The basic principle of the treatment for lung abscess is to clear away heat, expel toxins. disperse blood stasis and draining off pus. This principle is applied to the whole course of of treatment. Some other therapy methods(relieving exterior syndrome, dispersing blood stasis, draining off pus, tonifying qi and yin) are adopted. Clinical classifications of syndrome are divided into early stage, stage of abscess formation, stage of abscess rupture, convalescence stage.
1. Early stage
Manifestations: Fever, chilliness, cough with white frothy sputum, chest pain, thin yellow tongue coating.
Therapeutic methods: Dispel the external evil with medicine of acrid taste and cool nature, clear the lungs and expel toxins.
2. Stage of abscess formation
Manifestations: Sthenic fever, vigor, cough with foul, purulent sputum, breathing difficulty, chest pain, sweating, restlessness, red tongue and yellow greasy coating.
Therapeutic methods: Clear the lungs, eliminate blood stasis and dissipate abscess.
3. Stage of abscess rupture
Manifestations: Cough, purulent and bloody sputum, odorous sputum, flushed face, fever, chest distress and pain, yellow greasy coating.
Therapeutic methods: Drain off pus, clear away toxic materials and clear the lungs.
4. Convalescence stage
Manifestations: Cough with small amount of bloody and purulent sputum, fever, fatigue, shortness of breath, night sweating, emaciation, dry mouth, red tongue coating.
Therapeutic methods: Nourish qi and yin, and clear away the residual heat.
In Chinese medicine, when treating a disease, the doctors take everything into into consideration, including climatic changes, environmental variations, emotional changes, the diet, the urine and the stool, the sleep, and the disorder of sex life. That is the feature of the Three Pathogens Theory in TCM. This etiology doctrine built on the basis of the macro methodology entirely differs from that of Western medicine. It is on the basis of the microscopic and pathologic anatomy. But it is exactly a biological, psychological, social and new medical model that Western medicine is attempting to pursue. While Chinese medicine established its own system with this medical model two thousand years ago.
Chinese doctor doesn’t considers static anatomy as a starting point for understanding the diseases, and does not rely on detection equipments. On the contrary, Chinese doctor depends on the unique ways of TCM diagnosis to experience and study the human dynamic life information. Also it is based on syndrome differentiation to guide the disease therapy. This method not only can save a lot of examination fees for patients, but also can help doctors exchange with patients more closely, thus reflecting a real humanistic spirit.