TCM Lung Disease Lung Physiology Lung Pathology Cases

TCM Lung Disease Lung Physiology Ø Lung Pathology Ø Cases (Cough & Asthma) Ø

Metal Ø Sound l Ø Ø autumn nose Body Part l Ø west Opening l dry-cool Season Direction l grief Climate l Ø weeping Emotion l Ø skin Zang/Fu l LU/LI

TCM LUNG Physiology Ø Governs Qi & Respiration Ø Dominates Ascending & Descending Ø Control the Body Surface Ø Opens in the Nose

TCM LUNG Physiology Ø Governs Qi & Respiration l l l Inhales “clear” Qi Exhales “stale” Qi Forms Zong Qi from Gu Qi & clear Qi Qi help propel the Blood so Lung and Heart work together Stagnation of Lung Qi leads to cough and asthma

TCM LUNG Physiology Ø Dominates Ascending & Descending l l Distributes defensive (wie) Qi and body fluid to entire body Helps maintain normal descending function, while receiving the ascending water vapor from the kidney

TCM LUNG Physiology Ø Control the Body Surface l l Distributes body fluid to the tissues which in turn helps regulate skin moisture and sweating Provides Wei Qi

TCM LUNG Physiology Ø Opens in the Nose l l Lung is a canopy over the other organs and very delicate Easily affected by pathogens (wind, heat, cold or dryness)

Lung Patterns

TCM 24 Hour Clock

Cough Pattern Invasion of Lungs by Wind‑Cold Excess Invasion of Lungs by Wind‑Heat Phlegm‑Heat Cough Yin Deficiency Cough Deficiency Lung Qi Deficiency Lung Yin and Qi deficiency

Invasion of the Lung with Wind. Cold Etiology Wind-Cold attack Lung Qi flow is obstructed Cough

Silver (2 yr M TB) Fever- -104. 5 (3 days) Ø Thick, yellow nasal discharge Ø Slight cough Ø Tongue: Red and dry Ø Pulse: Surging and fast Ø No other signs Ø 4 other horses on farm affected Ø Dx: Wind-heat invasion of the lung Ø

Silver Treatment Ø Acupuncture l EA • GV-14→Bai Hui l DN • BL-13, Ding-chuan l Aqua • LI-4, LI-11 Ø Herbal l Equine Yin Qiao • 30 -50 gm BID 7 -10 days

Cappy (9 yr M/C Mix) Chronic cough and nasal discharge for 3 months Ø Cold, wet nose Ø Prefers warm Ø Metal dog Ø Tongue: Pale and wet Ø Pulse: weak on right Ø Dx: Lung Qi deficiency with stagnation Ø

Cappy Treatment Ø Acupunture l Ø LI-20, Bi Tong, Long Hui, LI-4, LU-7, LU-9, CV-17 Herbal l l Bu Fei Wan Xin Yin San

Dyspnea/Asthma Pattern Invasion of Lungs by Wind‑Cold Excess Accumulation of Phlegm‑Heat in Lungs Lung Qi Deficiency Lung Yin Deficiency Lung-Kidney Qi Deficiency

Dyspnea/Asthma Pattern Wind‑Cold Wind‑Heat Lung Def Kidney Def Attack Lung control Qi Flow obstruct flow of the Lung Qi reception of Qi upward the Qi Flow Dyspnea/Asthma

Allergy Heat Allergic heaves Worse in Summer Cool-seeking Tongue: Red and dry Pulse: Strong and fast LU-5/7, BL-13, Dingchuan, 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 Cool-seeking Tongue: Red and dry Pulse: Thready and rapid BL-13, KID-3, BL-23, SP-6, LU-7/9 Lily Combination Lung Qi Deficiency Chronic heaves/asthma 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 Exercise intolerance Loss of breath Worse asthma when moving Obvious heaves/asthma groove Tongue: Pale with thin coating Pulse: Deep and weak BL-13, BL-26, KID-7/10, LU-7/9, LI 10, ST-36, Dingchuan, CV-22 Breath Easer

CDR Monkey (55 yr M Mix) Ø Ø Ø Ø 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

CDR Monkey Treatment Ø Acupuncture l DN • LU-9, KID-3, LIV-3, Shen Shu (caudal), CV 17 l Moxa • ST-36 l Aqua • HT-7 Ø Herbal l Gecko formula

Allergy Wind-Heat Allergic Rhinitis SInusitis Sneezing Nasal congestion with thick discharge Tongue: Red and dry Pulse: Fast Tuo Ming Tang Wind Cold Damp Nasal congestion with clear discharge Sneezing Cool-seeking Tongue: Pale Pulse: Tight (wiry) Xin Yin San Phlegm Stagnation Thick, yellow, smelly nasal discharge Tongue: Red or purple Pulse: Deep and fast Huey’s Formula

Clyde-O (6 yr M/C Mix) Rescue puppy Ø Water dog Ø l l Thunderstormphobia LS stenosis Nasal congestion in right nostril Ø Sneezing Ø Tongue: Red and purple Ø Pulse: Forceful Ø Dx: Wind Heat Ø

Clyde-O Treatment Ø Acupuncture l Ø LI-4, LI-20, GV-14, Long Hui Herbal l Tuo Ming Tang

TCM Lung Disease Ø I hope you all breath a little easier Ø Look for the pattern and treat what you find