Guest guest Posted December 16, 2004 Report Share Posted December 16, 2004 I have a male patient, mid-fifties, with a fifteen year history of cough. I've treated his knee pain successfully (he's back to playing tennis without needing large doses of Ibuprofen to get through it) but the cough has been stubborn. I diagnosed him with phlegm heat in the lungs, and have been using Bei Mu Gua Lou San (Fritillaria and Trichosanthes Fruit Powder) with the addition of xing ren and pi pa ye (Semen Pruni Armenica and Folium Eriobotryae Japonicae). While his tongue is a little less red, there has been no change in the cough. I briefly tried him on Sha Shen Mai Men Dong Tang (Glehnia and Ophiopogonis Decoction) since his tongue, but no other symptoms, speak of a yin deficiency, but that made the cough worse. He tends to have a stuffy nose with a post nasal drip. Throat is dry and scratchy, and his voice is weaker than it used to be. No tightness in chest, the symptoms are mostly neck and up. He does get headaches with pressure, a distending kind of pain, at extra point Yin Tang. There is sometimes a trace of slipperiness in his pulse, but the pulse rate is in the mid-sixties, reflecting his high level of physical activity. His tongue is red, and swollen on either side of a deep central crack with many small cracks. Over time, his tongue has become less red and the small amount of fur has turned from yellow to white. No problems sleeping, digestion ok, an occasional case of sciatica, no other symptoms. I believe that I need to change to a formula that focuses more on the head symptoms and stopping the cough. Any woods of wisdom from out there? Lori Barns, L.Ac. Synergy Acupuncture, PLC 2775-B Hartland Road Falls Church, VA 22043 Phone: 703-752-1908 Fax: 703-752-1909 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 17, 2004 Report Share Posted December 17, 2004 What is his history like as far as infections, surgeries (tonsilectomy, adnectomy), etc. I am thinking of maybe an immune issue as Kiiko puts it. The neck is the gateway from head to body and very reflective of such problems. Hope this helps. Later Mike W. Bowser, L Ac > " Lori Barns " <loribarns >Chinese Medicine ><Chinese Medicine > > Chronic Cough Case >Thu, 16 Dec 2004 16:31:08 -0500 > > >I have a male patient, mid-fifties, with a fifteen year history of cough. >I've treated his knee pain successfully (he's back to playing tennis >without needing large doses of Ibuprofen to get through it) but the cough >has been stubborn. > >I diagnosed him with phlegm heat in the lungs, and have been using Bei Mu >Gua Lou San (Fritillaria and Trichosanthes Fruit Powder) with the addition >of xing ren and pi pa ye (Semen Pruni Armenica and Folium Eriobotryae >Japonicae). While his tongue is a little less red, there has been no change >in the cough. I briefly tried him on Sha Shen Mai Men Dong Tang (Glehnia >and Ophiopogonis Decoction) since his tongue, but no other symptoms, speak >of a yin deficiency, but that made the cough worse. > >He tends to have a stuffy nose with a post nasal drip. Throat is dry and >scratchy, and his voice is weaker than it used to be. No tightness in >chest, the symptoms are mostly neck and up. He does get headaches with >pressure, a distending kind of pain, at extra point Yin Tang. There is >sometimes a trace of slipperiness in his pulse, but the pulse rate is in >the mid-sixties, reflecting his high level of physical activity. His tongue >is red, and swollen on either side of a deep central crack with many small >cracks. Over time, his tongue has become less red and the small amount of >fur has turned from yellow to white. No problems sleeping, digestion ok, an >occasional case of sciatica, no other symptoms. > >I believe that I need to change to a formula that focuses more on the head >symptoms and stopping the cough. Any woods of wisdom from out there? > >Lori Barns, L.Ac. >Synergy Acupuncture, PLC >2775-B Hartland Road >Falls Church, VA 22043 >Phone: 703-752-1908 >Fax: 703-752-1909 > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 17, 2004 Report Share Posted December 17, 2004 Focus on the lung channel LU 1, LU 7 and others. Add some LI points, LU 11. Anne Lori Barns wrote: > > I have a male patient, mid-fifties, with a fifteen year history of > cough. I've treated his knee pain successfully (he's back to playing > tennis without needing large doses of Ibuprofen to get through it) but > the cough has been stubborn. > > I diagnosed him with phlegm heat in the lungs, and have been using Bei > Mu Gua Lou San (Fritillaria and Trichosanthes Fruit Powder) with the > addition of xing ren and pi pa ye (Semen Pruni Armenica and Folium > Eriobotryae Japonicae). While his tongue is a little less red, there > has been no change in the cough. I briefly tried him on Sha Shen Mai > Men Dong Tang (Glehnia and Ophiopogonis Decoction) since his tongue, > but no other symptoms, speak of a yin deficiency, but that made the > cough worse. > > He tends to have a stuffy nose with a post nasal drip. Throat is dry > and scratchy, and his voice is weaker than it used to be. No tightness > in chest, the symptoms are mostly neck and up. He does get headaches > with pressure, a distending kind of pain, at extra point Yin Tang. > There is sometimes a trace of slipperiness in his pulse, but the pulse > rate is in the mid-sixties, reflecting his high level of physical > activity. His tongue is red, and swollen on either side of a deep > central crack with many small cracks. Over time, his tongue has become > less red and the small amount of fur has turned from yellow to white. > No problems sleeping, digestion ok, an occasional case of sciatica, no > other symptoms. > > I believe that I need to change to a formula that focuses more on the > head symptoms and stopping the cough. Any woods of wisdom from out there? > > Lori Barns, L.Ac. > Synergy Acupuncture, PLC > 2775-B Hartland Road > Falls Church, VA 22043 > Phone: 703-752-1908 > Fax: 703-752-1909 Quote Link to comment Share on other sites More sharing options...
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