4.    Breathlessness (Chuan Zheng)

Definition: 
Breathing difficulty without whistling sound

Relevant diseases of western medicine:
Asthma 
Pneumonia
Asthmatic bronchitis
Pulmonary emphysema
Cor pulmonale 
Pulmonary tuberculosis
Silicosis (silicon)
Hysteria

Etiology
1. Exterior pathogens:  wind-heat or wind-cold
2. Improper diet
3. Emotion
4. Deficiency or post-illness

Pathogenesis
1. Lung
2. Kidney

Differentiation and Treatment

Excess patterns

1. Wind cold invading the lung
      Ma huang tang
      Ma huang, Xing ren, Gui zhi, Gan cao

2. Exterior cold with lung heat
      Ma xing shi gan tang
Ma huang, Xin ren, Shi gao, Gan cao

      3.   Turbid phlegm accumulated in the lung
                  Er chen tang + san zi yang qin tang
Ban xia, Chen pi, Fu ling Gan cao
Su zi, Bai jie zi, Lai fu zi

      4.   Phlegm-heat accumulation in the lung
            Sang bai  pi tang
            Sang bai pi, Huang qin, Huang lian, Zhi zi, Bei mu, Xing ren, Ban xia

5.   Stagnant qi obstracting the lung
            Wu mo yin zi
            Wu yao, Chen xiang, Zhi qiao, Mu xiang, Bing lang

Deficiency patterns

1. Lung deficiency
            Sheng mai san
Ren Shen, Mai Men dong, Wu wei zi

2. Kidney deficiency
            Jin gui shen qi wan + Shen ge san (Ren shen, ge jie)

Acupuncture
1. BL 12,  BL13,  BL 14Ding chuan, 
2. Points of  LU
3. Heat + LI 11 Qu chi 
Phlegm + ST 40
            Kidney deficiency + UB 23, K3
      Spleen deficiency + BL 20, ST 36