Type 1: Affection by wind cold
Symptoms:
Cases with attack of wind-cold on the lung and obstruction of the lung Qi, manifesting as forceful coughing, itching of throat, thin sputum, coughing and uneasy spitting. Concomitant symptoms are chill and fever, anhidrosis, aching limbs , headache, stuffy nose and nasal discharge, thin and whitish fur, floating or tense pulse.
Principle of treatment:
Expelling wind and cold pathogens. Ventilating lung and resolving phlegm. Select points of Hand-Taiyin Meridian and Hand- Yangming Meridian. Punctured with reducing method. Moxibustion can be also applied.
Selection of points:
Lieque (LU7)Luo-Connecting Point the Eight Confluent Point [3] (Lieque (LU7)Luo-Connecting Point the Eight Confluent Point [4]), Hegu (LI4) Yuan-Source Point [5] (Hegu (LI4) Yuan-Source Point [6]), Feishu (BL13) [7] (Feishu (BL13) [8]), Waiguan (TE5) Luo-Connecting Point the Eight Confluent Point [9] (SJ5).
Modification according to symptoms:
For headache, Fengchi (GB20) [10] (Fengchi (GB20) [11]), Shangxing (GV23) [12] (DU23) were added. For cases with aching limbs, Kunlun (BL60) Jing-River Point [13] (Kunlun (BL60) Jing-River Point [14]), Wenliu (LI7) Xi-Cleft Point [15] (Wenliu (LI7) Xi-Cleft Point [16]) are added.
Type 2: Affection by wind-heat
Symptoms:
Cases with attack of wind-heat on lung and impairment of purifying and descending function of the lung, manifesting as hacking coughing, dyspnea, sore throat and dry mouth, yellowish and sticky sputum difficult to spit out, headache, fever and aversion to wind, sweating in insufficient amount, thirst, thin and yellowish fur, floating and rapid pulse.
Principle of treatment:
Dispelling wind and clearing heat. Keeping the lung-qi pure and resolving phlegm. Select points of Hand-Taiyin CHannel, Hand-Yangming Meridian and Du Meridian.Puncturing with reducing method and prick for blood-letting.
Prescription:
Chize (LU5)He-Sea Point [17] (Chize (LU5)He-Sea Point [18]), Feishu (BL13), Quchi (LI11) He-Sea Point [19] (Quchi (LI11) He-Sea Point [20]), Dazhui (GV14) [21] (DU14)
Modification according to symptoms:
For sore and dry throat , Shaoshang (LU11)Jing-Well Point [22] (Shaoshang (LU11)Jing-Well Point [23]) is added and ricked for blood-letting. For insufficient sweating, Hegu (LI4) is added. For hyperhidrosis and fever Xiangu (ST43) Shu-Stream Point [24] (Xiangu (ST43) Shu-Stream Point [25]), Fuliu(KI7) Jing-River Point [26] (Fuliu(KI7) Jing-River Point [27]) are added to nourish yin and to clear away fever.
Type 3: The lung attacked by damp phlegm .
Symptoms:
Cases with dysfunction in transport of the spleen, dampness and phlegm may attack the lung, manifesting as coughing acutely in the early morning, with low and deep coughing sound, abundant and sticky expectoration or thin and whitish or greyish phlegm. At the initial stage, phlegm is not easy to spit out. In remission stage, phlegm is easyly expelled out. Concomitant symptoms are chest distress, stomach distension, poor appetite, tiredness, whitish and greasy fur, wiry and rapid pulse.
Principle of treatment:
Strengthening the spleen and dissolving the phlegm, adjusting and benefitting Lung-Qi. Hand Taiyin, Foot Taiyin, Hand Yangming and Foot Yangming meridians are selected and punctured with reinforcing method or moxibustion can be also added.
Prescription:
Feishu (BL13), Pishu (BL20) [28] (Pishu (BL20) [29]), Taiyuan (LU9)Shu-Stream Point, Yuan-Source Point [30] (Taiyuan (LU9)Shu-Stream Point, Yuan-Source Point [31]), Fenglong (ST40) Luo-Connecting Point [32] (Fenglong (ST40) Luo-Connecting Point [33]), Hegu (LI4).
Modification according to symptoms:
For cough with asthma, Dingchuan (EX-B1) is added. For stuffy chest and epigastrium, Zusanli (ST36) He-Sea Point [34] (Zusanli (ST36) He-Sea Point [35]) and Neiguan (PC6) Luo-Connecting Point the Eight Confluent Point [36] (Neiguan (PC6) Luo-Connecting Point the Eight Confluent Point [37]) are added.
Type 4: The Lung burnt by Liver fire
Symptoms:
Loss of smoothness of liver function, with stagnant qi transforming into fire-evil, burning the lung. Manifesting as paroxysmal coughing, with few sticky phlegm, dyspnea, chest pain when coughing, flush face, itching throat, bitter taste, red tip of the tongue with thin yellow fur, string and raid pulse.
Principle of treatment:
Calming the liver and removing fire. Removing heat from the lung and dissolving phlegm. The points in Hand-Taiyin and Foot-Jueyin Meridians are punctured with reducing method.
Prescription:
Feishu (BL13), Ganshu (BL18) [38] (Ganshu (BL18) [39]), Jingqu (LU8)Jing-River Point [40] (Jingqu (LU8)Jing-River Point [41]), Taichong (LR3) Shu-Stream, Yuan-Source Point [42] (Taichong (LR3) Shu-Stream, Yuan-Source Point [43])
Modification according to symptoms:
For itching and dry throat, Zhaohai (KI6) The Eihgt Confluent Point [44] (Zhaohai (KI6) The Eihgt Confluent Point [45]) is added. For cough, dyspnea and hemoptysis Kongzui (LU6)Xi-Cleft Point [46] (Kongzui (LU6)Xi-Cleft Point [47]) is added.
Cautions and precautions:
Acute and chronic coughing are related to climate, diet, emotion of the patients. Some measures, such as keeping the body warm, prohibiting pungent and greasy food, avoiding angry, stopping or reducing smoking have preventive significance.
Key Words: cough, acupuncture
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