6. 1 1 What is cold? Tell the differerwe between common cold and epidemic cold.
Cold is an exogenous ailment caused by wind or seasonal pathogenes. It manifested by nasal obstruction, rfnnorrhea, cough, sneezing, aversion to wind and cold, fever and general pain or nialaise. Epidemion cold is coid due to seasonal pathogens bears infectiousness of various degrees and results in prevalence of pestilence and diseases of other kinds if serious
6.2 ?How many types is cold elassilied into? What are the differentation main points, therapeutic methods and recipes of (1) Cold due to wind-cold
[Syniptoms] Badly aversion to cold, mind fever, anhidrosis, headache, bodily pain or malaise, nasal obstruction, coarse voice, cough, sneezing watery nasal discharge, itching throat, thin whitish sputum, non-thirstiness or preference for hot drinks, normal tongue with thin whitish fur, float and tense pulse.
[Main poirus of differentiation] Badly aversion to cold, mind fever,anhidrosis,clear nasal discharge,and bodly pain.
[Treatment] Display the pathogen from the superficies and release stagnated lung-Qi with drugs of acrid taste and warm nature,
[Recipe] Jhig Ring Bal Du San
(2)Cold due to wind-heat
[Symptoms] Marked fever, slight aversion to wind-cold, sweating, distending pain in the head ,cough with little thick yeilowish sputum, dry or reddened or painful throat, nasal obstruction with thick yellowish discharge, thirstiness with preference for drinks; normal tongue or reationship of tongue with dry thin yellowish fur,floailng and rapid pulse.
[Main points of dilferentiation] Marked fever, slight aversion to wind-cold, sweating, thick nasal discharge, sore throat.
[Treatment] Dispel the pathogen in the superfictes and clear away heat from the lung with drugs of acrid taste and cool nature.
(3) Cold due 1o summer-heat and dampness
[Symptoms] Fevcr,slight aversion to wind, little sweat, lassitude or pain of the body, dizziness and disteriding pain of the beat thick nassal discharge .cough with thick sputum , mouthful greasiness, thi rstiness without preference for drinks, vexation, chest fullness and nausea, scanty dark urine; thin yellowish and greasy fur, softfloating and rapid pulse.
[Main points of differentiation It occurs in summer manifested as fever and lassitude. dizziness and distention of the head, vexation and nausea.
[Treatment] Relieve exterior syndrome by clearing away summer-heat and dampness.
[Recipe] Xin Jia Xiang Ru Yin
(4)Cold due to deficiency of Qi
[Symptoms] Marked aversion to cold , mid fever, anhidrosis or contnriously sppntancous perspiranon,lassieude and soreness of the lxdy,weak cough with low voice and slight dyspnea which are to be aggravated on slight exertion;pale and large tongue with thin whidsh fur weak pulse.
[Main points of differentiation] Generaf deficiency consitution, Marked aversion to cold , mild fever weak cough, lassitude, feeble pulse.
[Treatment] Strengthen the body resistance to eliminate pathogenic factors.
[Recipe] Shen Su Yin or Yu Ping Feng San
(5)Cold due to deficient yin
[SvrnpturnsJ Fever, slight aversion to wind-cold, less sweat, dizzuiess,dry mouth and dysphoria,dry cough with little sputurn.red dened tongue with little fur, bready and rapid Pulse. [Main points of differentiation] Fever with little sweat , dysphoria arid dry cough, reddened. tongue with Little fur.
[Treament] NourishYin to relieve exterior syndromes.
[Recipe] Jia Jian Wei Rni Tang
(6) Epidemic cold
[Symptoms] Abrupt aversion to cold with tretnhling and high fever if serious, general aching pain,acute headache, flushed cheeks, red eyes,lassitude and lack of strength,corigestion of throat or sometimes with anorexia ,constipation cough or slight cough with are nassal obsruction or dischargr; rapid pulse.
[Main points of differcntiaton] Epidemic and abrupt occurrence manifested as aversion to cold and high Lever acuTe headache and bodily pain, lack of strength, mild respiratory symptoms but severc constitutional ones.
[Treatmentl Clear away heat and toxic material.
[Recipe] Qing Wen Bai Du Yin
6.13 Acupuncture Treatment
A common cold is a frequently seen exogenous disease occurring all the year round, but especially in winter and spring when there are sudden uhinges in the weather.
Select poimas mainly from the Hand- Taiyin, Yangming and Foot- Taiyang, meridians, The reducing nicthod of needling is used. It is applicable to apply moxibusion.
Yingxiang, Lieque, Engchi,Fizgiizen Hlegu.
Select points main from the Hand- Taiyin , Yangrning and Shaoyang meridians. The reducing method of needling is used. Pricking with a three-edged needle is applicable.
Dazhyi, Quchi, Hegu, Yuji and Waiguan.
(3) Summer heat and dampness
Select points on the Taivin, Yangniing and Sanjlao meridians. The reducing methcxl of needling is used.
Kongzui, Hegu,Zusanli and Zhigou.
6. 2. 1 How is cough classi fied How is cough due io anack by exopathi .c factors dictinguished from that due to irneral impairment?
Diseases having cough as the chief manifestation are classified into two types-one due to exopathic factors, the other internal impairment.
Exopathogen: short course, inclusive of course, heal, wind and dryness syndromes, and in association with exterior syndromes as fever or aversion to cold.
Internal impairnient: long course, inclusive of sihenia, asthenia, cold and heat syndromes, showing various manifestations due to different diseased organs.
6. 2. 2 What arc the symptoms and signs, main points for diagnosis, i herapcutic methods and recipes for each dyndronie of cough due to attack axopathic factors?
(1 )Obstructed lung-Qi due to wind-cold
[Symptoms] Cough with coarse voice and thin whitish spuann, shortness of breath, and iLchii ig throat , in association with headache, nasal obstruction and clear chscharge, bodly soreness , aversion to cold fever, and anhidrosis ; pale tongue with thin whitish fur, float ing pulse or floating tense pulse.
[Main Ixinrs of diffcrrntiatiun] Cough with whitish sputum and in association with exteror syndrorrie of wind-cold.
[ Treatment] Expelling wind and cold pathogens; facilitating the flow of leng Qi to stop coughing.
[Recipe] Xing Su San and Zhi Sou San
(2)Invaision of wind-heat pathogen in the lung [Symptoms] Frequent cough with rude respiralion and coarse vcnce;sore throat, thick yellowish sputum with difficulty in expectoration ,and slight thirstiness in association with hcadache,fevcr ,aversftrn to wind,sweating,bodily soreness,and yellowish nasal dischargc thin yellowish fur, floadng rapid pulse.
[Main points of differentiatiori]Cough with rude respiration, yeIlowsh sputum sorethroat, fever, sweating, and floating rapid pulse.
[Treatment] Dispelling wind pathogen and removing heat in the lung;dissoving phlegm to stop coughing.
[Recipe] Sang.Ju Yin with modification
(3)Impairment of the lung by wind and dryness pathogens
[Symptoms] Dry cough or irritated cough, itching and dry throat , and little thick sputum with spitting difficulty or blood streaks in association with dry nose and lips,and even chest pain after coughing, nasal obstruetion,and headache with mild fever and chills; reddened tip of tongue with drythin yel.bwish fur, thready and somewhat rapid pulsc.
[Main points of differentiation] Dry cough, itching throat little thick sputum with spitting difficulty or blood streaks.
[Treairnent] Dispefling wind and lung-heat; moistening dryness to stop cough.
[Recipe] Sang Xing Tang
6.2.3 What are the ng-Fu organs related to cough? and what is the pathogcnesis?
Commonly seen in praciice is cough due to impairment of the lung , respectively inclusive of phlegm transformed from spleen-dampness, transformed fire from stagnated hvcr-Qi ,and failure of the kidt icy in reception ol air.
6-2.4 Acupuncture treatment
(1)Cough point on the caused by exogenous affection
Select fxints on rh Hand- Ta/in and Yangrning meridians as rtain points. The reducing method of needling is used and moxibus lion is applied.
L.ieque, Hegu, Eei.sh it and Waiguan
Select points on the Hand- Taiyin, Yungniing and flu meridiaiis as main points to expel wind, clear away hear, normalize lung functions arid resolve sputum. The reducing methc d of needling is used and pricking to cause bleeding is applicable at same time.
(2) Coughing caused by internal injuries
(ID Coughling caused by liver fire
Select points on the Hand-Taiyin and Foot-Jueyin meridians. The reducing method of needling is used.
Feishu , Ganshu , Taichong , Chize
¢ŚCoughing caused by phlegm and dampnss
[Treatment]Select points on the Taiyin and Yu ngming nwridians The even method of needling is used and moxibustion is applicable.
Feishu, Pihu, Tathai, Fenglong and Zha ngmen
6.3 Asthma With Wheezing
6. 3. 1How is asthma of cold syndrome distinguished from that of syndrome?
Asthma of cold syndrome Warming the lung to dispel cold resolving phlegm to relieve asthma.
Asthma of heat syndrome: Promoting thc dispersing function of the lung to clear away heat ; resolving phlegm to relieve asthma.
6. 3. 2 How many types are included of asthma at the salge of attack? And what arc the differentiation main points, therapeunc methods and recipes for each?
(1) Asthma of cold syndronie
[Main points of differentiadon] Wheezing and dyspnea to be induced at the attack of cold, and bearing premonitory as itching nose arid throat; whitish mosst and glossy fur.
[Treatment] Warm the lung to dispel cold pathogen; relieve phlegm to stop asihnia with wheezing.
[Recipe] She Gun Ma Huang Tang and Xiao Qing Long Tang
(2)Asthma of heat syndrome
[Main points of diffex-enriation] Short breath and rude respiralion, roaring rate, thick sputum, dysphoria, reddened tongue with ye1lowish greasy fur.
[Treatment] Facilitating the flow of lung-Qi to clear heat; removing phlegm to stop asthma.
[Redpe] Ding Chuan Tang, Ya Bi Jia Ban Xia Tang
6.3.3 Acupuncture Treatment
(1) Excassive Pattern
¢Ł Rcteniiuii ni cold and fluid in the lung
Select points on the Hand- Taiyin and Foot- Taiyang meridians. The reducing method of needling is used. Moxihiistion and cupping are applicable to the back Shu points.
Lieque, Chize, Fengmen and Feishu
¢ŚRetenlion of heat and phlegm in the lung
[Treatrnent] Select points on the Taiyin and Yangm ing meridians as main points.The reducing method of needling is used.
Hegu, Dazhui, Fenglong. Tan zhong, Zhongfuand Kongzui
(2) Deficient pattern
Select points from the Hand Thiyin and hack Shu points. The reinforcing method or combination of reinforcing and reducing or moxibustion are all applicable.
Dingchuan, Gaohuang, Feishu, and Taiyuan