TCVM Lung Disharmonies

Respiratory Disease Starts with Nose Sinuses Upper Airways Bronchitis Pneumonia

TCVM Respiratory Patterns Each part of respiratory system Excess causes Deficiency causes

Lung 8 Principle

Basic Lung Formulas Determine the pattern Evaluate 8 principle Choose formulas AP Plan Herbal Therapy

AP for Lung Issues Sinuses & Nose GB14 Long Hui GB1 BL1 ST2 Bi Tong LI20

AP for Lung Issues Tracheal & Larnynx Ding Chuan Jing Jia Ji CV22 CV23 LI18

AP for Lung Issues Lung Ding Chuan Hua Tuo Jia Ji BL13

AP for Lung Issues Lung- -AuriculoAP Sympathetic ANS Antihistamine Shen Men Adrenal Gland Lung 1 Trachea Throat Lung 2 Asthma

Rhinitis and Sinusitis Inflammation of nasal epithelium with stimulation of serous glandular secretion Western Medicine Infectious Viral Bacterial Fungal Protozoal Parasitic Neoplastic Congenital Immune Mediated

Comparing Sinusitis, Cold, and Allergy Symptoms Facial Pressure/pain Yes Sometimes Duration of illness More than 10 days Less than 10 days Varies Nasal discharge Thick, yellow-green Thick and whitish, Thin and watery Clear, thin, watery Itchy eyes No Headache Bad Breath Cough Nasal congestion Sneezing Fatigue/ Weakness Sore throat

Common Nasal Patterns Most TCVM changes are acute Early signs of respiratory disease Allergic conditions Associated with invasion of wind

Wind Cold Damp Early onset of “common cold” Tongue: pale-purple Cold invades nose and obstructs the nasal passages Wei Qi attempts to dispel the pathogen leading to watery nasal discharge and sneezing Tongue: pale-purple Pulse : superficial/slow AP: LU6, LU7, LI4, LI20, GB20, Bi Tong

Allergic Rhinitis (Wind Heat) Common in cats Pathogenic wind and heat invades nose Heat can damage vessels leading to bloody or yellow discharge Heat also dries up fluids making material thicker Tongue: red & dry Pulse: superficial/fast AP: LU5, LU6, LI4/11, LI20, GV14, Bi Tong

Phlegm Stagnation Combined wind-heat & wind-cold Leads to accumulation of pus in nasal passages & sinuses Tongue: greasy/red or purple Pulse: deep or fast Tx: Huey’s formula AP: LU5, CV22, LI4/11, LI20, GV14, ST40, SP9, Bi Tong

Huey’s Formula Bai Zhi Angelica Clear Wind-cold, relieve pain Bo He Mentha Clear Wind-Heat Cang Er Zi Xanthium Clear Wind-Cold, open noses Xin Yi Hua Magnolia Clear Wind-Cold, dissipate the brain and open noses -Action: Clear Wind Heat and Wind-Cold, open nose

Chronic Rhinitis (Fungal) Chronic alterations in nasal turbinates Usually secondary to Aspergillus sp. Identify on culture or biopsy TCVM Garlic (fresh) Ku Shen Si Wu Tang

Ginger Tea Grate 1 teaspoon fresh ginger Add 1 Tablespoon brown sugar Seep in 1 cup boiling water Repeat every 1-2 hours Tx Principle: diaphoresis (expel wind-cold/heat)

Stepwise Western approach to Sinusitis Treatment Surgery Oral steroids antibiotics Steroid Sprays Decongestions antihistamines Irrigations

Sinusitis Usually more chronic in nature Patterns Treat what you see Lung Yin deficiency Lung/Kidney Yin deficiency ST Damp Heat (Excess) Treat what you see

Clyde-O (6 yr M/C Mix) Rescue puppy Water dog Thunderstormphobia LS stenosis Nasal congestion in right nostril Sneezing Tongue: Red and purple Pulse: Forceful Dx: Wind Heat

Clyde-O Treatment Acupuncture Herbal LI-4, LI-20, GV-14, Long Hui Tuo Ming Tang

TCVM Cough Upper or lower airway disease Patterns Excess Deficiency (Qi/Yin) Phelgm obstructs airways and leads to cough

Western Medicine- -Cough Sudden forceful expiration of air through the glottis associated with audible sound. Preceded by an exaggerated inspiratory effort Work up to find the cause Just about every diagnostic available Treat according to cause Cough suppressants Antibiotics

TCVM Patterns Excess Deficiency Wind-Cold Wind-Heat Lung Heat Lung Yin deficiency Lung Qi deficiency

Cough Pattern Excess Deficiency Invasion of Lungs by Wind‑Cold Invasion of Lungs by Wind‑Heat Phlegm‑Heat Cough Excess Yin Deficiency Cough Lung Qi Deficiency Lung Yin and Qi deficiency Deficiency

Invasion of the Lung with Wind-Cold Etiology Wind-Cold attack Lung Qi flow is obstructed Cough

Silver (2 yr M TB) Fever- -104.5 (3 days) Thick, yellow nasal discharge Slight cough Tongue: Red and dry Pulse: Surging and fast No other signs 4 other horses on farm affected Dx: Wind-heat invasion of the lung

Silver Treatment Acupuncture Herbal EA DN Aqua Equine Yin Qiao GV-14→Bai Hui DN BL-13, Ding Chuan Aqua LI-4, LI-11 Herbal Equine Yin Qiao 30-50 gm BID 7-10 days

Cappy (9 yr M/C Mix) Dx: Lung Qi deficiency with stagnation Chronic cough and nasal discharge for 3 months Cold, wet nose Prefers warm Metal dog Tongue: Pale and wet Pulse: weak on right Dx: Lung Qi deficiency with stagnation

Cappy Treatment Acupunture Herbal LI-20, Bi Tong, Long Hui, LI-4, LU-7, LU-9, CV-17 Herbal Bu Fei Wan Xin Yi San

Xin Yi San Bai Zhi Angelica Clear Wind-cold, relieve pain Bo He Mentha Clear Wind-Heat Cang Er Zi Xanthium Clear Wind-Cold, open noses Chuan Xiong Ligusticum Move Blood, open orifices, transform phlegm E Bu Shi Cao Centipeda Move Blood, unblock orifices, transform phlegm Gao Ben Ligusticum Clear Wind-Damp, dispel Cold Huang Qi Astragalus Tonify Qi, strengthen surfaces Huo Xiang Pogostemon Clear Damp Jiang Can Bombyx Clear Wind Xin Yi Hua Magnolia Clear Wind-Cold, dissipate the brain and open noses - Action: Clear Wind-Cold, clear Wind-Heat, unblock orifices and open nose

TCVM Dyspnea/Asthma In TCM, asthma is shortness/weakness of breath Acute/Excess causes Chronic/Deficiency causes Most common

Dyspnea/Asthma Pattern Invasion of Lungs by Wind‑Cold Accumulation of Phlegm‑Heat in Lungs Excess Lung Qi Deficiency Lung Yin Deficiency Lung-Kidney Qi Deficiency Deficiency

Dyspnea/Asthma Pattern Wind‑Cold Wind‑Heat Lung Def Kidney Def Attack Lung control Qi Flow reception of Qi obstruct flow of the Lung Qi upward the Qi Flow Dyspnea/Asthma

Relationship between LU & KID

LU-5/7, BL-13, Ding-chuan, CV-22, LI-4/11, GV-14, Er-jian, Wei-jian Allergy Heat Allergic heaves Worse in Summer Cool-seeking Tongue: Red and dry Pulse: Strong and fast LU-5/7, BL-13, Ding-chuan, CV-22, LI-4/11, GV-14, Er-jian, Wei-jian Schisandra 5 Lung Yin Deficiency Chronic heaves/asthma Emaciation Dry hair Dry and thick nasal discharge Dry cough Pulse: Thready and rapid BL-13, KID-3, BL-23, SP-6, LU-7/9 Lily Combination Lung Qi Deficiency Dyspnea worse when moving Weak voice Fatigue Exercise intolerance Tongue: Pale and wet Pulse: Deep and weak BL-13, Qi-hai-shu, LU-7/9, ST-36, LI-10, BL-23/26 Bu Fei San Kidney and Lung Qi Deficiency Prolonged course of asthma Feeble asthma with low sound of respiration Loss of breath Worse asthma when moving Obvious heaves/asthma groove Tongue: Pale with thin coating BL-13, BL-23, BL-26, KID-7/10, LU-7/9, LI-10, ST-36, Ding-chuan, CV-22 Breath Easer

CDR Monkey (55 yr M Mix) Metal personality Overworking at perfection Recent problems with anger Occasional loose stools Exercise-induced asthma Tongue: Pale with tooth marks Pulse: Weak lung and kidney on right Dx: Kidney and Lung Qi deficiency

CDR Monkey Treatment Acupuncture Herbal DN Moxa Aqua Gecko formula LU-9, KID-3, LIV-3, Shen Shu (caudal), CV-17 Moxa ST-36 Aqua HT-7 Herbal Gecko formula

Heaves in Horses Sort of the ultimate COUGH and ASTHMA Reactive Airway Disease Exposure of Organic Dusts

Western Pneumonia Pathology in the lung secondary to Infection Viral Bacterial Fungal Aspiration Immune dysfunction Interstitial disorder

TCVM Pneumonia Excess Deficiency Wind-Heat Excess Heat Lung Yin deficiency Lung Qi deficiency

Excess TCVM Pneumonia Animals tend to be acutely ill Tongue: red & dry (may have yellow coating) Pulse: superficial & fast Heat invades lung dries up fluids & damages yin Cough: productive/dry

Bad Dog Dx: Wind-Heat in Lung Acute onset of cough with fever of 105º F Tongue: Red Pulse: superficial & fast Wood personality Auscultation revealed crackles & rales ventrally Dx: Wind-Heat in Lung

Bad Dog Treatment AP Herbal: Equine Yin Qiao LU 11 help dissipate LU heat LU 5 move fluid support LU GV 14 strengthen chest & dissipate heat LI 4 dissipate wind & heat LI 11 dissipate wind & heat TH 5 strengthen Wei Qi Herbal: Equine Yin Qiao

Top 3 or take-home messages Chinese medicine is very effective in regenerating organic function and treating chronic diseases. Diagnosis with conventional medicine, such as MRI, CT scans, needle biopsy: BUT, Treatment with Chinese medicine. Integrated Medicine allows you to find optimal health by understanding your individual needs for achieving balance and harmony.

TCVM Lung Disease I hope you all breath a little easier Look for the pattern and treat what you find