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Common Cold, Cough, Asthma (Wheezing + Dyspnea) Flashcards

Etiology, Pathogensis, Patterns, S/sx, Treatment Principles + Principle Points (71 cards)

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1
Q

What is Common Cold called in TCM?

A

‘Wind injury’

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2
Q

Is ‘Wind injury’ an external or internal disease?

A

Externally-contracted disease

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3
Q

The following are pattern differentiation of what disease?

Wind-Cold
Wind-Heat
Summer-heat + Dampness
Qi Xu
Yin Xu
Epidemic Cold (Influenza)

A

Common Cold

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4
Q

What pulse is indicative of an external disease?

A

Floating

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5
Q

Differentiation of Wind-Cold in Common Cold Disease

A

Mild fever, severe aversion to cold, no sweating, clear nasal discharge, body aches
T: thin, white coating
P: Floating + tight

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6
Q

Differentiation of Wind-Heat in Common Cold Disease

A

Severe fever, slight aversion to cold, sweating, turbid nasal discharge, thirst, sore throat
T: thin, white coating
P: Floating + Rapid

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7
Q

Differentiation of Summer-heat w/ Dampness in Common Cold Disease

A

Fever, dizziness, distending pain in head, sore + heavy feeling in body, restlessness, vomiting, only occurring in late summer
P: Floating + Soggy

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8
Q

Differentiation of Qi Xu in Common Cold Disease

A

Mild fever, severe aversion to cold, lassitude, fatigue, weak constitution
P: Floating + Weak

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9
Q

Differentiation of Yin Xu in Common Cold

A

Fever, mild aversion to cold, scanty sweating, restlessness, dry cough
T: Red w/ scanty coating
P: Thready + Rapid

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10
Q

Differentiation of Epidemic Cold in Common Cold

A

Sudden attack, high fever, aversion to cold, severe headache, general body aches, contagious
P: Floating + Rapid

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11
Q

How does the Common Cold enter the body?

A

Through mouth, nose, skin + hair

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12
Q

What type of Qi fights the external evil of Wind?

A

Wei Qi + closely related to the Lungs

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13
Q

What is the pathogenesis of Wind Evil?

A

Disharmony between Wei + exterior

Failure of Lung to purify + descend Qi causes abnormal rising of Lung Qi

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14
Q

Principal Tx points for Common Cold

A

LI-4: Regulates Wei Qi + adjusts sweating
LU-7: Luo-connecting + diffuses LU Qi
GB-20: Resists wind
DU-14: Releases exterior + Expels wind + Clears heat from Yang channels

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15
Q

Supplementary points for Common Cold, with the pattern of Wind-Cold

A

LI-4 + LU-7 + GB-20 + DU-14 (use moxa)
AND
BL-12: Wind Gate
BL-13: Back-shu of Lungs

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16
Q

Supplementary points for Common Cold, with the pattern of Wind-Heat

A

LI-4 + LU-7 + GB-20 + DU-14 (Bloodlet)
AND
LI-11: clears heat from whole body
LU-5: He-sea + Clears heat from Lung + descends rebellious Qi

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17
Q

Supplementary points for Common Cold, with the pattern of Dampness

A

LI-4 + LU-7 + GB-20 + DU-14
AND
SP-9: Disolves dampness

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18
Q

Supplementary points for Common Cold, with the pattern of Summer-heat

A

LI-4 + LU-7 + GB-20 + DU-14
AND
SP-9: Disolves dampness
BL-40: Clears summer-heat + stops vomiting + diarrhea

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19
Q

Supplementary points for Common Cold, with the pattern of Epidemic ie: general malaise

A

LI-4 + LU-7 + GB-20 + DU-14
AND
DU-12: Clear heat from LU + HT, calms Shen

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20
Q

Supplementary points for Common Cold, with the pattern of Qi Xu

A

LI-4 + LU-7 + GB-20 + DU-14
AND
ST-36: Tonify Qi + Blood

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21
Q

Supplementary points for Common Cold, with the pattern of Wind-Cold with nasal discharge

A

LI-4 + LU-7 + GB-20 + DU-14
AND
LI-20: Benefits the nose

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22
Q

Supplementary points for Common Cold, with the pattern of Wind-Heat causing headache

A

LI-4 + LU-7 + GB-20 + DU-14
AND
Taiyang: Eliminates wind + clears heat + relieves pain

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23
Q

Supplementary points for Common Cold, with the pattern of Wind-Heat causing swollen, painful throat

A

LI-4 + LU-7 + GB-20 + DU-14
AND
LU-11: Clears heat + benefits the throat

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24
Q

Treatment points for Common Cold, with the pattern of Wind-Heat or Wind-Cold causing hoarse voice

A

LI-4: Regulates Wei Qi + adjusts sweating
LU-7: Luo-connecting + diffuses LU Qi
DU-14: Cleats heat + expels wind
LI-11: Clears whole body heat
HT-5: benefits the throat
REN-23: benefits the throat

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25
Treatment points for Common Cold, with the pattern of Wind-Heat or Fire Poisin causing tonsillitis
LI-4: Regulates Wei Qi + adjusts sweating LU-7: Luo-connecting + diffuses LU Qi LI-11: Clears whole body heat ST-44: Clears ST heat REN-22: Descends rebellious Qi LU-11: Clears heat + benefits the throat LU-10: expel Wind-Heat, resolve Fire-Poison + soothe the throat
26
Name 2 alternative methods of treatment for a Common Cold.
Cupping for Wind-Cold Wet cupping for Wind-Heat
27
What is a Cough in TCM?
Lung disease/disharmony characterized by cough + expectoration of phlegm
28
What are the 2 main etiologies of Cough?
1. Externally-contracted Evil ie: Common Cold 2. Internally-injured
29
The following patterns are the differentiations of __________? Wind-Cold Wind-Heat Phlegm-Dampness in Lungs Liver Fire Scorching Lungs Lung Qi Xu
Cough
30
Principle points for Cough due to Wind-Cold
LU-7: Luo-connecting + Commander of Head + Neck + Disperses LU Qi LI-4: Regulates Wei Qi + adjusts sweating BL-13: Back-shu of LY LU-9: Yuan + Tonifys LU Qi BL-12: Wind Gate + Dispels Wind
31
Principle points for Cough due to Wind-Heat
LU-7: Luo-connecting + Commander of Head + Neck + Disperses LU Qi LI-4: Regulates Wei Qi + adjusts sweating BL-13: Back-shu of LU DU-14: Releases exterior + Expels wind + Clears heat from Yang channels LI-11: Clears whole body's heat w/ sore throat bloodlet LU-11: Jing-well + clears heat + benefits the throat
32
Principle treatment point for Cough due to pattern of Lung Qi + Lung Yin Xu?
LU-9: Yuan + tonifys LU Qi SP-6: Tonifys Qi BL-13: Back-shu of LU KI-3: Anchors Qi + benefits tLU ST-36: Tonifys Qi SP-9: Resolves dampness
33
Treatment points for Cough due to Phlegm-Dampness?
LU-9 + SP-6 + BL-13 PLUS ST-40: Dissolves phlegm SP-9: Regulates SP + transforms dampness
34
Treatment points for Cough due to Liver Fire scorching Lung?
LU-9 + SP-6 + BL-13 PLUS LR-2: Ying-spring + clears Liver Fire w/ coughing of Blood, add LU-6: Xi-cleft + stops bleeding
35
Treatment points for Cough due to Lung Qi Xu?
LU-9 + SP-6 + BL-13 PLUS BL-43: Nourish LU Yin
36
What does a weak-sounding cough indicate?
A weak-sounding cough indicates Deficiency.
37
What does a loud cough indicate?
A loud cough indicates Excess.
38
What does a barking cough denote?
A barking cough denotes Heat.
39
What does a loose, rattling cough indicate?
A loose, rattling cough indicates the presence of Phlegm.
40
What does a cough occurring in the late afternoon or evening indicate?
A cough occurring in the late afternoon or evening indicates Yin deficiency.
41
What does a cough that is worse in the morning usually indicate?
A cough that is worse in the morning is usually due to Phlegm.
42
What does a cough without sputum indicate?
A cough without sputum indicates either Deficiency or Heat.
43
What does abundant sputum indicate?
Abundant sputum is due to Phlegm.
44
What does yellow sputum denote?
Heat
45
What does white sputum denote?
Cold
46
What does sticky white sputum indicate?
Prevalence of Dampness and Phlegm over Cold
47
What does dilute white sputum indicate?
Prevalence of Cold over Dampness or Phlegm
48
What does blood-tinged sputum indicate?
Full- or Empty-Heat
49
What does greenish sputum indicate?
Heat
50
What does white, very watery and frothy sputum indicate?
Phlegm-Fluids
51
What does 'Xiaochuan' refer to?
'Xiaochuan' is characterized by wheezing in the throat.
52
What does 'Chuan' refer to?
'chuan' refers to dyspnea, which is the difficulty in breathing.
53
What are the physical signs of 'chuan'?
'Chuan' can involve breathing with the mouth open and the shoulders raised.
54
What are the main characteristics of asthma?
Asthma is characterized by wheezing attacks with shortness of breath, usually worse at night.
55
What symptoms may accompany asthma attacks?
Sometimes there is a dry cough, which is also worse at night.
56
What precedes the onset of an asthma attack?
The onset is sudden and is preceded by tightness of the chest.
57
When do dyspnoea and wheezing occur in asthma?
Dyspnoea and wheezing occur mainly on exhalation with fixing of the shoulder-girdle.
58
What position do asthma patients prefer during an attack?
The patient likes to sit up.
59
When do asthma attacks typically occur?
Attacks occur year-round, especially during cold seasons or drastic climate changes.
60
What is the main etiology of Asthma?
Internal retention of Phlegm-Fluid
61
What is asthma primarily caused by?
Asthma is due to both a root cause of underlying weakness in resistance and branch excess due to the invasion of external pathogens
62
What is the root cause of asthma?
The root cause is the hypofunction of the Lung, Spleen + Kidney.
63
What are the branch excess factors contributing to asthma?
Branch excess factors include external invasion, phlegm, dampness, and blood stasis.
64
Principle treatment points for Excess Asthma?
LU-7: diffuse LU Qi + unblock LU Qi REN-17: 'Sea of Qi' + unbinds chest + local point LU-5: He-sea point of LU + treats cough BL-13: Tonify LU Qi Dingchuan: Calm Dsyponea
65
Treatment points to treat Asthma due to Phlegm-heat?
LU-7 + LU-5 + REN-17 + BL-13 + Dingchuan PLUS LI-11 + DU-14 + ST-40
66
Treatment point to treat Asthma due to severe Dyspnea?
LU-7 + LU-5 + REN-17 + BL-13 + Dingchuan PLUS REN-22: Descends rebellious Qi + sudden onset diseases
67
Treatment points to treat Asthma due to Phlegm-Dampness?
LU-7 + LU-5 + REN-17 + BL-13 + Dingchuan PLUS SP-9 + ST-40
68
Principle points for treatment for Asthma due to Deficiencies?
LU-9: Yuan + tonifies Lung BL-13: Back-shu of Lungs BL-23: Back-shu of Kidneys BL-43: Tonifies Qi + Yin KI-3: Tonifies KI Yang ST-36: Tonfiies Qi + Blood, fortifies Spleen Dingchuan: Calms dyspnea
69
Treatment points for Asthma due to Lung Qi Xu?
LU-9 + BL-13 + BL-23 + BL-4 + KI-3 + ST-36 + Dingchuan PLUS LU-5: He-Sea + decends counterflow Qi REN-6: Fosters Original Qi + fortifies Yang
70
Treatment points for Asthma due to Kidney Qi Xu?
LU-9 + BL-13 + BL-23 + BL-4 + KI-3 + ST-36 + Dingchuan PLUS KI-10: He-sea + benefits Kidneys REN-4: Tonify + nourishes Yin, Blood + Kidneys
71
A dry cough that occurs only in the late afternoon or evening indicates?
Yin Xu

Internal Medicine (34 decks)

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