Clinical Manifestations
Chronic breathlessness, a feeling of oppression and pain of the chest, nausea, cyanotic lips,
purple face and nails, expectoration of white-watery sputum, difficulty in lying down, oedema,
chilliness, backache, weak knees, scanty but pale urine.
Tongue: Bluish-Purple and Swollen.
Pulse: Deep-Slow-Knotted.
This condition only occurs in old people suffering from chronic breathlessness. It is
characterized by deficiency of Yang of Lungs, Kidneys and Heart leading to the formation of
Phlegm-Fluids (manifesting with white-watery expectoration). These overflow to Lungs and
Heart. In the Lungs they further impair the descending of Lung-Qi and aggravate the
breathlessness. In the Heart they obstruct the circulation of Blood in the chest leading to pain in
the chest and cyanotic colour of face, nails, lips and tongue. The deficiency of Kidney-Yang
causes backache, weak knees and scanty urination.
Treatment Principle
Tonify and warm Lungs, Heart and Kidneys, resolve Phlegm, restore the descending of Lung-Qi,
move Blood and eliminate stasis.
Acupuncture
General Prescription
LU-7 Lieque, L.I.-6 Pianli, Ren-17 Shanzhong, Ren-12 Zhongwan, Ren-9 Shuifen, KI-7 Fuliu,
Ren-6 Qihai, SP-6 Sanyinjiao, ST-40 Fenglong, P-6 Neiguan, BL-20 Pishu, BL-23 Shenshu,
BL-22 Sanjiaoshu, BL-13 Feishu, BL-15 Xinshu, BL-17 Geshu, SP-10 Xuehai.
Reinforcing method except on LU-7, L.I.-6, Ren-9, SP-6 and ST-40 which should be needled
with even method. Moxa.
Explanation
- LU-7, L.I.-6 and Ren-17 stimulate the descending of Lung-Qi and open the Lung's
Water passages to resolve oedema. - Ren-12, Ren-9 and Ren-6 tonify Qi and resolve oedema.
- KI-7 and SP-6 tonify the Kidneys and resolve oedema.