[Concept]

Panting, short for wheezing, is a clinical symptom characterized by shortness of breath. In severe cases, the patient even opens his mouth and raises his shoulders, flaps his nose, and cannot lie down. Commonly seen in a variety of acute and chronic sexually transmitted disease syndromes.

Panting has many names in medical books of the past dynasties. For example, Suwen is called "wheezing" and "breathing against"; Jingui Yaolue is called "abnormal rising of qi"; Zhubing Yuanhou Lun is also called "abnormal rising of qi"; It is called "reverse energy"; in Jingyue Quanshu it is called "panting".

In medical literature before the Jin and Yuan Dynasties, there was no strict distinction between asthma and asthma, and they were often confused. However, the two are different in disease cause, mechanism of disease and clinical manifestations, so they should be distinguished. Wheezing has a perennial root, manifesting as paroxysmal phlegm panting, characterized by shortness of breath and wheezing in the throat; wheezing is often complicated by a variety of acute and chronic sexually transmitted disease syndromes. Although breathing is rapid, there is no wheezing in the throat. Wheezing. Yixue Zhengzhuan． "Asthma" says: "Mostly, wheeze is named after the sound, and wheezing is named after the breath. The person with a panting sound like a chicken in the throat is called wheezing; the person with shortness of breath and inability to breathe is called wheezing." It can be seen that asthma must be accompanied by wheezing. And wheezing may not be accompanied by wheezing.

[Syndrome Analysis]

1. Kidney Deficiencyphlegm Obstruction︰Symptoms include wheezing and coughing, shortness of breath, more breathing and less breathing, more phlegm and chest tightness, accompanied by soreness in the waist and cold limbs, frequent urination, white and greasy tongue coating, and a thin and slippery pulse. It also has the symptoms of excessive phlegm and saliva. The mechanism of disease is that phlegm and saliva accumulate in the upper part and kidney qi is lost in the lower part. The treatment should be descending qi and resolving phlegm, which warms the kidneys and absorbs less. Use Perilla Fruit Qi-Descending Decoction to add or subtract.
2. Kidney Deficiencyphlegm Obstruction︰Symptoms include wheezing and coughing, shortness of breath, more breathing and less breathing, more phlegm and chest tightness, accompanied by soreness in the waist and cold limbs, frequent urination, white and greasy tongue coating, and a thin and slippery pulse. It also has the symptoms of excessive phlegm and saliva. The mechanism of disease is that phlegm and saliva accumulate in the upper part and kidney qi is lost in the lower part. The treatment should be descending qi and resolving phlegm, which warms the kidneys and absorbs less. Use Perilla Fruit Qi-Descending Decoction to add or subtract.
3. Kidney Deficiencyphlegm Obstruction︰Symptoms include wheezing and coughing, shortness of breath, more breathing and less breathing, more phlegm and chest tightness, accompanied by soreness in the waist and cold limbs, frequent urination, white and greasy tongue coating, and a thin and slippery pulse. It also has the symptoms of excessive phlegm and saliva. The mechanism of disease is that phlegm and saliva accumulate in the upper part and kidney qi is lost in the lower part. The treatment should be descending qi and resolving phlegm, which warms the kidneys and absorbs less. Use Perilla Fruit Qi-Descending Decoction to add or subtract.
4. Kidney Deficiencyphlegm Obstruction︰Symptoms include wheezing and coughing, shortness of breath, more breathing and less breathing, more phlegm and chest tightness, accompanied by soreness in the waist and cold limbs, frequent urination, white and greasy tongue coating, and a thin and slippery pulse. It also has the symptoms of excessive phlegm and saliva. The mechanism of disease is that phlegm and saliva accumulate in the upper part and kidney qi is lost in the lower part. The treatment should be descending qi and resolving phlegm, which warms the kidneys and absorbs less. Use Perilla Fruit Qi-Descending Decoction to add or subtract.
5. Kidney Deficiencyphlegm Obstruction︰Symptoms include wheezing and coughing, shortness of breath, more breathing and less breathing, more phlegm and chest tightness, accompanied by soreness in the waist and cold limbs, frequent urination, white and greasy tongue coating, and a thin and slippery pulse. It also has the symptoms of excessive phlegm and saliva. The mechanism of disease is that phlegm and saliva accumulate in the upper part and kidney qi is lost in the lower part. The treatment should be descending qi and resolving phlegm, which warms the kidneys and absorbs less. Use Perilla Fruit Qi-Descending Decoction to add or subtract.
6. Kidney Deficiencyphlegm Obstruction︰Symptoms include wheezing and coughing, shortness of breath, more breathing and less breathing, more phlegm and chest tightness, accompanied by soreness in the waist and cold limbs, frequent urination, white and greasy tongue coating, and a thin and slippery pulse. It also has the symptoms of excessive phlegm and saliva. The mechanism of disease is that phlegm and saliva accumulate in the upper part and kidney qi is lost in the lower part. The treatment should be descending qi and resolving phlegm, which warms the kidneys and absorbs less. Use Perilla Fruit Qi-Descending Decoction to add or subtract.
7. Failure of Kidney to Receive Qi︰The symptoms include panting for a long time, shortness of breath, more exhalation and less inhalation, especially when moving, accompanied by soreness and weakness in the waist and knees, green face and cold limbs, light tongue texture, and heavy and thready pulse. It is caused by insufficient kidney yang, loss of intake and absorption, and failure of Qi to return to the original state. Therefore, excessive breathing and short breathing are accompanied by soreness and weakness in the waist and knees, green complexion, cold limbs and other symptoms of kidney yang deficiency. The difference between the two syndromes lies in the symptoms of kidney yang deficiency.
8. Kidney Deficiencyphlegm Obstruction︰Symptoms include wheezing and coughing, shortness of breath, more breathing and less breathing, more phlegm and chest tightness, accompanied by soreness in the waist and cold limbs, frequent urination, white and greasy tongue coating, and a thin and slippery pulse. It also has the symptoms of excessive phlegm and saliva. The mechanism of disease is that phlegm and saliva accumulate in the upper part and kidney qi is lost in the lower part. The treatment should be descending qi and resolving phlegm, which warms the kidneys and absorbs less. Use Perilla Fruit Qi-Descending Decoction to add or subtract.
9. Edema Due to Yang Deficiency︰Symptoms include wheezing, coughing, shortness of breath, inability to lie down, palpitation fear of cold, sore waist and cold limbs, oliguria, edema, fat and light tongue texture, white and slippery coating, and heavy and fine pulse manifestation. It has symptoms such as palpitation, oliguria, and edema. The mechanism of disease is insufficient kidney yang, water failing to transform into qi, and ascending heart and lungs. To treat warming yang and excreting water, choose True Warrior Decoction.

The clinical diagnosis of panting depends first on identifying deficiency and excess. Jingyue Quanshu． "Panting" says: "Panting disease is the most critical condition, and the treatment fails to achieve its key points. It rarely misleads people. If you want to distinguish it, there are only two syndromes. The so-called two syndromes, one is excess-type dyspnea, and the other is deficiency- type dyspnea also". The importance of panting to distinguish deficiency and excess is clearly pointed out. The common characteristics of excess-type dyspnea are the tendency of disease to be sudden, the breathing is deep and long, the exhalation is fast, the breath is thick and high-pitched, and the pulse rate is strong. The common characteristics of deficiency-type dyspnea are slow tendency of disease, shortness of breath that is difficult to continue, rapid inhalation when taking deep breaths, and even more wheezing when moving, timidity and low voice, weak or floating pulse. Linzheng Zhinan Yi'an． Chuan Yun: "It is excess in the lungs and deficiency in the kidneys." Therefore, the treatment of excess-type dyspnea is based on the principle of removing evil and promoting qi, focusing on the lungs. The treatment of deficiency-type dyspnea is based on nourishing, nourishing and absorbing, focusing on the kidneys. As for the mixed symptoms of deficiency and excess, it is necessary to identify the specimens, weigh the priorities, syndrome/pattern differentiation and treatment.

[Documentation]

1. Shengji Zonglu． "disease caused by cold": "The theory is that disease caused by cold is asthma, and its syndromes are different. There are pathogenic qi on the outside, and those who are breathing without sweating are those who have pathogenic qi on the outside, and those who are breathing without sweating have pathogenic qi inside, and sweating cannot be aversion to cold, abdominal Those with distension and fullness, those with tidal fever, and those with water in the heart and asthma. The ancients also treated it according to the root cause, so if it is on the outside, it should be treated with sweat. It should also be used to facilitate urination.
2. Zhengyin Maizhi ．The theory of asthma: "All meridians cause asthma, and most of them are in the lungs and stomach. Those with cough and phlegm are also in the lungs. ; Breathing and vomiting are caused by the stomach. "
3. Zhengyin Maizhi. "external contraction 痘": "summerheat dampness is a syndrome of asthma, boredom, thick breathing, heavy body, and sweating all over the body. This summerheat dampness is also a symptom of asthma."
4. Zhengyin Maizhi ． Internal damage "Chuan": "Food accumulation refers to the symptoms of dyspnea, chest fullness, epigastralgia and abdominal pain, aversion to food, fullness and tightness, constipation or loose stools, abnormal rising of qi Chunni, wheezing and vomiting, belching, this food accumulation also refers to dyspnea. 》
5. Jingyue Quanshu． "Panting": "The symptoms of anuria and vomiting are those with asthma...the disease will be accompanied by throbbing and endless panting. The symptoms of asthma are mostly without cough, but the chest and diaphragm feel like they are bloated but not bloated, short but not short, slightly If you are tired, you will be out of breath, if you talk too much, you will be out of breath, and even the whole body will be vibrating, and you will be flustered and restless. This will damage the yin, causing the original qi to have no roots, and it will be a period of solitary yang. "