Quiz 4 - Common Cold, Cough

Common Cold

...

Common cold is an...

exogenous ailment (external)

It may occur in any season, but more often in...

Spring and Winter

The upper respiratory virus infection is included in common cold in modern medicine.

...

Etiology and Pathogenesis...
1. External Evils ______, usually combined with...
_______
_______
_______
2. Irregular _____________
3. Weak _____________

1.External Evils, Wind
Usually combined with
Cold
Heat
Summer Damp Heat
2. Irregular Living Habits
3. Weak Body Constitution

5 TCM patterns of diagnosis for common cold.
(Differentiation and Treatment)
*KNOW

1. Wind Cold ( Feng Han Gan Mao)
2. Wind Heat ( Feng Re Gan Mao)
3. Summer Damp Heat Pattern (Shu Shi Gan Mao)
4. Colds in Cases of Qi Deficiency
5. Colds in Cases of Yin Deficiency

Wind Cold
Main Manifestation:

Wind Cold
Main Manifestation:
Chills (aversion to wind cold - layers on and still cold) - Tai Yang - wind attacks Tai Yang channels first (neck and back)
Aching Back and Limbs, Clear Runny Nose (can also be headache and watery eyes)

Wind Cold
Tongue:

Wind Cold
Tongue:
Thin, White Coating

Wind Cold
Pulse:

Wind Cold
Pulse:
Floating, Tight

Wind Cold
Treatment Principles:
Disperse Wind Cold, Release the Exterior

Wind Cold
Treatment Principles:
Disperse Wind Cold, Release the Exterior

Wind Cold
Point Selection:
*KNOW at least 4 of these.

Point Selection:
Lu 7 (Lie Que),
LI 20 (Ying Xiang),
SI 7 (Zhi Zheng),
BL 12 (Feng Men),
GB 20 (Feng Chi),
LI 4 (He Gu)
Sometimes Moxa Du14

Wind Cold
Prescription of Formula:
*Not on quiz.

Wind Cold
Prescription of Formula:
Jing Fang Bai Du San

Wind Cold
Explanation:
(*might ask on quiz)
Lu 7 (Lie Que), the ____ point of the Lung channel
SI 7 (Zhi Zheng), the ____ point of the Hand Tai Yang channel
BL 12 (Feng Men)
GB 20 (Feng Chi)
LI 4 (He Gu), the ____ point of Hand Yang Ming channel
LI 20 (Yi

Lu 7 (Lie Que), the LUO point of the Lung channel
SI 7 (Zhi Zheng), the LUO point of the Hand Tai Yang channel
BL 12 (Feng Men) - WIND GATE
GB 20 (Feng Chi) - WIND POOL
LI 4 (He Gu), the YUAN SOURCE point of Hand Yang Ming channel and COMMON POINT for FAC

Wind Cold - Modifications
Headache:

Headache:
+
Yin Tang
Tai Yang

Wind Cold - Modifications
Soreness on the Back:

Soreness on the Back:
add cupping on BL 13 (Fei Shu) for 10-20 minutes

Wind Cold - Modifications
Itching Throat:

Itching Throat:
+
St 9 (Ren Ying)

Wind Heat
Main Manifestations:

Wind Heat
Main Manifestations:
Aversion to Wind
Sore Throat, Cough with Thick Yellow Phlegm

Wind Heat
Tongue:

Wind Heat
Tongue:
Thin White or Yellow Coating

Wind Heat
Pulse:

Wind Heat
Pulse:
Floating and Rapid Pulse

Wind Heat
Treatment Principle:

Wind Heat
Treatment Principle:
Disperse Wind Heat, Clear Lung and Release Exterior

Wind Heat
Point Selection:
*KNOW at least 4 of these.

Wind Heat
Point Selection:
Lu 5 (Chi Ze),
GB 20 (Feng Chi),
Du 14 (Da Zhui),
LI 11(Qu Chi),
TB 5 (Wai Guan),
LI 4 (He Gu)

Wind Heat
Prescription of Formula:
*Not on quiz.

Wind Heat
Prescription of Formula:
Yin Qiao San

Wind Heat
Explanation:
Point Selection:
Lu 5 (Chi Ze),
GB 20 (Feng Chi),
Du 14 (Da Zhui),
LI 11(Qu Chi),
TB 5 (Wai Guan),
LI 4 (He Gu)

Wind Heat
Explanation:
Point Selection:
Lu 5 (Chi Ze) ----> He Sea
GB 20 (Feng Chi) ----> Wind Pool
Du 14 (Da Zhui), ----> All yang Channels
LI 11(Qu Chi) ---->He Sea (threading to Lu5)
TB 5 (Wai Guan) ---> Luo
LI 4 (He Gu)--->Yaun

Wind Heat- Modifications
Sore Throat:

Sore Throat:
add bleeding Lu 11

Wind Heat- Modifications
Fever:

Fever:
add Lu 10

Wind Heat- Modifications
High fever:

High fever:
add bleeding Shi Xuan

Summer Damp Heat
Main Manifestations:

Summer Damp Heat
Main Manifestations:
Aversion to Wind
Heaviness in the Head, Full, Stuffy Sensation in the Chest and Stomach, Sweating

Summer Damp Heat
Tongue

Summer Damp Heat
Tongue
Yellow, Greasy Coating

Summer Damp Heat
Pulse

Summer Damp Heat
Pulse
Soft and Rapid Pulse

Summer Damp Heat
Treatment Principle:

Summer Damp Heat
Treatment Principle:
Clear Summer Heat, Transform Dampness, Release Exterior and Harmonize Interior

Summer Damp Heat
Point selections:
*KNOW at least 4 of these.

Summer Damp Heat
Point selections:
Lu 6
LI 4
Ren 12
St 36
TB 6

Summer Damp Heat
Prescription of formula:
*Not on quiz.

Summer Damp Heat
Prescription of formula:
Xiang Ru Yin

Summer Damp Heat
Explanations:
Lu 6, the ____ point of Lu channel
LI 4, the _____ point of LI channel
Ren 12, the ____ point of Stomach
St 36, the ___ point of St channel
TB 6, the ____ point of TB channel

Summer Damp Heat
Explanations:
Combo to release the exterior
Lu 6, the XI CLEFT point of Lu channel
LI 4, the YUAN SOURCE point of LI channel
Combo to transform damp
Ren 12, the FRONT MU point of Stomach
St 36, the LOWER HE SEA point of St channel
Release

Summer Damp Heat - Modification
Soreness All Over Body:

Soreness All Over Body:
+
Sp 21
Sp 6
Sp 9 (dampness and muscles)

Summer Damp Heat - Modification
Stomach Bloating and Loose Stool:

Stomach Bloating and Loose Stool:
+
St 25 (Front Mu LI)
St 37 (Lower He Sea LI)

Summer Damp Heat - Modification
Fever:

Fever:
+
Du 14

Cold in Cases of Qi Deficiency
Main Manifestations:

Cold in Cases of Qi Deficiency
Main Manifestations:
Aversion to Cold
Fatigue, Shortness of Breath

Cold in Cases of Qi Deficiency
Tongue

Cold in Cases of Qi Deficiency
Tongue
Pale with Thin White Coating

Cold in Cases of Qi Deficiency
Pulse

Cold in Cases of Qi Deficiency
Pulse
Floating, Forceless

Cold in Cases of Qi Deficiency
Treatment Principle:

Cold in Cases of Qi Deficiency
Treatment Principle: Tonify Qi

Cold in Cases of Qi Deficiency
Point Selections:
Wind Cold + _______, _______

Cold in Cases of Qi Deficiency
Point Selections:
Wind Cold Points
+
St 36
BL 13

Cold in Cases of Qi Deficiency
Prescription of Formula:
*Not on quiz.

Cold in Cases of Qi Deficiency
Prescription of Formula:
Shen Shu Yin

Cold in Cases of Yin Deficiency
Main Manifestations:

Cold in Cases of Yin Deficiency
Main Manifestations:
Aversion to Wind
Vexation the Heart, Hot Flash, Dry Throat

Cold in Cases of Yin Deficiency
Tongue

Cold in Cases of Yin Deficiency
Tongue
Red with Little Coating

Cold in Cases of Yin Deficiency
Pulse

Cold in Cases of Yin Deficiency
Pulse
Thin and Rapid

Cold in Cases of Yin Deficiency
Treatment Principle

Cold in Cases of Yin Deficiency
Treatment Principle:
Nourish Yin

Cold in Cases of Yin Deficiency
Point selections:
Wind Heat Points

Cold in Cases of Yin Deficiency
Point selections:
Wind Heat Points
+
BL 43
Ki 7
Ht 7

Cold in Cases of Yin Deficiency
Prescription of Formula:
*Not on quiz.

Cold in Cases of Yin Deficiency
Prescription of Formula:
Jia Jian Wei Rui Tang

Alternative Treatments
Ear Acupuncture:

Alternative Treatments
Ear Acupuncture:
Lung, Trachea, Ear Apex, Stomach, Spleen, Triple Burner

Alternative Treatments
Plum Blossom Needle:

Alternative Treatments
Plum Blossom Needle:
The plum-blossom needle is used to tap the skin along the Du and BL channels on the back for the pain in the back

Alternative Treatments
Tui Na:

Alternative Treatments
Tui Na:
Ning Fa and Qia Fa can be used on Du 14, Lu 5 to clear heat

Alternative Treatments
Gua Sha

...

Alternative Treatments
Cupping

Cupping - Wind cold
Sliding Cupping - Wind heat

Other modification points:
Front Headache

Sp 4
Pc 6

Other modification points:
Sore Throat

LI 4

Other modification points:
Cough

UB 13
Lu 10

Other modification points:
Nausea

Pc 6
Sp 4
Ren 12

Other modification points:
Diarrhea

St 36
St 37
St 25
Sp 9

Cough

...

Cough
Cough is one of the more predominant patterns presented in cases of ______________.
Cough may result either from attack by external factors or internal factors.
In modern medicine, cough is commonly seen in upper respiratory tract infection. Acute a

Cough
Cough is one of the more predominant patterns presented in cases of respiratory illness.

Cough
Cough may result either from attack by ________ factors or ________ factors.

Cough
Cough may result either from attack by external factors or internal factors.

Cough
In modern medicine, cough is commonly seen in upper respiratory tract infection. Acute and chronic bronchitis bronchiocetasis and tuberculosis(TB).

...

Cough
Etiology and Pathogenesis...
External _______
_________Factors
_________Deficiency or Improper ________

Cough
Etiology and Pathogenesis...
External Evils
Emotional Factors
Spleen Deficiency or Improper Diet

Cough
6 TCM patterns of diagnosis for common cold.
(Differentiation and Treatment)

1. Wind Cold
2. Wind Heat
3. Wind Dryness
4. Phlegm Dampness
5. Yin Deficiency
6. Liv Fire

Cough (Wind Cold)
Main Manifestations:

Cough (Wind Cold)
Main Manifestations:
Cough
Thin, White Phlegm

Cough (Wind Cold)
Tongue:

Tongue:
Thin, White Coating

Cough (Wind Cold)
Pulse:

Cough (Wind Cold)
Pulse:
Floating and Tight

Cough (Wind Cold)
Treatment Principle:

Cough (Wind Cold)
Treatment Principle:
Dispel Wind Cold, Relieve Cough

Cough (Wind Cold)
Point Selections:

Point Selections:
Lu 7
LI 4
BL 13
TB 5

Cough (Wind Cold)
Prescription of Formula:

Prescription of Formula:
San Ao Tang

Cough (Wind Cold)
Explanations:
Lu 7
LI 4
BL 13
TB 5

Cough (Wind Cold)
Explanations:
Lu 7 - Luo Point and Confluent Point
LI 4 - Yuan Source
BL 13 - Shu Point
TB 5 - Luo Connecting
GB 20 and
BL 12

Cough (Wind Cold)
Modifications
Headache:

Headache:
+
GB 20
Du 23

Cough (Wind Cold)
Modifications
Aching limbs:

Aching limbs:
+
BL 60
LI 7

Cough (Wind Heat)
Main Manifestations:

Cough (Wind Heat)
Main Manifestations:
Cough
Sore Throat, Thick Yellow Phlegm

Cough (Wind Heat)
Tongue:

Cough (Wind Heat)
Tongue:
Thin, Yellow Coating

Cough (Wind Heat)
Pulse:

Cough (Wind Heat)
Pulse:
Rapid Floating or Rapid Slippery

Cough (Wind Heat)
Treatment Principle:

Cough (Wind Heat)
Treatment Principle:
Dispel Wind Heat, relieve cough

Cough (Wind Heat)
Point Selections:

Cough (Wind Heat)
Point Selections:
BL 13
Lu 5
LI 11
Du 14

Cough (Wind Heat)
Prescription of Formula:

Cough (Wind Heat)
Prescription of Formula:
Sang Ju Yin

Cough (Wind Heat)
Explanations:
BL 13 (Fei Shu)
Lu 5 (Chi Ze), the _____ point of the Lu channel
LI 11 (Qu Chi), the _____ point of the LI channel
Du 14 (Da Zhui)

Cough (Wind Heat)
Explanations:
BL 13 (Fei Shu) LUNG SHU
Lu 5 (Chi Ze), the HE SEA point of the Lu channel
LI 11 (Qu Chi), the HE SEA point of the LI channel
Du 14 (Da Zhui)

Cough (Wind Heat)
Modifications
Sore Throat:

Sore Throat:
+
LI 11

Cough (Wind Heat)
Modifications
Excessive Sweating with Unresolved Fever:

Excessive Sweating with Unresolved Fever:
+
St 43
Ki 7

Cough (Wind Heat)
Modifications
Not Sweating Very Well:

Not Sweating Very Well:
LI 4 (Tonifying Technique)

No sweats

LI 4 (tonify)
Kid 7 (reduce)

Nightsweats

LI 4 (reduce)
Kid 7 (tonify)

Cough (Wind Dryness)
Main Manifestations:

Cough (Wind Dryness)
Main Manifestations:
Cough
Scanty, Sticky Phlegm that is Difficult to Expectorate

Cough (Wind Dryness)
Tongue:

Cough (Wind Dryness)
Tongue:
Dry Red with Thin White Coating or Thin Yellow Coating

Cough (Wind Dryness)
Pulse:

Cough (Wind Dryness)
Pulse:
Floating, Rapid

Cough (Wind Dryness)
Treatment Principle:

Cough (Wind Dryness)
Treatment Principle:
Course Wind Dryness, Moisten the Lung, Relieve Cough

Cough (Wind Dryness)
Point Selections:

Cough (Wind Dryness)
Point Selections:
BL 13
Lu 5
Lu 10
Li 11
TW 2
Additional points: Lu 7 ( Lie Que), Ki 6 (Zhao Hai)

Cough (Wind Dryness)
Prescription of Formula:

Cough (Wind Dryness)
Prescription of Formula:
Sang Xing Tang

Cough (Wind Dryness)
Explanations:
BL 13 (Fei Shu)
Lu 5 (Chi Ze)
Lu 10 (Yu Ji)
LI 11 (Qu Chi)
TW 2
Additional points: Lu 7 ( Lie Que), Ki 6 (Zhao Hai)

Cough (Wind Dryness)
Explanations:
BL 13 - Lung Shu
Lu 5 - He Sea point Lu
Lu 10 - Ying Spring (Clears Heat)
LI 11 - He Sea (Clears Heat)
Additional points:
Lu 7 (release exterior)
Ki 6 (nourish Yin)

Cough (Wind Dryness)
Modifications
Aversion to Cold without Perspiration:

Cough (Wind Dryness)
Modifications
Aversion to Cold without Perspiration:
+
Lu 7
LI 4