CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)

Clinical Manifestations
  • Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. Symptoms include breathing difficulty, cough, mucus (sputum) production and wheezing. It's caused by long-term exposure to irritating gases or particulate matter, most often from cigarette smoke. People with COPD are at increased risk of developing heart disease, lung cancer and a variety of other conditions.

    Emphysema and chronic bronchitis are the two most common conditions that contribute to COPD. Chronic bronchitis is inflammation of the lining of the bronchial tubes, which carry air to and from the air sacs (alveoli) of the lungs. It's characterized by daily cough and mucus (sputum) production.

Treatment Principle
Herb Formulas

Points
Clinical Manifestations
  • Aversion to Wind
  • Chills and fever
  • Spontaneous perspiration
  • Headache
  • Nasal obstruction
  • Itchy throat
  • Cough with expectoration of clear, or white sputum.
  • Asthma
  • Shortness of breath
  • Sore throat with phlegm
  • T: Normal
  • C: Thick and greasy or Sticky white
  • P: Floating and weak or Floating and slippery
Treatment Principle
  • Disperse Wind
  • Stop cough
  • Resolve Phlegm
  • Relieve the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Severe chills
  • Mild or no fever
  • Headache
  • Generalized discomfort
  • Stiff neck and shoulders
  • Body aches
  • Joint ache
  • Nausea
  • Vomiting
  • Hiccups
  • Anhidrosis
  • Gasping
  • Stabbing joint pain
  • Itchy throat
  • Cough
  • Asthma
  • Aversion to Wind and Cold
  • Maybe low back pain
  • Maybe frozen shoulder
  • Maybe dyspnea
  • Maybe epistaxis (severe)
  • T: Normal
  • C: Thin and white
  • P: Floating and tight
Treatment Principle
  • Relieve the Exterior
  • Expel Cold
  • Disperse the Lungs
  • Stop asthma
Herb Formulas
Points
Clinical Manifestations
  • Chills and fever or
  • Fever with no thirst
  • Achiness
  • Stiff neck and shoulders
  • Anhidrosis
  • Headache
  • Stabbing joint pain
  • Itchy throat
  • Cough
  • Asthma
  • Aversion to Cold
  • Maybe frozen shoulder
  • Dyspnea
  • Shortness of breath
  • Mild or severe gasping
  • Hiccups
  • Fullness in chest
  • Vomiting
  • Heaviness of the body
  • Edema
  • Dysuria
  • Maybe thirst
  • Maybe diarrhea
  • Maybe scanty urine
  • Maybe lower abdominal fullness
  • T: Normal
  • C: Greasy and white
  • P: Floating and slippery or tight
Treatment Principle
  • Relieve the Exterior
  • Expel Cold
  • Disperse the Lungs
  • Stop asthma
  • Expel water or Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills
  • Maybe fever only
  • Achiness
  • Anhidrosis
  • Headache
  • Cough
  • Asthma
  • Aversion to cold
  • Edema
  • Thirst
  • Restlessness
  • Irritability
  • Fidgeting
  • Constipation
  • Sometimes dry achy eyes
  • T: Normal or red
  • C: Yellow or white
  • P: Floating and tight or rapid
Treatment Principle
  • Expel Wind
  • Disperse Cold
  • Cool Heat
Herb Formulas
Points
Clinical Manifestations
  • Coughing and wheezing
  • Cough with expectoration of copious thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus (as in Lung abscess)
  • Dyspnea
  • Asthma
  • Aversion to Cold
  • Fever or fever and chills
  • Spontaneous sweat
  • Headache
  • Rapid breathing
  • Dark, yellow urine
  • Thirst with a preference for cold beverages
  • Fidgetiness
  • Restlessness
  • Pain in the ribs
  • T: Normal
  • C: Greasy, yellow
  • P: Slippery, rapid - slightly floating
Treatment Principle
  • Disseminate and descend Lung Qi
  • Stop asthma (wheezing)
  • Stop cough
  • Clear Heat
  • Transform Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Severe chills
  • May have mild fever
  • No sweat
  • Aversion to Cold
  • Cold extremities
  • Cold sensation on back
  • Pale face
  • Extreme fatigue
  • Muscle aching
  • T: Pale with scallop
  • C: White
  • P: Deep, weak and thready
Treatment Principle
  • Warm Yang
  • Expel Cold from the Exterior
  • Dispel Cold from the Interior
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Fullness and focal distention in the chest and diaphragm
  • Pain in the chest and diaphragm with pressure
  • Thick, sticky, difficult-to-expectorate Phlegm
  • Panting
  • A bitter taste in the mouth
  • Chest pain with coughing or on deep inhalation
  • Anorexia
  • T: Normal
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Expand the chest
  • Release the Shao Yang
Herb Formulas
Points

Clinical Manifestations
  • Lung-distension
  • Wheezing with a productive cough
  • Dyspnea
  • Panting
  • Yellow or white mucus which is difficult to expectorate
  • Thick phlegm
  • A dry mouth with a desire to drink
  • Maybe no thirst A choking sensation in the chest
  • A sense of fullness in the chest and diaphragm
  • The eyes look like they are popping out of their sockets
  • Facial edema
  • Chills
  • Oliguria
  • A mild to moderate fever
  • Dry stools
  • Maybe headache
  • Maybe the sound of sputum rattling in the throat
  • Maybe nervousness
  • Maybe anxiety
  • T: Red
  • C: Yellow and may be greasy
  • P: Floating, large and slippery or Slippery and rapid
Treatment Principle
  • Disseminate Lung Qi
  • Calm wheezing
  • Dispel Thin Mucus
  • Clear Heat
  • Relieve cough and dyspnea
Herb Formulas
Points
Clinical Manifestations
  • Dry cough with little or no sputum
  • Sputum is difficult to expectorate
  • Maybe hemoptysis
  • Cough may cause chest pain
  • Dry or sore throat
  • Hoarse voice
  • Dry lips and mouth
  • Thirst
  • Dryness in nose
  • Epistaxis
  • Chills and fever
  • Headache
  • Anhidrosis
  • Dry skin and hair
  • Constipation
  • T: Red tip
  • C: Thin, yellow and dry
  • P: Superficial, maybe rapid
Treatment Principle
  • Clear the Lungs
  • Moisten Dryness
Herb Formulas
Points
Clinical Manifestations
  • Cough with sticky yellow or blood tinged sputum Steaming bones sensation
  • Night sweats
  • Tidal fever
  • Warm sensation in the afternoon
  • Red lips
  • Red cheeks
  • Lethargy
  • Alternating chills and fever
  • Five-sole-Heat
  • Dry mouth
  • Dry throat
  • Emaciation
  • Weak limbs
  • T: Red
  • C: Little or None
  • P: Faint and rapid
Treatment Principle
  • Nourish Yin and Blood
  • Clear Deficiency Heat
  • Reduce steaming bones sensation
  • Dispel Wind-Dampness
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • No chills
  • Aversion to Heat
  • Cough
  • Asthma
  • Restlessness
  • Thirst
  • Dry mouth
  • Red face
  • Worse in the afternoon
  • Dark yellow urine
  • Dyspnea
  • Chest pain
  • Shortness of breath
  • Thick yellow Phlegm which is difficult to expectorate
  • T: Red
  • C: Thick and yellow, maybe dry and sticky
  • P:  Rapid, maybe slippery, maybe forceful
Treatment Principle
  • Clear Heat in Lungs
  • Strengthen when weak or elderly
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • No chills
  • Aversion to Heat
  • Profuse sweat
  • Great thirst with desire to drink
  • No chill
  • Cough
  • Asthma
  • Restlessness
  • Thirst
  • Irritability
  • Abdominal pain
  • Dryness
  • Red face
  • Dry stools
  • Rough breathing
  • Dark yellow urine
  • Dyspnea
  • Chest pain
  • Shortness of breath
  • Thick yellow Phlegm
  • T: Red
  • C: Thick and yellow, maybe dry and sticky
  • P:  Rapid, maybe slippery, maybe forceful or Rolling, gigantic and rapid
Treatment Principle
  • Clear Heat in Lungs and Stomach
  • Reduce fever
  • Moisten and replenish Body Fluids
Herb Formulas
Points
Clinical Manifestations
  • Dyspnea with lots of sputum
  • The sputum is difficult to expectorate
  • The sputum rattles in the throat
  • Chest and diaphragm blocked
  • Fullness of the chest
  • Anorexia
  • Nausea
  • T: Normal or Pale
  • C: Sticky and white
  • P: Slippery or Slippery and large
Treatment Principle
  • Expel Phlegm
  • Stop asthma
Herb Formulas
Points
Clinical Manifestations
  • Shortness of Breath
  • Cough with copious, thin, white, frothy sputum
  • Chest congestion with full feeling
  • Dyspnea which is worse when lying down
  • Sometimes asthma
  • Anorexia
  • Edema
  • Abdominal distention
  • Chest and hypochondriac distention
  • Dizziness
  • Nausea
  • Vomiting
  • Vertigo
  • Thirst with no desire to drink
  • Maybe no thirst
  • Palpitations
  • T: Pink
  • C: Thick, white and greasy or sticky
  • P: Slippery or Slippery, full and maybe wiry
Treatment Principle
  • Activate the Spleen
  • Dry Dampness
  • Expel Phlegm
  • Purge the Lungs
  • Warm and Dissolve Tan Yin
Herb Formulas
Points
Clinical Manifestations
  • Cough with copious, thin, white, frothy sputum
  • Chest and diaphragm congestion with full feeling
  • Dyspnea which is worse when lying down
  • Panting with rales in the throat which usually occurs when exposed to Cold
  • Sometimes asthma
  • Maybe cold upper back
  • A greenish-blue, stagnant facial complexion
  • No thirst or
  • A preference for warm drinks
  • Aversion to Cold
  • Maybe a slight fever
  • Headache
  • Itchy throat
  • Sneezing
  • Runny nose
  • Body aches
  • Maybe itchy skin at the beginning of the acute stage
  • T: Pink
  • C: Thick, white and greasy or sticky
  • P: Slippery or Floating and tight
Treatment Principle
  • Activate the Spleen
  • Dry Dampness
  • Expel Phlegm
  • Purge the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Cough with expectoration of copious thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus (as in Lung abscess)
  • Dyspnea
  • Asthma
  • Pain in the ribs
  • Maybe chills and fever
  • T: Scarlet
  • C: Yellow and smooth
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Counteract Toxin
  • Transform Stasis
  • Drain Pus
  • Resolve Phlegm
  • (The use of Clear Heat / Counteract Toxin herbs and the principle of "Draining Pus" are only relevant when foul-smelling pus is being expectorated such as in pulmonary abscess)
  • Soothe asthma in case of asthma
Herb Formulas
Points
Clinical Manifestations
  • Cough
  • Yellow Phlegm
  • Dry mouth
  • Thirst with a desire to drink
  • Constipation
  • Sore throat
  • Hematemesis
  • Hemoptysis
  • T: Red and dry
  • C: Yellow
  • P: Rapid
Treatment Principle
  • Clear and purge Lung Heat
  • Transform Phlegm
  • Stop cough and asthma
Herb Formulas
Points
Clinical Manifestations
  • Soft, weak cough with clear thin sputum
  • Physical and mental exhaustion
  • Soft, weak voice
  • Reluctance to speak
  • Shortness of breath
  • Pale face
  • With Wei Qi Deficiency:
    Spontaneous perspiration (daytime)
    Low resistance to common cold
    Tendency to a blocked nose
  • T: Pale
  • C: Thin and white
  • P: Weak
Treatment Principle
  • Reinforce the Lungs
  • Strengthen Qi
Herb Formulas
Points
Clinical Manifestations
  • Longstanding weak, dry cough with a little amount of white mucous or bloody sputum
  • If mucus is present, it is thick and hard to expectorate
  • Dry mouth
  • Dry throat
  • Hoarseness
  • Flushed cheeks
  • Afternoon fever
  • Five sole Heat
  • Insomnia
  • Night sweating
  • Fatigue
  • Emaciation
  • T: Red or Red and dry
  • C: Little or None or Peeled
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Moisten the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Wheezing
  • Panting
  • Shortness of breath
  • Above symptoms are worse with exertion
  • Weak cough
  • Little or no mucus
  • Soft voice with little desire to talk
  • Spontaneous sweating
  • Aversion to Wind
  • Frequent cols and flu
  • Occasional dry, sore throat
  • T: Pale red, dry, swollen often with extensive cracks
  • C: Little or None
  • P: Weak and soft, possibly extending up the thenar eminence
Treatment Principle
  • Tonify and nourish Lung Qi and Yin
  • Descend Lung Qi
  • Stop wheezing
Herb Formulas
Points
Clinical Manifestations
  • Cough with little yellow sputum
  • Spitting saliva
  • Wheezing
  • Shortness of breath
  • Dry, uncomfortable sensation in throat
  • Hiccups
  • Dry mouth
  • Coughing up difficult-to-extectorate Phlegm
  • Nausea
  • Scanty urination
  • Hoarseness
  • Thirst
  • Asthma
  • Flushed face
  • Five sole Heat
  • Vomiting
  • T: Red and dry
  • C: Little or None
  • P: Thready and rapid or Deficient and rapid
Treatment Principle
  • Benefit the Stomach and Lungs
  • Generate Fluids
  • Descend Qi
  • Harmonize the Middle Jiao
Herb Formulas
Points
Clinical Manifestations
  • Protracted, incessant cough
  • Expectoration of copious, clear, watery or white Phlegm
  • Short, weak, breathing
  • Asthma
  • Spontaneous sweating
  • Weak voice
  • Reluctance to speak
  • A general air of sadness or melancholy
  • A waxy, pale complexion
  • Rounded or hunched shoulders
  • Four limbs tired
  • Anorexia
  • General lassitude
  • Distention and pain of the epigastrium and abdomen
  • Loose stools
  • Severe cases:
    Frightens easily
  • T: Pale with a thin crack
  • C: White or White and greasy
  • P: Thready and weak or Floating and weak
Treatment Principle
  • Reinforce the Spleen
  • Benefit the Lungs
  • Descend Lung Qi
  • Disperse accumulation
Herb Formulas
Points
Clinical Manifestations
  • Unproductive cough
  • Scanty, sticky phlegm or
  • Sometimes blood-streaked sputum
  • Chronic wheezing which is severe and may be constant
  • Wheezing may be worse at night
  • The patient may develop a barrel chest and a thick neck
  • Tightness and fullness in the chest
  • Dry mouth
  • Dry throat
  • Warm, dry skin
  • Chronic sore throat
  • Low back and knees sore and weak
  • "Steaming Bone" tidal fever
  • Night sweats
  • Malar flush
  • Maybe hoarse voice
  • Aversion to Heat
  • Finger clubbing
  • Large, red skin reaction to needles or pressure
  • Maybe kyphosis of the upper back
  • Maybe pain in shin, foot, and heel
  • Sterility
  • Spermatorrhea
  • Patients who used steroids as children may be small in stature
  • T: Red and dry
  • C: None or Mirrored
  • P: Thready and rapid, may be fuller if on steroids
Treatment Principle
  • Nourish Yin
  • Moisten the Lungs
  • Reinforce the Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Pain in the chest which often radiates to the upper back
  • Pain may radiate to upper shoulders, neck and epigastrium
  • Asthma
  • Wheezing
  • Cough
  • Shortness of breath
  • Spitting saliva
  • Wheezing cough with copious sputum
  • T: Pale or Pink
  • C: Thick and greasy
  • P: Deep and wiry or Tight
Treatment Principle
  • Unblock Yang
  • Promote movement of Qi
  • Expel Phlegm
Herb Formulas
Points

Clinical Manifestations
  • Sudden collapse with loss of consciousness
  • Lockjaw (trismus)
  • Eyes open
  • Both fists clenched
  • Retention of urine
  • Constipation
  • Stiffness and spasm of limbs
  • Pale face with bluish lips
  • Limbs cold, pale and still
  • Lying peacefully
  • Usual sequelae of C.V.A. such as:
    Hemiplegia
    Aphasia
    Facial paralysis
  • T: Pink
  • C: White and greasy
  • P: Deep, slippery and even
Treatment Principle
  • Open the Heart Orifices with Pungent Warming Herbs
  • Eliminate Phlegm
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Fainting
  • Vertigo
  • Headache
  • Accumulation of congested Fluids that won't dissipate
  • Vomiting
  • Stifling sensation of chest and diaphragm
  • Distention of chest and diaphragm
  • Distention and fullness of hypochondria and flanks
  • Dizziness
  • Nausea
  • Restlessness when sitting or lying down
  • Coughing and wheezing
  • Copious sputum
  • Thick, gummy nasal discharge and saliva
  • Difficult breathing
  • Reduced appetite
  • T: Pink
  • C: White and greasy
  • P: Slippery
Treatment Principle
  • Clear Phlegm
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Vertigo
  • Nausea and vomiting
  • Insomnia
  • Dream-disturbed sleep with unusual dreams
  • Palpitations
  • Anxiety
  • Profuse white foamy sputum
  • Restlessness
  • Indeterminate gnawing hunger
  • Seizures accompanied by copious sputum
  • Flushing up
  • Chest distention
  • Expectoration of yellow Phlegm
  • Bitter taste in the mouth
  • Chills and fever
  • Abdominal distention
  • Frequent dark, scanty urine
  • Irritability
  • Depression
  • Slight thirst
  • Anorexia after serious illness
  • T: Pink or Red tip
  • C: Yellow and greasy
  • P: Slippery and rapid or Wiry and rapid
Treatment Principle
  • Clear the Heart
  • Break through Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Excessive perspiration (daytime)
  • Above symptoms worse after exertion or when tired
  • Cold limbs
  • Fatigue
  • Weakness
  • Maybe chills
  • Cyanosis
  • Suffocating sensation in chest
  • Depression
  • Facial pallor
  • T: Pale and swollen
  • C: White
  • P: Thready and weak or Knotted or Intermittent
Treatment Principle
  • Warm and Clear Heart Yang
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Asthma
  • Soft weak cough
  • Prolonged bouts of coughing with dyspnea
  • Expectoration of clear, watery Phlegm
  • Suffocating sensation in the chest
  • Spontaneous, weak perspiration
  • All of the above manifestations are exacerbated by exertion
  • Shiny white complexion
  • Weak voice
  • Catches colds easily
  • T: Pale
  • C: Thin and white
  • P: Weak or Thready and weak
Treatment Principle
  • Reinforce and Benefit Heart and Lung Qi
Herb Formulas
Points
Clinical Manifestations
  • Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle
  • Spread Qi
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Coughing fits with hemoptysis
  • Burning pain in chest and sides
  • Dizziness
  • Face and eyes red
  • Bitter taste in mouth
  • Dry lips
  • Short-tempered
  • Irascibility
  • Restlessness
  • Maybe dark urine
  • Maybe constipation
  • T: Red
  • C: Thin, yellow and dry
  • P: Wiry and rapid
Treatment Principle
  • Clear Liver Fire
  • Purge the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome), weakness
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five sole Heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Men:
    Spermatorrhea
  • Women:
    Irregular menses or
    Scanty menses or
    Amenorrhea
    Vaginal discharge
  • T: Red
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish and Reinforce the Liver and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Tinnitus
  • Impotence
  • Spermatorrhea
  • Premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow
Treatment Principle
  • Warm and Reinforce Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • Edema of whole body particularly at and below the waist
  • Pitting edema
  • Low back pain, aching and heaviness
  • Abdominal distention with full sensations
  • Oliguria
  • Cold limbs
  • Face gray and congested or pale
  • Feeling nervous and cold with mental weariness
  • In severe cases:
    Ascites
    Edema of scrotum
  • T: Pale and swollen
  • C: Thin, white or Thick, white and sticky
  • P: Deep and thready
  • With Water Flooding the Lungs:
    Cough with copious, thin watery phlegm
    Asthma with phlegmy sound (wheezing)
    Dyspnea
    Facial edema
    Edema of limbs
    Dysuria
    T: Pale and swollen
    C: White and moist or White and greasy
    P: Superficial and tight
Treatment Principle
  • Warm Kidneys
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • Dyspnea which is worse on exertion
  • Difficult to inhale but not to exhale
  • Shortness of breath, shallow breathing
  • Soft voice
  • Perspiration
  • In chronic cases:
    Thin physique
    Mental weariness
    Urinary incontinence on coughing
    Cold limbs
    Facial edema of Deficiency type
  • T: Pale and swollen
  • C: Thin and white
  • P: Superficial and Deficient or Deep and thready
Treatment Principle
  • Reinforce the Kidneys to Grasp Qi
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of low back
  • Spermatorrhea or premature ejaculation
  • Aching in bones
  • Aching in leg and heel
  • * Dry mouth
  • * Thirst
  • * Night sweats
  • * Five sole heat
  • * Malar flush
  • * Low grade fever in the afternoon
  • * Dry throat, maybe recurrent sore throat
  • * Dry stools and / or constipation
  • * Urine short and red
  • * Heightened libido
  • T: Red
  • C: Little or None
  • P: Thready and rapid
  • *All signs and symptoms marked with an asterisk (*) are due to Deficiency Fire
Treatment Principle
  • Nourish Yin
  • Reinforce the Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Anxiety
  • Irritability
  • Insomnia
  • Emaciation
  • Shortness of breath
  • Constipation
  • Dry mouth and throat
  • Numbness
  • Dry cough
  • Cough with little or no sputum
  • Cough with blood streaked sputum
  • Spontaneous perspiration
  • Night sweats
  • Five sole Heat due to stress
  • Early menses
  • Restlessness
  • Dry tongue
  • Pale copious menstrual flow
  • Weakness
  • Memory loss
  • Excess dreams
  • Fright
  • Tired body
  • Dry, hard stool
  • Coarse skin
  • Dry throat
  • Fatigue
  • Weakness
  • A skinny appearance
  • T: Pale and shiny or Red
  • C: Thin and white or None
  • P: Knotted or Intermittent or Minute, forceless and Deficient or Thready and rapid
Treatment Principle
  • Augment Qi
  • Nourish Blood
  • Enrich Yin
Herb Formulas
Points
Etiology
  • Usually follows some sort of trauma to the chest
  • May be the result of late-stage Lung disease such as Lung cancer
Clinical Manifestations
  • Recurrent irritating cough with a history of trauma to the chest or other chronic Lung disease
  • Cough is worse at night
  • Scanty or Blood streaked mucus
  • Mucus may have dark patches of clotted Blood
  • Pain around the site of the injury during bouts of coughing
  • Maybe cold extremities
  • T: Pale or Purplish with brown or purple petechiae
  • C: Normal
  • P: Wiry or Choppy or Thready and weak
Treatment Principle
  • Resolve Stagnant Blood in the Lungs
  • Stop cough
Herb Formulas
  • Xue Fu Zhu Yu Tangmodified
  • Chinese patent medicines:
    Xue Fu Zhu Yu Wan
    Sheng Tian Qi Pian
    Jin Gu Die Shang Wan
    Yan Hu Suo Zhi Tong Pian
    Fu Ke Wu Jin Wan

    For traumatic injury: Qi Li San
Points
Clinical Manifestations
  • Palpitations
  • Dizziness
  • Blurred vision
  • Pale, lusterless complexion
  • Pale nails
  • Abdominal pain
  • Irregular menstruation with little flow
  • Lung abscess
  • Coughing
  • Wheezing
  • Fullness and distention in the chest
  • Profuse Phlegm and saliva
  • Dysuria
  • Edema
  • Nasal congestion
  • Clear, watery rhinorrhea
  • Oliguria
  • Loss of taste and smell
  • Dyspnea
  • Edema of the face and eyes
  • Insomnia
  • Fixed lower abdominal pain
  • Vertigo
  • Tinnitus
  • Pale lips
  • May be amenorrhea
  • Insomnia
  • Menstruation may also be accompanied by distention and pain
  • T: Pale or Swollen
  • C: Normal or White and greasy
  • P: Slippery or Thin and weak or Thin and choppy
Treatment Principle
  • Drain the Lungs
  • Move Fluids
  • Drive out Phlegm
  • Stop cough
  • Calm wheezing
  • Invigorate the Blood
  • Break up Stagnation
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Occurs in children and the elderly with chronic wheezing
  • Recurs every winter
  • Repeated attacks of productive cough
  • Thin, watery mucus
  • There may be scanty, tenacious mucus
  • Triggered by a Cold Invasion during winter
  • Wheezing
  • Shortness of breath
  • Tightness in the chest
  • Usually occurs at night or in the early morning
  • Severe cases:
    Orthopnea
    Weakness and pain of the lower back and legs
    Fatigue
    Edema of the extremities
  • T: Pale and swollen with toothmarks
  • C: Moist, greasy and white
  • P: soft and slippery
Treatment Principle
  • Warm and transform Clod Phlegm
  • Descend Rebellious Qi
  • Stop cough and wheezing
Herb Formulas
Points

 

Clinical Manifestations
  • Cough with profuse sputum
  • Sputum is thin, watery and white
  • Wheezing
  • Discomfort in the chest and diaphragm
  • T: Normal or Pale
  • C: White and slippery
  • P: Wiry and slippery
Treatment Principle
  • Warm the Lungs
  • Transform congested Fluids
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Vertigo
  • Mental cloudiness
  • Heavy head
  • Heavy sensation in the body
  • Cough with Excess sputum
  • Chest and epigastric distention
  • Suffocating sensation in the chest and epigastrium
  • Nausea
  • Profuse sputum
  • Vomiting
  • Anorexia
  • Fatigue
  • Borborygmus
  • Tinnitus
  • Mouth glutinous
  • No thirst
  • Likes to sleep
  • Maybe palpitations
  • T: Thick
  • C: White and greasy or Sticky and white
  • P: Rolling or Wiry and slippery
Treatment Principle
  • Strengthen the Spleen
  • Harmonize the Stomach
  • Eliminate Dampness
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Coughing
  • Swelling and pain of the throat
  • Thick, salty sputum with mucus and Blood
  • Chills
  • Aversion to Cold
  • Fullness and congestion in the chest
  • Dry mouth
  • No thirst
  • Foul-smelling sputum
  • P: Slippery and maybe rapid
Treatment Principle
  • Eliminate Phlegm and pus
  • Clear Deficiency Fire
  • Clear Toxins
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Irritability
  • Restlessness
  • Anxiety
  • Flushed face
  • Constipation
  • Abdominal distention
  • Delirious speech
  • Epigastric distention
  • Jaundice
  • Gastric distention
  • Dysenteric disorders
  • Hematemesis
  • Epistaxis
  • Red, swollen, painful eyes
  • Chest oppression
  • Red, swollen ears
  • Restlessness
  • Insomnia
  • Thirst
  • Dark, concentrated urine
  • Tinnitus
  • Hemoptysis
  • Vomiting
  • Shoulder stiffness
  • Bleeding
  • Diarrhea
  • Suppurative skin infection
  • Tongue and mouth ulcerations
  • T: Red tip
  • C: Yellow and greasy
  • P: Rapid
Treatment Principle
  • Drains Fire
  • Relieves toxicity
  • Drains Dampness
Herb Formulas
Points
Clinical Manifestations
  • An irritable, stifling sensation in the chest and diaphragm
  • Labored breathing
  • Wheezing
  • Epigastric distention and fullness
  • Belching
  • Constipation
  • Anorexia
  • Hurried breathing
  • Abdominal distention and pain
  • T: Normal
  • C: White
  • P: Wiry
Treatment Principle
  • Promote the movement of Qi
  • Descend Rebellious Qi
  • Expand the chest
  • Disperse Stagnation
  • Purge accumulations
Herb Formulas
Points