Emphysema

TCM basic pattern of Emphysema

– Yang deficiency with Phlegm-fluids

4 types of Phlegm

-fluids: whole body, chest, abdomen, hypochondria

- this is a more moveable liquid, moves with body positions

Water: usually starts at ankles (yin type) then creeps up (Spleen Kidney)

- if this happens when a malignant tumor is present, this presents a poor prognosis 

Geneal Herbal Formulas for Emphysema 

Herbal Formulas: Xiao Qing Long Tang + Jin Gui Shen Qi Wan Chronic

Herbal Formulas: Yang He Tang + Ling Gui Zhu Gan Tang

Modifications:

Cold-Phlegm with deficiency - San Zi Yang Qin Tang

Kidney Yang deficiency with Phlegm – Tu Si Zi (heavy low back, turbid urine)

Spleen deficiency – use Spleen tonics Purple tongue – Dang Shen, E Zhu, Tao Ren, Hong Hua, Tian Qi (San Qi)

Auto-neumothorax – shortness of breath, pain, slight dry cough

1. Jia Wei Xiang Shu San

2. Ting Li Da Huang Tang -Ting Li Zi 15-30g -Da Huang 10-30g -Sang Bai Pi 105g -Hou Po 105g -Zi Si 105g -Jie Geng 158g -Da Zao 50 pieces If Phlegm (white) + Qiu Jie Zi 105g (yellow) + Gua Lou Ren 105g If Chest pain + Gui Zhi 2-6g

*Decoct package and drink 4 times/day, every 4 hours

-may use more packages in first couple days

3. Bai He Gu Jin Tang 20-25% of patients with Emphysema connects with GI ulcers Can also easily acquire bronchitis or pneumonia

In Conclusion for Emphysema:

When patient has chest pain Think possible

1. Heart attack

2. Lung Cancer

3. Lung Infection (with young people this order is opposite)