Guest guest Posted August 27, 2003 Report Share Posted August 27, 2003 i agree with Anand. Here is some info on asthma taken from the files section of this group. Hope you find it intersting: 4. ASTHMA (Xiao Chuan) 4.4. DEFINITION A paroxysmal condition marked by dyspnoea and rale. 4.5. MAIN SYMPTEMS Main symptoms include attacks of breathing difficulties, rale and wheezing, and inability to lie in a supine position. Xiao: dyspnoea with phlegm and rale Chuan: dyspnoea without phlegm and rale 4.6. CAUSES AND PATHOLOGICAL MECHANISMS · The watch word is PHLEGM · There are 2 main causes: exogenous and endogenous 4.3.1. Endogenous Causes 4.3.1.1. The ROOT of Asthma – accumulation and retention of phlegm in the lung a. Cold- phlegm: frequent and repetitive wind-cold attack and excessive intake of cold and raw food impair lung qi to cause phlegm formation; long-term illnesses cause lung qi weakness and the formation of phlegm. b. Heat-phlegm: excessive intake of spicy and greasy food fermented into heat and phlegm; cold-phlegm transforms into heat-phlegm; long-term illnesses cause lung yin deficiency or constitutionally excessive yang result in heat-phlegm formation. 4.3.1.2. Lung, Spleen and Kidney Deficiencies – Weakened genuine qi and formation of phlegm 4.3.2. Exogenous Causes Also called “Predisposing Causes” c. Invasion of exogenous evils: sudden change of climate/weather (wind, cold, summer-heat, dampness and dryness etc); inhalation of pollens, smoke, dust and other irritating smells; d. Improper diet: addiction to particular food; excessive intake of greasy food, sweets and sea food; red meat; nuts etc. e. Emotion: drastic change of emotions f. Overwork and stress All these will activate the “latent” phlegm in the lung. The phlegm ascends with the adverse lung qi. The situation is generally one of excessive evil with a weakened genuine qi. 4.7. DIAGNOSIS AND DIFERENTIAL DIAGNOSIS 4.4.1. Diagnosis – Main symptoms and medical history Main symptoms: attacks of breathing difficulties, rale and wheezing, and inability to lie in a supine position Medical history: repetitive and intermittent attacks with evident predisposing causes 4.4.2. Differential Diagnosis Dyspnoea and Cough See diagnosis (4.4.1.) for Asthma Dyspnoea: breathing difficulty is progressively aggravating and continuous. No wheezing. No obvious predisposing cause. Cough: progressively aggravating. May have breathing difficulty. No wheezing. No obvious predisposing cause. 4.5. BIAN ZHENG LUN ZHI There are 2 parts in the BIAN ZHENG LUN ZHI of asthma: asthma attacks and asthma intermission. Table 4.1. BIAN ZHENG LUN ZHI of asthma: asthma attacks Cold asthma Hot asthma Pathology Accumulated cold-phlegm is activated by exogenous evils, obstructs lung qi flow and the chest yang Accumulated heat-phlegm is activated by exogenous evils. Phlegm and heat together obstruct qi passage Symptoms Breathing difficulty and wheezing with white phlegm, choking sensation in chest and hypochondria, slight cough, grey and blue complexion, no thirst for drink or prefer hot drink, predisposed by cold, aversion to cold, cold limbs, headache, fever, white and moist tongue coating, wiry and tight pulse of floating and tight pulse Breathing difficulty and wheezing, coarse respiration, roaring rale, frequent cough, chest and hypochondriac distension, restlessness, yellow or thick white phlegm with difficulty in expectoration, perspiration, thirst for cold drink, flushed face, bitter mouth, no aversion to cold, fever, headache, red tongue with yellow and greasy coating, slippery and rapid pulse or wiry and slippery pulse Main differentiation points Breathing difficulty and wheezing predisposed by cold attack, itchy nose and throat before the asthma attack, white and moist tongue coating Breathing difficulty and wheezing, coarse respiration, roaring rale, thick phlegm, red tongue with yellow and greasy coating Principle of treatment Warm lung and dispel cold, resolve phlegm and stop asthma Facilitate lung function and clear heat, removing phlegm and stop asthma Formula She Gan Ma Huang Tang and Xiao Qing Long Tang Ding Chuan Tang and Yue Bi Jia Ban Xia Tang Modifications 1. abundant amount of phlegm: use She Gan Ma Huang Tang 2. excessive cold evil: use Xiao Qing Long Tang 1. cold and hot used simultaneously because most hot asthma is from the transformation of cold asthma 2. exterior cold and interior heat + gui zhi, shi gao, zhi mu 3. evil heat impairs yin + mai dong, sha shen Table 4.2. BIAN ZHENG LUN ZHI of asthma: intermission of asthma Lung Deficiency Spleen Deficiency Kidney Deficiency Pathology Deficient lung qi and weakened wei defence, phlegm accumulates in lung Deficient spleen and middle qi, weakened transporting function, dampness and phlegm accumulate Kidney yin and/or yang deficiency, kidney fails to receive qi, qi has no root Symptoms Aversion to wind, spontaneous perspiration, susceptible to cold, Asthma predisposed by climate change, stuffy nose with clear rhinorrhoea, short of breath, low voice, faint wheezing with clear and white phlegm, pale complexion, pale tongue with thin white coating, thready and weak pulse or large and weak pulse Poor appetite, epigastrium distension, loose faeces, diarrhoea especially after intake of greasy food. Asthma predisposed by improper diet, abundant amount of phlegm, short of breath, lassitude, pale tongue with white and moist or greasy coating, thready and weak pulse Short of breath aggravated by slight exertion, difficulties in inhaling, palpitation, dizziness, tinnitus, weak and achy lower back and knees, weariness and lassitude. Asthma predisposed by overstrain, overwork and stress. Yang Deficiency: Aversion to cold, cold limbs, spontaneous perspiration, pale complexion, bulgy pale tongue, deep and thready pulse. Yin Deficiency: vexation, flushed cheeks, sticky sweat, red tongue with little fluid, thready and rapid pulse Main differentiation points Aversion to wind, spontaneous perspiration, susceptible to cold, faint wheezing, repetitive attacks due to climate change Poor appetite, epigastrium distension, loose faeces, asthma predisposed by improper diet, lassitude Short of breath aggravated by slight exertion, lower back and knee aches, asthma predisposed by overstrain Principle of treatment Tonify lung qi, reinforce wei and the exterior Strengthening spleen and resolve phlegm Tonify kidney to receive qi Formula Yu Ping Feng San Liu Jun Zi Tang Jing Gui Shen Qi Wan or Qi Wei Du Qi Wan Modifications 1. marked exterior deficiency + Gui Zhi Tang 2. qi and yin deficiency + Sheng Mai San 1. spleen yang deficiency + gan jiang, rou dou kou 1. kidney qi and yang deficiency, use Jing Gui Shen Qi Wan 2. to promote kidney’s reception of qi, use Qi Wei Du Qi Wan 3. marked yin deficiency – warm-tonics + mai dong, dang gui, gui ban jiao 4.4. DISCUSSIONS a. What are the pathological mechanisms of asthma in TCM? b. How to differentiate cold asthma and hot asthma? c. How do you treat asthma in its intermittent period? anand bapat <acubapat wrote: dear friends, i think its high time we all devoted some time to discussing various aspects of acupuncture treatments. i came on the site to increase my knowledge & assist any others if possible. i think we can grow alot faster by sharing our success stories & discussing the failures or difficult cases. why not start the ball rolling. lets take 1 topic /wek & see what can be done. if the topic is too long then lets continue for afew weeks & see what comes out. let me start the ball rolling by looking atasthama. let look at asthama from the points of view of 1. curative 2.symptomatic relief 3. immediate relief 4.compliance 5. referral sources 6. follow thorugh, & patient involvement lets start with some of these areas. there may be other areas that people would like to suggest & add along the way. lets make astart somewhere. await replies anand ===== Anand Bapat Pain Management Specialist Sports Injury Specialist Blacktown, Parramatta, Punchbowl, & Hammondville 0402 472 897 ______________________ Want to chat instantly with your online friends? 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Guest guest Posted August 28, 2003 Report Share Posted August 28, 2003 Yesterday someone asked me about asthma and children (which I have no real experience in treating, unfortunately). Anyway it was just a loose question how to prescribe something at long distance which I can not. However in this thread if anyone would not mind shearing case histories of asthma or difficult bereaving or wheezing and coughing in children both chronic and acute. Thanks in advance:-) Marco i agree with Anand. Here is some info on asthma taken from the files section of this group. Hope you find it intersting: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2003 Report Share Posted August 30, 2003 Hi Marco, I have had good success treating childhood asthma although some cases are more chronic respiratory and sinus conditions that are misdiagnosed. I have had great success with an herbal formula called Autumn Tea Made by Traditions of Tao herb co. The principal ingredient is loquat leaf, others are lily bulb, armeniaca seed, crucligins seed, Mai Men Dong root, sophora fruit, Suan Zao seed, arbor vitae seed and oyster shell. This is a very mild formula that works great on kids. Acupuncture/pressure can be done at cv17, cv22, lu1 & 2, bl11,12 & 13 areas. As mentioned, some of these cases involve chronic post-nasal or other sinus conditions and these need to be addressed also. And in some cases stress is a serious factor. We tend to forget that kids can suffer stress also especially if there are family problems. Sorry for such a short note but gotta run. Matt Bauer - Marco Chinese Medicine Thursday, August 28, 2003 4:09 AM Re: discussions - asthma Yesterday someone asked me about asthma and children (which I have no real experience in treating, unfortunately). Anyway it was just a loose question how to prescribe something at long distance which I can not. However in this thread if anyone would not mind shearing case histories of asthma or difficult bereaving or wheezing and coughing in children both chronic and acute. Thanks in advance:-) Marco i agree with Anand. Here is some info on asthma taken from the files section of this group. Hope you find it intersting: Quote Link to comment Share on other sites More sharing options...
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