Pulmonary Tuberculosis - Fei Lao

Denfinition

An infectious, chronic, consumptive and debilitating disease of the Lung caused by “lao chong” (exogenous) and weak Genuine Qi (endogenous).

Endogenous Causes: weak Genuine Qi

Deficient Constitution: young age
Drinks and sex: Spleen and Kidney deficiencies
Emotions, stress and overwork: Spleen and Lung deficiencies
Lack of convalescence (recovery after illnesses): asthma, measles, child birth, etc
Poverty: lack of nutrition

Location: Lung, lao chong invades the Lung first through nose and mouth. Is then transmitted to the Spleen and Kidney

Symptoms: Dry short and quick cough, with or without a little sticky white phlegm. Traces or dots of blood in phlegm, bright red colour. Hot feeling at 5 centres in afternoon, dry and hot skin. Slight night sweating. Dry mouth and throat, dull and distending chest pain, reduced appetite and tiredness.
Tongue: Red with little tongue coating
Pulse: Thready and Rapid
Treatment strategy: Nourish yin and moisturise lung
Formula: Yue Hua Wan
Acupoints:

Symptoms: Choking cough with dyspnoea and a little sticky phlegm or yellow sticky phlegm. Frequently cough up blood, sometimes quite a large amount, mixed with frothy phlegm. Tidal fever in afternoon and bone steam, flushed cheeks, vexation and hot feeling at 5 centres. Profuse night sweat. Dysphoria, insomnia, quick temper, irritable and angry, chest and hypochondriac stabbing pain, nocturnal emission, irregular menstruation and progressive weight loss.
Tongue: Red and crimson with thin and yellow or exfoliation coating
Pulse: Thready and Rapid
Treatment strategy: Nourish yin and reduce fire
Formula: Bai He Gu Jin Tang or Qin Jiao Bie Jia Tang
Acupoints:

Qi and yin impairment

Symptoms: Weak cough, short of breath, thin and white phlegm. Cough up blood or traces of blood in phlegm, light red colour. Tidal fever in afternoon but only have low fever and with aversion to wind and cold. Night sweat and spontaneous sweat. Loose faeces, abdominal distension, poor appetite, weariness, pale complexion with flushed cheeks.
Tongue: Light red with teeth marks the thin coating
Pulse: Thready, Weak and Rapid
Treatment strategy: Tonify qi and nourish yin
Formula: Bao Zhen Tang or Shen Ling Bai Zhu San
Acupoints:

Symptoms: Cough and dyspnoea with little qi, large amount of clear and thin phlegm. Blood in phlegm, dull and light colour, dispersed in phlegm. Irregular fever and chill, can be high or low fever. Night sweat and spontaneous sweat. Coarse voice or aphonia, palpitation, blue or purple lips, cold limbs, diarrhoea at dawn, mouth and tongue ulcer, muscle loss, spermatorrhea and impotence and amenorrhea.
Tongue: Glossy pale and dull purple tongue with dry and yellow coating or exfoliation
Pulse: Faint or Thready and Rapid or Large and Weak
Treatment strategy: Nourish yin and tonify yang
Formula: Bu Tian Da Zao Wan
Acupoints: