Lung Patterns Flashcards

(46 cards)

1
Q

Functions of the Lung

A

Governs Qi and Respiration

Controls channels and Blood Vessels

Control Diffusing and Descending of Qi

Regulate all Physiological activities.

Regulate Water Passages

Control Skin and Hair

Open into the Nose

Control Nasal mucus

House the Corporea Soul (Po)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Lungs - General Aetiology

A

Exterior pathogenic factors: Wind, Dryness, Dampness

Diet—Excessive consumption of cold and raw, greasy foods and dairy can generate internal dampness and phlegm, which derives from Spleen dysfunction and is often stored in the Lungs.

Emotions - Sadness and grief deplete Lung Qi, causing deficiency and with time stagnation of Lung-Qi. Worry knots Qi in the chest.

Lifestyle - Slumping over a desk can impede Lung-Qi, Smoking drys up the Lungs and damages Lung fluids.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Lung-Qi Deficiency - Clinical Manifestations

A

*Slight shortness of breath

Slight Cough

*Weak Voice

Spontaneous Daytime sweating

Dislike of speaking

Bright-Pale complexion

Propensity to catch colds

Tiredness

Dislike of cold

Tongue: Pale

*Pulse: RDP: Reduced Substance, Feeble, Absent, Yeilding.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Lung-Qi - Deficiency - Pulse

A

*Pulse: RDP: Reduced Substance, Feeble, Absent, Yeilding.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Lung-Qi - Deficiency - Tongue

A

Pale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Lung-Qi - Deficiency - Aetiology

A

Emotional Stress - Sadness and Grief deplete Lung-Qi causing Lung-Qi deficiency and in time Lung-Qi stagnation.

Lifestyle - Stooping over a desk, excessive use of the voice.

Exterior Pathogenic factors - Wind-cold or Wind-HEat remaining in the body.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Lung-Qi Deficiency - Pathology

A

Shortness of breath - Lungs govern Qi and respiration

Slight cough - deficient Lung-Qi failing to ascend Qi.

Weak voice and dislike of speaking - Weak gathering (Zong) Qi which depends on Lung-Qi

Sweating - Lung-Qi failing to control the pores.

Dislike of cold - deficient defensive Qi to warm the skin and muscles

Bright Pale complexion - reflects deficiency of Yang

Prone to invasion by exterior Wind - Defensive Qi is not strong enough or properly diffused by the Lungs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Lung-Qi - Deficiency - Precursors

A

Spleen-Qi deficiency - Earth is the Mother of Metal

Heart-Qi deficiency - Close relationship of Heart and Lung in the chest, especially common when emotional stress is the cause.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Lung-Qi Deficiency - Developments

A

Lung-Qi stagnation

Spleen-Qi deficiency - affect each other Vice-versa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Lung-Qi - Deficiency - Treatment Principle

A

Tonify Lung-Qi

Warm Yang

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Lung-Qi Deficiency - Acupuncture

A

L9 - Tonify Lung-Qi (Source point of the Lungs)

L7 - Tonifies Lung-Qi

REN6 - Tonifies Lung-Qi - The deep pathway of the Lung channel reaches this point where it connects with the Large Intestine

BL13 - Tonifies Lung-Qi

DU12 - Tonifies Lung-Qi especially useful in chronic cases

ST36 - Tonify Qi - Strengthen Earth to nourish Metal

REN12 - Tonift Qi - The deep pathway of the Lung channel starts in this region.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Wind-Cold invading the Lungs - Clinical manifestations

A

*Aversion to cold

Fever

Cough

Aversion to cold

Itchy throat

Slight breathlessness

Blocked or runny nose with clear watery discharge

*Sneezing

Occipital headaches

Body Aches

Tongue - Thin, white coating

*Pulse - EP: Tense possibly floating and slower
RDP: Tense

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Wind-Cold invading the Lungs - Tongue

A

Thin, white coating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Wind-Cold invading the Lungs - Pulse

A

Pulse - EP: Tense possibly floating and slower
RDP: Tense

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Wind-Cold invading the Lungs - Aetiology

A

Exposure to pathogenic Wind-Cold - Invasion of pathogenic Wind-Cold is due to the relative weakness of the body’s Qi in relation to the pathogenetic factor at the particular time.

Excess pattern by nature despite cause being a relative weakness.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Wind-Cold invading the Lungs - Pathology

A

Aversion to cold - Ostruction of the space between the skin and the muscles by exterior Wind so that Defensive-Qi does not circulate well and fails to warm the muscles.

Fever - result of a fight between the defensive Qi and the exterior Wind-Cold pathogenic factor. May be a palpable emission of heat from the patient’s body rather than a measurable raised temperature on a thermometer.

Cough, blocked nose, sneezing - failure in the descending and dispersing of Lung-Qi

Occipital headaches - Obstruction of the circulation of Defensive Qi

Body aches - Defensive-Qi dies not circulate properly in the spaces between the skin and the muscles.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Wind-Cold invading the Lungs - Precursors

A

Weak defensive-Qi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Wind-Cold invading the Lungs - Developments

A

The exterior pathogenic factor penetrates into the interior.

The patient is left with a residual pathogenic factor, often Damp-Phlegm or Phlegm-Heat in the Lungs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Wind-Cold invading the Lungs - Treatment Principle

A

Release the Exterior

Expel Cold

Stimulate the descending and diffusing of Lung-Qi

20
Q

Wind-Cold invading the Lungs - Acupuncture

A

LU7 - Expels Wind, releases the Exterior and stimulates the Descending and Diffusing of Lung-Qi

BL12 - releases the exterior and expels Wind. Moxa can be used after needling. Cupping this point is extremely effective to expel Wind.

DU16 - Expels Wind and is especially useful if there is a headache.

21
Q

Wind-Heat invading the Lungs - Clinical Manifestations

A

Aversion to cold

Fever

Cough

Sore throat

Blocked or runny nose with yellow discharge

Sneezing

Headache

Body Aches

Slight sweating

Slight thirst

Swollen tonsils

Tongue - slightly red on the sides in the chest areas or on the front part.

Pulse: EP: yielding, poss. floating and faster
RDP: Tense, robust pounding

22
Q

Wind-Heat invading the Lungs - Tongue

A

Tongue - slightly red on the sides in the chest areas or on the front part.

23
Q

Wind-Heat invading the Lungs - Pulse

A

Pulse: EP: yielding, poss. floating and faster
RDP: Tense, robust pounding

24
Q

Wind-Heat invading the Lungs - Aetiology

A

Exposure to environmental Wind-Heat

25
Wind-Heat invading the Lungs - Pathology
Pathology is the same as for invasion of Wind-Cold. Aversion to cold - The pathogenic factor obstructs the circulation of the Defensive-Qi which therefore cannot warm the muscles. Thirst and sore throat - Exterior Heat dries up Body Fluids.
26
Wind-Heat invading the Lungs - Precursors
Weak defensive-Qi
27
Wind-Heat invading the Lungs - Developments
The exterior pathogenic factor penetrates into the interior. The patient is left with a residual pathogenic factor, often Phlegm-Heat in the Lungs.
28
Wind-Heat invading the Lungs - Treatment Principle
Release the exterior Clear Heat Stimulate the descending and dispersing of Lung-Qi
29
Wind-Heat invading the Lungs - Acupuncture
LU7 - Stimulate the diffusing of Lung-Qi to Expel Wind LI4, LI11 - Release the exterior and clear Heat LU11 - Pricked to bleed is especially indicated for a sore throat and swollen tonsils. DU14 - clears Heat BL12, DU16, GB20 - Expel exterior Wind SJ5 - Expels Wind-Heat and releases the exterior
30
Cold-Phlegm in the Lungs - Clinical manifestations
*Cough with expectoration of white, watery sputum Aggrevated by exposure to cold Feeling cold Cold hands *Phlegm in the throat Dizziness A feeling of oppression of the chest A feeling of cold of the chest A feeling of heaviness Muzziness and dizziness of the head. *Tongue: Swollen and wet tongue with a sticky white coating Pulse:
31
Cold-Phlegm in the Lungs - Tongue
*Tongue: Swollen and wet tongue with a sticky white coating
32
Cold-Phlegm in the Lungs - Aetiology
External pathogenic factors - Repeated invasions of Wind-Cold may weaken the Lungs and Spleen and lead to the formation of Cold-Phlegm. Especially if constitutionally Yang deficient. Diet - excessive consumption of diary foods, cold and raw foods and iced drinks may lead to Cold-Phlegm
33
Cold-Phlegm in the Lungs - Pathology
White, watery sputum, cold hands and feeling of cold - Cold pathogen Sputum in throat and feeling of oppression - Phlegm Dizziness, heaviness and muzziness of the head- oppression of the head offices by Phlegm
34
Cold-Phlegm in the Lungs - Precursors
Spleen-Yang Deficiency - usually a pre-condition as predisposes the patient to the formation of Dampness and/or phlegm Kidney-Yang deficiency - especially in the elderly
35
Cold-Phlegm in the Lungs - Developments
Spleen deficiency - Dampness and Phlegm obstruct the Spleen. Dryness - Long-term retention of Phlegm especially in elderly may lead to dryness. Also in the elderly Phlegm may either lead to or aggravate Blood stasis.
36
Cold-Phlegm in the Lungs - Treatment Principle
Resolve Phlegm Expel Cold Warm Yang Restore the descending of Lung-Qi
37
Cold-Phlegm in the Lungs - Acupuncture
LU5 - Expels Phlegm from the Lungs LU7 - Restores the descending of Lung-Qi and stops cough LU1 - Stops cough, restores the descending of Lung-Qi and resolves phlegm REN17 - Restores the descending of Lung-Qi ST40 - Resolves Phlegm P6 - Opens the chest and expels phlegm from the chest. REN22 - Expels Phlegm from the throat. REN12, BL20 - Tonify the Spleen to resolve Phlegm REN9 - Stimulates the Spleen's function of transformation and transportation and resolves Phlegm BL13 - restores the descending of Lung-Qi BL23 - is reinforced to tonify Kidney- Yang
38
Phlegm-Heat in the Lungs - Clinical manifestations
Barking cough with profuse sticky yellow or green sputum Shortness of breath Wheezing A feeling of oppression in the chest Phlegm in the throat A feeling of heat Thirst Insomnia Agitation A feeling of heaviness and muzziness of the head. Dizziness Tongue: Red, swollen with a sticky yellow coating. Pulse: EP: F/E, F/O, Robust pounding RDP: Slippery, Robust pounding, Tense RMP: Slippery, tense - tight or F/O, F/E, Robust Pounding, Tense
39
Phlegm-Heat in the Lungs - Tongue
Tongue: Red, swollen with a sticky yellow coating.
40
Phlegm-Heat in the Lungs - Pulse
Pulse: EP: F/E, F/O, Robust pounding RDP: Slippery, Robust pounding, Tense RMP: Slippery, tense - tight or F/O, F/E, Robust Pounding, Tense
41
Phlegm-Heat in the Lungs - Aetiology
Diet - Excessive consumption of greasy and hot foods (fried meats, alcohol, greasy and pungent foods) leading to the formation of Damp and Phlegm -irregular eating disrupts the ascending of Spleen-Qi and descending of Stomach-Qi, leading to the formation of Phlegm Lifestyle - Smoking due to the dry, hot energy of tobacco. Exterior pathogenic factors - Can be precipitated or aggravated by invasion of exterior Wind-Heat. - In chronic conditions may be a residual pathogenic factor after an invasion of Wind. Emotional stress - Anger, Frustration and resentment lead to Qi stagnation, which in turn may lead to the formation of Heat.
42
Phlegm-Heat in the Lungs - Pathology
Chronic condition Phlegm formation - Spleen-Qi deficiency Excess-Hot-Interior condition In chronic cases - Phlegm results from a dysfunction of the Lungs, Spleen and Kidneys. Seen more in middle-aged or elderly people. Frequently a residual pathogenic factor after an invasion of Wind.
43
Phlegm-Heat in the Lungs - Precursors
Spleen-Qi deficiency - usually a precondition as predisposes the patient to formation of Damp and/or Phlegm Kidney deficiency - especially in the elderly
44
Phlegm-Heat in the Lungs - Developments
Spleen deficiency - Dampness and Phlegm obstruct the Spleen. Dryness Blood stasis Yin deficiency - Heat may dry up the Body Fluids.
45
Phlegm-Heat in the Lungs - Treatment Principle
Resolve Phlegm Clear Heat Stimulate the descending of Lung-Qi
46
Phlegm-Heat in the Lungs - Acupuncture
LU5 - Clears Heat and Phlegm from the Lungs LU7 - Restores the descending of Lung-Qi and stops cough LU10 - Clears Heat from the Lung LI11 - Clears Heat LU1 - Restores the descending of Lung-Qi and clears Lung-Heat ST40 - Resolves Phlegm BL13 - Clears Lung-Heat REN12 - resolves Phlegm