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Common Cold- pathology

Wind cold.....damp
Wind heat.....summer heat

1

Severe chills, mild fever, no sweating or with mild sweating, headache, general aching or soreness of limbs, nasal obstruction, sneezing, clear nasal discharge, itchy throat, coughing up thin white sputum, no thirst or slight thirst
Tongue normal, coating thin and white
Pulse superficial, tense and soft

Wind cold
Common cold
POT relieve the exterior with acrid-warm herbs
GV 16, UB 12, GB 20, LU 7, LI 14
Ma huang tang, Gui zhi tang

2

Severe fever, mild chills, sweating, distending or pounding headache, nasal obstruction, white or sticky nasal discharge, congested and sore throat, coughing up white or sticky sputum, thirst or mild thirst

Red tongue tip
Coating thin, white, dry or thin yellow

Pulse ... Superficial and rapid

Common Cold
Wind Heat

POT
Relieve the exterior
Acrid cool herbs
GV 14, LI 11, SJ 5, LI 4, LU 10, LU 11

Yin qiao San
Sang ju yin

3

Mild chills, fever, mild sweating, heavy sensation in head or whole body, cough with sticky sputum, dizziness, irritability,stuffiness in chest, poor appetite, no thirst, abdominal distension and pain, nausea, vomiting,diarrhea with foul smell
Tongue: red tip, thin or thick yellow sticky coating
Pulse:superficial,rapid, slippery or soft

Common Cold... Summer-Heat with Damp

4

Common Cold -Syndromes

Wind-Cold
Wind-Heat
Summer-Heat with Damp

5

Common Cold -Points

LI 4 (¥,entry, h.s.)
Heat: du 14, SJ 5 (£, yangwei)
Cold: GV 16, UB 12, GB 20, LU 7 (£, Ren)
Wind:LI 11 (tonification, hs, he sea)Lu 10 (yin spring) Lu11(jing well)
Damp: St 36 (he sea, hs), Sp 9 (he sea), CV 12

6

Cough Syndromes-Exogenous

Wind-Cold
Wind-Heat
Wind-Warm Dryness
Wind-Cool Dryness

7

Spasmodic cough, itchy throat
A little dilute white sputum, easy expectoration
Exterior wind-cold Sx

Wind-Cold Syndrome Cough
Exogenous

8

Paroxysmal cough, hoarse voice
Yellow or white sticky sputum
Exterior W-H Sx

Wind-Heat Cough, exogenous

9

Common Cold, Summer-Heat with Damp Tx

POT: Clear Summer-Heat and Remove Damp to Relieve the Exterior
GV 14, LI 4, SJ 5, ST 36, SP 9, CV 12

10

Wind Heat Cough Tx

Course wind, clear heat, depurate lung

GB 20, LI 4, Lu 7, Lu 5, UB 12, Lu 1, LI 11, Du 14

Mulberry Leaf and Chrysanthemum decoction
Ephedra-prunus-gypsum-liquorice decoction

11

Severe dry cough, little sputum, difficult expectoration (May be blood), dry nose and lips, dry throat with pain
Ext W-H Sx

Wind Warm Dryness Syndrome Cough

12

Wind Warm Dryness Syndrome Cough Tx?

Course wind, clear lung, moisten dryness

GB 20, LI 4, Lu 7, Lu 5, UB 12, Lu 1, K6

13

Wind-Cold Syndrome Cough

POT: course wind, dissipate cold, diffuse lung

GB 20, LI 4, Lu 7, Lu 5, UB 12, Lu 1 & SJ 5

Stop cough powder, 3 unbinding decoction

14

Severe dry cough, little sputum, difficult expectoration (maybe blood), dry nose, dry lips, dry throat with pain
Exterior W-C Sx

Wind-Cool Dryness
Exogenous cough

15

Wind-Cool Dryness Cough Tx

Course wind, warm lung, moisten dryness
GB 20, LI 4, Lu 7, Lu 5, UB 12, Lu 1, & K 6
Apricot kernel and perilla leaf powder

16

Exogenous Cough - Points

Exogenous Cough: GB 20, LI 4, Lu 7, Lu 5, UB 12, Lu 1
Cold: SJ 5
Heat: GV 14
Dry: K 6

17

Endogenous Cough Types

Retention of Phlegm-Damp in the Lung
Retention of Phlegm-Heat in the Lung
Retention of Cold-Fluid Phlegm in the Lung
Liver Fire Burning Lung
Lung Qi Xu
Lung Yin Xu

18

Endogenous Cough -Points

Retention of Phlegm +...: Lu 5, Lu 7, St 40, Lu 1, UB 13, UB 20
+Heat: LI 11
+Cold Fluid: St 36, Sp 9

Liver Fire: Liv 2, Lu 10, Lu 8, UB 13, UB 18
Lung Xu:UB 13, Lu 9, Lu 7, Lu 1
If Lu Qi Xu: +UB 20
If Lu Yin Xu:+K 6, UB 43

19

Cough or heavy cough, heavy rattling sound
Copious sticky greasy/ v.thick white or grey sputum
Fullness in chest/epigastrum, nausea, poor appetite, general lassitude
Tongue normal to pale and puffy, with white greasy coating
Pulse slippery and soft

Retention of Phlegm-Damp in Lung
Exogenous Cough

20

Retention of Phlegm-Damp in Lung
Exogenous Cough
Tx ?

Lu 5, Lu 7, St 40, Lu1, UB 13, UB 20

21

Cough or heavy cough with rattling sound, yellow thin or thick, sticky sputum. Fevered sensation and or red face. Tongue red with yellow sticky coating, pulse slippery and fast.

Retention of Phlegm-Heat in the Lung
Endogenous Cough

22

Retention of Phlegm-Heat in the Lung Tx?

Lu 5, Lu 7, St 40, Lu 1, UB 13, UB 20, + LI 11
Clear Heat and Transform Phlegm Pill

23

Cough, copious clear or white, frothy, dilute sputum. Cold limbs, aversion to cold, often in winter. Tongue pale, puffy, slightly purple with white, slippery or sticky coating. Soft pulse.

Retention of Cold Fluid/Phlegm in the Lung
Endogenous Cough

24

Retention of Cold Fluid/Phlegm in the Lung Tx?

Lu 5, Lu7, St 40, Lu 1, UB 13, UB 20,
+ St 36, Sp 9

25

Irritating cough, no or small amount of sticky, difficult to expectorate sputum, red eyes and face, dry mouth and throat, hypochondriac pain, emotions easily change condition. Tongue red with thin dry yellow coat. Pulse wiry and rapid.

Liver Fire Burning Lung
Endogenous Cough

26

Liver Fire Burning Lung Tx?

Lv 2, Lu 10, Lu 8, UB 13, UB 18
Mulberry Leaf and Moutan Decoction to Drain The White

27

Cough and weak voice, SOB. Copious, clear dilute sputum difficult to expectorate due to low e-. Pallor, aversion to wind, sweating, vulnerable to colds, lassitude, dislike speech, fatigue. Tongue pale with scallops, normal coating. Weak pulse.

Lung Qi Xu
Endogenous Cough

28

Lung Qi Xu Tx?

UB 13, Lu 9, Lu7, Lu 1
+ UB 20
Warm Lung herbals, 6 Gentlemen with Auc and Amomum

29

Unproductive Cough, some sticky sputum which may have blood, Yin Xu Sx. Tongue red with little coat. Pulse threads and rapid.

Lung Yin Xu
Endogenous Cough