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Internal Medicine > Cough > Flashcards

Cough Flashcards

1
Q

What three factors can cause cough?

A

Invasion of wind-cold, wind-heat, or wind-dryness, emotions, or improper diet.

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2
Q

What is the difference between external and internal cough?

A

External has sudden onset with chills and fever, internal cough is long, repeated, and sometimes combined with asthma.

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3
Q

What does an excess cough versus a deficiency cough sound like?

A

Excess is strong and frequent with loud sound, deficiency is weak and intermittent cough with low voice.

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4
Q

What does cough with less sputum indicate?

A

Dryness, heat, and yin deficiency.

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5
Q

What does cough with profuse sputum indicate?

A

Phlegm, cold, phlegm heat.

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6
Q

What does cough with white and clear and thin sputum indicate?

A

Wind, cold.

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7
Q

What does yellow and sticky sputum indicate?

A

Heat.

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8
Q

What does white, clear, and foamed sputum indicate?

A

Deficiency, cold.

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9
Q

What does bloody sputum indicate?

A

Heat, yin deficiency.

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10
Q

What does alternate blood and pus in the sputum indicate?

A

Accumulation of phlegm and heat and leading to abscess.

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11
Q

What does hot breathe with foul smell indicate?

A

Phlegm heat.

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12
Q

What does sweet taste in the mouth indicate?

A

Damp-phlegm.

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13
Q

What does salty taste in the mouth indicate?

A

Deficiency of KI.

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14
Q

What are the seven patterns of cough?

A

Wind-cold invading the LU, wind-heat attacking the LU, external dryness in LU, accumulation of damp-phlegm in LU, phlegm fire, LV-fire counter acting on LU, and deficiency of LU yin.

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15
Q

Which pattern includes cough with white sputum, nasal obstruction with white running nose, aversion to cold, a little bit fever, headache, general aching, reddish tongue, thin white coating, floating and tight pulse?

A

Wind-cold invading the LU.

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16
Q

What is the tx principle for wind-cold invading the LU?

A

Disperse wind, expel cold, regulate LU qi, and stop pain.

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17
Q

What are the formulas for wind-cold invading the LU?

A

San ao tang and zhi sou san.

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18
Q

What are the points for wind-cold invading the LU?

A

UB-13, LU-7, LI-4.

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19
Q

Which pattern includes cough with yellow and sticky sputum, difficulty to spit out, dry and sore throat, fever, headache, red tongue tip, thin yellow coating, floating and rapid pulse?

A

Wind-heat attacking the LU.

20
Q

What is the tx principle for wind-heat attacking the LU?

A

To clear heat and disperse cold.

21
Q

What is the formula for wind-heat attacking the LU?

A

San ju yin.

22
Q

What are the ingredients in san ju yin?

A

sang ye, ju hua, lian qiao, bo he, jie geng, xing ren, lu gen, gan cao.

23
Q

What are some points for wind-heat attacking LU?

A

UB-13, LU-11 for sore and swollen throat, DU-14, SJ-5 for fever, aversion to cold.

24
Q

Which pattern includes dry cough without any sputum, or very less and sticky sputum, difficulty in spitting out, and even bloody sputum, dry nose and throat, choking or pain in the chest, chills, fever, headache, constipation, red tongue, less coating, thready and rapid pulse?

A

External dryness in LU.

25
Q

What is the tx principle for external dryness in LU?

A

Disperse wind, clear heat, and moisten the LU and stop cough.

26
Q

What is the herbal prescription for external dryness in LU?

A

Sang xing tang.

27
Q

What are some points for external dryness in LU?

A

UB-13, LU-1, 7, K-6.

28
Q

Which pattern includes cough with profuse sputum, white and sticky sputum, very easy to spit out, heavy and strong cough, choking sensation in the chest, or dyspnea, shortness of breath, poor appetite, abdominal distension, pale tongue, white greasy coating, slippery or soft pulse?

A

Accumulation of damp-phlegm in LU.

29
Q

What is the tx principle for accumulation of damp-phlegm in LU?

A

Invigorate SP, eliminate dampness, and stop cough.

30
Q

What is the herbal prescription for accumulation of damp-phlegm in LU?

A

Er chen tang and san zi qing tang.

31
Q

What are the ingredients in er chen tang?

A

Zhi ban xia, chen pi/ju hong, fu ling, zhi gan cao.

32
Q

What are some points for accumulation of damp-phlegm in LU?

A

UB-13, Ren 12, LU-5, ST-36, 40.

33
Q

What patten includes cough with coarse breathing, gurgling sound in the throat, profuse, sticky, thick and yellow sputum, with difficulty in spitting out, with hot and foul smell, or bloody sputum, distending pain in chest and hypochondriac regions, worse during cough, red face, hot sensation all over the body, thirsty, yellow greasy coating, red tongue, slippery and rapid pulse?

A

Phlegm fire.

34
Q

What is the tx principle for phlegm fire?

A

Clear heat, eliminate dampness, descend LU qi and stop cough.

35
Q

What is the herbal formula for phlegm fire cough?

A

Qin jin hua tang tang.

36
Q

What are some points for phlegm fire?

A

ST-40, UB-13, Ren, 12, LU-5, 7, 1, 10, 11.

37
Q

Which pattern includes frequent and paroxysmal cough, less sputum but sticky, with difficulty in spitting out, and even bloody sputum, distending pain in the chest and hypochondrium, dry and itchy throat, red eyes and bitter taste in the mouth, dark urine, constipation, red tongue borders and tip, thin yellow coating, wiry and rapid pulse?

A

LV-fire counteracting on LU.

38
Q

What is the tx principle for LV-fire counteracting on LU?

A

To clear fire from both liver and lung, eliminate phlegm and stop cough.

39
Q

What is the formula for LV-fire counteracting on LU?

A

Dai ke san and huangqin xie bai san.

40
Q

What are some points for LV-fire counteracting on LU?

A

LV-2, 3, 14, Ren 17, 22, P-6, LU-7,11.

41
Q

Which pattern includes dry cough without any sputum, or very less and sticky sputum or bloody sputum, dry mouth and throat, feverish sensation in 5 centers, flushed malar, night sweating, emaciation, red tongue less coating, thready and rapid pulse?

A

Deficiency of LU yin.

42
Q

What is the tx principle for deficiency of LU yin?

A

Nourish LU yin and stop pain/cough.

43
Q

What is the herbal prescription for deficiency of LU yin?

A

Shashen maidong tang.

44
Q

What are some points for deficiency of LU yin?

A

UB-13, LU-1, LU-7, K-6.

45
Q

Which two patterns portray five element theory?

A

LV fire counter-acting on LU and accumulation of damp-phlegm in LU.

Internal Medicine (21 decks)

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