Cough in TCM (Ke Sou) ========= Bronchitis / Cough is due to lung Qi up surging, the Qi can’t descend meaning the lung cannot complete it’s descending function. Ke Sou can be caused by both external pathogens and internal pathogens Internal: - slow onset – may be induced by anger External: - quick onset – agg. by wind and cold – joint and muscle aching. Pathology: Heat - thirst and/or fever, constant continual cough Dry - itchy throat with dry symptoms Damp - aching joints, heavy body, foggy in head Yin deficient - dry hacking cough, hoarseness, sticky phlegm Qi deficient - weak cough, large amount of thin phlegm Distinguish between: Pulmonary Tuberculosis: - cough blood, chest pain, tidal fever Asthma - wheezing cough, lung distension, breathing difficult Wind Cold ------------------- Cough with white thin phlegm, superficial syndrome, tickle in throat T – thin white coat P – floating / tense Treatment: expel wind cold, promote lung function, disperse lung Qi to relieve cough. Formulas Xing Su San Jin Fuo Cao San External Cold with Internal Heat -------------------------------------------- Heavy hacking cough, thick phlegm, chest pain, thirst, sore throat T – white greasy yellow coat P – rapid, tense Treatment: Expel cold and clear heat Formula Ma Xing Shi Gan Tang Cool Dry ------------------- Dry cough, dry nose, dry mouth, dry throat, superficial wind cold symptoms, no sweat. T - dry coating P – floating, tense Treatment: expel wind-cold, moisten lung to relieve cough Formula Xing Su San External Fire --------------------- Loud, dry cough, scanty bloody phlegm, thirst, red complexion, chest/hypochondriac pain, constipation, red tongue T – red P – forceful, rapid Treatment: Purge lung fire, induce bowel movement Formula Liang Ge San Internal Phlegm Damp --------------------------- Cough with large amount of phlegm(white/sticky), fullness in chest, poor appetite, fatigue T – greasy white coating P – slippery, soft Treatment: Invigorate spleen, dry dampness, promote lung Qi to eliminate phlegm. Formula Er Chen Tang Excess Phlegm - San Zi Yang Qin Tan Wind Heat ------------- Thick yellow sticky phlegm, dry mouth, sore throat, fever, H/A, aversion to wind, nasal discharge, (sweating?) T – tip/sides red P – floating, rapid Treatment: expel wind, clear heat and descend Qi by promoting lung function to relieve cough. Formula Yin Chao San Sang Jue Yin Wind Damp-Heat --------------------- Thick yellow sticky phlegm, dry mouth, sore throat, fever, H/A, aversion to wind, nasal discharge, sticky sweat - MORE PHLEGM, TIGHT/FULL CHEST T - greasy white P – soft, rapid Treatment: expel wind, clear heat, expel dampness and descend lung Qi by promoting lung function to relieve cough. Formula With Summer Heat – Ching Hao / Xiang Ru Warm Dryness ------------------------- Small amount of phlegm (sticky, possible blood spots), dry mouth, nose, throat, nose bleed, chest pain, aversion to wind, fever, H/A T – tip/sides red, thin yellow dry coat P – thin, rapid Treatment: clear lung heat, moisten dryness, expel wind to relieve cough Formula Sand Xing Tang *diet-pears lubricate dry lung. Phlegm Heat --------------- Yellow thick sticky phlegm, chest fullness, dry mouth bitter taste in mouth, sore throat T – red, yellow greasy P – slippery, rapid Treatment: Clear heat, eliminate phlegm, promote lung function Formula Qing Jing Hua Tang Liver Fire Cough --------------------- (liver qi stagnation turns into fire attacking lung) Cough fresh blood, agg by anger/stress, moving pain in chest/hypochondria T – red, yellow coat P – wiry, rapid Treatment: purge lung and liver fire Formula: Dai Ge San Xie Bai San Yin Deficiency ---------------- Dryness, evening dry cough, little/no phlegm, dry symptoms, night sweat T – red P – thin, rapid Treatment: nourish lung yin, lubricate lung Formula: Er Dong Tian Meng Dong Lung Qi Deficiency ------------------------- Weak cough, low voice, shortness of breath, thin phlegm, easily catch cold all year, aversion to cold, spontaneous sweat. T – pale, thin, white P – weak Treatment: nourish Qi, transform phlegm Formula Bu Fei Tong Yang Deficiency -------------------- (originates as sp/kd deficiency) Cough with watery frothy clear phlegm, palpitation, dizziness, edema, averion to cold T – swollen purple, white coat P – deep, slippery Treatment: Warm up spleen, kidney yang, eliminate water, expel cold Formula Zhen Wu Tang
Posted on: Tue, 27 Aug 2013 01:51:59 +0000
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