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What 2 exogenous pathogens produce "cough"?
- 1. Wind -Heat
- 2. Wind-Cold
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What 4 types of internal injury/dysfunction of internal organs produce "cough"?
- 1. Spleen can't govern T&T
- 2. Liver Fire insults the lungs
- 3. Deficiency of lung Yin
- 4. Kidney Yin deficiency
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What are the clinical manifestations of Wind-Cold type cough?
- * Cough, itching throat, aversion to cold, fever, H/A, anhydrosis, nasal obstruction and discharge
- * Thin, white sputum
- * Thin, white tongue coat
- * Superficial pulse
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What is the treatment principle for Wind-Cold type cough?
- * Release the exterior and reduce cough
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What are the common points when treating Wind-Cold type cough?
- UB 13 (Lu Shu)
- Lu 7 (dispel cold, diffuse lung course channels/collaterals),
- Lu 1 (Lu Mu)
- Lu 5 (He-Sea, sedation; descends Lu Qi-cough; clears upper burner heat)
- LI 4 (Source LI; courses wind; resolves exterior; clears Lu heat; course channels)
- Ren 17 (Infl. Pt. of Qi)
- Function: disperse exterior syndrome & descend Lu Qi
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What additional points are used to treat WInd-Cold type cough?
- Moxa & needle:
- * GB 20 (course wind; clear heat; clears head & opens portals)
- * UB 12 (dispel wind; diffuse Lu, resolve exterior, H/A, cough)
- * UB 13 (Lu Shu; regulates Lu Qi, cough)
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What are the clinical manifestations of Wind-Heat type cough?
- *Cough w/ yellow, thick sputum
- * Thirst, sore throat, fever, H/A,
- * Aversion to wind
- * Thin, yellow tongue coat
- * Superficial & rapid pulse
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What is the treatment principle for cough d/t Wind-Heat?
Dispel wind & clear heat, reduce cough, (use reducing needle technique with excess syndromes)
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What additional points, outside of common points, are used to treat cough d/t Wind-Heat?
- * Common points (UB 13, Lu 7, 5, 1, LI 4, Ren 17)
- * LI 11 (He-Sea clears heat)
- * SJ 5 (disperses Wind-Heat)
- * Du 14 (removes Wind & clears heat --> Bleed point!)
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What 3 pathologies produce "interior-type" cough?
- 1. Damp-Phlegm obstructing the Lungs
- 2. Liver Fire insulting the Lungs
- 3. Deficiency of Lu/Kid Yin
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What are the clinical manifestations of interior cough d/t Damp-Phlegm obstructing the lungs?
- * Cough with profuse, white, sticky sputum
- * Stuffiness & depression of the chest, loss of appetite
- * White, sticky tongue coat
- * Slippery pulse
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What's the treatment principle for cough d/t interior Damp-Phlegm obstructing the lungs?
Strengthen the Sp to reduce Damp-Phlegm
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What additional points are used to treat cough d/t interior Damp-Phlegm obstructing the lungs?
- * Common points (UB 13, Lu 5, 1, Ren 17)
- * Ren 12 (St Mu; tonify Sp & inhibits Damp; Middle SJ point)
- * St 40 (transform P-D), St 36 (Tonify Sp/St; course Wind; transform Damp; dispel pathos; prevents dz)
- * Sp 9 (Regulate Sp; transform Damp; dispel W-C), Sp 3 (Tonify Sp; regulate MJ; regulates Qi, mvmt & transformation)
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What common points are used to treat cough d/t an interior condition (a.k.a "interior cough")?
- * UB 13
- * Lu 5, 1
- * Ren 17
- ** Function: descend Lu Qi & stop cough**
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What are the clinical manifestations of cough d/t Liver-Fire insulting the lungs?
- * Cough with scanty, sticky yellow Phlegm
- * Pain in the chest, radiating to h.c. while coughing
- * Bitter taste in the mouth, dry throat, red face
- * Red tongue w/ yellow coat
- * Wiry & rapid pulse
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Beside common points, what additional points are used to treat cough d/t liver fire insulting the lungs?
- * Common points (UB 13, Lu 5,1, Ren 17 --> descend rebel Qi & stop cough)
- * Lu 10 (reducing technique: Ying-Spring, clears lung heat, benefits throat))
- * Liv 2 (reducing technique: Ying-Springclears Liv Fire; treats H-C pain; subdues Liv Yang)
- * GB 34 (treats D-H, moves Liv Qi, relieve H-C pain)
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What are the clinical manifestations of cough d/t deficiency of lung and kidney Yin?
- * Dry Cough w/out sputum or scanty sputum
- * Spitting or coughing blood
- * Dry nose & throat, afternoon fever, malar flush, night sweats, 5-palm heat (Yin Def S/S)
- * Sore lower back & knees
- * Red tongue w/scanty coat
- * Thready & rapid pulse
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What's the treatment principle for cough d/t deficiency lung & kidney Yin?
- Nourish kidney & lung Yin
- Stop cough
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What's the treatment principle for cough d/t liver fire insulting the lungs?
- Clear liver fire & heat
- Stop cough
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Aside from the common points, what additional points are used to treat cough d/t deficiency kidney & lung Yin?
- * Lu 7 + Kid 6
- * Sp 6 (Tonify Yin)
- * Kid 3 (Tonify Kidney; Source point)
- * UB 43 (special fx for treating Lung Def cough)
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What are the 2 causes of ACUTE diarrhea?
- 1. External Pathogenic factors (Cold-Damp, Damp-Heat)
- 2. Improper Diet (Food Retention)
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What are the 3 causes of CHRONIC diarrhea?
- 1. Liver Qi Stagnation
- 2. Sp/St Deficiency
- 3. Kidney Yang Deficiency
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What are the clinical manifestations of acute diarrhea d/t Cold-Damp?
- * Watery, clear, thin diarrhea
- * Abdominal pain & borborygmi, chilliness that responds to warmth
- * Absence of thirst
- * Pale tongue w/ a white, greasy coat
- * Deep, slow pulse
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What are the common points used to treat diarrhea?
- * St 37 (Reg St/LI; clear D-H; treat diarrhea)), St 25 (Mu of LI)
- * Ren 12 (Mu of St)
- * LI 4 (Yuan of LI)
- ** These points function to regulate the LI & St**
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Beside the common points, what points treat Cold-Damp diarrhea?
- * Ren 12 + Ren 8 (Tonify Yuan Qi): moxa both points to warm the MJ & remove Damp
- * Sp 9 ( resolves Damp; benefits LJ)
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What formula treats Cold-Damp diarrhea?
Hue Xiang Zhen Qi Wan
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What are the clinical manifestations of Damp-Heat diarrhea?
- * Yellow, foul smelling diarrhea w/abdominal pain
- * Burning sensation in the anus
- * Scanty, yellow urine, thirst, fever
- * Yellow, greasy tongue
- * Slippery & rapid pulse
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Beside the common points, what points are recommended for treating Damp-Heat diarrhea?
- * Sp 9 (resolve Damp, benefit the lower jiao)
- * St 44 (Ying-Spring; clear heat regulate Qi; relieve pain; treat diarrhea)
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What formula is recommended for treating Damp-Heat diarrhea?
Ge Gen Qing Lian Tang
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What's the clinical manifestations of food retention diarrhea?
- * Abdominal pain relieved by a BM
- * Fetid stool diarrhea
- * Abdominal fullness & distention , belching, anorexia
- * Thick, filthy tongue coat
- * Slippery pulse (may be rapid d/t food stag producing heat)
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Beside the common points, what other points treat food stagnation diarrhea?
- * Ren 10 & 11(descend Qi, relieve food stag)
- * Li Nei Ting
- ** All function to remove food stagnation**
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What formula is used to treat food stagnation diarrhea?
Bao He Wan
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What are the clinical manifestations of Spleen & Stomach deficiency diarrhea?
- * Loose stools w/ undigested food (no smell)
- * Anorexia, epigastric distention after eating, lassitude
- * Sallow complexion
- * Pale, white tongue coat
- * Weak & deep pulse
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What points outside of common points treat Spleen & Stomach deficiency diarrhea?
- * UB 20 (Sp Shu), UB 21(St Shu)
- * Liv 13 ( Sp Mu)
- * PC 6 + Sp 4 ( )
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What formula is recommended for treating Sp/St deficiency diarrhea?
Shen Ling bai Zhu San
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What are the clinical manifestations of liver overacting on the spleen?
- * Diarrhea related to depression
- * Hesitant BM, sighing, distention of chest & HC, hiccup, poor appetite
- * Slightly red tongue w/a thin white coat
- * Wiry pulse
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What additional points treat diarrhea from liver overacting on the spleen?
- * Liv 3 + LI 4 (4 Gates move Qi)
- * Ren 17 (Tonify Qi)
- * UB 18 (benefit LV/GB, move stagnant Qi)
- ** These all function to sooth liver Qi**
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What formula treats diarrhea from liver Qi stagnation?
Xiao Yao Wan
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What are the clinical manifestations of diarrhea from Kidney Yang Deficiency?
- * Pain below the umbilicus, borborygmus
- * Diarrhea usually occurring at dawn
- * Cold lower extremities
- * Pale tongue w/ white coat
- * Deep, slow, weak pulse
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What additional points are used to treat diarrhea from Kidney Yang deficiency?
- * Moxa Ren 4 + Du 4 (both tonify & warm kidney Yang) & Ren 8 (tonify Kid/St)
- * UB 23 (Kid Shu)
- * Kid 7 ( Tonify Kid Yang)
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WHat are the common points for treating enuresis?
- * UB 28 + Ren 3 (Shu/Mu of the UB)
- * Sp 6 (distant point for the UB/reproductive system)
- * Ren 6 (tonify Qi)
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What are the clinical manifestations for enuresis d/t kidney Qi deficiency?
- * White, clear, frequent urination
- * No energy; may affect children with slow growth
- * Pale tongue w/ white, thin coat
- * Deep, slow, weak pulse
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What additional points are used to treat enuresis d/t kidney Qi deficiency?
- * Common: UB 28 + Ren 3, Sp 6, Ren 6
- * Kid 3 (Yuan source)
- * Ren 4
- * UB 23 (Tonify kidney
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What are the clinical manifestations for enuresis d/t Sp/Lu Qi deficiency?
- * Poor appetite
- * Loose stools
- * Easily catches cold, spontaneous sweat
- * Pale tongue w/thin white coat
- * Deep, weak pulse
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Aside from common points, what points are recommended for treating enuresis d/t Sp/Lu Qi deficiency?
- * Common: UB 28 + Ren 4, Sp 6, Ren 6
- * UB 13 (Lu Shu), UB 20 (Sp Shu)
- * Lu 9 (Source)
- * St 36 (T-Qi)
- * Sp 3 (Source)
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