The basic pathogenesis of pulmonary tuberculosis mainly lies in excessive fire clue to yin deficiency. In the case of prolonged duration of disease, it may cause deficiency of qi and yin, even deficiency of yin and yang in severe cases. The pathogenesis at the stage of recovery mainly exists in asthenia of the lung and kidney.
1. Syndrome differentiation and treatment
(1) Pulmonary yin deficiency
It manifests dry cough or expectoration of a bit of white and sticky sputum, short and urgent cough, occasional occurrence of blood-tinged sputum, feverish palms and soles after noon, dry mouth and throat, or occasional dull pain of the chest, tiredness, hypodynamia, thin fur, red lingual margin and tip, thready and rapid pulse. It is advisable to nourish yin and moisten the lung. The prescription used is the modified Yuehua Pill. In the case of thoracic pain, add Guangyujin (Radix Curcumae). Learn more respiratory system diseases, click to read Chronic Bronchitis in TCM.
(2) Deficiency of qi and yin
It manifests cough without force, short breath, low voice, expectoration of white, clear and thin sputum, hectic fever, aversion to cold, spontaneous sweating, insufficient food intake, loose stool, mental fatigue, hypodynamia, pale complexion, flushing of zygomatic region, dry mouth, smooth and pale tongue without fur and with scanty fluid, or oral erosion, thready and rapid or feeble, large and weak pulse. It is advisable to supplement qi and nourish yin.?The prescription used is the modified Baozhen Decoction. In the case of consumptive fever, spontaneous sweating and aversion to wind, add Guizhi (Ramulus Cinnamomi), Chinese dates (Fructus Ziziphi Jujubae), Bietaogan, Fuxiaomai (Fructus Tritici Levis) and Biejia (Carapax Trionycis). Learn more respiratory system diseases, click to read Causes of Chronic Bronchitis in TCM.
(3) Deficiency of yin and yang
It manifests cough with hoarse voice, consumptive fever, hectic fever due to yin deficiency, spontaneous sweating, night sweat, weak physique, cold body, aversion to cold, cold limbs, asthma, short breath, insufficient food intake, seminal emission, red and smooth tongue with scanty fluid, or pale and enlarged tongue with dental marks, indistinct and thready pulse. It is advisable to strengthen essence and blood, warm and tonify the spleen and kidney. The prescription used is Baozhen Decoction with additional Ziheche (Placenta Hominis), Guibanjiao, Lujiaojiao (Colla Comus Cervi), Dongchongxiacao (Cordyceps) and Zishiying (Fluoritum). Learn more respiratory system diseases, click to read Symptoms of Chronic Bronchitis in TCM.
2. Rehabilitation methods
(1) Recreation therapy
The musical therapy: In the case of depression and pessimism, select the musical prescriptions of "expressing the emotions and removing depression" and "inspiring the enthusiasm and arousing the feeling"; in the case of impetuosity, select the musical prescriptions of "tranquilizing the mind" and "inhibiting impetuosity and checking anger". The singing therapy. It has good therapeutic effects on grief and melancholy impairing the lung as well as prolonged qi stagnation.
(2) Physical training
Select the traditional sports events like Taijiquan, Taiji sword and eight-section brocade at the resolving stage. Learn more respiratory system diseases, click to read TCM Diagnosis for Chronic Bronchitis.
(3) Acumox and massage
Acurnox: Select Chize (LU 5), Feishu (BL 13), Gaohuang (BL 38) and Zusanli (ST 36). In the case of anorexia, add Pishu (BL 20) and Zhongwan (CV 12); in the case of hectic fever, add Dazhui (GV 14) and Taixi (KI 3); in the case of night sweat, add Yinxi (HT 6) and Fuliu (KI 7); in the case of hemoptysis, add Yuji (LU 10) and Kongzui (LU 6); in the case of vexation and insomnia, add Shenmen (HT 7); in the case of cough, add Taiyuan (LU 9) ; in the case of seminal emission, add Zhishi (BL 47), Guanyuan (CU 4) and Sanyinjiao (SP 6); in the case of amenorrhea, add Xuehai (SP 10) and Pishu (BL 20). Apply the therapy once a day and retain the needles for twenty minutes. Click to learn Allergic Purpura in TCM.
Acupoint injection: Select Jiehexie (3.5 cun lateral to Dazhui), Zhongfu (LU 1), Feishu (BL 13), Dazhui (GV 14), Gaohuang (BL 38), Quchi (LI 11) and Zusanli (ST 36). Each time, inject 100 mg of vitamin B1 into two or three acupoints of the above acupoints once a day. Use all the above acupoints alternately. Ten times constitute one course of treatment. Click to learn Causes of Allergic Purpura in TCM.
Ear acupuncture: Select Fei (MA- IC 1), Zhen (MA), Jiaogan (MA-AH 7), Shenmen (MA-TF 1) and Pingchuan (MA).
Massage: Massage limbs at the stationary phase. It is also advisable to practice self-massage on the chest. The method is as follows: Rub the palms against each until they get warm. Then, put the palms on the prothorax and massage it gently for twenty times along the muscles between bones with the ten fingers. Mainly massage Danzhong (CV 17) and Yunmen (LU 2).
Besides, it is advisable to press and knead the auricle, digitally press Fei (MA-IC 1), Jiaogan (MA- AH 7), Zhen (MA) and Shenmen (MA-TF 1), apply Wangbuliuxingzi (Semen Vaecariae) on auricular acupoints as well. Click to learn Chinese medicine Treatment for Allergic Purpura.
(4) Dietary therapy
In the case of pulmonary yin deficiency, select Gruel of Baihe (Bulbus Lilii), Gruel of Yuzhu (Rhizoma Polyyonati Odorati) and Autumnal Pear Paste; in the case of deficiency of qi and yin, select Soup of Edible Bird's Nest, Thick Soup of Yin’er (Tremella) and powder of human placenta (3g each time, three times a day). Learn more respiratory system diseases, click to read Chinese medicine Treatment for Chronic Bronchitis.
Besides, dry an otter's liver over a slow fire and grind it into fine powder. Take 3 g of the powder each time with rice soup, twice a day. Or dry several eels over a slow fire and grind them into fine powder. Take 5 g of the powder each time, twice a day. The course of treatment is not limited.
(5) External treatment with drugs
Grind 15g of Wulingzhi (Faeces Trogopterorum), 15g of Baijiezi (Semen Sinapis Albae) and 6g of Gancao (Radix Glycyrrhizae) into powder. Then, mix the powder with 15g of garlic paste and pound the two ingredients evenly. Next, add a bit of vinegar to the above ingredients. At this time, spread the prepared paste on a piece of gauze. Finally, apply the drug with the gauze on the region which is 1.5 cun lateral to the cervical vertebrae and Jiaji of the lumbar vertebrae for about one to two hours. Remove it when burning heat sensation appears on the skin. Apply the drug once every seven days and two months make up one course. Learn more respiratory system diseases, click to read TCM Treatment Evaluation for Chronic Bronchitis.