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Flashcards in Asthma Deck (34):
0

What is another name for asthma?

xiao chuan

1

Asthma etiology?

EPF-->LU \
\
diet-->SP-->Phlegm------>asthma attack
/
illness-->KID/
congenital xu

2

What is the chief pathogenic factor for asthma?

Phlegm= deep rooted

3

Explain asthma attack in TCM terms?

phlegm and QI block air passages and impair LU D+D function of LU

4

Which organs are involved in asthma?

LU, SP, KID

5

What are the two main divisions of asthma patterns?

1) during attack
2) remission stage

6

What are the patterns for During asthma attack?

1) cold phlegm in LU
2) Phlegm heat in LU
3) Phlegm damp in LU
4) Yin xu with phlegm heat
5) Yang Qi xu with phlegm damp

7

What are the patterns for asthma remission stage?

1) LU xu
2) SP xu
3) KID xu

8

SOB, worse on exertion, low voice, low gurgling sound in the throat, cough with white dilute sputum, dry cough with little sticky sputum
T- red, thin white coat
P- thready, rapid

LU xu asthma (during remission)

9

short rapid breathe, rattling sound, profuse white sticky sputum, gurgling sound in throat, no thirst
T- thick sticky coat
P-slippery

Phlegm-damp in LU asthma (during attack)

10

inconsistent breathlessness, worse on exertion, severe wheezing, difficult inhalation, rattling sound in throat, cough without or with little sticky sputum, dry mouth/throat, afternoon fever, night sweats
T-deep red, thin yellow sticky coat
P-thready, rapid

Yin xu with Phlegm-heat asthma (during attack)

11

short rapid breathing, difficult exhale, rattling sound in throat, paroxysmal cough with thick yellow sputum, thirst with preference for drinks, irritability, sweating
T-red, thin yellow sticky
P- superficial, rapid

Phlegm-heat in LU asthma (during attack)

12

inconsistent breathlessness, severe wheezing, difficult inhalation, rattling sound in throat, no thirst, chills, cold limbs, spontaneous sweats, purple lips
T- pale, puffy, purplish, slippery coat
P-deep, thready

Yang Qi xu with Phlegm-damp asthma (during attack)

13

SOB, difficult inhalation, worse on exertion, cough with frothy sputum, little sticky sputum, pale complexion, chills, cold limbs, palpitations, weak lumbar/knees, dizziness, tinnitus, impotence, nocturnal emission
T- pale, tender, red
P-deep, thready, thready/rapid

Kindey Xu asthma (during remission)

14

SOB, low voice, poor appetite, abdominal distension, worse after eating, loose stools, lassitude
T- pale, white sticky
P-thready, soft

Spleen xu asthma (during remission)

15

POT for Cold Phlegm in Lung

Warm lung
Dissipate cold
Transform phlegm to relieve asthma

16

Points for Cold phlegm in lung

Dingchuan
UB 13 or Lu 1
Ren 22
Lu 5
Lu 7
St 40
Ren 17

17

POT for Phlegm Heat in the Lung

Clear heat
Facilitate the lung
Transform phlegm to relieve asthma

18

Points for Phlegm Heat in Lung

Lu 10 or Lu 11

19

POT for Phlegm Damp in Lung

Expel phlegm
Check upward flow of Qi to relieve asthma

20

Points for Phlegm Damp in the Lung

Sp 9
Ren 12

21

POT for Yin Deficiency with Phlegm Heat

Nourish Kidney and Lung Yin
Clear damp heat

22

Points for Yin Deficiency with phlegm heat

UB 43

23

POT for Yang Qi Deficiency with Phlegm Damp

Tonify Qi
Warm yang
Dispel phlegm damp

24

Points for Yang Qi Deficiency with Phlegm Damp

Lu 9
St 36
Du 4

25

Asthma Attack Basic Points

Dingchuan
UB 13 or Lu1
Ren 17
Ren 22
Lu 5
Lu 7
St 40

26

POT for Lung Deficiency

Tonify Lung Qi or Yin to strengthen the body surface

27

Points for Lung Deficiency

Qi Deficiency ~ Lu 9, St 36, Sp 3

Yin Deficiency ~ UB 43

28

POT Spleen Deficiency

Tonify the spleen to transform phlegm

29

Points for Spleen Deficiency

UB 20
Ren 6
St 36

30

Points for Kidney Deficinecy

Qi Deficiency~ K 3, UB 23, Du 4

Yin Deficiency ~ K 6, Sp 6

31

POT Kidney Deficiency

Tonify the Kidney to Receive Qi

32

Pattern Diagnosis

Excess vs Deficiency:

Duration ~ Acute vs Chronic
Fast vs Slow Onset

Breathing ~ Difficulty Exhaling vs Difficult Inhaling

Voice ~ Loud vs Low voice
Rough vs SOB
Gurgling in throat vs Little or no gurgling in throat ( less severe)

Pulse ~ Rapid Forceful Vs Deep/thin or Thin/Rapid

Constitution

IF EXCESS DIFFERENTIATE:

Cold Phlegm Vs. Heat Phlegm

Exterior Vs. Interior

IF DEFICIENCY DIFFERENTIATE:

Yin Deficiency vs. Yang Deficiency

Which Zang Fu Organ Involved ~ Kidney always SOB
Lung SOB on activity/exertion

33

POT for Attack and Remission

Attack --> Remove Xie Qi--Transform Phlegm--> Cold Phlegm
---> Phlegm Heat
Regulate Qi

Remission --> Tonify Zhong Qi --Yin or Yang Deficiency --> Yin Def.
---> Yang Def.
--Zang Fu Organs --> Tonify lung
Tonify Spleen
Tonify Kidney