Deficiency with Empty-HeatHeat

Commonly seen as blood in sputumCommonly seen as blood in sputum

Clinical Signs: cough with scanty blood-tinged Clinical Signs: cough with scanty blood-tinged sputum, dry throat, afternoon fever, night agitation, sputum, dry throat, afternoon fever, night agitation, 5-Palm Heat (four soles and center of chest)5-Palm Heat (four soles and center of chest)

Tongue: red, dry, no coatingTongue: red, dry, no coating Pulse: floating, emptyPulse: floating, empty

Treatment Principles: nourish Lung Yin, clear Treatment Principles: nourish Lung Yin, clear Empty Heat, and stop bleedingEmpty Heat, and stop bleeding

Bai He Gu Jin TangBai He Gu Jin Tang Lily Bulb Lily Bulb Decoction to Preserve the MetalDecoction to Preserve the Metal

Bai He Bai He lily bulblily bulb moisten Lungs, clear heat & stop moisten Lungs, clear heat & stop coughcough

Sheng Di Huang Sheng Di Huang prep rehmanniaprep rehmannia clear heat, cool blood, nourish clear heat, cool blood, nourish Yin Yin

Mai Men Dong Mai Men Dong ophiopogonophiopogon moisten Lungs & stop coughmoisten Lungs & stop cough Xuan Shen Xuan Shen scrophulariascrophularia clear heat, cool blood, nourish clear heat, cool blood, nourish

Yin Yin Bei Mu Bei Mu fritillariafritillaria clear heat, transform phlegm, clear heat, transform phlegm,

stop coughstop cough Jie Geng Jie Geng platycodonplatycodon open the Lung, transform open the Lung, transform

phlegmphlegm Dang Gui Dang Gui angelicaangelica tonify blood tonify blood Bai Shao Bai Shao peonypeony nourish blood & Yinnourish blood & Yin Gan Cao Gan Cao glycyrizzaglycyrizza tonify Qi, harmonizetonify Qi, harmonize

– Actions: nourishes the Yin, moistens the Lungs, transforms phlegm, Actions: nourishes the Yin, moistens the Lungs, transforms phlegm, stops coughingstops coughing

Lung Yin Deficiency with Empty-Lung Yin Deficiency with Empty-HeatHeat

Western Biomedicine: chronic bronchitis, Western Biomedicine: chronic bronchitis, bronchiectasis, pharyngitis, spontaneous bronchiectasis, pharyngitis, spontaneous pneumothorax, corpulmonale, silicosispneumothorax, corpulmonale, silicosis

Acupuncture: Acupuncture: – LU 9 nourishes Lung YinLU 9 nourishes Lung Yin– CV 12, SP 6, ST 36 strengthen the Earth to nourish CV 12, SP 6, ST 36 strengthen the Earth to nourish

MetalMetal ST is post-heaven origin of body fluidsST is post-heaven origin of body fluids

– KID 3 nourishes YinKID 3 nourishes Yin– LU 10 clears Lung HeatLU 10 clears Lung Heat– LU 6 stops bleedingLU 6 stops bleeding

ConclusionConclusion

The TCVM LungsThe TCVM Lungs– Govern Qi and respiration Govern Qi and respiration – Control channels and blood vesselsControl channels and blood vessels– Control dispersing and descendingControl dispersing and descending– Regulate the water passagesRegulate the water passages– Control skin and hairControl skin and hair– Open into the noseOpen into the nose– House the Corporeal Soul (Po) House the Corporeal Soul (Po)

Pattern Differentiation allows us to choose Pattern Differentiation allows us to choose both the appropriate herbal and both the appropriate herbal and acupunctural prescriptions for our patientsacupunctural prescriptions for our patients

Respiratory DiseaseRespiratory Disease

Starts with NoseStarts with Nose

SinusesSinuses

Upper AirwaysUpper Airways

BronchitisBronchitis

PneumoniaPneumonia

TCVM Respiratory PatternsTCVM Respiratory Patterns

Each part of Each part of respiratory systemrespiratory system

– Excess causesExcess causes

– Deficiency causesDeficiency causes

Lung 8 PrincipleLung 8 Principle

Basic Lung FormulasBasic Lung Formulas

Detemine the patternDetemine the pattern

Evaluate 8 principleEvaluate 8 principle

Choose formulasChoose formulas

Rhinitis and SinusitisRhinitis and Sinusitis Inflammation of nasal Inflammation of nasal

epithelium with stimulation epithelium with stimulation of serous glandular of serous glandular secretionsecretion

Western MedicineWestern Medicine– InfectiousInfectious

ViralViral BacterialBacterial FungalFungal ProtozoalProtozoal

– ParasiticParasitic– NeoplasticNeoplastic– CongenitalCongenital– Immune MediatedImmune Mediated

Comparing Sinusitis, Cold, and Allergy Comparing Sinusitis, Cold, and Allergy SymptomsSymptoms

SymptomSymptom SinusitisSinusitis ColdCold AllergyAllergy

Facial Pressure/painFacial Pressure/pain YesYes SometimesSometimes SometimesSometimes

Duration of illnessDuration of illness More than 10 More than 10 daysdays

Less than 10 daysLess than 10 days VariesVaries

Nasal dischargeNasal discharge Thick, yellow-Thick, yellow-greengreen

Thick and whitish, Thick and whitish, Thin and wateryThin and watery

Clear, thin, wateryClear, thin, watery

Itchy eyesItchy eyes NoNo NoNo YesYes

HeadacheHeadache YesYes SometimesSometimes SometimesSometimes

Bad BreathBad Breath SometimesSometimes NoNo NoNo

CoughCough SometimesSometimes YesYes SometimesSometimes

Nasal congestionNasal congestion YesYes YesYes SometimesSometimes

SneezingSneezing NoNo YesYes YesYes

Fatigue/ WeaknessFatigue/ Weakness SometimesSometimes YesYes SometimesSometimes

Sore throatSore throat SometimesSometimes YesYes SometimesSometimes

Common Nasal PatternsCommon Nasal Patterns

Most TCVM changes Most TCVM changes are acuteare acute

– Early signs of Early signs of respiratory diseaserespiratory disease

– Allergic conditionsAllergic conditions

– Associated with Associated with invasion of windinvasion of wind

Wind Cold DampWind Cold Damp

Early onset of “common Early onset of “common cold”cold”– Cold invades nose and Cold invades nose and

obstructs the nasal obstructs the nasal passagespassages

– Wei Qi attempts to dispel the Wei Qi attempts to dispel the pathogen leading to watery pathogen leading to watery nasal discharge and nasal discharge and sneezingsneezing

Tongue: pale-purpleTongue: pale-purple Pulse : superficial/slowPulse : superficial/slow AP: LU6, LU7, LI4, LI20, GB20, AP: LU6, LU7, LI4, LI20, GB20,

Bi TongBi Tong

Allergic Rhinitis (Wind Heat)Allergic Rhinitis (Wind Heat)

Common in catsCommon in cats

Pathogenic wind and heat Pathogenic wind and heat invades noseinvades nose– Heat can damage vessels Heat can damage vessels

leading to bloody or yellow leading to bloody or yellow dischargedischarge

– Heat also dries up fluids Heat also dries up fluids making material thickermaking material thicker

Tongue: red & dryTongue: red & dry Pulse: superficial/fastPulse: superficial/fast

AP: LU5, LU6, LI4/11, LI20, AP: LU5, LU6, LI4/11, LI20, GV14, Bi TongGV14, Bi Tong

Phlegm StagnationPhlegm Stagnation

Combined wind-heat & Combined wind-heat & wind-coldwind-cold– Leads to accumulation Leads to accumulation

of pus in nasal of pus in nasal passages & sinusespassages & sinuses

Tongue: greasy/red or Tongue: greasy/red or purplepurple

Pulse: deep or fastPulse: deep or fast

Tx: Tx: Huey’s formulaHuey’s formula AP: LU5, CV22, LI4/11, LI20, AP: LU5, CV22, LI4/11, LI20, GV14, ST40, SP9, Bi TongGV14, ST40, SP9, Bi Tong

Huey’s FormulaHuey’s Formula

Bai Zhi Bai Zhi AngelicaAngelica Clear Wind-cold, relieve painClear Wind-cold, relieve pain

Bo HeBo He MenthaMentha Clear Wind-HeatClear Wind-Heat

Cang Er ZiCang Er Zi XanthiumXanthium Clear Wind-Cold, open nosesClear Wind-Cold, open noses

Xin Yi HuaXin Yi Hua MagnoliaMagnolia Clear Wind-Cold, dissipate the Clear Wind-Cold, dissipate the brain and open nosesbrain and open noses

-Action: -Action: Clear Wind Heat and Wind-Cold, open noseClear Wind Heat and Wind-Cold, open nose

Chronic Rhinitis (Fungal)Chronic Rhinitis (Fungal)

Chronic alterations in Chronic alterations in nasal tubinatesnasal tubinates

Usually secondary to Usually secondary to Aspergillus sp.Aspergillus sp.

Identify on culture or Identify on culture or biopsybiopsy

TCVMTCVM– Garlic (fresh)Garlic (fresh)– Ku Shen Si Wu TangKu Shen Si Wu Tang

Allergy Allergy Wind-HeatWind-Heat

Allergic RhinitisAllergic Rhinitis SInusitisSInusitis SneezingSneezing Nasal congestion with thick dischargeNasal congestion with thick discharge Tongue: Red and dryTongue: Red and dry Pulse: FastPulse: Fast

Tuo Ming TangTuo Ming Tang

Wind Cold DampWind Cold Damp

Nasal congestion with clear dischargeNasal congestion with clear discharge SneezingSneezing Cool-seekingCool-seeking Tongue: PaleTongue: Pale Pulse: Tight (wiry)Pulse: Tight (wiry)

Xin Yin SanXin Yin San

Phlegm StagnationPhlegm Stagnation Thick, yellow, smelly nasal discharge Thick, yellow, smelly nasal discharge Tongue: Red or purpleTongue: Red or purple Pulse: Deep and fastPulse: Deep and fast

Huey’s FormulaHuey’s Formula

Ginger TeaGinger Tea Grate 1 teaspoon fresh Grate 1 teaspoon fresh

gingerginger

Add 1 Tablespoon brown Add 1 Tablespoon brown sugarsugar

Seep in 1 cup boiling waterSeep in 1 cup boiling water

Repeat every 1-2 hoursRepeat every 1-2 hours

Tx Principle: diaphoresis Tx Principle: diaphoresis (expel wind-cold/heat)(expel wind-cold/heat)

Irrigations

Decongestionsantihistamines

Steroid Sprays

antibiotics

Oral steroids

SurgeryStepwise Western approach Stepwise Western approach to Sinusitis Treatmentto Sinusitis Treatment

SinusitisSinusitis

Usually more chronic Usually more chronic in naturein nature

PatternsPatterns– Lung Yin deficiencyLung Yin deficiency– Lung/Kidney Yin Lung/Kidney Yin

deficiencydeficiency– ST Damp Heat ST Damp Heat

(Excess)(Excess)

Treat what you seeTreat what you see

Clyde-O (6 yr M/C Mix)Clyde-O (6 yr M/C Mix)

Rescue puppyRescue puppy Water dogWater dog

– ThunderstormphobiaThunderstormphobia– LS stenosisLS stenosis

Nasal congestion in right Nasal congestion in right nostrilnostril

SneezingSneezing Tongue: Red and purpleTongue: Red and purple Pulse: ForcefulPulse: Forceful

Dx: Wind HeatDx: Wind Heat

Clyde-O TreatmentClyde-O Treatment

AcupunctureAcupuncture– LI-4, LI-20, GV-14, LI-4, LI-20, GV-14,

Long HuiLong Hui

HerbalHerbal– Tuo Ming TangTuo Ming Tang

TCVM CoughTCVM Cough

Upper or lower airway Upper or lower airway diseasedisease

PatternsPatterns– ExcessExcess– Deficiency (Qi/Yin)Deficiency (Qi/Yin)

Phelgm obstructs Phelgm obstructs airways and leads to airways and leads to coughcough

Western Medicine- -CoughWestern Medicine- -Cough

Sudden forceful expiration of air Sudden forceful expiration of air through the glottis associated with through the glottis associated with audible sound.audible sound.– Preceeded by an exaggrerated insiratory Preceeded by an exaggrerated insiratory

efforteffort

Work up to find the causeWork up to find the cause– Just about every diagnostic availableJust about every diagnostic available

Treat according to causeTreat according to cause– Cough suppressantsCough suppressants– AntibioticsAntibiotics

TCVM PatternsTCVM Patterns

ExcessExcess– Wind-ColdWind-Cold– Wind-HeatWind-Heat– Lung HeatLung Heat

DeficiencyDeficiency– Lung Yin deficiencyLung Yin deficiency– Lung Qi deficiencyLung Qi deficiency

Cough PatternCough Pattern

Invasion of Lungs by Wind‑Cold

Invasion of Lungs by Wind‑Heat

Phlegm‑Heat Cough

Yin Deficiency Cough

Lung Qi Deficiency

Lung Yin and Qi deficiency

Excess

Deficiency

Invasion of the Lung with Wind-ColdInvasion of the Lung with Wind-Cold

Wind-ColdEtiology

attack

Lung Qi flow is obstructed

Cough

Silver (2 yr M TB)Silver (2 yr M TB)

Fever- -104.5 (3 days)Fever- -104.5 (3 days) Thick, yellow nasal Thick, yellow nasal

dischargedischarge Slight coughSlight cough Tongue: Red and dryTongue: Red and dry Pulse: Surging and fastPulse: Surging and fast No other signsNo other signs 4 other horses on farm 4 other horses on farm

affectedaffected Dx: Wind-heat invasion Dx: Wind-heat invasion of the lungof the lung

Silver TreatmentSilver Treatment

AcupunctureAcupuncture– EAEA

GV-14GV-14→Bai Hui→Bai Hui

– DNDN BL-13, Ding ChuanBL-13, Ding Chuan

– AquaAqua LI-4, LI-11LI-4, LI-11

HerbalHerbal– Equine Yin QiaoEquine Yin Qiao

30-50 gm BID 7-10 days30-50 gm BID 7-10 days

Cappy (9 yr M/C Mix)Cappy (9 yr M/C Mix)

Chronic cough and nasal Chronic cough and nasal discharge for 3 monthsdischarge for 3 months

Cold, wet noseCold, wet nose Prefers warmPrefers warm Metal dogMetal dog Tongue: Pale and wetTongue: Pale and wet Pulse: weak on rightPulse: weak on right

Dx: Lung Qi deficiency Dx: Lung Qi deficiency with stagnationwith stagnation

Cappy TreatmentCappy Treatment

AcupuntureAcupunture– LI-20, Bi Tong, Long LI-20, Bi Tong, Long

Hui, LI-4, LU-7, LU-9, Hui, LI-4, LU-7, LU-9, CV-17CV-17

HerbalHerbal– Bu Fei WanBu Fei Wan– Xin Yi SanXin Yi San

Xin Yi SanXin Yi SanBai ZhiBai Zhi AngelicaAngelica Clear Wind-cold, relieve painClear Wind-cold, relieve painBo HeBo He MenthaMentha Clear Wind-HeatClear Wind-HeatCang Er ZiCang Er Zi XanthiumXanthium Clear Wind-Cold, open nosesClear Wind-Cold, open nosesChuan XiongChuan Xiong LigusticumLigusticum Move Blood, open orifices, transform Move Blood, open orifices, transform

phlegmphlegmE Bu Shi CaoE Bu Shi Cao CentipedaCentipeda Move Blood, unblock orifices, transform Move Blood, unblock orifices, transform

phlegmphlegmGao BenGao Ben LigusticumLigusticum Clear Wind-Damp, dispel ColdClear Wind-Damp, dispel ColdHuang QiHuang Qi AstragalusAstragalus Tonify Qi, strengthen surfacesTonify Qi, strengthen surfacesHuo XiangHuo Xiang PogostemonPogostemon Clear DampClear DampJiang CanJiang Can BombyxBombyx Clear WindClear WindXin Yi HuaXin Yi Hua MagnoliaMagnolia Clear Wind-Cold, dissipate the brain and Clear Wind-Cold, dissipate the brain and

open nosesopen noses

- Action: Clear Wind-Cold, clear Wind-Heat, unblock orifices and - Action: Clear Wind-Cold, clear Wind-Heat, unblock orifices and open noseopen nose

TCVM Dyspnea/AsthmaTCVM Dyspnea/Asthma

In TCM, asthma is In TCM, asthma is shortness/weakness of shortness/weakness of breathbreath

Acute/Excess causesAcute/Excess causes

Chronic/Deficiency Chronic/Deficiency causescauses– Most commonMost common

Dyspnea/Asthma PatternDyspnea/Asthma Pattern

Invasion of Lungs by Wind‑Cold

Accumulation of Phlegm‑Heat in Lungs Excess

Deficiency

Lung Qi Deficiency

Lung Yin Deficiency

Lung-Kidney Qi Deficiency

obstruct

Wind‑Cold Wind‑Heat

Attack

Lung

flow of the Lung Qi

control Qi Flow

Kidney Def

reception of Qi

upward the Qi Flow

Dyspnea/AsthmaDyspnea/Asthma

Lung Def

Dyspnea/Asthma PatternDyspnea/Asthma Pattern

Relationship between LU & KIDRelationship between LU & KID

Allergy Allergy HeatHeat

Allergic heavesAllergic heaves Worse in SummerWorse in Summer Cool-seekingCool-seeking Tongue: Red and dryTongue: Red and dry Pulse: Strong and fastPulse: Strong and fast

LU-5/7, BL-13, Ding-LU-5/7, BL-13, Ding-chuan, CV-22, LI-4/11, chuan, CV-22, LI-4/11, GV-14, Er-jian, Wei-GV-14, Er-jian, Wei-

jianjianSchisandra 5Schisandra 5


Chronic heaves/asthmaChronic heaves/asthma EmaciationEmaciation Dry hairDry hair Dry and thick nasal dischargeDry and thick nasal discharge Dry coughDry cough Cool-seekingCool-seeking Tongue: Red and dryTongue: Red and dry Pulse: Thready and rapidPulse: Thready and rapid

BL-13, KID-3, BL-23, BL-13, KID-3, BL-23, SP-6, LU-7/9SP-6, LU-7/9

Lily Combination Lily Combination


Chronic heaves/asthmaChronic heaves/asthma Dyspnea worse when movingDyspnea worse when moving Weak voiceWeak voice FatigueFatigue Exercise intoleranceExercise intolerance Tongue: Pale and wetTongue: Pale and wet Pulse: Deep and weakPulse: Deep and weak

BL-13, Qi-hai-shu, BL-13, Qi-hai-shu, LU-7/9, ST-36, LI-10, LU-7/9, ST-36, LI-10,

BL-23/26BL-23/26Bu Fei San Bu Fei San

Kidney and Lung Qi Kidney and Lung Qi DeficiencyDeficiency

Prolonged course of asthmaProlonged course of asthma Feeble asthma with low sound of respirationFeeble asthma with low sound of respiration Exercise intoleranceExercise intolerance Loss of breathLoss of breath Worse asthma when movingWorse asthma when moving Obvious heaves/asthma grooveObvious heaves/asthma groove Tongue: Pale with thin coatingTongue: Pale with thin coating Pulse: Deep and weakPulse: Deep and weak

BL-13, BL-23, BL-26, BL-13, BL-23, BL-26, KID-7/10, LU-7/9, LI-KID-7/10, LU-7/9, LI-

10, ST-36, Ding-10, ST-36, Ding-chuan, CV-22chuan, CV-22Breath Easer Breath Easer

CDR Monkey (55 yr M Mix)CDR Monkey (55 yr M Mix)

Metal personalityMetal personality Overworking at perfectionOverworking at perfection Recent problems with angerRecent problems with anger Occasional loose stoolsOccasional loose stools Exercise-induced asthmaExercise-induced asthma Tongue: Pale with tooth Tongue: Pale with tooth

marks marks Pulse: Weak lung and Pulse: Weak lung and

kidney on rightkidney on right

Dx: Kidney and Lung Qi Dx: Kidney and Lung Qi deficiencydeficiency

CDR Monkey TreatmentCDR Monkey Treatment

AcupunctureAcupuncture– DNDN

LU-9, KID-3, LIV-3, Shen LU-9, KID-3, LIV-3, Shen Shu (caudal), CV-17Shu (caudal), CV-17

– MoxaMoxa ST-36ST-36

– AquaAqua HT-7HT-7

HerbalHerbal– Gecko formulaGecko formula

Western PneumoniaWestern Pneumonia

Pathology in the lung Pathology in the lung secondary tosecondary to– InfectionInfection

ViralViral BacterialBacterial FungalFungal

– AspirationAspiration– Immune dysfunctionImmune dysfunction– Interstitial disorderInterstitial disorder

TCVM PneumoniaTCVM Pneumonia

ExcessExcess– Wind-HeatWind-Heat– Excess HeatExcess Heat

DeficiencyDeficiency– Lung Yin deficiencyLung Yin deficiency– Lung Qi deficiencyLung Qi deficiency

Excess TCVM PneumoniaExcess TCVM Pneumonia

Animals tend to be Animals tend to be acutely illacutely ill

Tongue: red & dry (may Tongue: red & dry (may have yellow coating)have yellow coating)

Pulse: superficial & fastPulse: superficial & fast

Heat invades lung dries Heat invades lung dries up fluids & damages yinup fluids & damages yin

Cough: productive/dryCough: productive/dry

Bad DogBad Dog

Acute onset of cough Acute onset of cough with fever of 105with fever of 105º Fº F

Tongue: RedTongue: Red Pulse: superficial & fastPulse: superficial & fast

Wood personalityWood personality

Asculation revealed Asculation revealed crackles & rales ventrallycrackles & rales ventrally

Dx: Wind-Heat in LungDx: Wind-Heat in Lung

Bad Dog TreatmentBad Dog Treatment

APAP– LU 11 help dissipate LU heatLU 11 help dissipate LU heat– LU 5 move fluid support LULU 5 move fluid support LU– GV 14 strengthen chest & dissipate heatGV 14 strengthen chest & dissipate heat– LI 4 dissipate wind & heatLI 4 dissipate wind & heat– LI 11 dissipate wind & heatLI 11 dissipate wind & heat– TH 5 strengthen Wei QiTH 5 strengthen Wei Qi

Herbal: Herbal: Equine Yin QiaoEquine Yin Qiao

Top 3 or take-home Top 3 or take-home messagesmessages

Chinese medicine is very effective in Chinese medicine is very effective in regenerating organic function and treating regenerating organic function and treating chronic diseases.chronic diseases.

Diagnosis with conventional medicine, such Diagnosis with conventional medicine, such as MRI, CT scans, needle biopsy: as MRI, CT scans, needle biopsy: BUTBUT, , Treatment with Chinese medicine.Treatment with Chinese medicine.

Integrated Medicine allows you to find Integrated Medicine allows you to find optimal health by understanding your optimal health by understanding your individual needs for achieving balance and individual needs for achieving balance and harmony. harmony.

TCM Lung DiseaseTCM Lung Disease

I hope you all breath a I hope you all breath a little easierlittle easier

Look for the pattern Look for the pattern and treat what you findand treat what you find

tcvm lung disharmonies. tcvm lung disease lung physiology lung physiology lung pathology lung...

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