Chronic Bronchitis

When  treating a cough for 3 months and there is no alleviation think lung cancer

-this is usually a dry cough with phlegm that is difficult to cough out, when it is accompanied by chest pain the possibilities of it being a large tumor are good

Bronchitis particularly has cough with phlegm, wheezing if the coughing is copious, can also occur with asthma

When you have asthma it is easy to get bronchitis, not the other way around

Principle of treatment for Bronchitis:

descend lung Qi  moisten or eliminate phlegm depending on cough, boost immune system, strengthen and protect Lung and Spleen TCM - Kidney and Lung Deficiency

Diagnosis of Chronic Bronchitis:

Time of day, of month, of year, Phlegm: dry, sticky, yellow, white, clear, purple, lots, little, thin, thick, 

Dark Phlegm - kidney

Purple Phlegm - Heart Qi/Yang deficiency

Green Phlegm - liver attack lung

Chest Pain - first think heart disorders, lung disorders second

Fevers - high fever - pneumonia, bronchitis

Lower fever - first think San Jiao

Dry cough, unable to remove phlegm - think cancer

Diarrhea with bronchitis - mother and son both diseased - late stage - bad prognosis

Diarrhea, edema and bronchitis - heart, lung, kidney failure

3 stages Bronchitis - Asthma - Emphysema - Chronic Bronchitis

Differentiate Bronchitis With:

Whooping cough - spasmodic cough, intermittent, red face, may vomit at end of coughing episode.

Pneumonia - high fever, shotness of breath, nostril flaring

Chinese Medicine Differentiation and Treatment of Bronchitis

Lung and Spleen deficiency

May also get Blood Stasis (if shows purple tongue)  use blood invigorators

Principle of Treatment: Spleen produces Qi, Lung controls Qi, Kidneys receive Qi

Herbal Formula: Sheng Mai San (LU Heart Qi and Yin) - Yu Ping Feng San (LU Qi) - Fu zi Li Zong Tang (SP Yang) - Shen Ling Bai Zhu San (SP Damp) - Bu Zhong Yi Qi Tang (SP LR) - Xiang Sha Liu Jun Zi Tang (SP ST) - Liu Wei Di Huang Wan (KI Yin)

*If you have chronic respiratory problems it is bad if there is Edema and/or diarrhea

- if there is diarrhea or Edema there may be Pulmonary Heart Disease

- Lung Yang deficiency upper, Kidney Spleen Yang deficiency lower

Herbal Formula: Zhen Wu Tang

Lung Yang deficiency

water in upper part of body (tan yin  Phlegm-fluids) - usually with Heart Yang deficiency

Herbal Formula: Zhen Wu Tang (Fu Zi, Gan Jiang, Bai Zhu) - Si Ni Tang + Ling Gui Zhu Gan Tang

Spleen Yang deficiency

usually with Kidney or Heart Yang deficiency - King and Minister Fire warms Spleen

Herbal Formula: Fu Zi Li Zhong Tang - with Gui Zhi or Rou Gui = Fu Gui Li Zhong Tang

Liver Yang deficiency

must be pain along the meridian - usually with Kidney Yang deficiency

Herbal Formula: Wu Zhu Yu Tang - Dang Gui Si Ni Tang (blood Bi) - Fu Gui Di Huang Wan

Note: Asthma  early there is usually constipation - late there is usually diarrhea

External Causes Of Bronchitis:

Wind Cold - Xing Su San External

Wind Cold and Interior Heat - (fever, phlegm, ) Xing Su SanAdd - Huang Qin, Pi Pa Ye, Ban Lan Gen

Wind Heat - Sang Ju Yin Lung Heat - Huang Qin, Yi Xing Cao

Sore Throat - Xuan Shen, Shi Gan, Niu Bang Zi

Phlegm - Gua Lou, Zhe Bei Mu, Ting Li Zi

Internal Causes Of Bronchitis

Phlegm Heat - Qing Jing Hua Tian Tang

Phlegm - Dai Gu San

Constipation - Gua Lou Ren Nose

Bleed - Mu Dan Pi, Bai Mao Gen Chest Pain - Chai Hu, Yu Jin, Zhi Qiao

Yin Deficiency - Sha Shen, Mai Men Dong

Phlegm Damp - Er Chen Tang Frothy

Phlegm and Wheezing - Xiao Qing Long Tang

Food Retention - Lai Fu Zi, Bao He Wan

Chest Congestion - Hou Po, Jie Geng

Qi Deficiency - Ren Shen Wu Wei Zi Tang Lung

Yin Deficiency - Sha Shen Mai Men Dong Tang

Hot Type - Ding Chuang Tang (int. phlegm heat) Ma Xing Shi Gan Tang (more external heat)

Complicated Cold and Hot - Da Qing Long Tang

Complicated Deficiency and Excess - Du Qi Wan + Shi Gan Ma Huang Tang

During Remission:

Lung Qi Deficiency - Yu Ping Feng San

Spleen Qi Deficiency - Liu Jun Zi Tang

Kidney Deficiency - Shen Qi Wan

Chronic Bronchitis Herbal Treatment:

Excellent Herbs For Bronchitis

Ban Xia, Huang Qi, Chen Pi, Chi Shao Yao, Fu Ling, Gan Cao, Bu Gu Zhi

Good Herbs for Bronchitis

Yu Xing Cao, Jie Geng, Fu Zi, Dan Shen, Bai Bu, Bai Hu, Dang Shen, Bai Zhu, Gan Jiang, Bei Mu, Huang Jing, Wu Wei zi

Excellent Herbs For Asthma

Ma Huang, Di Long, Bei Mu, Xing Ren, Xi Xin, Shi Gan, Fu Ling, Gan Cao, Su Zi, Wu Wei Zi, Ban Xia, Huang Qin, Zi Cao

Good Herbs for Asthma

Bai Jie Zi, Lai Fu Zi, Gan Jiang, Gua Lou, Bu Gu zhi, Sheng Jiang, Sang Bai Pi, Shu Di, Jiang Can, and Chan Tui

Good Herbs for Wind Cold and Wind Heat

Sha Shen (LU, ST) and Bai Hu (LU, HT)

- Chronic Lung Yin deficiency - Stick Phlegm Formula - San Zi Yang Qin Tang

Acupuncture - bronchitis/asthma - Lung 6, Bladder 15 Moxibustion - bronchitis - back shu points, direct