PLEURISY,PLEURITIS

Clinical Manifestations
  • Pleurisy is a condition in which the pleura, a membrane consisting of a layer of tissue that lines the inner side of the chest cavity and a layer of tissue that surrounds the lungs, becomes inflamed. Also called pleuritis, pleurisy causes sharp chest pain (pleuritic pain) that worsens during breathing.
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Cough
  • Asthma
  • Fever and chills
  • Maybe fever only
  • Achiness
  • Anhidrosis
  • Headache
  • Aversion to Cold
  • Edema
  • Thirst
  • Restlessness
  • Irritability
  • Fidgeting
  • Constipation
  • Sometimes dry achy eyes
  • T: Normal or red
  • C: Yellow or white
  • P: Floating and tight or rapid
Treatment Principle
  • Expel Wind
  • Disperse Cold
  • Cool Heat
Herb Formulas
Points
Clinical Manifestations
  • Dry pleurisy (early-stage):
    Alternating chills and fever
    Hypochondriac pain and fullness
    Dry coughing with little or no sputum
    Poor appetite
    T: Normal
    C: Thin and yellow
    P: Wiry and rapid
  • Exudative pleurisy:
    Pleural exudates
    Alternating chills and fever
    Hypochondriac pain and fullness
    Dry coughing with little or no sputum
    Poor appetite
    T: Normal
    C: Thin and yellow
    P: Wiry and rapid
  • Symptoms common to both:
  • Restlessness
  • Irritability
  • Sometimes fatigue
  • Nausea
  • Occasional vomiting
  • Headaches (side of head)
  • Rib pain
  • Achiness
  • Ear infection
  • Hearing difficulty
  • Red eyes
  • Stiff shoulders
  • Throat pain
  • Hip pain
Treatment Principle
  • Dry pleurisy (early-stage):
    Harmonize the Shaoyang
    Clear Heat
    Resolve Phlegm
  • Exudative pleurisy:
    Harmonize the Shaoyang
    Clear Heat
    Dispel Dampness
Herb Formulas
Points
Clinical Manifestations
  • Chest distension
  • Costal distress
  • Joint pain with a crackling sensation
  • Epigastric pain
  • Fatigue
  • Gastrointestinal weakness
  • Headache
  • Heaviness in the head
  • Fever
  • Moderately severe chills
  • Distension beneath the Heart
  • Periumbilical or lower abdominal pain
  • Tenseness around the pubic bone
  • Subcostal pain
  • Epigastric fullness
  • Nausea
  • Mild vomiting
  • Mild thoraco-costal discomfort
  • Tension in the rectus abdominus
  • Abdominal pain
  • Abdominal distension
  • Constipation
  • Irritability
  • Insomnia
  • Repeated loss of spinal alignment due to muscular tension
  • P: Floating and weak
Treatment Principle
  • Release the Exterior and muscle layer
  • Harmonize and release the Shao-Yang
  • Harmonize the Liver, Spleen and Intestines
  • Dispel Water Accumulation
Herb Formulas
Points
Clinical Manifestations
  • Cold extremities
  • Body hot and feverish due to lack of harmony of Liver Qi
  • Thirst
  • Abdominal distention
  • Fever
  • Dark yellow urine
  • T: Red
  • C: Yellow
  • P: Rapid and slippery
Treatment Principle
  • Clear Heat
  • Reverse reversals
Herb Formulas
Points
Clinical Manifestations
  • A stifling sensation in chest
  • Numbness and heaviness of the extremities
  • Soreness and fixed pain of joints
  • Stiffness or numbness of the muscles or skin
  • Pain worse on cloudy or rainy days
  • Maybe peripheral or systemic edema
  • Pain is alleviated by pressure and warmth
  • Pain lingers and is recalcitrant to treatment
  • Worse during cloudy or wet weather
  • Limited movement
  • Edema
  • Maybe anorexia or indigestion
  • Maybe abdominal distention
  • Maybe loose or semi-liquid stools
  • T: Pink or Pale
  • C: Greasy and white
  • P: Slow, moderate and soft
Treatment Principle
  • Expel Damp
  • Clear the channels
Herb Formulas
Points
Clinical Manifestations
  • Lung abscess
  • Coughing
  • Wheezing
  • Fullness and distention in the chest
  • Profuse Phlegm and saliva
  • Dysuria
  • Edema
  • Nasal congestion
  • Clear, watery rhinorrhea
  • Oliguria
  • Loss of taste and smell
  • Dyspnea
  • Edema of the face and eyes
  • Insomnia
  • T: Swollen
  • C: White and greasy
  • P: Slippery
Treatment Principle
  • Drain the Lungs
  • Move Fluids
  • Drive out Phlegm
  • Stop cough
  • Calm wheezing
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Epigastric pain (worse when emotionally upset)
  • Belching with acid regurgitation
  • Nausea
  • Vomiting
  • Anorexia
  • Epigastric distention
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Coughing fits with hemoptysis
  • Burning pain in chest and sides
  • Dizziness
  • Face and eyes red
  • Bitter taste in mouth
  • Dry lips
  • Short-tempered
  • Irascibility
  • Restlessness
  • Maybe dark urine
  • Maybe constipation
  • T: Red
  • C: Thin, yellow and dry
  • P: Wiry and rapid
Treatment Principle
  • Clear Liver Fire
  • Purge the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Edema of whole body particularly at and below the waist
  • Pitting edema
  • Low back pain, aching and heaviness
  • Abdominal distention with full sensations
  • Oliguria
  • Cold limbs
  • Face gray and congested or pale
  • Feeling nervous and cold with mental weariness
  • In severe cases:
    Ascites
    Edema of scrotum
  • T: Pale and swollen
  • C: Thin, white or Thick, white and sticky
  • P: Deep and thready
  • With Water Flooding the Lungs:
    Cough with copious, thin watery phlegm
    Asthma with phlegmy sound (wheezing)
    Dyspnea
    Facial edema
    Edema of limbs
    Dysuria
    T: Pale and swollen
    C: White and moist or White and greasy
    P: Superficial and tight
Treatment Principle
  • Warm Kidneys
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • Focal distention in the chest and epigastrium with or without nodules which is painful when pressed
  • Fullness and pain which is worse with pressure
  • A red facial complexion
  • A Heat sensation to the touch
  • Coughing up yellow, viscous sputum
  • Thirst
  • Constipation
  • A bitter taste in the mouth
  • Nausea
  • T: Normal
  • C: Yellow and greasy
  • P: Slippery and floating or Slippery and rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Expand the chest
  • Dissipate Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Chills
  • Severe headache
  • Flushed cheeks
  • Bad breath
  • Tinnitus
  • Hearing loss
  • Irritability
  • Insomnia
  • Coughing up viscous, thick sputum
  • Dark urine
  • Swollen lymph nodes
  • Abdominal tension and itching
  • Darkened skin
  • Epistaxis
  • Itching
  • Formation of cellulitis
  • T: Red
  • C: Normal or Yellow
  • P: Wiry and rapid
Treatment Principle
  • Drain Fire
  • Relieve toxicity
  • Spread the Liver Qi
  • Strengthen the Spleen
  • Disperse Wind-Heat
Herb Formulas
Points
Clinical Manifestations
  • Cough with sharp pain in the chest and hypochondrium
  • Hypochondriac distention and pain
  • Hard focal distention in the epigastrium
  • Dry heaves
  • Shortness of breath
  • Headache
  • Abdominal distention
  • Wheezing
  • Fullness in the chest
  • Dyspnea caused by extreme chest and back pain
  • Dizziness
  • Vertigo
  • Asthma
  • Rapid breathing
  • Generalized edema which is worse in the lower body
  • Difficult urination and defecation
  • T: Normal or Dark
  • C: Thick, greasy and white
  • P: Deep and wiry
Treatment Principle
  • Attack and Dispel water
Herb Formulas
Points
Clinical Manifestations
  • Fullness and pain in the chest or
  • Stabbing pain that radiates from the chest to the back
  • Wheezing
  • Coughing with sputum
  • Drooling
  • Shortness of breath
  • Focal distention in the chest that feels like a flow of Qi proceeding from the flanks to the area around the Heart
  • T: Normal
  • C: White and greasy
  • P: Deep and wiry or Deep and tight
Treatment Principle
  • Unblock Yang
  • Dissipate clumps
  • Expel Phlegm
  • Descend Qi
Herb Formulas
Points