Cough

Question 1

WC cough etiology

Answer 1

WC invades skin and wei qi impairing descending of LU qi

Question 2

WH cough etiology

Answer 2

Enters via the skin and the mouth
invades LU ch in the throat impairing descending of LU qi
WH cough is drier than WC cough

Question 3

WDryness cough etiology

Answer 3

Invades LU ch in the throat impairing LU qi descending and causing a ticklish cough
Produces a dry and persistent cough than WC or WH cough

Question 4

SP dysfucntion etiology

Answer 4

SP -xu usually d/t bad diet or shi alcohol- attacks LY directly causing cough

Question 5

LV dysfunction etiology

Answer 5

usually results from emotional stress

Untreated LVQS generates fire and may attack the LU congealing LU fluids into phlegm impairing its qi fx of descending

Question 6

LU dyusfunction etiology

Answer 6

usually d/t chronic LU conditions

LU is unable to maintain its normal qi activities resulting in cough

Question 7

KD + LU yin xu etiology

Answer 7

KD and LU mutually regulate respiration

failure to coordinate LU qi exchanging activities leaves LU undernourished and unable to descend qi

Question 8

Cough patterns

Answer 8

WC
WH
WDry
Phlegm- Damp
LV Fire
Yin xu 
QI xu

Question 9

WC cough sx

Answer 9

May have WC sx + High pitched cough, itchy or s/t, clear thin white sputum, needing to cough sensation- choking feeling in trachea or bronchi

Question 10

WC cough formula

Answer 10

San Ao Tang and Zhi Sou San

Question 11

WC cough formula modifications

Answer 11

Cough and Phlegm + Zi Wan and Kuan Dong Hua pair
Nasal Congestion: Xin Yin Hua, Cang Er Zi
Yang Ming h/a w/ nasal congestion + Bai Zhi
Heavy phlegm signs + ban Xia, Fu Ling, Hou Po

Question 12

WC cough acupuncture

Answer 12

LU7, LU7, LI4, UB12, UB13, KD7

reduce LI4, reinforce KD7

Question 13

WC cough Tongue and Pulse

Answer 13

T: Thin white coat
P: floating, tight

Question 14

WC cough tx principle

Answer 14

Dispel wc, disperse LU qi, relieve cough

Question 15

WH cough sx

Answer 15

May have WH sx + frequent cough, dry or s/t, dry mouth, thick sticky yellow sputum hard to expel

Question 16

WH cough formula

Answer 16

Sang Ju Yin

Question 17

WH cough formula modifications

Answer 17

Disperse Lu qi and strengthen stop coughing action + Sang Bai Pi, Bai Bu, Pi Pa Ye, Qian Hu
Clear heat and prevent toxins + Huang Qin, Lian Qiao, Xin Yin Hua
LU heat/ fire w/ fever: Huang Qin, Sang Bai Pi, Shi Gao, Zhi Mu or + Qing Qi Hua Tan Tang\
Headache: Man Jing Zi, Ju Hua, Bo He, Chai Hu
Phlegm heat, Gua Lou, Bei Mu, Qian Hu

Question 18

WH Cough Acupuncture

Answer 18

UB12, UB13, LU5, LU6, LI11, LI4, DU14- all reducing

cupping may be used on UB12, UB13

Question 19

WH cough Tongue and Pulse

Answer 19

T: Red tip, thin yellow coat
P: Floating, rapid/ rapid slippery

Question 20

WH cough tx principle

Answer 20

Dispel wind+ heat, disperse LU qi, relieve cough

Question 21

WDryness Cough

Answer 21

May have some exterior WH or WC sx + Dry cough with either no phlegm, or scanty sticky phlegm hard to expel, may be blood tinged.
Scratchy or dry s/t, dry mouth and nose

Question 22

WDryness Cough Formula

Answer 22

Sang Xing Tang WH dryness or

Xiang Su San WC dryness

Question 23

WDryness Cough formula modifications

Answer 23

Stop heat type cough and moisten: Bai Bu, Pi Pa Ye
Stop cold type cough and moisten: ZI Wan + Kong Dong Hua
W/ severe xu fluids + Mai Men Dong, Zhu Yu
W/ high fever + Shi Gao, Zhi Mu
Phlegm w/ blood + Bai Mao Gen

Question 24

WDryness Cough Acupuncture

Answer 24

LU7, LU9, RN12, SP, KD6

add WH or WC points accordingly

Question 25

WDryness Cough Tongue and Pulse

Answer 25

WHD : T: red, dry, thin yellow coat P: Floating, rapid | WCD: T: less red, dry, thin white coat P: Floating, tight

Question 26

WDryness Cough tx principle

Answer 26

Coarse wind dryness, moisten LU, relieve cough

Question 27

Phlegm- Damp Cough sx

Answer 27

Frequent recurring husky low sounding cough, marked by abundant clear white sputum on rising in the am Nausea, chest oppression, abd, and epigastrium distention, poor app. loose stools

Question 28

Phlegm- damp cough formula

Answer 28

Er Chen Tang + San Zi Yang Qing Tang

Question 29

Phlegm- damp cough acupuncture

Answer 29

LI4, ST40, SP3, UB20, UB13, LU9

Question 30

Phlegm- damp cough tongue and pulse

Answer 30

T: pale, white sticky coat P: slippery/ soggy

Question 31

Phlegm- damp cough treatment principle

Answer 31

Strengthen SP, transform phlegm, dry damp, relieve cough

Question 32

Phlegm- damp formula modifications

Answer 32

Damp dominant w/ lots of watery phlegm + Hou Po, Cang Zhu Cold Phlegm dominant + Gan Jiang, Xi Xin SP xu + Dang Shen, Bai Zhu