Course:

Chart:

Diagnostics II
Lung and Large Intestine

Date:

10/17/07

Lung
Lung Deficiency (Xu) Syndromes
Cough, shortness of breath are common lung symptoms
Lung Qi Xu

Lung Yin Xu

Note: ask about

Tuberculosis and
Diabetes history

,Feeble cough
,Shortness of breath, worse on exertion
Lassitude
Lack of desire to talk, listlessness
,Low voice
Aversion to wind
Spontaneous sweating
,Posture: sits leaning forward a little
Tongue: pale body with thin white coat
Pulse: weak
Unproductive, dry cough
Small amt of sticky sputum, may be blood tinged
Dryness of mouth, nose, throat, skin
Afternoon fever
Flush
Night sweating
Hot sensation in palm/sole of foot
Tongue: red with less coating
Pulse: thready, rapid
Dryness all over (skin, etc.) common with Lung Yin Deficiency

Lung Excess (Shi) Syndromes

Note re Invasion of Lung by Dryness vs. Lung Yin Deficiency key is aversion to wind/cold which is an
external sign. Lung Yin deficiency is always with fever, night sweating, classic yin deficiencies
See practice for Class 5 DX II
Invasion of Wind/Cold

External attack

Cough
Clear sputum
Absence of thirst
Nasal obstruction
Watery nasal discharge
Possible chills/fever with more chills
Itchy throat
Absence of sweating
Headache
Tongue: thin white coat
Pulse: floating/superficial, tense/tight
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Invasion of Wind/Heat

Invasion of wind/heat

Invasion of Lung by
Dryness

Retention of Phlegm
Damp
AKA: Accum of phlegm
in lung

Retention of Pathogenic
Heat in Lung
AKA: Retention of phlegm
heat in lung

Cough
Thick yellow sputum (small amount)
Thirst
Sore throat
Fever (more than chills)
Slight aversion to cold
Headache
Tongue: thin yellow coating
Pulse: superficial and rapid
Nasal dschg, throat, greater fever, tongue coat, pulse distinguish
Wind/heat from Wind/Cold
Dry cough
Or cough with Bloody Sputum
Dry throat
Dry mouth
Fever
,Aversion to Wind-Cold
Headache
Tongue: dry with little fur
Cough
Profuse, white sputum that is easily expelled
Gurgling with phlegm in throat
Fullness and stuffiness in chest
(Possible n/v if phlegm is also in middle jiao causing ST qi rebellion)

Tongue: pale with greasy white coat

Pulse: slippery (not fast)
Cough
Thick, yellow sputum
Difficulty breathing
Dry stool
Dark urine
Tongue: red with yellow coating

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Large Intestine
Large Intestine Deficienct (Xu) Syndromes
Lung problems left unbalanced/treated can constipation, as lungs dispersing downward function fails
to deliver moisture to the LI. If patient has cough x several weeks, then constipation
Ask elderly patients if they have been hospitalized, what is quality of stool (dry or no)
Body Fluid Deficiency

,Constipation
Dryness of the mouth and throat
Red tongue without moisture or with dry yellow coat
Thready pulse

Large Intestine Excess (Shi) Syndromes

Damp Heat in LI
Perhaps 80% diarrhea=dh

Damp Cold in LI

Rare condition

Abdominal pain, worse w/ pressure

Dysentery w/blood, mucus, pus in stool
Tenesemus
Burning sensation in anus
Strong odor to stool
Maybe bitter taste in the mouth also
Tongue: red, posterior area = yellow greasy coating
Pulse: Slippery, rapid
Abdominal cold pain, may want something warm to drink
Sticky, watery stools with mucus
Light odor to stool
Tongue: white greasy thick coating
Pulse: slippery, slow

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