Exopathic Cough Exopathic Cough 1) Wind-Cold Wind-Cold type cough Signs & Symptoms: – Main Sym. : Newly-occurred cough, coughing sound being lower and vague, white & thin sputum – Concurrent sym.: headache, nasal stuffiness, nasal clear discharge, painful sensation in the joints, aversion to cold & no sweating – Tongue: white body with thin coating – Pulse: Floating • Treatment Protocol: – Expel the Wind – Release the cold – Restore the Descending and Dispersing Function of the LU Qi
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Exopathic Cough 1) Wind-Cold type cough Signs & Symptoms:
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Exopathic CoughExopathic Cough 1) Wind-Cold Wind-Cold type cough
Signs & Symptoms:
– Main Sym. : Newly-occurred cough, coughing sound being lower and vague, white & thin sputum
– Concurrent sym.: headache, nasal stuffiness, nasal clear discharge, painful sensation in the joints, aversion to cold & no sweating
– Tongue: white body with thin coating
– Pulse: Floating
• Treatment Protocol:
– Expel the Wind – Release the cold– Restore the Descending and Dispersing Function of the LU Qi
Formula:
Modifications:Aversion to cold
-- Mang Huang, Fang Fen, Qiang HuoSputum
- - Chen Pi, Ban Xia
Headache -- Chuang Xiong, Bai Zi
Cough with sore & dry throat, thirst, severer fever, yellow fur, floating rapid pulse - Ma Xing Shi Gan Tang
Xing su San
Xing Ren Zi Su Chen Pi Ban Xia Sheng Jiang Zhi ke
Jie geng Qianhu Fu ling Gan cao Da Zhao
Jin Fei Cao San
Xuan Fu HuaXuan Fu Hua Bai Shao Bai Shao Gan CaoGan Cao Zhi Gan Cao Qian Hu
Jing Jie Sheng Jiang Da Zhao Jiang Ban xia Ma Huang
Zhi Ke Shi San Wei
Chuan Xiong Ban Xia Fu ling Sang bai pi Gan Cao
Qing Pi Xing Ren Wu wei zi Chuan bei muj Chen Pi
Exopathic CoughExopathic Cough 2) Wind-Heat Wind-Heat type cough
Signs & Symptoms:
– Main Sym. : Dry cough or cough with loud voice, thick sputum
– Concurrent sym.: fever & aversion to wind, headache, sweating, sore throat, thirst, runny nose with yellow discharge, sneezing, slight thirst, slightly dark urine.
– Tongue: slightly red sides
– Pulse: Floating & rapid
• Treatment Protocol:
– Release the exterior– Expel the wind– Clear the heat– Restore the Descending of Lu Qi and stop cough
Formula:
Modifications: Aversion to wind
-- Jin Jie, Fang Feng Severer lung Heat
- - Huang Qin, Shi GaoCough
- Niu Pang Zi, Qian Hu, Zhe Bei Mu, Pi Pa Ye
throat itching-- Fang Feng
Sore throat- Niu Pang Zi, Ma bo, Ban Lan Geng
Sputum being difficult to be expectorated- Quan Gua Lou
nosebleed- Mao Geng, Ou Jie
oppressed feeling in the chest, thick white fur, soft pulse- Yi Ni ren, Hou Pu
restlessness, thirsty, dark urine in summer- Huo Xiang, Pei lan
Sang Ju Yin
Sang Ye Ju hua Bo he Xing Ren Jie Geng Lu Geng
Jie geng Lian Qiao Gan Cao
Exopathic CoughExopathic Cough 3) Wind-DryWind-Dry type cough
Signs & Symptoms:
– Main Sym. : Dry and ticklish cough without sputum or sputum being difficult to be expectorated, dry-itchy-sore throat
– Concurrent sym.: sore sensation in the upper chest, cough with blood sputum, dry lips, dry mouth, stuffed nose, headache, slight aversion to cold and slght shivers
– Tongue: slightly red sides or tip, thin yellow dry coating
– Pulse: Floating or slightly rapid
• Treatment Protocol:
– Release the exterior– Promote fluids and stop cough– Restore the Descending of Lu Qi
Formula:
Modifications:severer cough with itching throat
-- Qian Hu, Chan Tui, Jie Geng, Gan caosore throat
-- Ma Bo, Xuan Shennose bleeding or bloody sputum
-- Bai Mao Geng, Shen Di Huang severer lung heat
- Zhi Mu- Zhi Mu, Shi GaoCough
- Niu Pang Zi, Qian HuDryness
-- Yu Zu, Mai Meng Dong, Tian Hua Feng
Dry-cold attack lung- Jing Jie, Fang feng, Zi Wan, Kuang dong Hua ( reduce zhizi, bei mu, pear skin)
Sang Xing Tang
Sang Ye Xing Ren Sha Sheng Zhe Bei Mu Dan dou Chi
Shan Zhi zi Pear skin
Internal injury CoughInternal injury Cough 1) Phlegm-dampnessPhlegm-dampness type cough
Signs & Symptoms:
– Main Sym. : Chronic cough, abundant sputum being white color and easy to be expectorated
– Concurrent sym.: chest distress, poor appetite, tiredness, weakness and frequent loose stool, cough is aggravated in the morning or after intake of sweet and greasy food
– Tongue: white greasy coating
– Pulse: soft
• Treatment Protocol:
– Strengthen the spleen– Removing dampness – Restore the Descending of Lu Qi
Formula:
Modifications:Oppressed feeling in the chest
-- Cang Zhu, Hou pu, Xing Ren, Yi yi Ren
Severer cough-- - Ma Huang, Xing Ren, Zi Su Zi
Phlegm-cold sym: aversion to cold-- Gan Jiang, Xi Xin
Spleen Def. : pale tongue, week pulse and diarrhea-- Dang Sheng, Bai Zhu
Cough with strike reverse flow of qi-- San zi yang qin tang
– Main Sym. : Cough, shortness of breath, yellow greasy phlegm
– Concurrent sym.: distending and painful sensation in the chest when coughing, bitter taste, dry mouth, thirst, stinking phlegm or bloody phlegm or fever
– Tongue: yellow greasy tongue coating
– Pulse: slipper rapid
• Treatment Protocol:
– Strengthen the spleen– Removing dampness – Restore the Descending of Lu Qi
Formula:
Modifications:Sticking phlegm
-- Yu Xing Cao, Lian Qiao, Yi Ni Ren, Dong Gua RenPurulent sputum
-- Dan Nan Xing, Yi Yi Ren, Dong Gua Ren Feeling of oppression in the chest with severe cough and constipation
-- - Ting li Zi or Da Huang Phlegm heat damage fluid: thirsty
-- Sha Sheng, Tian Hua FengBloody phlegm
-- Mao Geng, Ou JieFluids being injured
-- Sha Sheng, Tian Meng Dong, Tian Hua Feng
Qing Jin Hua Tan Tang
Huang qin Shan zhi zi Jie Geng Mai Dong Sang Bai Pi Bei Mu
– Main Sym. : Cough induced pain involving the chest & hypochondrium
– Concurrent sym.: Flushed face, dry throat & mouth, pain on coughing, bitter taste, dark urine, dry stools, irritability and a dry mouth, symptoms are along with the change of emotional activity
– Tongue: yellow thin tongue coating with less moisture
– Pulse: wiry rapid
• Treatment Protocol:
– Smooth the liver qi– Clear the lung heat – Restore the descending of Lung-Qi and stop cough
Formula:
Modifications:Cough:
-- Jie Geng, Gan CaoLiver Fire:
-- Long Dan CaoFever
-- Huang Qin, Shan Zhi Zi, Mu Dan PiSputum & sever cough
-- - Bei Mu, Gua Lou, Zhu Ru, Su Zi, Pi Pa YeSymptoms of rebellious Qi: Fullness of chest
Bitter, Spicy, salty, little warm, Lu. Liv. St. Sp.
Redirect Qi Downward; Reduce the phlegm & promotes the dissipation of pathogenic water
Cough with phlegm & water accmulation
Qi def. and diarrhea
Wu Wei Zi Sour, sweet, Warm, Lu. Ht. Kid.
Contain the leakage of Lu. Qi & stop cough Chronic cough Cough due to external evil attack
Chen Pi Bitter, Spicy, Warm, Lu. Sp. St.
Regulate the Qi, Dry & transform the Phlegm Cough with phlegm or Middle Jiao Qi Stag.
Qi def.
Xi Xin Spicy, warm, Lu. Kid. Little toxinLittle toxin
Warm the Lu. Stop cough, open the nose Cough with nose congestion
Bai Qian Spicy, sweet, little warm
Redirect Qi Downward, reduce phlegm, Exterior Cough with phlegm
Weak and def. patient
Difference of all stop coughing herbsName Taste Actions Disease Caution
Jie Geng Spicy, bitter, Lu.
Reduce phlegm, benefit the throat, Guide herb to the lung
Cough with phlegm and sore throat
Def. cough or dry cough without phlegm
Lai Fu Zi Spicy, sweet, Lu.
Reduce phlegm and middle Jiao Qi stagnation
Cough with phlegm or abdominal distention
Qi def. or cough without phlegm
Bai He Sweet, Lu. Ht. Tonify Lung Yin and stop cough Cough due to lung Yin def. or dryness
Exterior cold
Bai Guo Sweet, Bitter, little toxin Lu.
Contain and tonify the lung Qi Asthma with cough Cough with thick phlegm
San Bai Pi Sweet, Spicy, cold
Clear Lu. Fire, Promote urine reduce swollen
Lung heat type cough (with swollen)
Qi def. or exterior cold
Pi Pa Ye Bitter, Lu. St. Clear lung & st. heat, redirect qi downward,
Lung heat type cough (with vomiting or nausea)
Chuan Bei Mu
Bitter, sweet, Lu. Ht. little cold
Moisten Lu. Redirect qi downward, reduce phlegm
Cough due to yin def.
Zhe Bei Mu
Bitter, Lu. Ht. cold
Drain heat, disperse the exterior wind-heat
Exterior cough
Case History 1. Female 26 years old Got cold 3 months ago due to walk in a raining day. At that time: stuffy nose with clear discharge, ache
of whole body, cough with lot sputum. She took JinFangBaiDuSan + Xin Su San for 2 days, and all the symptoms got better except cough. She took the antibiotics medicine, but not working. After changing 4 TCM doctors and taking 20 bags of stopping coughing herbs, still not working Sym now:Sym now: Cough with itching throat, less sputum and hard to be expectorated, Tongue: white coating and little thick in the middle & root Pulse: slipper & thready
Treatment Protocol:
First visiting of clinic:Restore the descending of Lung-Qi
expel the wind-cold
Xuan fu Hua 10, Bai Shao 12, Gan Cao 5, Jin Jie 15, ZiSu Ye 10, Qian Hu 10, Ban xia 10, Xin Ren 10, Bai Jie Zi 10, Jie Geng 10 ( 2 bags)
Second visiting:sym: cough is getting much better, no itching throat, sputum is easily expectorated
Third visitingSym: No coughing in daytime, still little cough at night
Zhi ke shi San Fang
Brachial wheezing syndromeBrachial wheezing syndrome TCM Diagnoses and Treatments
Wheezing (Xiao) indicates a wheezing sound which may resemble that of whistling, snoring or sawing. It is usually accompanied by breathlessness with an inability to breathe when lying down