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Flashcards in Pleurisy Deck (29):
0

What is the Chinese name for pleurisy?

Xuan Yin

1

Pleurisy etiology?

1)EPF
2)weak constitution--\
3)prolonged illness------LU xu/wei xu

Xie Qi invade LU/shaoyang-->retention of fluids in chest/hypochondrium-->disharmony of collaterals
-->Qi stg to fire-->LU yin xu

2

What are the two types of Pleurisy?

1) wet (exudative)= liquid squeezes LU, difficulty breathing
2) dry (adhesive)= friction between layers= pain

3

Pleurisy clinical features?

sudden onset, chest pain on one side, enlarged intercostal, pain aggravated by breathing/coughing, dry cough, fever/chills, fatigue, loss of appetite, shallow rapid breathing

4

What are pleurisy patterns?

1) retention of phlegm-heat in shaoyang
2) retained fluids in chest and hypochondrium
3) disharmony of collaterals
4) LU yin xu

5

Which pleurisy pattern is the wet type?

retained fluids in chest/hypochondrium

6

Which pleurisy pattern is dry type?

retention of phlegm heat in shaoyang

7

Pain in chest and hypochondriac, oppression feeling in the chest, difficulty breathing, chronic cough

Disharmony of collaterals

8

Chest and hypochondriac pain subside, while dispnea gets worse, fullness/swelling of chest and hypochondrium, cannot lie flat or lie on ill side

Retained fluids in chest and hypochondrium

9

Spasmodic dry cough with little sputum, dull chest and hypochondriac pain, afternoon fever, malar flush, dry mouth/throat, restlessness, night sweats

LU yin xu

10

Alternate chills/fever, sweats, cough with little sputum, SOB, stabbing pain in chest and hypochondriac region which is worse on breathing and turning, fullness in epigastric region, dry vomit, bitter taste in the mouth, dry throat

Retention of phlegm heat in shaoyang

11

What does Orthopnea mean?

cannot lie flat

12

Retention of phlegm heat in shaoyang tongue/pulse?

T= thin white or thin yellow coating
P= wiry, rapid

13

Disharmony of collaterals tongue/pulse?

T= thin
P= wiry

14

Retained fluids in chest hypochondrium tongue/pulse?

T= thin and white
P= deep wiry, or wiry slippery

15

LU yin xu tongue/pulse?

T= red, little coat
P= thin, rapid

16

POT for LU yin xu?

nourish yin to clear heat

17

POT for disharmony of collaterals?

Reg. Qi and circulate the channels

18

POT for retention of phlegm heat in shaoyang?

harmonize shaoyang to remove phlegm heat

19

POT for retained fluids in chest and hypochondrium

drain retained fluids from lung

20

disharmony of collaterals points?

SJ-6, GB-34, LU-5, SP-21, LV-5

21

LU yin xu points?

UB-13, UB-43, LU-1, LU-9

22

retained fluids in chest/hypochondrium points?

RN-17, LU-1, LV-13, SP-9, ST-40, ST-36

23

retention of phelgm heat in shaoyang points?

SJ-6, GB-34, LU-5, LU-10

24

Approximately how long is the treatment period for Pleurisy?

6 months or longer (if cancerous or bacterial infection)

25

Pleurisy Alternative remedies?

1) auricular (chest, LU, shenmen, sympathetic)
2) moxa (direct-rice moxa) (SP-9, SP-21, LV-5) ESP retained fluids in chest and hypochondrium

26

What are the two layers in the chest involved in pleurisy?

1) inside layer= visceral
2) outside layer= parietal

* fluid accumulates between layers

27

Western causes of Pleurisy?

allergic rxn, immune disorder, cancer, bacteria, trauma, kidney failure

28

Western Plerisy Tx?

1) antibiotic
2) pain killer
3) draw fluid