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Yao Lue -
Dictionary:
abscess. A localized collection of pus in part of the body, formed by
tissue disintegration and surrounded by an inflamed area.
Exudative pleurisy
Pneumonia
Pulmonary Welling-Abscess Fei Yuan
It refers to suppurating lesions of LU. Its cause by contraction of
wind evil and heat toxin, cause the blood and flesh to putrefy, and
give rise to pus.
Three Stage:
Exterior Pattern Stage:
characterized by heat effusion, aversion to cold, cough, floating
pulse.
Suppurative Stage:
characterized by shivering, rapid pulse, cough, chest pain, ejection
of fishy-smelling purulent phlegm.
Rupture Stage:
characterized by ejection of phlegm and blood.
In the later stages, pulmonary welling-abscess can convert into
vacuity.
Cough with Qi Ascent
Cough with counterflow ascent of LU Qi. it can be
divided into vacuity and repletion. The vacuity form
is usually due to KD failing to absorb qi. The
repletion form, which is the focus of the present
chapter, it takes the form of pulmonary distension
resulting from a pathomechanism of evil repletion
and qi block that arises when internally collecting
water-rheum is complicated by externally
contracted wind-cold.
SCHEMATIC OVERVIEW
Lung Wilting
1) Vacuity heat type
Causes: Wearing of fluids, yin vacuity with internal
heat
Main Signs: cough, ejection of turbid phlegm, foamy
drool, marked emaciation.
Pulse: Vacuous, Rapid
Treatment Principle: clear and nourish the lung and
stomach Mi Mn Dng Tng(Ophiopogon
Decoction)
Appended formulas:
Zh Gn Cao Tng ( Honey-Fried Licorice Decoction)
to boost qi, engender liquid, and moisten dryness.
Causes:
Wind striking defense; exhaling prevents [the evil
from] entering furtherwind damaging the skin
and body hair.
Heat encroaching on construction; inhaling prevents
[the evil from] exitingheat damaging the blood
and vessels.
Pulmonary Welling-Abscess
Pathomechanisms:
Wind dwelling in the lung
Heat encroaching, causes of blood to congeal, and
amassing and binding to form a suppurating
welling-abscess
Pulmonary Welling-Abscess
Pulses:
Inch opening
Floating = wind
Rapid = heat
Slippery and rapid
Pulmonary Welling-Abscess
Main Signs:
Exterior pattern stage:
Formula: Yu Bi Ji Bn Xi Tng(Spleen-Effusing
Decoction Plus Pinellia) to clear heat and flush
rheum.
SUMMARY
Static heat Blood putridity, phlegm- Cough with mild heat Clear the lung, Wei Jing Tang (Reed
brewing in heat, static blood, lung effusion, vexation and resolve phlegm, Rhizome Decoction)
the lung failure of diffusion fullness, expectoration move blood,
of fishy-smelling yellow expel pus
phlegm, encrusted skin
on the chest
Blood Purity Heat-toxin congesting Ulceration with pus and Expel pus, clear Jie Geng Tang
and the lung, lung qi turbid foul-smelling heat, resolve (Platycodon Decoction)
ulceration inhibition sputum, frequent toxin
cough, fullness in the
chest, dry throat,
quivering with cold,
rapid pulses
SUMMARY
Disease Associated Signs and Principles of Formula
Pattern Pathomechanisms Symptoms Treatment
Coughing Cold rheum Lung qi failure to Coughing, Dispel cold, diffuse She Gan Ma
constrained diffuse phlegm-drool rales with a the lung, transform Huang Tang
with qi
in the lung obstructing the croaking phlegm (Belamcanda and
ascent airway sound, airway Ephedra
obstruction, Decoction)
phlegm-drool
Turbid Lung failing to diffuse, Cough, turbid Flush phlegm, open Zao Jia Wan
phlegm airway obstruction phlegm, the lung (Gleditsia Pill)
congesting sitting up with
the lung inability to
sleep, airway
obstruction
Rheum-heat Lung distention, Cough, Diffuse the lung, Yue Bi Jia Ban Xia
constrained phlegm-heat, wind- panting, drain heat, Tang (Maidservant
in the lung heat, evil mingling bulging eye, transform rheum, from Yue
with latent rheum large floating downbear qi Decoction plus
pulses Pinellia)
SUMMARY