2. Cough (Ke Sou)
Definition
1. Ke---coughing with sound but without production of sputum
2. Sou---productive coughing with sputum but without sound
Relevant diseases of western medicine
• Upper Respiratory tract infection
• Acute bronchitis
• Chronic bronchitis
• Pneumonia
• Lung Tuberculosis
• Lung cancer
• Pulmonary heart disease
Etiology & pathogenesis
1. Exterior pathogen attack the lung, inhibit the disperse and descending function of lung
2. Disharmony among interior organs affecting the lung
Differential diagnosis
1. Exterior or Interior---by onset, course, presence of exterior syndromes or not
2. Cold, heat, deficiency and excess---by time, sound, characteristics of sputum
Classification & treatment
Classification is based on:
• Cough
• Sputum
• Secondary symptoms
• Tongue body
• Tongue coating
• Pulse
1. Cough due to exterior pathogenic factors:
(1). Wind-cold attacking the lung
San Ao Tang (Knapping cough with 3 herbs):
Ma huang---
Xing ren---
Gan cao---
And Zhi sou san (Stopping cough decoction):
Zi yuan, Bai bu, Jing jie, Jie gen, Chen pi, Bai qian---
Gan cao---
Acupuncture: LU 7 Lieque, LI 4 Hegu, BL13 Feishu, TE 5 Waiguan
Commonly used herbs: Ma huang, Xing ren, Jie geng, Qian hu, Gan cao, Ju pi, Jin fuo cao,
(2). Wind-heat attacking the lung
Sang ju yin (Sang ye and Ju hua decoction):
Sang ye, Ju hua, Bo he, Lian qiao---
Xing ren, Jie gen---
Lu gen---
Gan cao---
Acupuncture: LU 5 Chize, BL13 Feishu, LI 11 Quchi, DU 14 Dazhui
(3). Wind-dryness attacking the lung
Sang xing tang (Sang ye, Xing ren decoction): For warm-dryness
Sang ye, Dan dou chi---
Xin ren, Bei mu---
Sha shen, Li pi---
Zhi zi---
Xing su san: For cool dry-ness
Zi su ye, Qian hu---
Xing ren, Jie geng---
Ban xia, Fu ling---
Chen pi, Zhi qiao---
Acupuncture: BL 12 Fengmen, BL 13 Feishu, LI 1 Shangyang, KI 7 Fuliu, KI 6 Zhaohai
2. Cough due to interior injuries
(1). Phlegm-dampness accumulating in the lung
Er chen tang (2 old ingredients decoction):
Ban xia, Chen pi, Fu ling, Gan cao
And San zi yang qin tang (3 seeds for parents):
Su zi, Bai jie zi, Lai fu zi
Acupuncture: BL 13 Feishu, BL 20 Pishu, ST 36 Zusanli, ST 40 Fenglong, LU 5 Chize, CV 12 Zhongwan
(2). Phlegm-heat accumulating in the lung
Qing jin hua tan tang (Cleaning lung and expel phlegm decoction):
Sang bai pi, Huang qin---
Zhi zi, Zhi mu---
Bei mu, Gua lou---
Jie geng, Ju hong, Fu ling---
Mai men dong, Gan cao---
Acupuncture: BL 13 Feishu, BL 20 Pishu, ST 36 Zusanli, ST 40 Fenglong, LU 10 Yuji, LI 11 Quchi
(3). Liver fire insulting the lung
Xie bai san (Purging lung powder):
Sang bai pi, Di gu pi, Jing mi, Gan cao
Dai ge san (Qing dai and Hai ge ke powder):
Qing dai, Hai ge ke
Acupuncture: BL 13 Feishu, BL 18 Ganshu, LU 8 Jinqu, LR 3 Taichong
(4). Lung yin deficiency
Sha shen mai dong tang (Sha shen and mai dong decoction):
Sha shen, Mai dong, Yu zhu, Tian hua fen, Sang ye---
Bian dou, Gan cao---
Acupuncture: BL 13 Feishu, LU 1 Zhongfu, LU7 Lieque, K 6 Zhao hai
1. Ke---coughing with sound but without production of sputum
2. Sou---productive coughing with sputum but without sound
Relevant diseases of western medicine
• Upper Respiratory tract infection
• Acute bronchitis
• Chronic bronchitis
• Pneumonia
• Lung Tuberculosis
• Lung cancer
• Pulmonary heart disease
Etiology & pathogenesis
1. Exterior pathogen attack the lung, inhibit the disperse and descending function of lung
2. Disharmony among interior organs affecting the lung
Differential diagnosis
1. Exterior or Interior---by onset, course, presence of exterior syndromes or not
2. Cold, heat, deficiency and excess---by time, sound, characteristics of sputum
Classification & treatment
Classification is based on:
• Cough
• Sputum
• Secondary symptoms
• Tongue body
• Tongue coating
• Pulse
1. Cough due to exterior pathogenic factors:
(1). Wind-cold attacking the lung
San Ao Tang (Knapping cough with 3 herbs):
Ma huang---
Xing ren---
Gan cao---
And Zhi sou san (Stopping cough decoction):
Zi yuan, Bai bu, Jing jie, Jie gen, Chen pi, Bai qian---
Gan cao---
Acupuncture: LU 7 Lieque, LI 4 Hegu, BL13 Feishu, TE 5 Waiguan
Commonly used herbs: Ma huang, Xing ren, Jie geng, Qian hu, Gan cao, Ju pi, Jin fuo cao,
(2). Wind-heat attacking the lung
Sang ju yin (Sang ye and Ju hua decoction):
Sang ye, Ju hua, Bo he, Lian qiao---
Xing ren, Jie gen---
Lu gen---
Gan cao---
Acupuncture: LU 5 Chize, BL13 Feishu, LI 11 Quchi, DU 14 Dazhui
(3). Wind-dryness attacking the lung
Sang xing tang (Sang ye, Xing ren decoction): For warm-dryness
Sang ye, Dan dou chi---
Xin ren, Bei mu---
Sha shen, Li pi---
Zhi zi---
Xing su san: For cool dry-ness
Zi su ye, Qian hu---
Xing ren, Jie geng---
Ban xia, Fu ling---
Chen pi, Zhi qiao---
Acupuncture: BL 12 Fengmen, BL 13 Feishu, LI 1 Shangyang, KI 7 Fuliu, KI 6 Zhaohai
2. Cough due to interior injuries
(1). Phlegm-dampness accumulating in the lung
Er chen tang (2 old ingredients decoction):
Ban xia, Chen pi, Fu ling, Gan cao
And San zi yang qin tang (3 seeds for parents):
Su zi, Bai jie zi, Lai fu zi
Acupuncture: BL 13 Feishu, BL 20 Pishu, ST 36 Zusanli, ST 40 Fenglong, LU 5 Chize, CV 12 Zhongwan
(2). Phlegm-heat accumulating in the lung
Qing jin hua tan tang (Cleaning lung and expel phlegm decoction):
Sang bai pi, Huang qin---
Zhi zi, Zhi mu---
Bei mu, Gua lou---
Jie geng, Ju hong, Fu ling---
Mai men dong, Gan cao---
Acupuncture: BL 13 Feishu, BL 20 Pishu, ST 36 Zusanli, ST 40 Fenglong, LU 10 Yuji, LI 11 Quchi
(3). Liver fire insulting the lung
Xie bai san (Purging lung powder):
Sang bai pi, Di gu pi, Jing mi, Gan cao
Dai ge san (Qing dai and Hai ge ke powder):
Qing dai, Hai ge ke
Acupuncture: BL 13 Feishu, BL 18 Ganshu, LU 8 Jinqu, LR 3 Taichong
(4). Lung yin deficiency
Sha shen mai dong tang (Sha shen and mai dong decoction):
Sha shen, Mai dong, Yu zhu, Tian hua fen, Sang ye---
Bian dou, Gan cao---
Acupuncture: BL 13 Feishu, LU 1 Zhongfu, LU7 Lieque, K 6 Zhao hai
