[Concept]

Wheezing is a common clinical symptom characterized by shortness of breath and wheezing in the throat. Because asthma is associated with asthma, it is also generally called asthma.

In the medical books of the past dynasties, wheezing has many names. Suwen is called "wheezing", Jingui Yaolue. lung atrophy lung abscess cough abnormal rising of qi abnormal pulse In "Combined Treatment of Syndrome and Syndrome", it is said that it has "the sound of chicken in the throat"; Zhubing Yuanhou Lun is called "Xia Cough"; it was not until Zhu Dan-xi of the Yuan Dynasty that it was clearly called "Whisper"; later There are disease names such as asthma, croup, and wheezing.

Although asthma is always accompanied by wheezing, wheezing is not necessarily accompanied by wheezing, so asthma and asthma should still be distinguished.

[Syndrome Analysis]

1. Yin Deficiency Phlegm Obstruction︰It also belongs to the category of heat wheezing, which mainly manifests as shortness of breath, wheezing in the throat, sticky and less phlegm, thin body and dry throat, night sweat due to deficiency and irritability, red tongue with less fluid, thin and yellow tongue coating, and pulse manifestation. The most common signs of yin deficiency are thinness and dry throat, tidal fever night sweat, vexing heat in chest, palms and soles, red cheeks in the afternoon, red tongue and less fluid, pulse manifestation and counting. The phlegm is multi-colored, yellow and thick. Treatment should be nourishing yin and clearing heat, descending qi and resolving phlegm, choose Ophiopogon Decoction and add flavor.
2. Yin Deficiency Phlegm Obstruction︰It also belongs to the category of heat wheezing, which mainly manifests as shortness of breath, wheezing in the throat, sticky and less phlegm, thin body and dry throat, night sweat due to deficiency and irritability, red tongue with less fluid, thin and yellow tongue coating, and pulse manifestation. The most common signs of yin deficiency are thinness and dry throat, tidal fever night sweat, vexing heat in chest, palms and soles, red cheeks in the afternoon, red tongue and less fluid, pulse manifestation and counting. The phlegm is multi-colored, yellow and thick. Treatment should be nourishing yin and clearing heat, descending qi and resolving phlegm, choose Ophiopogon Decoction and add flavor.
3. Yin Deficiency Phlegm Obstruction︰It also belongs to the category of heat wheezing, which mainly manifests as shortness of breath, wheezing in the throat, sticky and less phlegm, thin body and dry throat, night sweat due to deficiency and irritability, red tongue with less fluid, thin and yellow tongue coating, and pulse manifestation. The most common signs of yin deficiency are thinness and dry throat, tidal fever night sweat, vexing heat in chest, palms and soles, red cheeks in the afternoon, red tongue and less fluid, pulse manifestation and counting. The phlegm is multi-colored, yellow and thick. Treatment should be nourishing yin and clearing heat, descending qi and resolving phlegm, choose Ophiopogon Decoction and add flavor.
4. Yin Deficiency Phlegm Obstruction︰It also belongs to the category of heat wheezing, which mainly manifests as shortness of breath, wheezing in the throat, sticky and less phlegm, thin body and dry throat, night sweat due to deficiency and irritability, red tongue with less fluid, thin and yellow tongue coating, and pulse manifestation. The most common signs of yin deficiency are thinness and dry throat, tidal fever night sweat, vexing heat in chest, palms and soles, red cheeks in the afternoon, red tongue and less fluid, pulse manifestation and counting. The phlegm is multi-colored, yellow and thick. Treatment should be nourishing yin and clearing heat, descending qi and resolving phlegm, choose Ophiopogon Decoction and add flavor.
5. Yin Deficiency Phlegm Obstruction︰It also belongs to the category of heat wheezing, which mainly manifests as shortness of breath, wheezing in the throat, sticky and less phlegm, thin body and dry throat, night sweat due to deficiency and irritability, red tongue with less fluid, thin and yellow tongue coating, and pulse manifestation. The most common signs of yin deficiency are thinness and dry throat, tidal fever night sweat, vexing heat in chest, palms and soles, red cheeks in the afternoon, red tongue and less fluid, pulse manifestation and counting. The phlegm is multi-colored, yellow and thick. Treatment should be nourishing yin and clearing heat, descending qi and resolving phlegm, choose Ophiopogon Decoction and add flavor.

Asthma with cold phlegm blocking the lungs and asthma with hot phlegm blocking the lungs: These two syndromes are the most common in asthma. Zhengzhi Huibu． "Wheesing Disease" says: "Asthma is a long-term and frequent occurrence of phlegm and wheezing. It is caused by congested air inside, an untimely feeling outside, and gelatinous phlegm in the diaphragm. The three of them combine to close the airway and make a beating sound. "Wheezing disease" is a common mechanism of disease between the two syndromes, but the nature of the phlegm is one cold and one hot.

Yang deficiency asthma with phlegm obstruction and yin deficiency asthma with phlegm obstruction: These two syndromes are both deficiency and excess, and the identification should focus on systemic symptoms.

Cold phlegm blocking the lungs asthma and yang deficiency phlegm blocking asthma: In both cases, the phlegm is white and thin, and there is obvious coldness in the whole body, but one is excess cold and the other is deficiency cold, so they must be distinguished.

Hot phlegm blocking the lungs asthma and yin deficiency phlegm blocking asthma: In both cases, the phlegm is yellow and sticky, and the whole body has obvious heat signs. However, one is excess heat and the other is deficient heat, which needs to be distinguished.

Asthma is an episodic disease, and the syndrome differentiation and treatment during the attack are as above. After the attack, the healthy qi must be deficient, so the asthma stage of remission should be corrected. Treatment can be started from the spleen and kidneys. According to the theories of "spleen being acquired foundation" and "kidney being innate foundation", the spleen and kidneys should be strengthened, and Taking into account ventilating lung. In addition, we should also pay attention to the adjustment of diet and daily life, so as to reduce the recurrence and hope to cure it.

[Documentation]

1. "Ancient and Modern Medical Reviews." "Croup": "Human croup, which specializes in phlegm, is suitable for emetic therapy. There are also cases where the patient is weak and cannot vomit. This disease is also cold and hot. The treatment method must be thin and flavorful, and cold and cool must not be used purely. It must be taken regularly and dispersed on the surface." "
2. "Medical treatment. "Asthma": "The sour and salty food is excessive, penetrates into the trachea, and phlegm accumulates. When wind-cold occurs, qi depression and phlegm blockage occur immediately, which usually occur in winter and spring."
3. Leizheng Zhicai． Asthma: "Most new diseases are more severe, and long-term diseases are more deficient. The throat sounds like snoring when it is asthenia, and when it is like a water chicken, it is true. When it is exposed to wind-cold, it is called cold wheezing, and when it is severe, it is called summerheat damage. When it is caused by heat, it is called heat wheezing. , it is deficiency. Salt asthma, wine asthma, and sugar asthma are all caused by deficiency."