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Case Studies > CASE STUDES - Zang Fu Theory & Cough > Flashcards

CASE STUDES - Zang Fu Theory & Cough Flashcards

1
Q

LV Excess Patterns

A 
Stagnation of Liver Qi
Stagnation of Liver Blood
Liver Fire blazing upwards
Liver wind agitating within
Damp Heat in the Liver/GB
Stagnation of cold in the liver channel
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2
Q

LV Deficiency Patterns

A

Deficiency: Liver Blood deficiency

Deficiency-Excess: Liver Yang Rising

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3
Q

LU Deficiency Patterns

A

Lung Qi deficiency
Lung Yin deficiency
Lung Dryness

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4
Q

LU Excess Patterns

A

Invasion of Lungs by WC, WH, Wind Water,
Damp Phlegm obstructing the Lungs
Phlegm Heat obstructing the Lungs
Phlegm Fluids obstructing the Lungs

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5
Q

SP Deficiency Patterns

A

Spleen Qi deficiency
Spleen Yang deficiency
Spleen not controlling Blood
Spleen Qi sinking

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6
Q

SP Excess Patterns

A

Cold Dampness invading the Spleen

Damp Heat invading Spleen

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7
Q

KD Deficiency Patterns

A 
Kidney Yin deficiency
Kidney Yang deficiency
Kidney Qi not Firm
Kidney failing to receive Qi
Kidney Essence deficiency
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8
Q

KD Combined Patterns

A 
Combined Patterns
Kidney/Liver Yin deficiency
Kidney and Heart not harmonized
Kidney and Lung Yin deficieny
Kidney and Spleen Yang deficiency
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9
Q

KD Deficiency/Excess Patterns

A

Kidney Yang deficiency, water overflowing

Kidney Yin deficient, empty fire blazing

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10
Q

Zhang Jie Bin said “ The doctor who wants to nourish life has to tonify _______ and _______”

A

Stomach & Spleen

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11
Q

Is the origin of fluids, Is the source of Qi

“likes wetness and dislikes dryness” (opposite to the _______)

A

Stomach

Opposite to the Spleen

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12
Q

ST Deficiency Patterns

A

Stomach Qi deficiency
Stomach Deficient cold
Stomach Yin deficiency

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13
Q

ST Excess Patterns

A 
Stomach Fire or Phlegm Fire
Cold invading Stomach
Stomach Qi rebelling upwards
Retention of Food in the Stomach
Stagnation of Blood in the Stomach
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14
Q

SI Deficient Pattern

A

SI deficient and cold

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15
Q

SI Excess Patterns

A

Full Heat in the SI
SI Qi pain
SI Qi tied
Infestation of worms in the SI

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16
Q

Receive food/drink from SI, absorbs fluids and excrete

A

Large Intestine

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17
Q

LI Deficient Patterns

A

LI dryness
Collapse of LI
LI cold

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18
Q

LI Excess Patterns

A

DH in the LI
Heat in the LI
Heat obstructing the LI
Cold invading the LI

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19
Q

Provides Qi to the sinews and ensures movement and agility, the Liver nourishes the sinews with Blood.

A

Gall Bladder

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20
Q

GB Deficiency & Excess Patterns

A

Deficiency Pattern: GB deficient

Excess Pattern: DH in the GB

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21
Q

UB Deficiency & Excess Patterns

A

Deficiency Patterns: UB deficient and cold

Excess Patterns: DH in the UB, Damp Cold in UB

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22
Q

San Jiao / Triple Burner

A

Performs the letting out function:
- Defensive Qi in Upper Jiao directing it to LU
- Nutritive Qi in Middle Jiao to all other organs
- Body Fluids in Lower Jiao to the UB.
In other words it controls the movement of various types of Qi at different stages of energy production.

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23
Q

“Classic of Difficulties” states that Original Qi resides

A

In the lower abdomen between Kidney
It spreads to the 5 Yin and 6 Yang organs via the Triple Burner,
It then enters the 12 channels.

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24
Q

Upper Burner affects

A

Upper Burner: Heart, Lungs, Pericardium, throat, head; controls receiving but not excreting.

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25
Q

Middle Burner affects

A

Middle Burner: Stomach, Spleen, Gall Bladder; controls rotting and ripening food and drinks.

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26
Q

Lower Burner affects

A

Lower Burner: Liver, Kidneys, Intestines, Bladder; excreting but not receiving.

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27
Q

6 Extraordinary Organs

All related directly or indirectly to KD

A 
Blood Vessels
Bones
Brain
Gall Bladder
Uterus
Marrow
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28
Q

Uterus

The most important of the 6 Ext. Yang Organs

A

Fx: Reg menses, conception and pregnancy
Closely related to Kidneys
Directs/Ren Vessel providing Qi

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29
Q

If Kidney Essence weak, Ren and Chong will be empty and _____ is not going to receive adequately supply of Qi and Blood

A

Uterus

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30
Q

Uterus relies on abundant supply of Blood…

A 
HT governs Blood while LV stores Blood
SP controls Blood
All 3 (HT, LV, SP) related to Uterus -
In particular SP in producing the Blood
Chong Vessel provides Blood to Uterus
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31
Q

Kidney Essence deficiency related to disorder of reproduction - W/M

A

W: Infertility, Habitual Miscarriage
M: Corresponds to Room of Essence in the Dan Tian where sperm is produced and stored

Is closely related to Kidneys and Governing /Du Vessel

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32
Q

LV - Causes of issues w/Menses

A

LV Blood Stagnation often causes painful periods
LV Qi stagnation could cause irregular periods
LV Blood Def may cause scanty or absence of period

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33
Q

Considered an Extraordinary Yang Organ because unlike other Yang organs is STORES bile which is “pure” fluid

A

Gall Bladder

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34
Q

COUGH - Etiology: EPF

A

External wind is the main cause of Ext. cough.

Wind attacks the Wei Qi that is controlled by the Lungs and can impede the descending fx of the Lungs.

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35
Q

COUGH - Etiology: Emotional

A

Worry knots Qi preventing Lung Qi from descending;
Sadness/grief depletes Lung Qi;
Anger stagnates Liver Qi can convert into Liver Fire and it can then invade the Lungs

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36
Q

COUGH - Etiology: Diet

A

Sweet, greasy, dairy can all produce phlegm which can settle in the Lungs and prevent Lung Qi from descending;
Spicy/hot food and alcohol can cause Heat, Cold/raw foods can impair the T & T and may lead to phlegm.

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37
Q

COUGH

Chronic Illness can weaken ______ &/or _____

A

LU Qi and/or LU Yin

38
Q

COUGH Diagnosis - Sound:

A

weak sound = deficiency
loud sound = excess
barking cough = Heat
loose/rattling = phlegm

39
Q

COUGH Diagnosis - Time of Day:

A

Worse in late afternoon = Yin deficiency

Worse in the morning = usually phlegm

40
Q

COUGH Diagnosis - Sputum:

A

Without sputum = deficiency or heat
Abundant = phlegm
Yellow = heat; white = cold
White sticky = prev of damp or phlegm over cold
White diluted = prev of cold over phlegm/damp
Blood = Full or Empty heat
Greenish = heat
White very watery and frothy = phlegm-fluids

41
Q

COUGH DIAGNOSIS

Lung Qi deficiency is almost always be accompanied by ____ Qi deficiency
Lung Yin deficiency nearly always accompanied by ____ and or ____-Yin deficiency

A

LU Qi deficiency is almost always be accompanied by SP Qi deficiency
LU Yin deficiency nearly always accompanied by ST and or KD-Yin deficiency

42
Q

COUGH Identification - Acute (Exterior)

A

Wind-Cold
Wind-Heat
Wind-Dryness

43
Q

COUGH Identification - Acute (Interior)

A

Lung-Heat

Lung Phlegm-Heat

44
Q

COUGH Identification - Chronic (Full)

A

Damp Phlegm in the Lungs
Phlegm-Heat in the Lungs
Phlegm-Fluids in the Lungs
Liver-Fire insulting the Lungs

45
Q

COUGH Identification - Chronic (Empty)

A

Lung-Qi deficiency
Lung-Yin deficiency
Lung-Dryness

46
Q

COUGH: Wind-Cold

Sx, Tongue, Pulse

A

Sx: cough, sneezing, runny nose with white discharge, aversion to cold, chills, body aches, maybe slight increase in body temp, stiff neck, HA
Tongue: no evident change
Pulse: Floating-Tight

47
Q

COUGH: Wind-Cold (Acute Exterior)

Treatment (Points)

A

Treatment:
Lu 7- release ext, restores descending of Lung Qi, stops cough
Bl 12- expels exterior Wind, good to use cupping
Bl 13- releases exterior, restores descending of Lung Qi, use cupping
Li 4 & Ki 7- promotes sweating, releases exterior
Lu 6- stops acute cough

48
Q

COUGH: Wind-Heat (Acute Exterior)

Sx, Tongue, Pulse

A

Sx: dry cough, aversion to cold, chills, fever, sore throat, slight sweating, body aches, headache, runny nose with yellow discharge, sneezing, slight thirst and slightly dark urine
Tongue: slight Red sides and/or front part
Pulse: Floating-Rapid

49
Q

COUGH: Wind-Heat (Acute Exterior)

Treatment (Points)

A

Lu 7 – release ext, expels Wind, restores descending of Lung Qi and stop cough.
Li 4 & Li 11 – expels Wind-Heat
Bl 12 – releases exterior
Lu 11 – expels Wind-Heat, clear Heat from throat.
Du 14 – used if symptoms of Heat are pronounced
Lu 6 – xi-cleft point, stops acute cough

50
Q

COUGH: Wind-Dryness (Acute Exterior)

Sx, Tongue, Pulse

A

Sx: dry cough, dry itchy-sore throat, dry lips, dry mouth, soreness of the upper chest
Tongue: slightly red sides and/or front part
Pulse: Floating

51
Q

COUGH: Wind-Dryness (Acute Exterior)

Treatment (Points)

A

Lu 7 - release ext, expels Wind, restores descending of Lung Qi and stop cough.
Lu 9 – nourishes the Lung’s fluids
Ki 6 – promotes fluids
Sp 6 – promotes fluids

52
Q

COUGH: Lung Heat (Acute Interior)

Sx, Tongue, Pulse

A

Sx: barking cough, chest pain, breathlessness, fever, thirst, flaring of alae nasi, restlessness and feeling of heat
Tongue: Red with yellow coat
Pulse: Rapid and Overflowing

53
Q

COUGH: Lung Heat (Acute Interior)

Treatment (Points)

A

Lu 5 – clears Lung-Heat and restores descending of Lung Qi
Lu 1 – clears Lung-Heat, treats acute patterns of the Lungs
Du 14 & Li 11 - clears Heat
Lu 6 – xi-cleft, treats acute patterns of Lung, stops cough

54
Q

COUGH: Phlegm Heat (Acute Interior)

Sx, Tongue, Pulse

A

Sx: barking cough with expectoration of profuse sticky yellow sputum, fever, restlessness, thirst, feeling of heat and sensation of oppression in the chest
Tongue: Red with sticky yellow coat
Pulse: Rapid and Slippery

55
Q

COUGH: Phlegm Heat (Acute Interior)

Treatment (Points)

A

Lu 5 – expels phlegm and clears Heat from Lungs
Lu 1 – front-mu of the Lung, clear Lung-Heat, stop cough
Lu 6 – xi-cleft of the Lung, acute cases, clear Lung-Heat stop cough
Ren 12, Ren 9, Sp 6 & St 40 – resolve phlegm
Du 14 & Li 11 – clear Heat
Sj 6 & Sp 15 – clear Heat, move downward

56
Q

COUGH: Lung Phlegm-Heat (Chronic Full

Sx, Tongue, Pulse

A

Lung Phlegm-Heat
Symptoms: barking cough with expectoration of profuse sticky yellow sputum, fever, restlessness, thirst, feeling of heat and sensation of oppression in the chest
Tongue: Red with sticky yellow coat
Pulse: Rapid and Slippery

57
Q

COUGH: Lung Phlegm-Heat (Acute Interior)

Treatment (Points)

A

Lu 5 – expels phlegm and clears Heat from Lungs
Lu 1 – front-mu of the LU, clear Lung-Heat, stop cough
Lu 6 – xi-cleft of the Lung, acute cases, clear Lung-Heat, stop cough
Ren 12, Ren 9, Sp 6 & St 40 – resolve phlegm
Du 14 & Li 11 – clear Heat
Sj 6 & Sp 15 – clear Heat, move downward

58
Q

COUGH: Damp Phlegm (Chronic Full)

Sx, Tongue, Pulse

A

Sx: repeated attacks of cough, profuse expectoration of white sticky sputum, breathlessness, worse AM and after eating, feeling of oppression in the chest, nausea, poor appetite, tiredness, feeling of heaviness, loose stools
Tongue: Pale or normal, Swollen, sticky/thick white coat
Pulse: Slippery

59
Q

COUGH: Damp Phlegm (Chronic Full)

Treatment (Points)

A

Lu 5 – resolves phlegm, restores descending of Lung Qi
Lu 1 – restores descending of Lung Qi
Ren 12, Bl 20 & St 36 – tonify SP to resolve Phlegm
Ren 9, St 40 & Sp 6 – resolve Damp and Phlegm
BL 13 – Back-Shu of the LU, use for chronic patterns, restores descending of Lung Qi.

60
Q

COUGH: Phlegm-Heat (Chronic Full)

Sx, Tongue, Pulse

A

Sx: repeated attacks of a barking cough with profuse expectoration of yellow or blood-flecked purulent sputum, breathlessness, rattling sound in the throat, feeling of oppression in the chest, red face, feeling of heat, dry mouth, thirst, tiredness, loose stools
Tongue: Red, Swollen with sticky yellow coat
Pulse Slippery and Rapid

61
Q

COUGH: Phlegm-Heat (Chronic Full)

Treatment (Points)

A

Du 14 & Li 11 – clear Heat
Lu 5 – resolves phlegm, restores descending of Lung Qi
Lu 1 – restores descending of Lung Qi
Ren 12, Bl 20, St 36 – tonify SP to resolve Phlegm
Ren 9, St 40, & Sp 6 – resolve Damp and Phlegm
BL 13 – Back-Shu of the Lung, use for chronic patterns, restores descending of Lung Qi.

62
Q

COUGH: Phlegm-Fluids (Chronic Full)

Sx, Tongue, Pulse

A

Phlegm-Fluids
Symptoms: cough with a low sound, expectoration of watery diluted sputum, feeling of cold, feeling of oppression in the chest, tiredness, poor appetite and low spirit
Tongue: Pale, Swollen with sticky white coat
Pulse: Soggy

63
Q

COUGH: Phlegm-Fluids (Chronic Full)

Treatment (Points)

A

Du 14 & Bl 23 – reinforce with moxa if Kidney Yang deficient
Bl 22 – promote TFj of fluids thus resolve phlegm
Lu 5 – resolves phlegm, restores descending of Lung Qi
Lu 1 – restores descending of Lung Qi
Ren 12, Bl 20, & St 36 – tonify Spleen to resolve Phlegm
Ren 9, St 40, & Sp 6 – resolve Damp and Phlegm
BL 13 – Back-Shu of the Lung, use for chronic patterns, restores descending of Lung Qi.

64
Q

COUGH: Liver-Fire Insulting LU (Chronic Full)

Sx, Tongue, Pulse

A

Sx: sudden bouts of cough, red face often elicited by emotional stress, dry throat, a feeling of phlegm in the throat, expectoration on scanty phlegm, hypochondrial pain/distention, pain on coughing, bitter taste, dark urine, dry stools, irritability, and dry mouth
Tongue: Red sides, dry yellow coat
Pulse: Wiry Rapid

65
Q

COUGH: Liver-Fire Insulting LU (Chronic Full)

Treatment (Points)

A

Liv 2 – drain Liver-Fire
Gb 34 – pacifies LV, eliminate stag from hypochondrial
Li 11 – clears heat
Lu 5 & Lu 1 – clear Lung-Heat, restores descending of Lung Qi
Ren 17 – subdues rebellious Qi in chest, restores descending of Lung Qi
Gb 21 – subdues rebellious Qi and makes Qi descend

66
Q

COUGH: Lung-Qi Deficiency (Chronic Empty)

Sx, Tongue, Pulse

A

Sx: slight cough with low sound, no phlegm, spontaneous sweating, easy catch cold, weak voice, tiredness
Tongue: Pale
Pulse: Empty

67
Q

COUGH: Lung-Qi Deficiency (Chronic Empty)

Treatment (Points)

A

Lu 9 & Bl 13 – tonify Lung Qi and stop cough
Lu 7 – restores the descending Lung Qi
Bl 43 – nourishes Lung Yin, and specific for chronic Lung problems
Ren 12, St 36 7 Sp 6 – tonify Spleen and Lungs (since Lu channel starts in Middle Burner)

68
Q

COUGH: Lung-Yin Deficiency (Chronic Empty)

Sx, Tongue, Pulse

A

Sx: dry cough in short bursts and low sound, scanty or no phlegm, blood-flecked sputum, dry throat, feeling of heat in evening, night sweats, thin body, extreme tiredness
Tongue: No coat, dry, if empty heat then also Red body
Pulse: Def/Thin or Thready & Rapid

69
Q

COUGH: Lung-Yin Deficiency (Chronic Empty)

Treatment (Pulse)

A

Lu 9 & Lu 1 – nourish Lung-Yin
Lu 10 – clears Lung Empty-Heat
Ren 12, St 36 & Sp 6 – tonify Spleen to nourish LU
Lu 7 & Ki 6 – open Ren Mai, benefit throat, nourish Lung-Yin, restores descending of Lung Qi, stop cough from Yin deficiency

70
Q

COUGH: Lung-Dryness (Chronic Empty)

Sx, Tongue, Pulse

A

Sx: dry cough with low sound, dry throat and mouth. Seen in people with predisposition to Lung deficiency who (through work) have to use voice a lot in this case there could also be Stomach Yin deficiency. Can also occur after invasion of Wind-Heat.
Tongue: Dry
Pulse: Floating –Empty, Thready, Deficient

71
Q

COUGH: Lung-Dryness (Chronic Empty)

Treatment (Points)

A

Lu 9 & Lu 1 – nourish Lung-Yin
Lu 10 – clears Lung Empty-Heat
Ren 12, St 36 & Sp 6 – tonify Spleen to nourish LU
Lu 7 & Ki 6 – open Ren Mai, benefit throat, nourish Lung-Yin, restores descending of Lung Qi, stop cough from Yin deficiency

72
Q

COUGH - Western Diagnosis

Tracheitis

A

Following upper respiratory infection (Wind-Heat), cough is harsh and painful and throat/trachea feels raw and sore, usually worse at night

73
Q

COUGH - Western Diagnosis

Acute Bronchitis

A

Follows upper respiratory infection, cough with expectoration of yellow, green, or purulent sputum, temperature and pulse raised

74
Q

COUGH - Western Diagnosis

Chronic Bronchitis

A

Repeated bouts of acute bronchitis, cough is productive white, yellow, or blood flecked sputum

75
Q

COUGH - Western Diagnosis

Whooping cough

A

Occurs in children mostly under 5, starts with ordinary cold with cough then a the characteristic “whoop” appears, cough comes in bouts, worse at night and very distressing, coughing bouts often ends in vomiting, child might get flushed or cyanosed and looks frightened

76
Q

COUGH - Western Diagnosis

Pleurisy

A

Inflammation of pleura, usually appearing after a upper `respiratory infection, cough is unproductive and distressingly painful, chest pain and temperature raised

77
Q

COUGH - Western Diagnosis

Pneumonia

A

Inflammation of the lung alveoli, may begin abruptly with shivering, headache, high temperature, and breathlessness, at first, cough is short and unproductive, then develops scanty sputum with rust coloured and blood sputum, mostly accompanied by pleurisy giving pain, temperature is high, face flushed pulse and breath rapid,

78
Q

COUGH - Western Diagnosis

Tracheitis: TCM Diagnosis

A

Lung Dryness following Wind-Heat invasion.

79
Q

COUGH - Western Diagnosis

Acute Bronchitis: TCM Diagnosis

A

Phlegm-Heat in the Lungs (Qi level)

80
Q

COUGH - Western Diagnosis

Chronic Bronchitis: TCM Diagnosis

A

TCM diagnosis Damp Phlegm or Phlegm Heat in the Lungs with background of Spleen Qi deficiency.

81
Q

COUGH - Western Diagnosis

Whooping cough: TCM Diagnosis

A

Started with Wind-Heat/Wind-Cold then Lung Heat and late stage Stomach and Lung Yin deficiency

82
Q

COUGH - Western Diagnosis

Pleurisy: TCM Diagnosis

A

Lung Phlegm-Heat at Qi level

83
Q

COUGH - Western Diagnosis

Pneumonia: TCM Diagnosis

A

Lung Heat at Qi level

84
Q

COUGH - Western Diagnosis

Carcinoma of the bronchi

A

Most common cancer of all, most common in men between 40 and 55, dry cough, breathlessness and deep-seated thoracic pain, maybe some scanty blood flecked sputum, patient is weak and lacks appetite,

85
Q

COUGH - Western Diagnosis

Carcinoma of the bronchi: TCM Diagnosis

A

TCM diagnosis Lung Yin deficiency late stage

86
Q

COUGH - Western Diagnosis

Tuberculosis of the lungs (TB)

A

Cough is dry or with scanty, blood flecked sputum, chest pain, SOB and night sweating, patient very tired/debilitated and may have low grade fever in afternoons

87
Q

COUGH - Western Diagnosis

Tuberculosis of the lungs (TB): TCM Diagnosis

A

TCM diagnosis Lung Yin deficiency with Empty Heat

88
Q

COUGH - Western Diagnosis

Bronchiectasis

A

Permanent dilation of bronchi and bronchioles, alveoli become distended and filled with mucus, cough occurs more in morning with productive profuse purulent sputum with fruity odour, breath is offensive after bout of coughing, during acute episodes temperature increases,

89
Q

COUGH - Western Diagnosis

Bronchiectasis: TCM Diagnosis

A

TCM diagnosis Turbid Phlegm in Lungs

90
Q

COUGH - Western Diagnosis

Heart Disease

A

In elderly, cough may occur with heart disease, productive watery cough at night, if white and frothy it may indicate impeding left ventricular failure and which can then cause pulmonary embolism which manifests with sudden severe chest pain with dyspnoea follow by cough with blood stained sputum

Case Studies (6 decks)

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