PERTUSSIS (WHOOPING COUGH)

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas	Liang Ge San Shao Yao Gan Cao Tang Due to Heat: Dun Sou San
Points	PC-6, REN-12, REN-22, Sifeng

TAI YANG ZHONG FENG WITH PHLEGM

Clinical Manifestations	Aversion to Wind Chills and fever Spontaneous perspiration Headache Nasal obstruction Itchy throat Cough with expectoration of clear, or white sputum Asthma Shortness of breath Sore throat with phlegm T: Normal C: Thick greasy or sticky white P: Floating and weak or slippery
Treatment Principle	Disperse Wind Stop cough Resolve Phlegm Relieve the Lungs
Herb Formulas	Zhi Sou San
Points	DU-16, GB-20, KI-7, LI-4, LU-7, LU-9, PC-5, SJ-5, ST-40, UB-12. UB-13

WIND-COLD (CATARRHAL STAGE)

Clinical Manifestations	Cough with clear, dilute nasal discharge Sneezing Aversion to Cold T: Normal C: Thin White P: Superficial and Tight
Treatment Principle	Relieve Exterior Wind-Cold Stop cough
Herb Formulas	Jin Fei Cao Tang Jia Jian Xiao Qing Long Tang For beginning cough stage: San Ao Tang + Sang Ju Yin + Dai Ge San For children: Hua Gai San With Cold Thin Mucus: She Gan Ma Huang Tang
Points

WIND-COLD WITH INTERNAL HEAT

Clinical Manifestations	Fever and chills Maybe fever only Achiness Anhidrosis Occipital headache Loud cough Sticky, yellow mucus Sore throat Generalized muscle aches Nasal obstruction Asthma Aversion to Cold Edema Thirst with a desire for cold liquids Restlessness Irritability Fidgeting Constipation or Dry stools Sometimes dry achy eyes T: Normal or red or Red tip C: Yellow or white P: Floating and tight or Floating and rapid
Treatment Principle	Expel Wind Disperse Cold Cool Heat
Herb Formulas	Da Qing Long Tang Ma Xing Shi Gan Tangmodified Ding Chuan Tang Shi Gao Tang With lingering Exterior symptoms: Ge Gen Huang Qin Huang Lian Tang Chinese Patent Medicines: Ma Xing Zhi Ke Pian Zhi Sou Ding Chuan Wan Chuan Ke Ling
Points	DU-14, DU-16, GB-20, LI-4, LI-11, ST-44, UB-13, sedate LU-7, LU-9, LU-10, SJ-5, UB-12, tonify SP-1, SP-2 Dingchuan, DU-14, LI-4, LI-11, LU-5, REN-17, SJ-5, UB-12 For a severe, swollen, sore throat: + LU-11, SI-17 With Excess Internal Heat: + LU-10, SJ-2

WIND-COLD WITH UNDERLYING YANG DEFICIENCY (TAI YANG - SHAO YIN)

Clinical Manifestations	Sensation of extreme Cold Severe chills Chills are not relieved by clothing or covers Slight fever Anhidrosis Exhaustion Almost constant desire to sleep Pale face Cold extremities Cold feet Severe aversion to Cold Headache Shortness of breath Edema Cough Pain penetrating to the back Toothache Sore throat Raspy voice Edema due to Wei Qi Stagnation Weak extremities Chronic wheezing Severe pain and obstructed feeling over the throat T: Pale and swollen C: White and slippery P: Deep and weak
Treatment Principle	Disperse Wind-Cold Replenish Yang
Herb Formulas	Ma Huang Fu Zi Xi Xin Tang
Points

WIND-HEAT (CATARRHAL STAGE)

Clinical Manifestations	Acute, hacking dry cough Increasingly heavy voice Cough, worse at night Cough worsening daily Inflamed throat Thicker Phlegm discharge T: Red C: Thin and yellow P: Superficial and rapid
Treatment Principle	Relieve Exterior Wind-Heat Stop cough
Herb Formulas	Jin Fei Cao Tang Jia Jian Sang Xing Tang Ma Xing Shi Gan Tang Qing Zao Jiu Fei Tang Sang Ju Yin modified For a mild case with cough, fever is not high, slight thirst: Sang Ju Yin modified For beginning cough stage: San Ao Tang + Sang Ju Yin + Dai Ge San With cough and Phlegm: Ning Sou Wan With a persistent cough after resolution of the External factors: Zhi Sou San Chinese Patent Medicines: San She Dan Chen Pi Mo Ma Xing Zhi Ke Pian
Points	Dingchuan, DU-14, LI-4, LI-11, LU-1, LU-5, SJ-5, UB-12 For a very severe, swollen throat: + LU-11, SI-17

PERVERSE DRYNESS AFFECTS THE LUNGS

Clinical Manifestations	Pertussis Dry cough with little or no sputum Sputum is difficult to expectorate Maybe hemoptysis Cough may cause chest pain Dry or sore throat Hoarse voice Dry lips and mouth Thirst Irritability Mild fever Aversion to Wind Dryness in nose Epistaxis Chills and fever Headache Anhidrosis Dry skin and hair Constipation T: Red tip C: Thin, yellow and dry or Thin, white and dry P: Floating and maybe rapid
Treatment Principle	Cleanse the Lungs Moisten Dryness Stop cough Stop bleeding
Herb Formulas	Qing Zao Jiu Fei Tangmodified
Points	KI-3, LU-1, LU-6, SP-6, UB-13 KI-3, Jinjin-Yuye, LU-1, LU-6, SP-6, UB-13 KI-6, LI-4, LI-16, LU-6, LU-7, LU-10, SJ-5, UB-13 With fever: + LI-11 With severe cough: + LU-5

WEI LEVEL: SUMMERHEAT WITH DAMPNESS

Clinical Manifestations	Fever and chills, fever more pronounced or Tidal fever Abdominal distention Thirst Sweat Stifling sensation in the chest Restlessness Gastric disturbances: Heaviness Nausea Severe diarrhea Scanty urine T: Red tip and edges C: Greasy white or yellow P: Rapid, soft
Treatment Principle	Disperse Wind Clear Heat Resolve Damp
Herb Formulas	Liu Yi San
Points	DU-14, UB-40 (bleed). UB-12, UB-20, GB-20, LI-4, LI-11, SJ-5, SP-6, SP-9, REN-9, ST-28

QI LEVEL: LUNG HEAT

Clinical Manifestations	Whooping cough Fever No chills Aversion to Heat Cough Asthma Restlessness Thirst Dry mouth Red face Worse in the afternoon Dark yellow urine Dyspnea Chest pain Shortness of breath Thick yellow Phlegm which is difficult to expectorate T: Red C: Thick and yellow, maybe dry and sticky P: Rapid, maybe slippery, maybe forceful
Treatment Principle	Clear Heat in Lungs Strengthen when weak or elderly
Herb Formulas	Ma Xing Shi Gan Tang With Lung Yin Deficiency: Qing Fei Tang With Phlegm: Ren Shen Xie Fei Tang Chinese Patent Medicines: Ma Xing Zhi Ke Pian Qing Fei Yi Huo Pin Niu Huang Jie Du Pian
Points	Early-stage: LI-2, LU-10 Dingchuan, DU-13, DU-14, LI-11, LU-5, LU-10, ST-44, UB-13 LU-1, LU-5, LU-9, LU-10, PC-6, SI-4, UB-13, UB-15 LU-1, LU-5, LU-6, LU-10, UB-13

QI LEVEL: HEAT LINGERING IN THE LUNGS AND STOMACH

Clinical Manifestations	Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed Distention and pain in the sides or flanks Suffocating sensation in the chest and hypochondrium Tendency to sigh Melancholy Depression Irritability Inappropriate anger Hypochondriac pain Coughing with profuse phlegm Vomiting Difficulty swallowing A delicate constitution A tendency towards fatigue Palpitations Abdominal distention Muscular and skin flaccidity Fear Edema Asthma Insomnia Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle	Spread Qi Resolve Phlegm
Herb Formulas	Ban Xia Hou Po Tang
Points	PC-5, LIV-3, SJ-6, LI-18, SI-17

SUMMERHEAT AND DAMPNESS WITH LIVER AND GALL BLADDER HEAT

Clinical Manifestations	Red eyes Sore throat Mouth, tongue and lip ulcerations Urinary difficulty Diarrhea Papules Sores Prickly Heat Ocular pain Dark urine Chest pain Hemoptysis Epistaxis Hematemesis Oliguria with dark urine Scanty urine Swelling of the throat Fever Thirst Irritability Nausea Vomiting Lassitude due to Summerheat T: Normal C: Yellow and greasy P; Soggy and rapid
Treatment Principle	Clear Heat Relieve toxicity Promote urination Eliminate Summerheat TonifY Qi Cool the Blood
Herb Formulas	Bi Yu San
Points

PHLEGM-HEAT CONGESTS THE LUNGS

Clinical Manifestations	Cough with expectoration of copious thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus Sputum is difficult to expectorate Cough may have no sputum Dyspnea Asthma Pain in the ribs Mild chest pain Dry, scaly skin Fever Maybe chills and fever Red rashes Thirst T: Scarlet C: Yellow and smooth or Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Heat Counteract Toxin Transform Stasis Drain Pus Resolve Phlegm Soothe asthma in case of asthma
Herb Formulas	Qing Jin Hua Tan Wan modified Ma Xing Shi Gan Tang modified For yellow or green mucus: Wei Jing Tang modified With Food Stagnation: Bao He Wan modified Chinese patent medicines: Qing Qi Hua Tan Wan Qing Fei Yi Hua Pian Chuan Ke Ling San She Dan Chen Pi Mo
Points	LI-11, LU-1, LU-5, LU-6, LU-7, LU-10, REN-17, ST-40, UB-13 With wheezing: + Dingchuan With Fullness ion the chest: + PC-5 Dingchuan, LU-1, LU-5, LU-6, LU-10, REN-17, REN-22, ST-40, UB-13 Dingchuan, LI-11, LU-1, LU-5, LU-6, LU-10, REN-17, ST-40, UB-13 For fullness in the chest: + PC-5

RETENTION OF PHLEGM-FIRE (PAROXYSMAL STAGE)

Clinical Manifestations	Paroxysmal gasping coughs with a strong barking sound Thick, difficult to expectorate sputum Noisy inhalation Vomiting of mucus Red eyes Occasional blood in sputum T: Red C: Sticky P: Rapid, slippery and forceful
Treatment Principle	Clear Heat Resolve Toxins Transform Phlegm Stop cough
Herb Formulas	Pertussis #1 Sang Bai Pi Tang
Points

LUNG QI AND YIN DEFICIENCY

Clinical Manifestations	Chronic cough with sparse sputum Sputum difficult to expectorate Shortness of breath Spontaneous perspiration Dry mouth and tongue Palpitations with a stifling sensation in chest Fatigue Irritability Thirst Dry throat Insomnia Listless speech T: Red and dry or Pink and dry C: Thin and dry P: Deficient and rapid or Irregular and slow or Thready and deficient or Consistently irregular
Treatment Principle	Augment Qi Clear Heat
Herb Formulas	Jiu Xian San Due to Heat and Dryness of the Lungs: Qing Zao Jiu Fei Tang
Points

LUNG AND STOMACH YIN DEFICIENCY

Clinical Manifestations	Cough with little yellow sputum or No sputum expectorated Blood tinged sputum (when Yin Deficient Fire is present) Spitting saliva Wheezing Shortness of breath Dry, uncomfortable sensation in throat Hiccups Dry mouth Dry mouth and throat Itching in throat Coughing up difficult-to-extectorate Phlegm Nausea Hoarse voice, low voice or loss of voice Thirst Asthma Flushed face Five sole Heat Afternoon fever Night sweats Malar flush (especially in afternoon) Emaciation Vomiting No appetite or Famished but with no desire to eat Abdominal distention after meals Dry stools Irritability with low grade fever Maybe dry retching or T: Red and dry C: Little or None P: Thready and rapid or Deficient and rapid
Treatment Principle	Moisten Lung and Stomach Yin
Herb Formulas	Mai Men Dong Tang
Points	UB-13, UB-17, UB-21, UB-43, ST-36, SP-6, REN-12, LU-1, LU-5, LU-, LU-7 + KI-6, LU-9, LU-10, KI-3

LUNG AND SPLEEN DEFICIENCY (RECOVERY STAGE)

Clinical Manifestations	Dry cough Dry throat T: Red P: Weak and rapid
Treatment Principle	Moisten Lung Yin
Herb Formulas	Qing Zao Jiu Fei Tang Jia Jian
Points

COLD-DAMP DISTRESSES THE SPLEEN

Clinical Manifestations	Distention and fullness of epigastrium and abdomen Nausea Vomiting Anorexia Loose stools Diarrhea Reduced sensation of taste No thirst or preference for hot drinks Sticky sensation in mouth Borborygmus Lassitude Yin jaundice Heavy head Maybe edema Maybe copious white vaginal discharge Maybe cold limbs, fear of Cold or feeling chilled T: Pink C: Thick, white and greasy or sticky P: Deep and slow
Treatment Principle	Warm Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen
Herb Formulas	Ping Wei San
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20

SPLEEN DAMP DISTURBS THE LUNGS

Clinical Manifestations	Head feels heavy as if wrapped up Four limbs tired Lethargic Sensations of stuffiness and fullness in chest and epigastrium Decreased food intake or vomits immediately after eating Cough Asthma Abundant white watery phlegm, easily expectorated Cannot lie flat (due to breathing difficulties) T: Pink C: Thick and slimy P: Slippery and even
Treatment Principle	Warm and Reinforce the Spleen and Lungs
Herb Formulas	Ping Wei San + Er Chen Tang
Points	Dingchuan, LU-9, REN-17, REN-22, SP-3, ST-36, ST-40, UB-13, UB-20

HEART YANG NOT VIGOROUS: WATER QI INSULTS THE HEART WITH LUNG AND SPLEEN QI DEFICIENCY

Clinical Manifestations	Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed Distention and pain in the sides or flanks Suffocating sensation in the chest and hypochondrium Tendency to sigh Melancholy Depression Irritability Inappropriate anger Hypochondriac pain Coughing with profuse phlegm Vomiting Difficulty swallowing A delicate constitution A tendency towards fatigue Palpitations Abdominal distention Muscular and skin flaccidity Fear Edema Asthma Insomnia Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle	Spread Qi Resolve Phlegm
Herb Formulas	Ban Xia Hou Po Tang
Points	PC-5, LIV-3, SJ-6, LI-18, SI-17

LIVER QI STAGNATION: PHLEGM AND QI STAGNANT AND BLOCKED

Clinical Manifestations	Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed Distention and pain in the sides or flanks Suffocating sensation in the chest and hypochondrium Tendency to sigh Melancholy Depression Irritability Inappropriate anger Hypochondriac pain Coughing with profuse phlegm Vomiting Difficulty swallowing A delicate constitution A tendency towards fatigue Palpitations Abdominal distention Muscular and skin flaccidity Fear Edema Asthma Insomnia Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle	Spread Qi Resolve Phlegm
Herb Formulas	Ban Xia Hou Po Tang
Points	PC-5, LIV-3, SJ-6, LI-18, SI-17

LIVER FIRE ATTACKS THE LUNGS

Clinical Manifestations	Hemoptysis Rib pain which is severe when coughing Alternating fever and chills Fullness in the chest and hypochondrium (with or without pain) Bitter taste in mouth Nausea Continuous vomiting Hard focal distension in the epigastrium Fullness and pain in the epigastrium Burning diarrhea or no bowel movement Despondency Slight fidgeting Slight irritability Headache Constipation or discharge of fluids rectally Tinnitus Diminished hearing Diminished vision Red eyes Manic behavior Asthma Mental instability T: Normal or red C: Yellow or Thick and yellow P: Wiry and forceful or Wiry tight and forceful
Treatment Principle	Harmonizes and Disperses the Shao Yang Drains Internal Heat Retention
Herb Formulas	Xie Bai San Xie Bai San + Dai Ge San modified With Phlegm-Heat: Dai Ge San + Qing Jin Hua Tan Wan For mild cases: Sang Dan Xie Bai Tang With hemoptysis: Ke Xue Fang modified For a chronic condition: Xiao Yao San Si Ni San Yue Ju Wan Chai Hu Shu Gan Tang For Shen Disturbances due to Blood Heat: An Gong Niu Huang Wan Zi Xue Dan Zhi Bao Dan Xi Jiao Di Huang Tang Qing Ying Tang Chinese patent medicines: Qing Qi Hua Tan Wan Long Dan Xie Gan Wan Qing Fei Yi Huo Pian With hemoptysis: Yunnan Bai Yao
Points	GB-12, GB-34, GB-37, LIV-2, UB-13, UB-18, UB-19 LIV-2, LU-5, LU-6, LU-10, PC-6, UB-13, UB-18 With hemoptysis: GB-34, LIV-2, LIV-3, LU-5, LU-6, SP-10, UB-13, UB-18

PERTUSSIS (WHOOPING COUGH)

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas