CHAPTER 39 Cough During Pregnancy AETIOLOGY 525 PATHOLOGY 525 IDENTIFICATION OF PATTERNS AND TREATMENT 525 Lung-Qi deficiency 525 Lung-Yin deficiency 526 Phlegm-Heat in the Lungs 527 PROGNOSIS AND PREVENTION 528 Cough in pregnancy is a condition that is characterized not only by a persistent cough but also by mental restlessness and a feeling of heat. Aetiology Overwork Overwork may injure Yin; as in pregnancy the Kidneys are taxed from nourishing the fetus, Kidney-Yin may develop easily. If the woman also has emotional problems such as worry, grief or sadness, the Yin deficiency will affect the Lungs also, causing a persistent cough. Irregular diet, emotional problems Excessive consumption of dairy and greasy foods injures the Spleen and leads to the formation of Phlegm; this may settle in the Lungs and prevent the proper descending of Lung-Qi, causing a cough. Emotional problems such as anger, frustration, resentment and worry may lead to Qi stagnation which, with time, may generate Fire. Fire combines with Phlegm easily and it may injure Lung-Yin, causing a cough. Pathology Thus, the pathology of cough in pregnancy consists in Lung-Qi deficiency, Lung-Yin deficiency or Phlegm-Heat obstructing the Lungs. The two patterns may also coexist as the Fire within Phlegm-Heat may injure Lung-Yin and lead to Yin deficiency. A cough from Lung-Yin deficiency is of course a dry cough with dryness of the throat, while a cough from Phlegm-Heat will be productive of yellow sputum. Identification of patterns and treatment The treatment principle in cough in pregnancy is either to nourish Lung-Yin and moisten the Lungs or to resolve Phlegm and clear Heat and, in both cases, to restore the descending of Lung-Qi. In addition to these treatment principles, one should also adopt the principle of calming the fetus as a persistent cough in pregnancy may lead to miscarriage. Particular care should be exercised when prescribing herbs that make Qi descend, or dry, pungent herbs that resolve Phlegm, or herbs that drain Dampness through urination during pregnancy, as all these types of herbs may cause miscarriage if used in excess. The patterns discussed are: • Lung-Qi deficiency • Lung-Yin deficiency • Phlegm-Heat in the Lungs. Lung-Qi deficiency Clinical manifestations Mild cough, shortness of breath, tiredness, weak voice, propensity to catching colds. Tongue: Pale. Pulse: Empty. Treatment principle Tonify Qi, strengthen the Lungs, restore the descending of Lung-Qi. Acupuncture LU-7 Lieque, LU-9 Taiyuan, BL-13 Feishu, Ren-12 Zhongwan (if within 3 months of pregnancy), ST-36 Zusanli, ST-37 Shangjuxu. All with reinforcing method. Explanation – LU-7 restores the descending of Lung-Qi. – LU-9 and BL-13 tonify Lung-Qi. – Ren-12 tonifies Stomach- and Lung-Qi (the Lung channel begins at this point). – ST-37 opens the chest and restores the descending of Lung-Qi. Herbal treatment Prescription – BU FEI TANG – Tonifying the Lungs Decoction Explanation This formula tonifies Lung-Qi, restores the descending of Lung-Qi and stops cough. Summary Lung-Qi deficiency Clinical manifestations Mild cough, shortness of breath, tiredness, weak voice, propensity to catching colds. Tongue: Pale. Pulse: Empty. Treatment principle Tonify Qi, strengthen the Lungs, restore the descending of Lung-Qi. Acupuncture LU-7 Lieque, LU-9 Taiyuan, BL-13 Feishu, Ren-12 Zhongwan (if within three months of pregnancy), ST-36 Zusanli, ST-37 Shangjuxu. All with reinforcing method. Herbal treatment Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Collapse after Childbirth Prolapse of the Uterus Acupuncture and Herbal Treatment in Midwifery Endometriosis Stay updated, free articles. Join our Telegram channel Join Tags: Obstetrics and Gynecology in Chinese Medicine Jun 6, 2016 | Posted by admin in GYNECOLOGY | Comments Off on Cough During Pregnancy Full access? Get Clinical Tree Get Clinical Tree app for offline access Get Clinical Tree app for offline access
CHAPTER 39 Cough During Pregnancy AETIOLOGY 525 PATHOLOGY 525 IDENTIFICATION OF PATTERNS AND TREATMENT 525 Lung-Qi deficiency 525 Lung-Yin deficiency 526 Phlegm-Heat in the Lungs 527 PROGNOSIS AND PREVENTION 528 Cough in pregnancy is a condition that is characterized not only by a persistent cough but also by mental restlessness and a feeling of heat. Aetiology Overwork Overwork may injure Yin; as in pregnancy the Kidneys are taxed from nourishing the fetus, Kidney-Yin may develop easily. If the woman also has emotional problems such as worry, grief or sadness, the Yin deficiency will affect the Lungs also, causing a persistent cough. Irregular diet, emotional problems Excessive consumption of dairy and greasy foods injures the Spleen and leads to the formation of Phlegm; this may settle in the Lungs and prevent the proper descending of Lung-Qi, causing a cough. Emotional problems such as anger, frustration, resentment and worry may lead to Qi stagnation which, with time, may generate Fire. Fire combines with Phlegm easily and it may injure Lung-Yin, causing a cough. Pathology Thus, the pathology of cough in pregnancy consists in Lung-Qi deficiency, Lung-Yin deficiency or Phlegm-Heat obstructing the Lungs. The two patterns may also coexist as the Fire within Phlegm-Heat may injure Lung-Yin and lead to Yin deficiency. A cough from Lung-Yin deficiency is of course a dry cough with dryness of the throat, while a cough from Phlegm-Heat will be productive of yellow sputum. Identification of patterns and treatment The treatment principle in cough in pregnancy is either to nourish Lung-Yin and moisten the Lungs or to resolve Phlegm and clear Heat and, in both cases, to restore the descending of Lung-Qi. In addition to these treatment principles, one should also adopt the principle of calming the fetus as a persistent cough in pregnancy may lead to miscarriage. Particular care should be exercised when prescribing herbs that make Qi descend, or dry, pungent herbs that resolve Phlegm, or herbs that drain Dampness through urination during pregnancy, as all these types of herbs may cause miscarriage if used in excess. The patterns discussed are: • Lung-Qi deficiency • Lung-Yin deficiency • Phlegm-Heat in the Lungs. Lung-Qi deficiency Clinical manifestations Mild cough, shortness of breath, tiredness, weak voice, propensity to catching colds. Tongue: Pale. Pulse: Empty. Treatment principle Tonify Qi, strengthen the Lungs, restore the descending of Lung-Qi. Acupuncture LU-7 Lieque, LU-9 Taiyuan, BL-13 Feishu, Ren-12 Zhongwan (if within 3 months of pregnancy), ST-36 Zusanli, ST-37 Shangjuxu. All with reinforcing method. Explanation – LU-7 restores the descending of Lung-Qi. – LU-9 and BL-13 tonify Lung-Qi. – Ren-12 tonifies Stomach- and Lung-Qi (the Lung channel begins at this point). – ST-37 opens the chest and restores the descending of Lung-Qi. Herbal treatment Prescription – BU FEI TANG – Tonifying the Lungs Decoction Explanation This formula tonifies Lung-Qi, restores the descending of Lung-Qi and stops cough. Summary Lung-Qi deficiency Clinical manifestations Mild cough, shortness of breath, tiredness, weak voice, propensity to catching colds. Tongue: Pale. Pulse: Empty. Treatment principle Tonify Qi, strengthen the Lungs, restore the descending of Lung-Qi. Acupuncture LU-7 Lieque, LU-9 Taiyuan, BL-13 Feishu, Ren-12 Zhongwan (if within three months of pregnancy), ST-36 Zusanli, ST-37 Shangjuxu. All with reinforcing method. Herbal treatment Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Collapse after Childbirth Prolapse of the Uterus Acupuncture and Herbal Treatment in Midwifery Endometriosis Stay updated, free articles. Join our Telegram channel Join Tags: Obstetrics and Gynecology in Chinese Medicine Jun 6, 2016 | Posted by admin in GYNECOLOGY | Comments Off on Cough During Pregnancy Full access? Get Clinical Tree Get Clinical Tree app for offline access Get Clinical Tree app for offline access
