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TCVM Lung Disharmonies
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Respiratory Disease Starts with Nose Sinuses Upper Airways Bronchitis
Pneumonia
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TCVM Respiratory Patterns
Each part of respiratory system Excess causes Deficiency causes
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Lung 8 Principle
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Basic Lung Formulas Determine the pattern Evaluate 8 principle
Choose formulas AP Plan Herbal Therapy
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AP for Lung Issues Sinuses & Nose GB14 Long Hui GB1 BL1 ST2 Bi Tong
LI20
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AP for Lung Issues Tracheal & Larnynx Ding Chuan Jing Jia Ji CV22 CV23
LI18
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AP for Lung Issues Lung Ding Chuan Hua Tuo Jia Ji BL13
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AP for Lung Issues Lung- -AuriculoAP Sympathetic ANS Antihistamine
Shen Men Adrenal Gland Lung 1 Trachea Throat Lung 2 Asthma
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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
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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
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Common Nasal Patterns Most TCVM changes are acute
Early signs of respiratory disease Allergic conditions Associated with invasion of wind
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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
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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
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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
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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
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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
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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)
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Stepwise Western approach to Sinusitis Treatment
Surgery Oral steroids antibiotics Steroid Sprays Decongestions antihistamines Irrigations
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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
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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
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Clyde-O Treatment Acupuncture Herbal LI-4, LI-20, GV-14, Long Hui
Tuo Ming Tang
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TCVM Cough Upper or lower airway disease Patterns
Excess Deficiency (Qi/Yin) Phelgm obstructs airways and leads to cough
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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
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TCVM Patterns Excess Deficiency Wind-Cold Wind-Heat Lung Heat
Lung Yin deficiency Lung Qi deficiency
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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
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Invasion of the Lung with Wind-Cold
Etiology Wind-Cold attack Lung Qi flow is obstructed Cough
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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
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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
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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
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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
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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
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TCVM Dyspnea/Asthma In TCM, asthma is shortness/weakness of breath
Acute/Excess causes Chronic/Deficiency causes Most common
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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
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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
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Relationship between LU & KID
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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
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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
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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
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Heaves in Horses Sort of the ultimate COUGH and ASTHMA
Reactive Airway Disease Exposure of Organic Dusts
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Western Pneumonia Pathology in the lung secondary to Infection
Viral Bacterial Fungal Aspiration Immune dysfunction Interstitial disorder
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TCVM Pneumonia Excess Deficiency Wind-Heat Excess Heat
Lung Yin deficiency Lung Qi deficiency
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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
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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
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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
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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.
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TCVM Lung Disease I hope you all breath a little easier
Look for the pattern and treat what you find
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