Rising Lotus Acupuncture Clinic--About Us

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Cough

Concept

Think Lung & Spleen, 1st: More cough = Lung, More Phlegm = Spleen
Generally Wind Cold, Wind Heat or Dry Heat as far as exterior conditions
According to Dr. Zhou’s father in-law: use Er Chen Tang as a base for all formulas dealing with cough and make modifications as needed
High pitch = Excess
Low pitch = Deficiency

Etiology and Pathology

External pathogen invasion (Wind, Cold, Damp or Heat) obstructs Lung Qi
Zang Fu dysfunction - Tends to be more chronic
Lung - Bronchitis, long term smoking, cancer
Liver - Liver Qi Stagnation turning to Heat and Insulting the Lung
Spleen - Diet related, long term Spleen Qi Deficiency creating Damp & Phlegm, Lung is store house for Phlegm
Kidney - Asthma related, Kidney not grasping the Qi

Diagnosis

Know symptoms, typical is cough and phlegm with chest tightness
Western - X-ray of chest, gurgling sound, Blood test for WBC’s
TCM - Cough is main complaint

Treatment Principle

Disperse Lung Qi
Clear Heat and resolve Phlegm
Stop cough and nourish Yin
For chronic cough, use astringent to stop cough

Single Herbs - Dr. He

Ban Xia, Tian and Dan Nan Xing - For hot or cold Phlegm
Bai Qian, Bai Jie Zi, Bai Guo - For cold Phlegm (warm herbs)
Gua Luo, Bei Mu, Zhu Li, Zhu Ru, Hai Fu Shi, Qian Hu, Pang Da Hai - For warm Phlegm (cool herbs)
Xing Ren, Sang Bai Pi, Su Zi, Kuan Dong Hua, Bai Bu, Pi Pa Ye - Good for stopping cough
Hai Zao and Kun Bu - For resolving goiter and Phlegm nodules
Ge Jie, Dong Chong Xia Cao - Good for asthma and tonifies the Lung

Cough due to Wind Cold or Wind Heat Invasion

Points for Cough due to Wind Cold or Wind Heat Invasion

Lu 7, Li 4, BL 13
For pain and swelling in the throat add: Li 10, 11
For fever and aversion to cold add: Du 14, SJ 5

Herbs for Cough due to Wind Cold - Dr. Wu

Jin Fei Cao San - (Jin Fei Cao, Qian Hu, Jing Jie, Xi Xin, Ban Xia, Fu Ling, Gan Cao, Sheng Jiang, Da Zao)
If more Cold signs add: Ma Huang
If profuse Phlegm is present add: Ju Hong (Chen Pi)

Herbal formula for Cough due to Wind Cold - Dr. He

San Ao Tang
Ma Huang, Xing Ren, Gan Cao
Zhi Sou San
Zi Wan, Bai Qian, Bai Bu, Chen Pi, Jie Geng, Gan Cao

Herbal formula for Cough due to Wind Heat - Dr. He

Sang Ju Yin
Sang Ye, Ju Hua, Bo He, Xing Ren, Jie Geng, Lian Qiao, Lu Gen, Gan Cao
Sang Bai Pi - For more cough
Zhe Bei Mu - For more Heat

Herbs for Cough due to Dry Heat - Dr. Wu

Sang Xing Tang - Warm Dryness
Xing Su San - Cool Dryness
Zhi Sou San - For lingering cough after Wind Cold/Wind Heat invasion

Herbal formula for Cough due to Wind Dryness - Dr. He

Sang Xing Tang
Sha Shen, Sang Ye, Zhi Zi, Dan Dou Chi, Xing Ren, Zhe Bei Mu

Cough due to internal injury

For blockage of Lung by Phlegm: BL 13; Ren 12; Lu 5; ST 36, 40
For Lung dryness with Yin Deficiency: BL 13; Lu 1, 7; Kid 6
For coughing of blood: Lu 6; BL 17

Herbs for Cough due to Phlegm Dampness - Dr. Wu

Er Chen Tang
To strengthen the effect add: Huo Po, Bai Zhu & Xing Ren
If more food stagnation add: Shan Zha, Mai Ye, & Shen Qu
If more Lung Heat add: Zhi Zi & Huang Qin
If more Phlegm add: Dan Nan Xing, Tian Zhu Huang & Zhu Li
If hypochondriac pain add: Chai Hu, Zhi Qiao & Yu Jin

Herbal formula for Cough due to Phlegm Dampness in Lung - Dr. He

Er Chen Tang + San Zi Yang Qing Tang (Zi Su Zi, Lai Fu Zi, Bai Jie Zi)
Can add Xi Xin and Gan Jiang to resolve Yin fluid in Lung and warm

Herbal formula for Cough due to Phlegm Heat in Lung - Dr. He

Qing Qi Hua Tan Tang - More Phlegm
Chen Pi, Ban Xia, Fu ling, Xing Ren, Zhi Shi, Gua Luo Ren, Huang Qin, Dan Nan Xing
Qing Jin Hua Tan Tang - More Heat
Chen Pi, Gan Cao, Fu ling, Zhi Zi, Zhi Mu, Sang Bai Pi, Huang Qin, Gua Luo, Jie Geng, Mai Dong, Bei Mu

Herbs for Cough due to Yin Deficiency

Sha Shen Mai Dong Tang
If more deficient Heat add: Xuan Shen, Sheng Di
For blood streaked sputum add: Huang Qin, Bai Mao Gen & E Jiao
For more cough add: Chuan Bei Mu & Pi Pa Ye
For more Yin deficiency add: Yin Chai Hu, Qing Hao & Di Gu Pi

Herbal formula for Cough due to Lung Yin Deficiency - Dr. He

Sha Shen Mai Dong Yin
Tian Hua Fen, Bian Xu, Sha Shen, Mai Dong, Yu Zhu, Sang Ye, Gan Cao
Bu Fei Tang is good to use when recovering from an illness

Herbs for Cough due to Qi Deficiency

Liu Jun Zi Tang

Other Treatment Principles

Cupping BL 12, 13

Herbal formula for Cough due to Liver overacting on Lung - Dr. He

Xie Bai San + Huang Qin or Die Ge San + Xie Bai San