Transcript Lung_Physiology_and_Pathology.ppt

TCVM Lung Disharmonies
TCVM Lung Disease
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Lung Physiology
Lung Pathology
Cases
Metal
 Sound
– weeping
 Direction
– west
 Emotion
 Opening
– grief
– nose
 Climate
– dry-cool
 Season
– autumn
 Body Part
– skin
 Zang/Fu
– LU/LI
Relationship Between LU & LI
 LI is husband of LU
 Both are related to
elimination of wastes
 Another reason to
beware of airport
infrared security
Lung TCVM Physiology
 The Lung is the Metal
Phase Zang organ in
Wu Xing or Five Phase
theory
 It is benefited by
proper use of the
Pungent flavor
The Lung is benefited by
the Pungent flavor
 Smelly garlic: A lung tonic?
 From San Diego, at the Experimental Biology
2005 meeting
– Many people suffer from acute pulmonary hypertension,
where blood pressure is selectively elevated in the
lungs
– The potentially lethal condition can make the right side
of the heart work too hard and thus lead to heart failure
– This particular form of high blood pressure might be
prevented by a daily downing of two cloves of fresh
garlic or its powdered equivalent, a new study in rats
suggests
Lung TCVM Physiology
 The Earth Phase (Spleen/Stomach) is the
nourishing parent of the Lung, while the
Water Phase (Kidney/Bladder) is the
draining child of the Lung
 It is also thought that since perturbed
Spleen function creates Phlegm, the Lung
then stores Phlegm
 The emotion correlated with the Lung is grief
Lung TCVM Physiology
 The TCVM Lung is
commonly the first to
be invaded by WindHeat, Wind-Cold and
Dry pathogens
 Thus it is said in TCVM
that the Lung is the
“delicate” organ and
dislikes dry
The Lung is the “delicate” organ and
dislikes dry
 Drug for dry mouth may prevent lung cancer
 From San Francisco, at a meeting of the American
Association for Cancer Research
 A drug that has been prescribed for 30 years for a
condition known as dry mouth can also stymie the
formation of precancerous lung lesions in cigarette
smokers, particularly those who have quit
Lung TCVM Physiology
 Since we know the above functions of the
TCVM Lung, we can predict that Lung
Disharmonies will affect:
– the energetic status of our patients
– the respiratory system
– water metabolism and build-up in the body
(particularly the upper body)
Lung TCVM Physiology
 Since we know the above functions of the
TCVM Lung, we can predict that Lung
Disharmonies will affect:
– the ability to adequately ventilate with deep and
unobstructed inspirations and expirations
– and contribute to rhinitis and sinusitis
– and be involved in the emotions of sadness and
grief
TCM LUNG Physiology
 Governs Qi & Respiration
 Dominates Ascending &
Descending
 Control the Body Surface
 Opens in the Nose
TCVM Lung Disharmonies:
Introduction
 The Lung functions include all of the
following in TCVM:
– Govern Qi and respiration
– Control channels and blood vessels
– Control dispersing and descending
– Regulate the water passages
– Control skin and hair
– Open into the nose
– House the Corporeal Soul (Po)
TCVM Lung Disharmonies:
Introduction
 Western Lungs:
– Govern aerobic metabolism and respiration
– Are the site of modification of ACE enzymes
– Interact with hormones utilized by the kidney
system
– Are derived from ectoderm like the skin and hair
– Are involved with emotional sadness
 depresses breathing and increases sighing
Govern Qi and respiration
 Breath training aids sprint
power
 From San Diego, at the
Experimental Biology 2005
meeting
 Athletes who perform short,
high-intensity activities
benefit from training their
lungs as well as their arms
and legs
TCM LUNG Physiology
 Governs Qi & Respiration
– 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
Lung TCVM Physiology
 “Lungs govern Qi and respiration”
 The Lung inhales “pure Qi” and exhales “dirty Qi”
and this exchange is essential to the proper
functioning of all of the body’s physiological
processes
 The second way that the Lungs govern Qi is due
to their role in the generation of Zong Qi
(Gathering Qi) of the body
Lung TCVM Physiology
 The Spleen sends Gu Qi (Food Qi) to the
Lungs where it is combined with the Qing Qi
(clear Qi of the atmosphere) in the chest
(the Upper Sea of Qi) to make the Zong Qi
 The Lung then spreads Qi all over the body
to nourish all the tissues and Zang-Fu
organs
Lung TCVM Physiology
 “The Lung controls Channels and blood
vessels”
 The Lungs govern Qi and Qi is the force that
empowers the Heart to circulate Blood
 Further, Lung Qi controls the circulation of
Ying Qi (Nutritive Qi) in the channels
Lung TCVM Physiology
 If Lung Qi is strong the
circulation of Qi and Blood
will be uncompromised
and the limbs and digits
will be warm
 If the Lung Qi is weak, Qi
will be inadequate to move
the Blood and the limbs
and especially the digits
will be cool or cold
TCM LUNG Physiology
 Dominates Ascending &
Descending
– Distributes defensive (wie) Qi
and body fluid to entire body
– Helps maintain normal
descending function, while
receiving the ascending water
vapor from the kidney
Lung TCVM Physiology
 The Lungs control the dispersing and
descending function
 By dispersing it is meant that the Lungs
control the spreading of Wei Qi (Defensive
Qi) and Body Fluids throughout the body
surface in the space between the skin and
muscles
Lung TCVM Physiology
 This dispersion of Wei Qi both warms the
skin and protects against exterior
pathogenic invasion
 Weak Lung function may lead to a decrease
in Wei Qi in the skin and an increased
incidence of exterior pathogenic invasion
Lung TCVM Physiology
 The Lung also spreads Body Fluids to the
skin in the form of a mist
 This mist or Body Fluids both moistens the
skin and regulates the opening and closing
of pores and sweating
Lung TCVM Physiology
 Excess conditions such as Wind-Cold (Cold
predominate) may lead to a cessation of sweating
while Deficiency conditions such as Wind-Cold
(Wind predominate) or Yang deficiency may lead
to spontaneous sweating
 If the Lung function of dispersing is compromised,
edematous fluids may accumulate under the skin
of the upper body and face
Lung TCVM Physiology
 The Lung controls the descending function
since it is the “uppermost” organ and the Qi
generated in the Lung must descend
 Lung Qi especially descends to the Kidney
where the Kidney then “grasps” it
Lung TCVM Physiology
 The Body Fluids are also descended down to the
Kidneys and Bladder
 Compromised descending function of Lung Qi may
cause cough, breathlessness and stuffiness in the
chest
 If the Large Intestine (Yang husband of the Lung)
does not receive the Lung Qi, Qi deficient
constipation may occur
Lung TCVM Physiology
 “The Lung regulates the
water passages”
– in relation to its dispersing
and descending function
 If the dispersing function of
“misting” under the skin is
blocked
– edematous fluids may
accumulate beneath the skin
Lung TCVM Physiology
 Since the Lung descends fluids down to the
Kidneys and Bladder, the Kidney is kept
moist (and may “steam” fluids back up to
moisten the Lung) and the Bladder is
influenced to release its urine
 If Lung Qi is impaired, urinary retention may
occur
TCM LUNG Physiology
 Control the Body Surface
– Distributes body fluid to
the tissues which in turn
helps regulate skin
moisture and sweating
– Provides Wei Qi
Lung TCVM Physiology
 The Lung “controls the skin and hair” is also
related to the dispersing/descending and
regulating the water passages functions of the
Lung
 The Lungs receive, along with Gu Qi, fluids from
the Spleen and spreads them over the entire body,
skin, and hair to give nourishment and moisture
 If the Lung is functioning normally, the fur will have
luster and the opening and closing of the pores will
be normal
Lung TCVM Physiology
 If the Lung function is somehow compromised the
skin and hair will lack nourishment and moisture
and may be dry and rough
 Of course we remember that the Lungs maintain
the flow of Wei Qi under the skin when functioning
normally
 Abnormal function or Wind invasion of the skin can
lead to a blockage and impair Lung dispersing
function leading to sneezing and coughing
Lung TCVM Physiology
 The Lung opens into the nose and thus
receives the Qing Qi of the atmosphere in
order to make Zong Qi
 The Jing-Shen of a healthy Lung leads to
good olfactory sensation and good Lung Qi
leads to open nostrils and healthy
respiration
Lung TCVM Physiology
 If Lung Qi is weak or there is an invasion of
an exogenous pathogen, the nose may be
blocked and there may be a loss or
reduction in olfaction or sneezing
 If the Lungs are invaded by pathogenic Heat,
the nares may flare and there may be
epistaxis
If Lung Qi is weak there can be an
invasion of an exogenous pathogen
 Conduit to the Brain: Particles enter the nervous system
via the nose
 Like stealthy intruders, minute airborne particles can
apparently invade the brain through a vulnerable portal
 At least some such particles, when inhaled into the nose,
shimmy up the nerve bundle that governs smell and
infiltrate the central nervous system, bypassing the natural
firewall between brain tissue and the main circulatory
system, new research suggests
Lung TCVM Physiology
 The Lungs house the Po or Corporeal Soul
 The Po
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–
–
pertains to the body
is the “spirit” of the body
is Yin and quiescent
is related to Essence
represents the movement of Essence inwardly
is connected to Qi and Yang
is purely individual and at death dissolves and returns to the earth
 Disharmony of the Po tends to cause problems in the
daytime and causes a lack of vigor and vitality
TCM LUNG Physiology
 Opens in the Nose
– Lung is a canopy
over the other
organs and very
delicate
– Easily affected by
pathogens (wind,
heat, cold or
dryness)
Lung TCVM Physiology
 Since they have intimate contact with the
outer world through the air, the Lungs are
considered the most external Yin organ
 Because of this “external” position, the Lung
is considered the “tender” organ and is most
vulnerable to attack by exogenous
pathogenic factors
the “tender” organ
 Inhaled particles damage vascular lining
 Though arteries and veins move large flows
of blood around the body, tinier vessels
called arterioles distribute blood to the
capillaries in tissues
the “tender” organ
 To regulate this microflow minute to minute according to
tissues' needs, arterioles continually dilate and constrict
 An animal experiment now indicates that breathing soot
and other airborne particles compromises the arterioles'
capacity to dilate
 The finding, reported in Pittsburgh in October at the
Society of Environmental Journalists annual meeting, offers
one explanation for epidemiological studies that have
linked cardiovascular disease and polluted air
the “tender” organ
 Diesel fumes suppress immune response
 Recurring exposure to soot particles from
diesel exhaust reduces the immune
system's capacity to fend off infection more
persistently than does a one-time exposure
to an equivalent amount of particles, tests
on rodents indicate
 Inhaling particles less than 2.5 μm across is
harmful to the heart and lungs
Is the Increase in Asthma Prevalence Linked
to an Increase in Allergic Antigen Load,"
Allergy, 1995;50:935-938. #24296
 What role does air pollution have in asthma prevalence?
 AW & JP: Industrial air pollutants are not thought to have
been important in increasing the prevalence of asthma
 There is no doubt that some countries in Eastern Europe,
such as East Germany and Poland, have had high levels of
industrial pollutants, such as sulfur dioxide and nitrogen
dioxide in recent years
 These pollutants appear to be responsible for high levels of
respiratory infections in children but the prevalence of
asthma is lower than in Western Europe
Lung Patterns
TCM 24 Hour Clock
LIV
GB
TH
1-3 AM
LU
3-5 AM
LI 5-7
11-1AM
9-11 PM
PC
7-9 PM
KID
BL
ST
7-9 AM
SP
9-11 AM
HT
5-7 PM
3-5 PM
SI
AM
1-3 PM
11-1 PM
Common TCVM Lung Pathology Patterns
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Wind-Cold Invading the Lungs
Wind-Heat Invading the Lungs
Wind(-Heat)-Dampness
Wind-Dryness (with Heat)
Lung-Heat
Lung Phlegm-Heat
Damp-Phlegm (or Cold Phlegm) in the Lungs
Lung Qi Deficiency
Lung Qi Obstructed
Lung Yin Deficiency
Lung Dryness
Lung Yin Deficiency with Empty-Heat
Wind-Cold Invading the Lungs
 Commonly seen as asthma, allergic rhinitis, cough,
and influenza
 Clinical signs: chills greater than fever, sneezing
and clear watery nasal discharge, body aches,
itchy throat
 Tongue: thin white coat
 Pulse: superficial, tight
 Treatment Principle: release the Exterior, expel
Wind-Cold, calm asthma, calm the Shen
Gui Zhi Tang Cinnamon Twig
Decoction
 Gui Zhi
cinnamomum
 Bai Shao Yao
paeonia
 Sheng Jiang
zingiber
 Da Zao
ziziphus
 Gan Cao
glycyrriza
warm kidneys, fortify
Yang, disperse Cold
nourish blood &
perserve Yin
warms middle &
expels Cold
tonify Qi, hamronize,
calm shen
tonify Qi, harmonize
– Actions: releases pathogenic influences from the muscle layer and
regulates the Ying (Nutritive) and Wei (Defensive)
Wind-Cold Invading the Lungs
 Western Biomedicine: URTI, influenza,
allergic rhinitis, angioedema, eczema,
urticaria
 Acupuncture:
– Dingchuan to stop acute asthma
– BL 12 to expel Wind
– BL 13, Ren 22, LU 7, to normalize descending
Lung Qi
Zhi Sou San
 Bai Bu
Stamona
 Bai Qian
Cynanchum Descend Lung Qi, stop cough
 Chen Pi
Citrus
Move Qi, transform phlegm
 Fu Ling
Poria
Drain Damp, strengthen Spleen
Moisten Lung, stop cough
 Gan Cao Licorice
Harmonize
 Zi Wan
Moisten Lung, stop cough
Aster
– Action: Moisten the Lung, transform phlegm and stop cough
Wind-Cold Invading the Lungs
– LU 6 Xi-Cleft point for acute process
– HT 7, Ren 15 calm the Shen, unblock the chest and
descend chest Qi
– GB 20, GB 21 relax the neck (ease breathing) and
descend Qi
– ST 36, SP 6 to harmonize Ying and Wei Qi
 Jing-Tang: Zhi Sou San (F0045) to moisten the
Lung, transform phlegm and stop cough
Wind-Heat Invading the Lungs
 Commonly seen as asthma, allergic rhinitis, sinusitis,
cough, and influenza
 Clinical signs: fever and aversion to cold, headache,
tightness of the chest, loud wheezing, barking cough,
asthma, mental restlessness, slight thirst
 Tongue: red sides towards the front
 Pulse: superficial, rapid
 Treatment principles: release the Exterior, restore the
descending of Lung Qi, expel Wind-Heat, calm asthma,
calm the Shen
Sang Ju Yin Mulberry Leaf and
Chrysanthemum Decoction
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Sang Ye
Ju Hua
Bo He
Xing Ren
Lu Gen
Jie Geng
morus fruit
chrysanthemum
mentha
prunus
phragmites
platycodon
 Lian Qiao
forsythia
 Gan Cao
glycyrriza
expel wind & clear Lung heat
disperse wind & clear heat
disperse wind heat
stop cough & calm wheezing
clear heat (LU) & generate fluids
open & disseminate Lung Qi,
expels phlegm, transporter
clear heat & toxins, dissipate
nodules
tonify Spleen & Qi, moisten
Lungs & stops cough
– Actions: releases exterior Wind-Heat and stops coughing by facilitating the
correct flow of Lung Qi
Wind-Heat Invading the Lungs
 Western Biomedicine: URTI, influenza, early-stage
acute bronchitis, acute tonsillitis, acute
conjunctivitis
 Acupuncture:
– LU 5 clears Lung Heat
– LU 7, LU 1, BL 13 restore the descending function of the
Lung
– LU 6 Xi-Cleft for acute onset
– LU 11 expels Wind-Heat and soothes the throat
– Dingchuan stops acute asthma
– HT 7, Ren 15 calm the Shen
Yin Qiao San Honeysuckle
and Forsythia Powder
 Ban Lan Gen
 Bo He
 Dan Zhu Ye
Isatis
Mentha
Bamboo
 Gan Cao
 Jie Geng
Licorice
Platycodon
 Jin Yin Hua
Lonicera
 Jing Jie
 Lian Qiao
Schizonapeta
Forsythia
 Lu Gen
Phragmites
 Niu Bang Zi
Arctium
Clear Heat-toxin
Clear Wind-Heat
Clear Heat and benefit the
urination
Harmonize
Open the Lung and eliminate
phlegm
Clear Heat-toxin, dissipate the
exterior
Clear Wind-Cold
Clear Heat-toxin, dissipate the
swelling
Clear Heat and promote body
fluid
Clear Wind-Heat, benefit the
throat
– Actions: disperses Wind-Heat, clears Heat and relieves toxicity
Wind-Heat Invading the Lungs
 Western Biomedicine: URTI, influenza, acute
bronchitis, measles, acute endometritis, earlystage encephalitis or meningitis
 Acupuncture:
– LU 5 clears Lung Heat
– LU 7, LU 1, BL 13 restore the descending function of the
Lung
– LU 6 Xi-Cleft for acute onset
Wind-Heat Invading the Lungs
– LU 11 expels Wind-Heat and soothes the throat
– LI 11, ST 36, GV 14 to dispel Heat
– Dingchuan stops acute asthma
– HT 7, Ren 15 calm the Shen
 Jing-Tang: Equine Yin Qiao (E0130) to relieve the
exterior, dispel Wind-Heat, eliminate Interior Heat
and detoxify
Equine Yin Qiao (E0130)
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Ban Lan Gen
Bo He
Dan Zhu Ye
Gan Cao
Jie Geng
Jin Yin Hua
Isatis
Mentha
Bamboo
Licorice
Platycodon
Lonicera
 Jing Jie
 Lian Qiao
Schizonapeta
Forsythia
 Lu Gen
 Niu Bang Zi
Phragmites
Arctium
clear heat-toxin
clear wind-heat
clear heat & benefit urination
harmonize
open Lung & eliminate phlegm
clear heat-toxin, dissipate
exterior
clear wind-cold
clear heat-toxin, dissipate
swelling
clear heat & promote body fluid
clear wind-heat, benefit the throat
– Action: Relieve the Exterior, dispel Wind-Heat, eliminate Interior Heat and
detoxify
Wind(-Heat)-Dampness
 Commonly seen as headaches with or without
influenza
 Clinical Signs: aversion to cold, shivering, fever,
nausea, vomiting, swollen lymph nodes, headache,
feeling worse in the afternoon, chest oppression,
sticky feeling in mouth
 Tongue: sticky yellow coating
 Pulse: slippery and floating
 Treatment Principle: release the Exterior, expel
Wind-Heat and resolve Dampness
Huo Xiang Zheng Qi San Agastache Powder
to Rectify the Qi
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Huo Xiang
agastaches
transform damp, harmonize middle burner,
stop vomiting
Hou Po
cortex magnolia move Qi, transform damp, resolve stagnation
Zi Su Ye
folium perilla
release exterior & disperse cold, move Qi,
expand chest
Bai Zhi
angelica dahurica expel wind, alleviate pain, reduce swelling &
expel pus & damp
Ban Xia
pinella
dry damp, transform phlegm, descend
rebellious Qi, stop vomiting
Da Fu Pi
areca
move Qi down, reduce food stagnation, expel
damp, promote urination
Bai Zhu
actractylodes
tonify Spleen & Qi, strengthen Spleen & dry
damp
Fu Ling
poria
drain damp, strengthen Spleen
Jie Geng
platycodon
open Lung & eliminate phlegm
Zhi Gan Cao honey-fry licorice tonify Spleen & Kidney Qi & Yang, moisten
Lungs & stops cough
– Actions: releases the exterior, transforms Dampness, regulates the Qi, and
harmonizes the middle burner
Wind(-Heat)-Dampness
 Western Biomedicine: influenza, intestinal flu,
nonspecific acute colitis and acute gastroenteritis
 Acupuncture:
– LI 4 Hegu and LI 11 to release the exterior, expel WindHeat and resolve Damp-Heat
– SP 9 resolves Damp-Heat
– Ren 13 resolves Dampness, harmonizes the middle
burner and subdues rebellious Stomach Qi
Wind(-Heat)-Dampness
– TH 5 expels Wind-Heat
– DU 14 clears Heat
– LU 11 hemo-AP expels Wind-Heat and benefits
the throat (may substitute LU 10 in small
animals)
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 Jing-Tang: Huo Xiang Zheng Qi
Wind-Dryness (with Heat)
 Commonly seen as cough, nasal or lung bleeding, or
influenza
 Clinical Signs: aversion to cold, fever, slight sweating,
dryness of nose, mouth and throat, dry skin with dry cough
and desire to drink
 Tongue: slightly red near the tip, dry
 Pulse: floating, may be rapid
 Treatment Principles: release the exterior, expel Wind,
restore the descending function of Lung Qi, benefit Body
Fluids
Sang Xing Tang Mulberry Leaf and
Apricot Kernel Decoction
 Sang Ye
 Zhi Zi
 Dan Dou Chi
 Xing Ren
 Zhe Bei Mu
 Sha shen
 Li Pi
folium mori
expel wind & clear
Lung heat
gardenia
clear heat, reduce
irritability, drain damp heat
prep soybean
release exterior hot
or cold
apricot seed
stop cough & calm
wheezing
fritillaria
clear & transform
phlegm heat
glehnia
moisten lungs &
clear heat
pyri fruit
clear heat,
strengthen Spleen
– Actions: clears and disperses warm-dryness
Wind-Dryness (with Heat)
 Western Biomedicine: URTI, pharyngitis,
pertussis, bronchitis, and bronchiectasis
 Acupuncture:
– LU 7, LI 4, LI 11 release the exterior and expel
Wind-Heat
– Ren 12, SP 6 and KI 6 promote Body Fluids
– KI 6 soothes the throat
Lung Heat
 Commonly seen as sinusitis, cough, atrophy
syndrome, or influenza
 Clinical Signs: high fever, feeling of heat, cough,
breathlessness, coughing of yellow sputum, thirst,
restlessness, sweating, panting
 Tongue: red with yellow coat
 Pulse: overflowing and rapid
 Treatment Principles: clear Lung-Heat, prevent
injury of Yin by Heat
Ma Xing Shi Gan Tang Ephedra, Apricot
Kernel, Gypsum and Licorice Decoction
 Ma Huang
ephedra
 Shi Gao
 Xing Ren
gypsum
apricot seed
 Zhi Gan Cao
honey-fry licorice
release exterior,
disperse cold, move
lung Qi, promote
urination
clear heat & drain fire
stop cough & calm
wheezing, moisten
intestines
tonify Spleen & Kidney
Qi & Yang, moisten
Lungs & stops cough
– Actions: facilitates the flow of Lung Qi, clears Heat, and
calms wheezing by directing rebellious Qi downward
Lung Heat
 Western Biomedicine: URTI, lobar pneumonia, bronchial
pneumonia, bronchial asthma, bronchiolitis, pertussis
 Acupuncture:
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LU 10 clears Lung Heat
LU 5 resolves Phelgm-Heat from the Lungs
LU 1 clears Lung Heat
DU 14 clears Heat
SP 6 prevents injury of Yin by Heat
 Jing-Tang: Wei Jing Tang (E0084) to clear Lung Heat and
dispel pus
Red Lung (B0071)
 Huang Qin
scutellaria
Clear Lung Heat
 Huang Yao Zi
dioscorea
Clear Lung Heat
 Chuan Bei Mu
fritillaria
Moisten Lung & clear phlegm
 Jie Geng
platycodon
Open Lung & benefit the upper
Jiao
 Dan Shen
condonopsis
Tonify Qi
 Wu Wei Zi
schisandra
Consolidate & nourish Lung Yin
 Dan Shen
salvia
Cool & activate Blood
 Sheng Di Huang
raw rehmannia Nourish Yin
 Xuan Shen
scrophularia
– Actions: Clear Fire, cool the Lung
Cool Blood & nourish Yin
Red Lung (B0071)
 Western Biomedicine: Exercised-induced
pulmonary hemorrhage (EIPH) and nosebleed,
prevention and treatment
 Related Jing-Tang Formulas: Single Immortal
(B0072) to stop pulmonary hemorrhage
 Red Lung Plus (B0073) to stop pulmonary
hemorrhage (more powerful than Single Immortal)
Xie Bai San Drain the White Powder
 Chao Sang Bai Pi
dry-fried mulberry cortex
 Di Gu Pi
lycium root
 Zhi Gan Cao
honey-fried licorice
 Geng Mi
nonglutinous rice
drains Lung heat,
calm wheezing &
cough
clears deficient
heat
tonify Spleen &
Kidney Qi &
Yang, moisten
Lungs, stop
cough
protect Spleen
– Actions: drains Heat from the Lungs and calms wheezing
Lung Heat
 Western Biomedicine: bronchitis, pneumonia, pulmonary
tuberculosis, pleurisy
 Acupuncture:
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LU 10 clears Lung Heat
LU 5 resolves Phelgm-Heat from the Lungs
LU 1 clears Lung Heat
DU 14 clears Heat
SP 6 prevents injury of Yin by Heat
Ding Chuan arrests coughing
 Jing-Tang: Qing Fei San (E0087) to clear Lung Heat and
stop cough/asthma
Lung Phlegm-Heat
 Commonly seen as breathlessness, cough,
and/or influenza
 Clinical Signs: high fever, restlessness, thirst,
vomiting after drinking, cough,
breathlessness, chest pain, coughing of
profuse amounts of yellow-sticky sputum,
nausea, dry stools, dark urine
Lung Phlegm-Heat
 Tongue: red with a sticky-yellow coating
 Pulse: slippery and rapid
 Treatment Principles: clear Lung-Heat, resolve
Phlegm, restore the descending of Lung Qi and
prevent injury to Yin
Qing Jin Hua Tan Tang Clear Metal and
Absorb Phlegm Decoction
 Huang Qi
 Zhi Zi
 Fu Ling
scutellaria
gardenia
poria
 Zhe Bei Mu
 Jie Geng
fritillaria
platycodon
 Gua Lou
 Zhi Mu
 Sang Bai Pi
trichosanthes
anemarrhena
mulberry
 Mai Men Dong
 Gan Cao
ophiopogon
glycyrriza
tonify Spleen Qi
clears heat, drain damp heat
promote urination, drain damp,
strengthen Spleen
clear & transform phlegm heat
open & disseminate Lung Qi,
expels phlegm, transporter
clear & transform phlegm heat
clear heat & drain fire
stop cough & wheezing, drain
Lung heat
moisten Lungs & stop cough
tonify Qi, harmonize
– Actions: clears Heat from the Lungs, dispels Phlegm and preserves
the Yin of the Lung
Lung Phlegm-Heat
 Western Biomedicine: bronchitis,
pneumonia, bronchopneumonia, pulmonary
tuberculosis, all with mucopurulent material
 Acupuncture:
– LU 5 resolves Phlegm-Heat from Lungs
– LU 1 clears Lung Heat
– ST 40 resolves Phlegm
Lung Phlegm-Heat
– Ren 22 resolves Phlegm and descends Lung Qi
– PC 6 opens the chest
– DU 14 clears Heat
 Jing-Tang: Wei Jing Tang (E0084) to clear
Lung Heat and dispel pus
Wei Jing Tang (E0084)
 Ban Lan Gen
 Dong Gua Zi
Isatis
Cordyceps
 Jie Geng
Platycodon
 Lu Gen
 Tao Ren
 Yi Yi Ren
Phragmites
Persica
Coix
clear Lung heat
transform
phlegm, dispel pus
transform phlegm,
dispel pus
clear Lung heat
move blood
drain damp & dispel
pus
– Action: Clear Lung Heat and dispel pus
Damp-Phlegm (or Cold Phlegm) in
the Lungs
 Commonly seen as breathlessness,
wheezing, and cough
 Clinical Signs: coughing and wheezing with
watery, copious sputum, shortness of breath
with labored inspiration and smooth
expiration
Damp-Phlegm (or Cold Phlegm) in
the Lungs
 Tongue: white slippery or greasy coating
 Pulse: weak, slippery
 Treatment Principles: warm the Lung, scatter
Cold, resolve Phlegm and relieve
breathlessness
Su Zi Jiang Qi Tang Perilla Fruit Decoction for
Directing Qi Downward

Zhi Gan Cao
glycyrriza

Ban Xia
pinellia

Zi Su Zi
perilla seed


Dang Gui
Hou Po
angelica
magnolia

Qian Hu
peucedanum

Rou Gui
cinnamomum

Sheng Jiang
zingiber


Zi Su Ye
Da Zao
perilla leaf
ziziphus
tonify Spleen & Kidney Qi & Yang,
moisten Lungs, stop cough
dry damp, transform phlegm,
descends rebellious Qi
stop cough & wheezing, redirect Qi
down, dissolve phlegm
tonify blood
move Qi, transform damp, resolve
stagnation
redirects Qi downwards, expel
phlegm
tonify Qi, warms channels, disperse
cold, unblock yang
release exterior, disperse cold in
middle jiao
releaseexterior & disperse cold
tonify Qi, harmonize
– Actions: directs rebellious Qi downward, arrests wheezing, stops coughing,
warms and transforms Phlegm-Cold
Damp-Phlegm (or Cold Phlegm) in
the Lungs
 Western Biomedicine: chronic bronchitis,
emphysema, bronchial asthma, cardiogenic
asthma
 Acupuncture:
– LU 7, BL 13 and LU 1 restore the descending of
Lung Qi and stop wheezing
– LU 6 stops wheezing in acute cases
Damp-Phlegm (or Cold Phlegm) in
the Lungs
– Ren 22 restores the descending of Lung Qi and
resolves Phlegm
– Ren 17 moves Qi in the chest
– ST 40 and PC 6 open the chest, relieve
breathlessness and resolve Phlegm
 Jing-Tang: Zhi Sou San (F0045) to moisten
the Lung, transform phlegm and stop cough
Zhi Sou San (F0045)
 Bai Bu
Stamona
 Bai Qian
Cynanchum
 Chen Pi
Citrus
 Fu Ling
Poria
 Gan Cao
 Zi Wan
Licorice
aster
moisten Lung,
stop cough
descend Lung Qi,
stop cough
move Qi,
transform phlegm
drain damp,
strengthen SP
harmonize
moisten Lung,
stop cough
– Action: Moisten the Lung, transform phlegm and stop
cough
Lung Qi Deficiency
 Commonly seen as breathlessness,
wheezing, asthma, allergic rhinitis, cough,
tiredness, enuresis and incontinence
 Clinical Signs: tiredness, slight
breathlessness, weak vocalizations, slight
spontaneous weak panting, timidity,
propensity to Lung Wind-Heat or Wind-Cold
invasion
Lung Qi Deficiency
 Tongue: slightly pale
 Pulse: weak or empty, especially in the Lung
position
 Treatment Principles: tonify Lung Qi
Bu Fei Tang Tonify the Lungs
Decoction
 Bai Guo





Dang Shen
Di Long
Gan Cao
Huang Qi
Jie Geng
 Wu Wei Zi
 Zi Su Zi
 Zi Wan
Gingko
astringently consolidate Lung,
stop asthma/cough
Codonopsis tonify Qi
Lumbricus activate channel, stop asthma
Licorice
harmonize
Astragalus tonify Lung Qi
Platycodon open the Lung, transform
phlegm
Schisandra astringently consolidate Lung
Perillae
clear Wind-Heat, stop cough
aster moisten Lung, stop cough/asthma
– Actions: Tonify Lung Qi, stop cough and asthma
Lung Qi Deficiency
 Western Biomedicine: fatigue, exercise intolerance
 Acupuncture:
– LU 9 tonifies Lung Qi
– ST 36 tonifies ST Qi and is the Mother of Metal
– Ren 6 tonifies global Qi and the deep Lung Channel
passes through Ren 6
– BL 13 tonifies Lung Qi and descends Lung Qi
 Jing-Tang: Bu Fei San (A0085) to tonify Lung Qi,
stop cough and asthma
Lung Qi Obstructed
 Commonly seen as sudden breathlessness
 Clinical Signs: sudden attacks of breathlessness
precipitated by emotional stress, no wheezing
sounds, palpitations, chest oppression, restless
sleep
 Tongue: red sides
 Pulse: wiry
 Treatment Principles: soothe the Liver, move Qi,
restore descending of Lung Qi, stop
breathlessness
Wu Mo Yin Zi Five Milled-Herb
Decoction
 Mu Xiang
aucklandia
 Chen Xiang
 Bing Lang
aquilaria
areca
 Zhi Shi
 Wu Yao
im citri aurantium
lindera
move Qi, alleviate
pain
move Qi, stop pain
move Qi, reduce
stagnation
break up stagnant Qi
move Qi, stop pain
– Actions: promotes the movement of Qi and sends
upward rebelling Qi downward
Lung Qi Obstructed
 Western Biomedicine: emotionally generated
hypochondriac pain and breathlessness
 Acupuncture:
– LIV 3 and LIV 14 (local on chest) soothe the Liver and
relieve stagnation
– SP 4 and PC 6 open the Chong Mai, free the chest and
subdue rebellious Qi in the chest
– LU 1, Ren 17 and LU 7 restore the descending of Lung
Qi, free the chest and relieve fullness
– ST 40 is used to resolve insubstantial Phlegm
– HT 7 calms the Shen
Lung Yin Deficiency
 Commonly seen as breathlessness, asthma,
cough, and tiredness
 Clinical Signs: coughing with blood-streaked
or yellow sputum that is difficult to
expectorate, wheezing, a dry and sore
throat, hot feet, restless at night
Lung Yin Deficiency
 Tongue: red with scanty coating
 Pulse: thin and rapid
 Treatment Principles: nourish Lung Yin and
restore the descending function of Lung Qi
Bai He Gu Jin Tang Lily Bulb
Decoction to Preserve the Metal
 Bai He
 Sheng Di Huang
 Mai Men Dong
 Xuan Shen
 Bei Mu




Jie Geng
Dang Gui
Bai Shao
Gan Cao
lily bulb
moisten Lungs, clear heat & stop
cough
prep rehmannia clear heat, cool blood, nourish
Yin
ophiopogon
moisten Lungs & stop cough
scrophularia
clear heat, cool blood, nourish
Yin
fritillaria
clear heat, transform phlegm,
stop cough
platycodon
open the Lung, transform phlegm
angelica
tonify blood
peony
nourish blood & Yin
glycyrizza
tonify Qi, harmonize
– Actions: nourishes the Yin, moistens the Lungs, transforms phlegm,
stops coughing
Lung Yin Deficiency
 Western Biomedicine: chronic bronchitis,
bronchiectasis, pharyngitis, spontaneous
pneumothorax, cor pulmonale, silicosis
 Acupuncture:
– LU 9 nourish Lung Yin
– LU 7, KI 6 open the Ren Mai, nourish Yin,
restore Lung Qi descending function and benefit
throat
– BL 43 nourishes Lung Yin in chronic disease
Lung Yin Deficiency
– BL 13, DU 12 tonify Lung Qi
– Ren 4, KI 3 and SP 6 nourishes global Yin
 Jing-Tang: Lily Combination (A0050) to nourish Yin,
moisten the Lung, stop cough and asthma
 Jing-Tang: Breath Easer (F0082) to tonify Lung
and Kidney, nourish Lung Yin, stop asthma and
cough
Lung Dryness
 Commonly seen as chronic mild cough
 Clinical Signs: dry cough, dry and sore throat, sore
trachea, dry lips, dry mouth, stuffed nose,
headache
 Tongue: slightly red front or front sides
 Pulse: floating
 Treatment Principles: release the exterior, restore
the descending Lung Qi, promote fluids, stop
cough
Sha Shen Mai Men Dong Tang Glehnia and
Ophiopogon Decoction
 Sha Shen
 Mai Men Dong
 Yu Zhu
 Sang Ye
 Tian Hua Fen
 Bai Bian Dou
 Gan Cao
glehnia
moisten Lungs
ophiopogon moisten Lungs & stop
cough
polygonum nourish Yin, moistens
dryness
mulberry
expel wind & clear Lung
heat
trichosanthis clear & drain Lung heat,
transform phlegm, moisten
Lung
dolichoris
clear summerheat
glycyrizza
tonify Qi, harmonize
– Actions: clears and nourishes the Lungs and Stomach,
generates fluids, and moistens dryness
Lung Dryness
 Western Biomedicine: chronic bronchitis, chronic
exposure to Exogenous Wind-Dry
 Acupuncture:
– LU 7 releases the exterior and restores the descending
of Lung Qi to stop cough
– LU 9 nourishes the Lung’s fluids
– Ren 12 promotes fluids
– KI 6 promotes fluids and benefits and moistens the
throat
– SP 6 promotes fluids and nourishes global Yin
Lung Yin Deficiency with EmptyHeat
 Commonly seen as blood in sputum
 Clinical Signs: cough with scanty blood-tinged
sputum, dry throat, afternoon fever, night agitation,
5-Palm Heat (four soles and center of chest)
 Tongue: red, dry, no coating
 Pulse: floating, empty
 Treatment Principles: nourish Lung Yin, clear
Empty Heat, and stop bleeding
Bai He Gu Jin Tang Lily Bulb
Decoction to Preserve the Metal
 Bai He
 Sheng Di Huang
 Mai Men Dong
 Xuan Shen
 Bei Mu




Jie Geng
Dang Gui
Bai Shao
Gan Cao
lily bulb
moisten Lungs, clear heat & stop
cough
prep rehmannia clear heat, cool blood, nourish
Yin
ophiopogon
moisten Lungs & stop cough
scrophularia
clear heat, cool blood, nourish
Yin
fritillaria
clear heat, transform phlegm,
stop cough
platycodon
open the Lung, transform phlegm
angelica
tonify blood
peony
nourish blood & Yin
glycyrizza
tonify Qi, harmonize
– Actions: nourishes the Yin, moistens the Lungs, transforms phlegm,
stops coughing
Lung Yin Deficiency with EmptyHeat
 Western Biomedicine: chronic bronchitis,
bronchiectasis, pharyngitis, spontaneous
pneumothorax, corpulmonale, silicosis
 Acupuncture:
– LU 9 nourishes Lung Yin
– Ren 12, SP 6, ST 36 strengthen the Earth to nourish
Metal
 ST is post-heaven origin of body fluids
– KI 3 nourishes Yin
– LU 10 clears Lung Heat
– LU 6 stops bleeding
Conclusion
 The TCVM Lungs
–
–
–
–
–
–
–
Govern Qi and respiration
Control channels and blood vessels
Control dispersing and descending
Regulate the water passages
Control skin and hair
Open into the nose
House the Corporeal Soul (Po)
 Pattern Differentiation allows us to choose
both the appropriate herbal and
acupunctural prescriptions for our patients
Respiratory Disease
 Starts with Nose
 Sinuses
 Upper Airways
 Bronchitis
 Pneumonia
TCVM Respiratory Patterns
 Each part of
respiratory system
– Excess causes
– Deficiency causes
Lung 8 Principle
Basic Lung Formulas
 Detemine the pattern
 Evaluate 8 principle
 Choose formulas
Rhinitis and Sinusitis
 Inflammation of nasal
epithelium with stimulation
of serous glandular
secretion
 Western Medicine
– Infectious




–
–
–
–
Viral
Bacterial
Fungal
Protozoal
Parasitic
Neoplastic
Congenital
Immune Mediated
Comparing Sinusitis, Cold, and Allergy
Symptoms
Symptom
Sinusitis
Cold
Allergy
Facial Pressure/pain Yes
Sometimes
Sometimes
Duration of illness
More than 10
days
Less than 10 days Varies
Nasal discharge
Thick, yellowgreen
Thick and whitish,
Thin and watery
Clear, thin, watery
Itchy eyes
No
No
Yes
Headache
Yes
Sometimes
Sometimes
Bad Breath
Sometimes
No
No
Cough
Sometimes
Yes
Sometimes
Nasal congestion
Yes
Yes
Sometimes
Sneezing
No
Yes
Yes
Fatigue/ Weakness
Sometimes
Yes
Sometimes
Sore throat
Sometimes
Yes
Sometimes
Common Nasal Patterns
 Most TCVM changes
are acute
– Early signs of
respiratory disease
– Allergic conditions
– Associated with
invasion of wind
Wind Cold Damp
 Early onset of “common
cold”
– Cold invades nose and
obstructs the nasal
passages
– Wei Qi attempts to dispel the
pathogen leading to watery
nasal discharge and
sneezing
 Tongue: pale-purple
 Pulse : superficial/slow
Allergic Rhinitis (Wind Heat)
 Common in cats
 Pathogenic wind and heat
invades nose
– Heat can damage vessels
leading to bloody or yellow
discharge
– Heat also dries up fluids
making material thicker
 Tongue: red & dry
 Pulse: superficial/fast
Phlegm Stagnation
 Combined wind-heat &
wind-cold
– Leads to accumulation
of pus in nasal
passages & sinuses
 Tongue: greasy/red or
purple
 Pulse: deep or fast
 Tx: Huey’s formula
Huey’s Formula
Bai Zhi
Angelica
Clear Wind-cold, relieve pain
Bo He
Mentha
Clear Wind-Heat
Cang Er Zi
Xanthium
Clear Wind-Cold, open noses
Xin Yi Hua
Magnolia
Clear Wind-Cold, dissipate the
brain and open noses
-Action: Clear Wind Heat and Wind-Cold, open nose
Chronic Rhinitis (Fungal)
 Chronic alterations in
nasal tubinates
 Usually secondary to
Aspergillus sp.
 Identify on culture or
biopsy
 TCVM
– Garlic (fresh)
– Ku Shen Si Wu Tang
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
Ginger Tea
 Grate 1 teaspoon fresh
ginger
 Add 1 Tablespoon brown
sugar
 Seep in 1 cup boiling water
 Repeat every 1-2 hours
 Tx Principle: diaphoresis
(expel wind-cold/heat)
Stepwise Western approach
to Sinusitis Treatment
Oral steroids
antibiotics
Steroid Sprays
Decongestions
antihistamines
Irrigations
Surgery
Sinusitis
 Usually more chronic
in nature
 Patterns
– Lung Yin deficiency
– Lung/Kidney Yin
deficiency
– ST Damp Heat
(Excess)
 Treat what you see
Clyde-O (6 yr M/C Mix)
 Rescue puppy
 Water dog
– Thunderstormphobia
– LS stenosis
 Nasal congestion in right
nostril
 Sneezing
 Tongue: Red and purple
 Pulse: Forceful
Dx: Wind Heat
Clyde-O Treatment
 Acupuncture
– LI-4, LI-20, GV-14,
Long Hui
 Herbal
– Tuo Ming Tang
TCVM Cough
 Upper or lower airway
disease
 Patterns
– Excess
– Deficiency (Qi/Yin)
 Phelgm obstructs
airways and leads to
cough
Western Medicine- -Cough
 Sudden forceful expiration of air
through the glottis associated with
audible sound.
– Preceeded by an exaggrerated insiratory
effort
 Work up to find the cause
– Just about every diagnostic available
 Treat according to cause
– Cough suppressants
– Antibiotics
TCVM Patterns
 Excess
– Wind-Cold
– Wind-Heat
– Lung Heat
 Deficiency
– Lung Yin deficiency
– Lung Qi deficiency
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)
 Thick, yellow nasal
discharge
 Slight cough
 Tongue: Red and dry
 Pulse: Surging and fast
 No other signs
 4 other horses on farm
affected
Dx: Wind-heat invasion
of the lung
Silver Treatment
 Acupuncture
– EA
 GV-14→Bai Hui
– DN
 BL-13, Ding-chuan
– Aqua
 LI-4, LI-11
 Herbal
– Equine Yin Qiao
 30-50 gm BID 7-10 days
Cappy (9 yr M/C Mix)
 Chronic cough and nasal
discharge for 3 months
 Cold, wet nose
 Prefers warm
 Metal dog
 Tongue: Pale and wet
 Pulse: weak on right
Dx: Lung Qi deficiency
with stagnation
Cappy Treatment
 Acupunture
– LI-20, Bi Tong, Long
Hui, LI-4, LU-7, LU-9,
CV-17
 Herbal
– Bu Fei Wan
– Xin Yi San
Xin Yi San
Bai Zhi
Bo He
Cang Er Zi
Chuan Xiong
Angelica
Mentha
Xanthium
Ligusticum
E Bu Shi Cao
Centipeda
Gao Ben
Huang Qi
Huo Xiang
Jiang Can
Xin Yi Hua
Ligusticum
Astragalus
Pogostemon
Bombyx
Magnolia
Clear Wind-cold, relieve pain
Clear Wind-Heat
Clear Wind-Cold, open noses
Move Blood, open orifices, transform
phlegm
Move Blood, unblock orifices, transform
phlegm
Clear Wind-Damp, dispel Cold
Tonify Qi, strengthen surfaces
Clear Damp
Clear Wind
Clear Wind-Cold, dissipate the brain and
open noses
- Action: Clear Wind-Cold, clear Wind-Heat, unblock orifices and
open nose
TCVM Dyspnea/Asthma
 In TCM, asthma is
shortness/weakness of
breath
 Acute/Excess causes
 Chronic/Deficiency
causes
– Most common
Dyspnea/Asthma Pattern
Invasion of Lungs by Wind-Cold
Excess
Accumulation of Phlegm-Heat in Lungs
Lung Qi Deficiency
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
Relationship between LU & KID
Allergy
Heat





Allergic heaves
Worse in Summer
Cool-seeking
Tongue: Red and dry
Pulse: Strong and fast
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
LU-5/7, BL-13, Dingchuan, CV-22, LI-4/11,
GV-14, Er-jian, Weijian
Schisandra 5
BL-13, BL-23, BL-26,
KID-7/10, LU-7/9, LI10, ST-36, Ding-chuan,
CV-22
Breath Easer
CDR Monkey (55 yr M Mix)






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
 Acupuncture
– DN
 LU-9, KID-3, LIV-3, Shen
Shu (caudal), CV-17
– Moxa
 ST-36
– Aqua
 HT-7
 Herbal
– Gecko formula
Western Pneumonia
 Pathology in the lung
secondary to
– Infection
 Viral
 Bacterial
 Fungal
– Aspiration
– Immune dysfunction
– Interstitial disorder
TCVM Pneumonia
 Excess
– Wind-Heat
– Excess Heat
 Deficiency
– Lung Yin deficiency
– Lung Qi deficiency
Excess TCVM Pneumonia
 Animals tend to be
acutely ill
 Tongue: red & dry (may
have yellow coating)
 Pulse: superficial & fast
 Heat invades lung dries
up fluids & damages yin
 Cough: productive/dry
Bad Dog
 Acute onset of cough
with fever of 105º F
 Tongue: Red
 Pulse: superficial & fast
 Wood personality
 Asculation revealed
crackles & rales ventrally
Dx: Wind-Heat in Lung
Bad Dog Treatment
 AP
– LU 1 help dissipate LU heat
– LU 5 move fluid support LU
– GV 14 strengthen chest & dissipate heat
– LI 4 dissipate wind & heat
– LI 11 dissipate wind & heat
– TH 5 strengthen Wei Qi
 Herbal: Equine Yin Qiao
Top 3 or take-home messages
 Chinese medicine is very effective in
regenerating organic function and treating
chronic diseases.
 Diagnosis with conventional medicine, such
as MRI, CT scans, needle biopsy: BUT,
Treatment with Chinese medicine.
 Integrated Medicine allows you to find optimal
health by understanding your individual
needs for achieving balance and harmony.
TCM Lung Disease
 I hope you all breath a
little easier
 Look for the pattern
and treat what you find