NMT150: Naturopathic Therapeutics I - TCM Lecture 3 PDF

NMT150: NATUROPATHIC THERAPEUTICS I TRADITIONAL CHINESE MEDICINE (TCM) LECTURE 3 T C M LU N G A N D L A R G E I N T E S T I N E D I F F E R E N T I A L S Author: Dr. Romi Fung, ND, M.Sc, Ph.D (cand.) Dr. Neemez Kassam, M.Sc, ND, R.Ac METAL ELEMENT Lung and Large Intestine Emotional sou...

NMT150: NATUROPATHIC THERAPEUTICS I TRADITIONAL CHINESE MEDICINE (TCM) LECTURE 3 T C M LU N G A N D L A R G E I N T E S T I N E D I F F E R E N T I A L S Author: Dr. Romi Fung, ND, M.Sc, Ph.D (cand.) Dr. Neemez Kassam, M.Sc, ND, R.Ac METAL ELEMENT Lung and Large Intestine Emotional sound is Weeping or crying Mucous is the secretion Illness sound is Coughing Sadness, grief are the Sense is smell emotions Season is autumn Rotten is the odor Climate is dry & cold Pungent and spicy are the flavors Lung: 3 – 5am, LI: 5 – 7am LUNG FUNCTIONS Governs Qi and Respiration Qing Qi Controls Descending and Dispersing Descends Qi to the Kidney Disperses Qi throughout the body esp. skin and pores Ensures that Wei Qi is available all over the body Regulate Water Passages or Channels Water descends (like to the Kidneys) Vapor circulates or ascends (like to the skin and hair) LUNG FUNCTIONS Controls Skin Manifest in the body hair Opens into the nose Hence all the runny noses with colds Controls the nasal mucous House the Po (Corporeal Soul) The ‘physical’ soul Affected by grief and sadness  en Sple WIND COLD Aversion to cold and/or wind Occipital stiffness and aches Sneezing No sweating or thirst Cough Tongue Runny nose with white d/c Thin, white coat Slight or no fever Pulse Floating, tight pulse WIND HEAT Aversion to cold (Wei qi warms Itchy and sore throat so an impairment makes it Swollen tonsils susceptible to cold) Thirst Sneezing Tongue Cough Red on tip or sides, thin white Runny nose with slight yellow coat mucus Pulse Slight sweating Floating and rapid LUNG QI DEFICIENCY: CAUSES Chronic cough or asthma Insufficiency of Qi production LUNG QI DEFICIENCY: SXS Feeble Cough or Asthma Dizziness SOB, worse on exertion Aversion to cold Low and/or hoarse voice Pale face Fatigue Watery or thin/clear sputum Spontaneous sweating Catches colds easily LUNG QI DEFICIENCY: T&P Tongue Pale tongue with a thin, white coating Pulse Weak or empty pulses especially right cun position LUNG YIN DEFICIENCY: CAUSES Prolonged cough Heat disorders which injure the lung Prolonged dryness LUNG YIN DEFICIENCY: SXS Dry cough Afternoon fever With small amounts of sticky Malar flush sputum With blood-tinged sputum Night sweats Dry mouth and throat Heat sensation in 5 centres LUNG YIN DEFICIENCY: T&P Tongue Red body with a dry coat or little coating and maybe cracks or peeling Pulse Rapid and thready LUNG COLD: CAUSES Pathogenic cold in the Lung Wind cold LUNG COLD: SXS Cough Fever Asthma Headache & body aches Thin, white sputum Itchy throat Absence of thirst Sneezing Runny nose with clear mucus or complicated with aversion to cold LUNG COLD: T&P Tongue White coat, pale body Thin in Wind Cold Thicker in Pathogenic Cold Pulse Slow, strong, and tight LUNG HEAT: CAUSES Pathogenic Heat Pathogenic Cold turning to Pathogenic Heat in the Lung Wind Heat LUNG HEAT: SXS Cough Aversion to heat Asthma Chest pain Yellow sticky sputum Yellow purulent sputum with Thirst blood Sore throat Constipation Scanty, concentrated urine LUNG HEAT: T&P Tongue Red body & thin, yellow coat Pulse Rapid and strong LUNG DRYNESS: CAUSES Pathogenic Dryness Stomach Yin Deficiency Wind Heat Wind Dryness LUNG DRYNESS: SXS Dry cough with little Chest pain sputum Dry skin Sputum too sticky to cough Thirst up Hoarse voice Dry nose and throat LUNG DRYNESS: T&P Tongue Dry tongue with thin coating Pulse Rapid and thready PHLEGM DAMP RETENTION: CAUSES Pathogenic Wind, Cold & Damp Prolonged Cough or Asthma Spleen dysfunction of transportation PHLEGM DAMP RETENTION: SXS Cough with frothy or Gurgling sound with white, sticky sputum sputum in the chest Sputum is easy to SOB expectorate Dislikes lying down Stuffiness and fullness in the chest – “Clogged up” PHLEGM DAMP RETENTION: T&P Tongue Pale with a white, sticky coat Pulse Wiry, slippery, and strong PHLEGM-HEAT OBSTRUCTING: CAUSES Wind-heat invasion Smoking Excess eating of hot and greasy foods PHLEGM-HEAT OBSTRUCTING: SXS Barking cough Profuse yellow or green sputum that is foul smelling Asthma Heavy feeling in the chest SOB PHLEGM-HEAT OBSTRUCTING: T&P Tongue Red body with a thick, sticky yellow coating Pulse Rapid, slippery, and strong INVASION BY WIND-WATER: CAUSES Wind-cold + damp invasion INVASION BY WIND-WATER: SXS Sudden swelling of eyes Aversion to wind Gradually spreading to face Fever Bright-shiny complexion Cough Scanty and pale urine Breathlessness INVASION BY WIND-WATER: T&P Tongue Sticky white coating Pulse Floating and slippery COLD-PHLEGM IN LUNGS: CAUSES Repeated wind-cold invasions Excessive consumption of raw, cold, or dairy COLD-PHLEGM IN LUNGS: SXS Cough with white, watery Dizziness sputum Heaviness in the chest Worse cold exposure Feeling of cold in the chest Feeling of cold Feeling of heaviness Cold hands Dizziness of the head Phlegm in throat COLD-PHLEGM IN LUNGS: T&P Tongue Swollen and wet with a sticky white coating Pulse Slow, slippery, and strong DRY-PHLEGM IN LUNGS: CAUSES Excessive consumption of greasy and/or dairy Elderly mainly DRY-PHLEGM IN LUNGS: SXS Dry cough Heaviness in the head Difficult to expectorate Dry throat SOB Wheezing Heavy feeling in chest Pasty-dry complexion Scanty phlegm in throat DRY-PHLEGM IN LUNGS: T&P Tongue Swollen with dry, stick coating Pulse Fine and slippery LARGE INTESTINE FUNCTIONS Receives food and drink from the small intestine and extracts fluids from it Excretes the stools Mentally in charge of “Letting Go” LI DAMP HEAT: CAUSES Excessive consumption of hot and greasy foods Pathogenic summer heat, damp and heat LI DAMP HEAT: SXS Abdominal pain Offensive stool odor Tenesmus. Thirst with no desire to Blood and mucus in the drink stools Scanty, deep yellow urine Burning sensation in the anus Fever Diarrhea with yellow Sweating watery stools LI DAMP HEAT: T&P Tongue Red body with yellow, sticky coating Pulse Rapid, slippery, and strong LI HEAT CONSUMPTION OF FLUID: CAUSES Excessive consumption of hot foods (lamb, beef & alcohol) LI HEAT CONSUMPTION OF FLUID: SXS Constipation with dry stools Burning sensation in the mouth Burning and swelling in the anus Dark, scanty urine LI HEAT CONSUMPTION OF FLUID: T&P Tongue Red body with thick yellow or brown, dry coat Pulse Full and rapid COLD INVADING LI: CAUSES Chronic exposure to cold weather with abdomen exposed Sitting on cold, wet surfaces for long periods COLD INVADING LI: SXS Sudden abdominal pain Diarrhea with pain Feeling of cold Cold sensation in the abdomen COLD INVADING LI: T&P Tongue Thick, white coating Pulse Deep, wiry, slow, and strong LI DRYNESS: CAUSES Blood or Yin deficiency Elderly Women after a delivery Late stages of febrile disease Dry and warm climates LI DRYNESS: SXS Dry stools Constipation Dry mouth and throat Yellow, scanty urine LI DRYNESS: T&P Tongue Dry, red or pale body without coating Pulse Thready LI QI STAGNATION Irregular eating habits On the run While standing While reading Frustration, anger LI QI STAGNATION: SXS Abdominal distention & pain Constipation with bitty stools Irritability Aggravated by mood LI QI STAGNATION: T&P Tongue Normal to slightly red sides Pulse Wiry on both chi positions LI COLLAPSE: CAUSES Spleen & Stomach deficiency Excessive physical work LI COLLAPSE: SXS Chronic diarrhea Cold limbs Anal prolapse Decreased or absence of Hemorrhoids appetite Fatigue after bowel Mental exhaustion movements Better with abdominal massage LI COLLAPSE: T&P Tongue Pale Pulse Deep, fine, weak REFERENCES Liangyue, Deng et al. Chinese Acupuncture and Moxibustion. Beijing, China: Foreign Languages Press, 1996. Maciocia, Giovanni. The Foundations of Chinese Medicine. 2ed. Philadelphia, PA: Churchill Livingstone, 2005. Tyme. Student Manual on the Fundamentals of Traditional Oriental Medicine. San Diego, CA: Living Earth Enterprises, 1997. Kaptchuk, Ted. The Web That Has No Weaver. Chicago, IL: Congdon & Weed, Inc, 1983. TENESMUS (NOUN) TE· NES· MUS | \ TƏ-ˈNEZ-MƏS \ DEFINITION OF TENESMUS : A DISTRESSING BUT INEFFECTUAL URGE T O E V A C U AT E T H E R E C T U M O R B L A D D E R LI Damp Heat