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Internal Therapeutics 2 > Pneumonia > Flashcards

Flashcards in Pneumonia Deck (24):
0

Etiology

EPFs (Wind, heat, cold, damp)

Weak Constitution } Deficiency of Lung and Wei Qi
Prolonged Illness

Overstrain


Invasion of Wind Heat in the Lung (Early Stage) -->Dispersing and Descending of Lung ---> Fails to regulate water passages---> Phlegm and Heat --> Retention of Phlegm Heat in the lung (Middle Stage) ---> 1. Blockage of Collaterals = Disharmony of Collaterals (Late Stage)
2. Severe Xie Qi, Weak Zheng Qi (Critical Stage) =Depletion of Yang
Invasion of heat in PC

1

Pneumonia Syndromes

Invasion of Wind Heat in the Lung

Retention of Phlegm-Heat in the Lung

Invasion of Heat in the Pericardium

Depletion of Yang

2

Pneumonia Basic Points

Du 14
Du 12
UB 13
Ub 15
Ren 17

3

Acute onset with shaking chills, fever, cough, chest pain

T: Red tip with slightly yellow coating
P: Superficial Rapid

Invasion of Wind heat in the lung

4

POT or Invasion of Wind Heat in the Lung

Disperse wind
Clear heat from lung

5

What is Orthopnea?

SOB in the recumbent position and relieved by sitting or standing

6

Points for Invasion of Wind Heat in the Lung

Lu 10
LI 11
St 44

7

High fever, cough with rust sputum, dyspnea, chest pain

T: Red tongue with sticky yellow coating
P: Slippery and rapid

Retention of Phlegm heat in the lung

8

POT for Retention of phlegm heat in the lung

Transform phlegm
Clear heat from the lung

9

Points for Retention of Phlegm Heat in the lung

Lu 5
LI 4
St 40

10

High fever, mental restlessness, mental confusion, loss of consciousness, delirium

T: Deep red tongue
P: Thready and rapid

Invasion of Heat in the Pericardium

11

POT for Invasion of heat in the Pericardium

Clear heat from PC
Revive consciousness

12

Points for Invasion of Heat in Pericardium

Pc 6
SI 3
Pc 9

13

Profuse cold sticky sweat, cold body and extremities, low blood pressure

T: Pale or red
P: Thready, fading and rapid

Depletion of Yang

14

POT for Depletion of Yang

Restore yang to promote resucitation

15

Points for Depletion of Yang

Ren 8
Du 26
Du 25
Pc 6

16

3 Types of Bacteria that cause Pneumonia

Pneumococcus ( Main cause)
Staphylococcus
Streptococcus

17

Definition

Acute inflammation and infection of the lung/bronchioles/respiratory tissue

18

Common Symptoms

Cough with rust sputum
High fever - above 40c
Dyspnea
Sudden Onset
*Cold/chills - Indicates High fever*
Malaise
Nausea/vomiting

~ Starts as cough/cold and symptoms gradually get worse

19

Western Diagnosis

Chest X-ray - Shallow lung lobe

* Pneumonia takes over the whole lobe
*TB only affects the upper part of the lobe

20

Organs Involved

Lung
Large Intestine
Heart
Pericardium

21

4 Stages of Pneumonia

1st Stage: Congestion: first 24 hours, vascular

2nd Stage: Red Hepatization ( Looks like liver): The lung becomes solid

3rd Stage: Grey Hepatization: Red cells disintegrate turning the lung gray

4th Stage: Resolution: Cleared by macrophages

22

TCM Treatment

Tcm doesn't treat pneumonia still need antibiotics but can help manage

Early: disperse wind - GB 20
Middle: clear heat, dispel phlegm - bleed LU 11, St 40, LI 11, Ren 12
Late: nourish Yin - tonify kid 3, UB 43

Yang Qi Depletion- Ren 4/6, Du 20

Ear bleeding
Herbal
Cupping and Guasha (early to middle stage)

23

Education

Adequate fluid intake
Avoid EPF
Monitor temp
No greasy food
Eat soup
Rest