CHEST

CHEST

Chapter contents

COUGH

Acute cough

Observation, Chapter 20; Hearing and Smelling, Chapter 53

Invasion of Wind-Cold

Acute cough with expectoration of white sputum, aversion to cold, fever, itchy throat, slight breathlessness, stuffed or runny nose with clear watery discharge, sneezing, occipital headache, body aches, thin white tongue coating, Floating-Tight pulse.

Invasion of Wind-Heat

Acute cough with expectoration of yellow sputum, aversion to cold, fever, sore throat, stuffed or runny nose with yellow discharge, headache, body aches, slight sweating, slight thirst, swollen tonsils, tongue slightly Red on the sides in the chest area or on front part, Floating-Rapid pulse.

Invasion of Wind-Dryness

Acute, dry cough, aversion to cold, fever, dry throat, tickly throat, dry nose, discomfort of the chest, thin, dry white tongue coating, Floating pulse.

Phlegm-Heat in the Lungs

Acute, barking cough following an invasion of external Wind with profuse, sticky yellow or green sputum, shortness of breath, wheezing, a feeling of oppression of the chest, a feeling of heat, thirst, insomnia, agitation, Red and Swollen tongue with a sticky yellow coating, Slippery-Rapid pulse.

Lung-Heat

Acute, barking cough following an invasion of external Wind, expectoration of scanty yellow sputum, slight breathlessness, a feeling of heat, chest ache, flaring of the nostrils, thirst, red face, Red tongue with yellow coating, Overflowing-Rapid pulse.

Residual dryness and Phlegm in the Lungs

Acute, dry cough after an invasion of Wind-Heat, difficult expectoration of scanty sputum after repeated bouts of dry coughing, persistent tickling sensation in the throat, dry throat, dry mouth, Swollen and dry tongue, Slippery pulse.

Residual dryness in the Lungs

Acute, dry cough after an invasion of Wind-Heat, repeated bouts of dry coughing, persistent tickling sensation in the throat, dry throat, dry mouth, dry tongue.

• In my experience, coughs following acute upper respiratory infections are due either to Phlegm-Heat or to Dryness with Phlegm. For the former I use Qing Qi Hua Tan Tang Clearing Heat-Resolving Phlegm Decoction, and for the latter Qing Zao Jiu Fei Tang Clearing Dryness and Rescuing the Lungs Decoction.

Chronic cough

Hearing and Smelling, Chapter 53

Damp-Phlegm in the Lungs

Chronic cough with easy expectoration of profuse white sputum, rattling sound in the throat, pasty-white complexion, a feeling of oppression in the chest, shortness of breath, a dislike of lying down, wheezing, nausea, Swollen tongue with a sticky white coating, Slippery pulse.

Phlegm-Dryness in the Lungs

Chronic, dry cough with a weak sound and occasional, difficult expectoration of scanty sputum, shortness of breath, a feeling of oppression of the chest, dry throat, wheezing, pasty dry complexion, Swollen tongue with a dry sticky coating, Fine-Slippery pulse.

Lung-Yin deficiency

Chronic cough that is dry or with difficult expectoration of scanty sputum, weak/hoarse voice, dry mouth and throat, tickly throat, tiredness, dislike of speaking, thin body or thin chest, night sweating, normal-coloured tongue without coating (or with rootless coating) in the front part, Floating-Empty pulse.

Lung-Yin deficiency with Empty-Heat

Chronic cough that is dry or with difficult expectoration of scanty sputum, which may be blood tinged, dry mouth and throat at night, tickly throat, tiredness, dislike of speaking, thin body or thin chest, night sweating, malar flush, a feeling of heat or a low-grade fever in the evening, five-palm heat, thin body, Red tongue without coating, Floating-Empty and Rapid pulse.

Lung-Dryness

Chronic, dry cough, dry skin, dry throat, dry mouth, thirst, hoarse voice, dry tongue, Floating-Empty pulse.

Lung-Qi deficiency

Chronic, slight cough with a weak sound, slight shortness of breath, weak voice, spontaneous daytime sweating, dislike of speaking, bright-white complexion, tendency to catch colds, tiredness, dislike of cold, Pale tongue, Empty pulse.

Cold-Phlegm in the Lungs

Chronic cough with expectoration of watery white sputum, aggravated by exposure to cold, a feeling of cold, cold hands, phlegm in the throat, dizziness, a feeling of oppression of the chest, a feeling of cold of the chest, Swollen and wet tongue with a sticky white coating, Slippery-Slow pulse.

Liver-Fire insulting the Lungs

Chronic, barking cough with a yellow or blood-tinged sputum, breathlessness, asthma, a feeling of fullness and distension of the chest and hypochondrium, headache, dizziness, red face, thirst, bitter taste, bloodshot eyes, scanty dark urine, constipation, Red tongue with redder sides and dry yellow coating, Wiry pulse.

Phlegm-Fluids in the Lungs

Chronic cough with expectoration of watery, frothy white sputum, breathlessness, splashing sound in the chest, vomiting of watery, frothy white sputum, feeling of cold, cough which may be elicited by a scare, Pale tongue with thick, sticky white coating, Fine-Slippery or Weak-Floating pulse.

Coughing blood

Lung-Heat

Cough with blood-tinged sputum, slight breathlessness, a feeling of heat, chest ache, flaring of nostrils, thirst, red face, Red tongue with yellow coating, Overflowing-Rapid pulse.

Phlegm-Heat in the Lungs

Barking cough with expectoration of blood-tinged sputum, shortness of breath, wheezing, a feeling of oppression of the chest, a feeling of heat, thirst, insomnia, agitation, Red and Swollen tongue with a sticky yellow coating, Slippery-Rapid pulse.

Lung-Yin deficiency with Empty-Heat

Dry cough with difficult expectoration of scanty, blood-tinged sputum, dry mouth and throat at night, night sweating, tiredness, malar flush, a feeling of heat or a low-grade fever in the evening, five-palm heat, thin body, Red tongue without coating, Floating-Empty and Rapid pulse.

Invasion of Wind-Heat

Cough with blood-tinged sputum, aversion to cold, fever, sore throat, stuffed or runny nose with yellow discharge, headache, body aches, slight sweating, slight thirst, swollen tonsils, tongue slightly Red on the sides in the chest area or on front part, Floating-Rapid pulse.

Lung and Spleen-Qi deficiency

Slight cough with expectoration of scanty, blood-tinged sputum, fresh-red blood, tiredness, loose stools, poor appetite, slight abdominal distension, weak voice, slight shortness of breath, spontaneous sweating, dislike of speaking, Pale tongue, Empty pulse.

Lung-Heat at the Blood level (Four Levels)

Coughing of blood, fever at night, macular skin eruptions, mental confusion, night sweating, five-palm heat, dry throat, Red tongue with red points and without coating, Fine-Rapid pulse.

BREATHLESSNESS

Hearing and Smelling, Chapter 53

The symptom of breathlessness comprises four slightly different symptoms. These are:

• breathlessness (Chuan): severe difficulty in breathing with shortness of breath and raising of the shoulders

• shortness of breath (Duan Qi): short, irregular, rapid breaths without pronounced struggling for breath and raising of shoulders seen in breathlessness

• weak breathing (Qi Shao): weak, low, short breathing sounds

• rebellious-Qi breathing (Shang Qi): rapid short breaths, cough, a sensation of oppression of the throat and feeling of energy rising accompanied by a feeling of anxiety.

Lung-Qi deficiency

Shortness of breath or weak breathing, slight cough, weak voice, spontaneous daytime sweating, dislike of speaking, bright-white complexion, tendency to catch colds, tiredness, dislike of cold, Pale tongue, Empty pulse.

Lung-Yin deficiency

Shortness of breath or weak breathing with difficulty in exhaling, cough which is dry or with scanty sticky sputum, weak/hoarse voice, dry mouth and throat, tickly throat, tiredness, dislike of speaking, thin body or thin chest, night sweating, normal-coloured tongue without coating (or with rootless coating) in the front part, Floating-Empty pulse.

Kidneys not receiving Qi

Shortness of breath or weak breathing with difficulty in inhaling, rapid and weak breathing, chronic cough/asthma, spontaneous sweating, cold limbs, cold limbs after sweating, swelling of the face, thin body, mental listlessness, clear urination during asthma attack, soreness of the back, dizziness, tinnitus, Pale tongue, Deep-Weak-Tight pulse.

Lung-Qi stagnation

Shortness of breath, a feeling of a lump in the throat, difficulty in swallowing, a feeling of oppression or distension of the chest, slight breathlessness, sighing, sadness, worry, irritability, depression, tongue slightly Red on the sides in the chest areas, pulse very slightly Tight on the right Front position.

Phlegm-Heat in the Lungs

Acute breathlessness, barking cough with expectoration of blood-tinged sputum, shortness of breath, wheezing, a feeling of oppression of the chest, a feeling of heat, thirst, insomnia, agitation, Red and Swollen tongue with a sticky yellow coating, Slippery-Rapid pulse.

Damp-Phlegm in the Lungs

Breathlessness, wheezing, chronic cough coming in bouts with profuse sticky white sputum which is easy to expectorate, pasty-white complexion, a feeling of oppression in the chest, dislike of lying down, wheezing, nausea, Swollen tongue with a sticky white coating, Slippery pulse.

Lung-Heat

Acute breathlessness, cough with expectoration of scanty yellow sputum, a feeling of heat, chest ache, flaring of nostrils, thirst, red face, Red tongue with yellow coating, Overflowing-Rapid pulse.

Cold-Phlegm in the Lungs

Breathlessness, chronic cough with expectoration of watery white sputum, aggravated by exposure to cold, a feeling of cold generally or in the chest, cold hands, phlegm in the throat, dizziness, a feeling of oppression of the chest, Swollen and wet tongue with a sticky white coating, Slippery-Slow pulse.

Kidney-Yang deficiency with Phlegm

Shortness of breath with difficulty in inhaling, cough with expectoration of watery white sputum, a feeling of cold, cold feet, lower backache, dizziness, tinnitus, frequent pale urination, Pale, Swollen and wet tongue, Weak and slightly Slippery pulse.

Kidney-Yang deficiency with Water overflowing to the Lungs

Severe breathlessness, oedema especially of the legs and ankles, a feeling of cold in legs and back, fullness and distension of abdomen, soreness of lower back, a feeling of cold, scanty clear urination, expectoration of thin, watery frothy sputum, cough, Pale and Swollen tongue with a wet white coating, Deep-Weak-Slow pulse.

Phlegm in the Lungs with Lung-Qi deficiency

Shortness of breath, chronic cough which is worse on exertion, scanty phlegm that is difficult to expectorate or dilute watery phlegm, spontaneous sweating, a feeling of cold, a feeling of oppression of the chest, weak voice, tongue Pale and slightly Swollen in the front, pulse Empty on the right Front position and slightly Slippery.

Lung-Qi and Kidney-Yang deficiency

Slight shortness of breath, weak breathing, low, short breathing sounds, lower backache, cold knees, a feeling of cold, bright-white complexion, weak knees, tiredness, lassitude, abundant clear urination, urination at night, slight cough, weak voice, spontaneous daytime sweating, dislike of speaking, bright-white complexion, tendency to catch colds, tiredness, dislike of cold, Pale tongue, Deep-Weak pulse.

Rebellious Qi of the Penetrating Vessel

Slight shortness of breath, rapid, short breaths, cough, a feeling of tightness of the chest, palpitations, anxiety, epigastric and abdominal fullness, painful periods, Firm pulse.

Liver-Fire insulting the Lungs

Shortness of breath, rapid, short breaths, chronic, barking cough with a yellow or blood-tinged sputum, asthma, a feeling of fullness and distension of the chest and hypochondrium, headache, dizziness, red face, thirst, bitter taste, bloodshot eyes, scanty dark urine, constipation, Red tongue with redder sides and dry yellow coating, Wiry pulse.

WHEEZING

Hearing and Smelling, Chapter 53

Cold-Phlegm in the Lungs

Wheezing, cough with expectoration of watery white sputum, a feeling of cold, cold hands and feet, nausea, vomiting, a feeling of oppression of the chest and epigastrium, dull-white complexion, pale urine, Pale and Swollen tongue with wet white coating, Slippery-Slow pulse.

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Tags: Diagnosis in Chinese Medicine A Comprehensive Guide

Apr 15, 2017 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off

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