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Differentiation and Treatiment of Common Syndromes in Traditional Chinese Medicne

1. The Primary Stage:

Clinical manifestations: Chills, fever, cough, chest pain, small amount of mucous sputum, disturbance of breath, thin and yellowish coating of the tongue, floating and rapid pulse.

Therapeutic method : Clearing away and dispelling lungheat and removing toxic substances from the lung.

Recipe: Modified Powder of Lonicera and Forsythia.

Ingredients :

Flos Lonicerae
Fructus Forsythiae
Folium Isatidis
Radix Scutellariae
Herba Taraxaci
Herba Menthae
Herba Houttuyniae
Bulbus Fritillariae Cirrhosae
Radix Platycodi
30g
15g
15g
12g
30g
10g
30g
10g
10g

Administration: All the above drugs are to be decocted in water for oral administration.

Modification: In case of chest pain, add Fructus Tri-chosanthis 20g, Radix Curcumae 12g.

2. The Abscess-forming Stage:

Clinical manifestations: Fever, cough with dyspnea, chest fullness, chest pain, productive cough, polypnea, dry mouth without thirst, reddened tongue with yellow greasy fur, and smooth rapid pulse.

Therapeutic method: Removing pathogenic heat and toxic materials.

Recipe: Modified Reed Rhizome Decoction Worth a Thousand Gold.

Ingredients:

Rhizoma Phragmitis
Semen Coicis
Semen Benineasae
Semen Persicae
Flos Lonicerae
Fructus Forsythiae
Radix Scutellariae
Herba Houttuyniae
Fructus Trichosanthis
Radix Platycodi
Radix Glycyrrhizae
30g
30g
24g
10g
15g
15g
12g
30g
20g
10g
6g

Administration: All the above drugs are to be decocted in water for oral administration.

Modification: In case of the patients with high fever and thirst, add Gypsum Fibrosum 30g and Rhizoma Anemarrhenae 10g; in case of persisting high fever, add Herba Taraxaci 30g; Herba Violae 15g and Fructus Gardeniae 10g; in case of pro-fuse hemoptysis, add Radix Rehmanniae 20g and Rhizoma Bletillae 12g; in case of profuse sputum and dyspnea with chest distensin, add Cortex Mori Radicis 12g and Semen Lep-idii seu Descurainiae 10g.

3. The Abscess-bursting Stage:

Clinical manifestations: Coughing out a large quantity of fetid and purulent sputum, sometimes mixed with blood, chest pain, stuffiness and distension in the chest, slow lysis of fever, red tongue with yellow and greasy fur, deep and force-ful or slippery and rapid pulse.

Therapeutic method: Draining pus and removing the poi-sonous substanses.

Recipe: Decoction of Platycodon Root with additional in-gredients.

Ingredients:

Radix Platycodi
Semen Coicis
Herba Houttuyniae
Herba Patriniae
Caulis Sargentodoxae
Semen Benincasae
Bulbus Fritillariae Thunbergii
Flos Lonicerae
Radix Glycyrrhizae
15g
20g
30g
30g
30g
30g
15g
30g
6g

Administration: Decoct the above drugs in water to get 200-300ml of decoction. Take one half of it in the morning and the other half in the evening.

Modification: If the case in the restoration stage is accom-panied with impaired qi and yin manifested as low fever, weakness, cough with little sputum, and expectorating persis-tently purulent blood, spontaneous perspiration and night sweat, red tongue with little fur, fine and rapid pulse, it is suitable to aim the treatment at nourishing qi and yin and clearing away the remaining poisonous substances. The chosen recipe is Modified prescriptions of Decoction of Glehnia and Ophiopogon and Pulse-activating Powder.

Ingredients:

Radix Glehniae
Radix Ophiopogonis
Radix Pseudostellariae
Radix Astragali seu Hedysari
Semen Benincasae
Radix Platycodi
Rhizoma Bletillae
Radix Rehmanniae
Flos Lonicerae
Radix Glycyrrhizae Praeparata
15g
15g
12g
12g
20g
12g
12g
15g
15g
6g


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