Cough 咳嗽，Ke Sou
Cough 咳嗽，Ke Sou
Concept Cough is one of the major symptoms of the lungs.Its eausative factors may be exogenous or endogenous.Exogenous factors include wind cold and wind heat which attack the lung and prevent it from performing its function of dispersing and descending.Endogenous factors include disorders of the lung itself and disorders of other Zangfu organs affecting the lung
Concept • Cough is one of the major symptoms of the lungs.Its causative factors may be exogenous or endogenous.Exogenous factors include wind cold and wind heat,which attack the lung and prevent it from performing its function of dispersing and descending.Endogenous factors include disorders of the lung itself and disorders of other Zangfu organs affecting the lung
Etiology and Pathogenesis Invasion of Failure of the lung by the lung to wind cold disperse Dysfunction Exopathogenic of the lung factors Invasion of Failure of in dispersing and the lung by the lung to wind heat descending descend Obstruction ofthe lung by phlegm The rising of Endopathogenic damapness lung qi factors Liver fire attacking the lungs Cough
Etiology and Pathogenesis Exopathogenic factors Endopathogenic factors Invasion of the lung by wind cold Invasion of the lung by wind heat Failure of the lung to disperse Failure of the lung to descend Obstruction of the lung by phlegm damapness Liver fire attacking the lungs Dysfunction of the lung in dispersing and descending The rising of lung qi Cough
Differentiation
Differentiation
1.wind cold .Main Manifestations:Harsh cough with dilute whitish sputum Accompanying Symptoms and sighs:Aversion to cold,fever without sweating nasal obstruction with clear nasal discharge,itching of the throat Tongue and Pulse:A thin and white tongue coating,a floating and tense pulse
1.wind cold • Main Manifestations:Harsh cough with dilute whitish sputum • Accompanying Symptoms and sighs:Aversion to cold,fever without sweating,nasal obstruction with clear nasal discharge,itching of the throat • Tongue and Pulse:A thin and white tongue coating,a floating and tense pulse
2.Wind Heat eMain Manifestations:The frequent cough with coarse breathing,sticky yellowish sputum with difficulty in expectorating Accompanying Symptoms and Signs:A dry mouth and thirst,sore throat itching sensation in the throat feverish sensation with aversion to wind Tongue and Pulse:A thin and yellow tongue coating,a floating and rapid pulse
2.Wind Heat • Main Manifestations:The frequent cough with coarse breathing,sticky yellowish sputum with difficulty in expectorating • Accompanying Symptoms and Signs:A dry mouth and thirst,sore throat,itching sensation in the throat,feverish sensation with aversion to wind • Tongue and Pulse:A thin and yellow tongue coating,a floating and rapid pulse
3.Phlegm Dampness e Main Manifestations:Cough with profuse sputum,fullness sensation in the chest and epigastric region Accompanying Symptoms and Sighs:General lassitude,poor appetite,loose stool Tongue and Pulse:A white and greasy tongue coating a soft pulse
3.Phlegm Dampness • Main Manifestations:Cough with profuse sputum,fullness sensation in the chest and epigastric region • Accompanying Symptoms and Sighs:General lassitude,poor appetite,loose stool • Tongue and Pulse:A white and greasy tongue coating,a soft pulse
4.Liver Fire Main Manifestations:Proxysmal cough,soft pain in the chest and hypochondrium due to cough Accompanying Symptoms and Signs:A bitter taste in the mouth ,scanty and sticky sputum,cough in case of qr ascending adversely .Tongue and pulse:A thin and yellow tongue coating with less moisture,a wiry and rapid pulse
4.Liver Fire • Main Manifestations:Proxysmal cough,soft pain in the chest and hypochondrium due to cough • Accompanying Symptoms and Signs:A bitter taste in the mouth ,scanty and sticky sputum,cough in case of qi ascending adversely • Tongue and pulse:A thin and yellow tongue coating with less moisture,a wiry and rapid pulse
Treatment Treatment Principle:Clearing and descending lung qiresolving phlegm and stopping cough Acupoint Sesection:select Feishu(BL13),Lieque(LU7)and Hegu(LI4)as the main points.For wind cold add waiguan(SJ5)and Fengmen(BL12).For wind heat,add Chize(LU5) and Dazhui(DU14).For phlegm dampness.add Pishu(BL20),Taibai(SP3)and FengLong(ST40).For liver fire,add Ganshu(BL18),and Taichong(LR3) Method Puncture Lieque obliquely upward 0.5- 1.0 cun,Dazhui obliquely upward 0.5-1.0 cun,and Hegu perpendicularly 1.0 cun.These points are
Treatment • Treatment Principle:Clearing and descending lung qi,resolving phlegm and stopping cough • Acupoint Sesection:select Feishu(BL13),Lieque(LU7) and Hegu(LI4) as the main points.For wind cold ,add waiguan(SJ5) and Fengmen(BL12).For wind heat,add Chize(LU5) and Dazhui(DU14).For phlegm dampness,add Pishu(BL20),Taibai(SP3) and FengLong(ST40).For liver fire,add Ganshu(BL18),and Taichong(LR3) • Method :Puncture Lieque obliquely upward 0.5- 1.0 cun ,Dazhui obliquely upward 0.5-1.0 cun,and Hegu perpendicularly 1.0 cun.These points are punctured with the reducing method.Retain the