1 Bronchitis WM/TCM Perspective Presentation by Jill Brown
2 The Western Perspective
3 Bronchitis is an inflammation of the lining of the bronchial tubes, which carry air to and from the lungs.
6 Bronchitis can either be acute or chronic Acute bronchitis usually lasts around three weeks. In 90% of the cases the cause is a viral infection spread through the air. Chronic bronchitis is defined as a productive cough that lasts for three months or more per year for at least two years. Most people with chronic bronchitis have chronic obstructive pulmonary disease (COPD). Tobacco smoking is the most common cause, with a number of other factors such as air pollution and genetics playing a smaller role.
7 Symptoms For either acute bronchitis or chronic bronchitis, signs and symptoms may include: Cough Production of mucus (sputum), which can be clear, white, yellowish-gray or green in color-rarely, it may be streaked with blood Fatigue Shortness of breath Wheezing Slight fever and chills Chest discomfort
8 Treatment Acute Bronchitis Most cases resolve without medical treatment in a few weeks Antibiotics are used if bacterial infection is suspected Chronic Bronchitis If chronic bronchitis is related to smoking, the most important thing to do is to quit smoking to prevent ongoing damage to lungs. Unless otherwise advised, pneumococcal vaccine and an annual flu vaccine can be given. Treatment may include bronchodilators and steroids (inhaled or by mouth).
9 TCM Perspective
10 Bronchitis is a respiratory disease resulting from exogenous pathogenic factors and lung dysfunction. The root cause could be due to: Lung qi deficiency Spleen deficiency Stomach yin deficiency Kidney deficiency It occurs mainly in winter and spring and is classified into two types: acute and chronic.
11 Acute Wind/Cold Wind/Heat Dryness/Heat
12 Wind Cold Symptoms Fever Wind Cold pathogen battles with Wei Qi Aversion to Cold Exterior Cold impairs circulation of Wei Qi which cannot warm muscles Occipital headache, whole head headache. Body aches Exterior Cold impairs circulation of Wei Qi which cannot warm muscles Cough, sneezing, stuffy nose or runny nose with thin clear mucus Itching throat Lungs descending and dispersing ability is impaired Thin white tongue coating Floating pulse
13 Wind Cold Pathology Environmental Wind and Cold can enter the body (to superficial or deep levels) depending on the strength of body's Wei Qi in relation to a pathogen. Artificial sources of Wind Cold, such as air conditioning can also cause Wind Cold.
14 Wind Cold Treatment Principle Release Exterior Disperse Cold Stimulate Lung descending and dispersing function
15 Wind Cold Points LU 7 (Lieque) Disperses Wind Cold, releases Exterior, stimulates Lung dispersing/descending. BL 12 (Fengmen) Releases Exterior, Expels Wind (esp cupped) Moxa after needling. Du 16 (Fengfu) Expels wind Sedate. LU-11 can be bled for sore throat.
16 Wind Heat Symptoms Fever External Wind battles with Wei Qi Aversion to Cold Wind obstructs Wei Qi circulation Sore throat, Swollen tonsils, thirst Pathogenic Heat drying body fluids Cough, stuffy nose, runny nose with yellow mucus External pathogen disrupts descending and dispersing function of the Lungs Headache and body aches Slight sweating Tongue-Red body on sides or tip, thin white or yellow coating Floating and rapid pulse
17 Wind Heat Pathology This is the same for wind cold, only the wind combines with heat.
18 Wind Heat Treatment Principle Release Exterior Clear Heat Stimulate Lung descending and dispersing functions
19 Wind Heat Points LI 4 (Hegu) Release Exterior & clear Heat LI 11 (Quchi) Release Exterior & clear Heat Lu 11 (Shaoshang) Clears Lung Heat. Esp good for sore throat Du 14 (Dazhui) Clear heat BL 12 (Fengmen) Expel Exterior Wind Du 16 (Fengfu) Expel Exterior Wind GB 20 (Fengchi) Expel Exterior Wind Sedate. No moxa. LU-11 can be bled for sore throat.
20 Dryness Heat Symptoms Dry cough without sputum or with little sputum, difficult expectoration Dry nose and throat, dry stool, reddened lips Tongue with thin yellow or white dry fur Rapid pulse
21 Dryness Heat Pathology Lung Dryness can be either Exterior or Interior. Exterior Dryness damages Lung fluids, such as in long periods of dry and hot weather. Internal Dryness can occur from Stomach Yin Deficiency (i.e. - from irregular eating times, irregular diet, etc.).
22 Dryness Heat Treatment Principle Clearing heat, moistening dryness
23 Dryness Heat Points LU 9 (Taiyuan) Moistens Lungs REN-4 (Guanyuan) Tonify Kidney Yin & nourishes fluids KI 6 (Zhaohai) Nourishes Fluids, benefits throat Sp 6 (SanYinjiao) Nourishes Fluids REN-12 (Zhongwan) Tonifies Stomach & nourishes Fluids Li-11 Tonifiy points Clears heat Reduce
24 Chronic Retention of Phlegm in the Lung Retention of Heat in the Lung Deficiency of Lung Yin
25 Retention of Phlegm in the Lung Symptoms Cough with white sticky sputum Dyspnea Lung Qi can not properly descend Stuffiness and depression of the chest Splashing sounds in the chest Weak Spleen and Phlegm Fluids Loss of appetite Tongue with a thick sticky white coating Rolling pulse
26 Retention of Phlegm in the Lung Etiology Diet, excessive consumption of greasy foods and dairy foods. Excessive physical work, weakens the spleen and kidney yang, leading to formation of phlegm.
27 Retention of Phlegm in the Lung Treatment Principle Strengthen Spleen and remove dampness Resolve phlegm
28 Retention of Phlegm in the Lung Points LU 5 (Chize) Clears Phlegm from Lungs LU 9 (Taiyuan) Tonifies Lung Qi & resolves Phlegm esp chronic Ren 17 (shanzhong) Tonifies Lung Qi & stimulates descending function BL 13 (Feishu) Tonifies Lung Qi Ren 9 (Shuifen) Resolves dampness ST 40 (Finagling) Resolves Phlegm Ren 12 (Zhongwan) Tonifies the stomach to resolve phlegm BL 43 (Gaohuangshu) Tonifies Lung Qi; ESP good in chronic conditions ST 36 (Zusanli) Tonifies Spleen Qi Sedate LU-5, ST-40, REN-9. Tonify other points. Moxa applicable.
29 Retention of Heat in the Lung Symptoms Cough Lung Qi not properly descending Profuse yellow, green, or brownish, possibly foul smelling Due to Phlegm and Heat Shortness of breath, Asthma, Stuffiness in the chest Phlegm obstructing descending Lung Qi Tongue-Thick sticky yellow coating Slippery, rapid, and full pulse
30 Retention of Heat in the Lung Pathology Over-consumption of greasy and hot foods Smoking Exterior Wind Heat can weaken Lung Qi and leaves pathogenic Heat and Phlegm, which eventually become chronic
31 Retention of Heat in the Lung Treatment Principle Resolve Phlegm, clear Heat, stimulate Lung descending function
32 Retention of Heat in the Lung Points LU 5 (Chize) Clears Heat & Phlegm from Lungs LU 7 (Lieque) Stops cough; restores descending/dispersing LU 10 (Yuji) Clears Lung Heat LU 1 (Zhongfu) Restores descending function, clears Lung Heat BL 13 (Feishu) Sedate to clear Lung Heat LI 11 (Quchi) Clears heat Ren 12 (Zhongwan) Resolves Phlegm ST 40 (Finagling) Resolves Phlegm Use even method on REN-12. Sedate all other points
33 Deficiency of Lung Yin Symptoms Dry cough or cough with sticky sputum Lung Yin not nourishing Lung Dry mouth and throat, hoarse voice Deficient fluids Blood tinged sputum Yin Deficient Heat burns the vessels Lower grade fever or heat sensation in the evening time, malar flush, night sweats, five palm heat Yin Deficiency producing empty heat Insomnia Yin Deficiency and Heat disturb the Shen Red peeled tongue with cracks in the Lung area In early stage, tongue signs are not as pronounced Empty, floating, and rapid pulse
34 Deficiency of Lung Yin Etiology Lung Yin Deficiency can develop from prolonged Lung Qi Deficiency. Can be due to Stomach Yin Deficiency, which can be caused by irregular eating habits or diet. Can result from Kidney Yin Deficiency, which can be caused by chronic overwork. Can develop from Lung Dryness (from external or internal causes).
35 Deficiency of Lung Yin Treatment Principle Tonify Lung Yin, nourish Body fluids clear Empty Heat
36 Deficiency of Lung Yin Points LU 9 (Taiyuan) Source point; can tonify Lung Yin REN-17 (Shanzhong) Tonifies Qi and Lung Yin BL 43 (Gaohuangshu) Tonifies Lung Yin, especially good in chronic cases BL 13 (Feishu) Tonifies Lung Qi & Yin Du 12 (Shenzhu) Tonifies Lung Qi & Yin REN-4 (Guanyuan) Tonifies Kidney Yin & conducts Empty Heat downwards KI 6 (Zhaohai ) Tonifies Kidney Yin & benefits throat esp. good where throat is dry. Can combine LU 7 and KI 6 to tonify Lung Qi and Lung Yin, tonify KI Yin & benefit throat, reconnect Lungs & Kidneys REN-12 (Zhongwan ) Tonifies Stomach & nourishes fluids (Stomach is origin of fluids) LU 10 (Yuji) Sedate to clear Empty Heat from Lungs
37 Sources Internet Dr Yao Maciocia Sacred Lotus