The basic pathogenesis of pulmonary tuberculosis mainly lies in excessive fire clue to yin deficiency. In the case of prolonged duration of disease, it may cause deficiency of qi and yin, even deficiency of yin and yang in severe cases. The pathogenesis at the stage of recovery mainly exists in asthenia of the lung and kidney.

Syndrome differentiation and treatment

Pulmonary yin deficiency

It manifests dry cough or expectoration of a bit of white and sticky sputum, short and urgent cough, occasional occur-rence of blood-tinged sputum, feverish palms and soles after noon, dry mouth and throat, or occasional dull pain of the chest, tiredness, hypodynamia, thin fur, red lingual margin and tip, thready and rapid pulse. It is advisable to nourish yin and moisten the lung. The prescription used is the modified Yuehua Pill. In the case of thoracic pain, add Guangyujin (Radix Curcumae).

Deficiency of qi and yin

It manifests cough without force, short breath, low voice, expectoration of white, clear and thin sputum, hectic fever, aversion to cold, spontaneous sweating, insufficient food intake, loose stool, mental fatigue, hypodynamia, pale complexion, flushing of zygomatic region, dry mouth, smooth and pale tongue without fur and with scanty fluid, or oral erosion, thready and rapid or feeble, large and weak pulse. It is advisable to supplement qi and nourish yin. The prescription used is the modified Baozhen Decoction. In the case of consumptive fever, spontaneous sweating and aversion to wind, add Guizhi (Ramulus Cinnamomi), Chinese dates ( Fructus Ziziphi Jujubae ), Bietaogan, Fuxiaomai (Fructus Tritici Levis) and Biejia ( Carapax Trionycis ).

Deficiency of yin and yang

It manifests cough with hoarse voice, consumptive fever, hectic fever due to yin deficiency, spontaneous sweating, night sweat, weak physique, cold body, aversion to cold, cold limbs, asthma, short breath, insufficient food intake, seminal emission, red and smooth tongue with scanty fluid, or pale and enlarged tongue with dental marks, indistinct and thready pulse. It is advisable to strengthen essence and blood, warm and tonify the spleen and kidney. The prescription used is Baozhen Decoction with additional Ziheche (Placenta Hominis), Lujiaojiao ( Colla Comus Cervi ), Dongchongxiacao ( Cordyceps ) and Zishiying (Fluoritum).

Rehabilitation methods

Recreation therapy

The musical therapy: In the case of depression and pessimism, select the musical prescriptions of "expressing the emotions and removing depression" and "inspiring the enthusiasm and arousing the feeling"; in the case of impetuosity, select the musical prescriptions of "tranquilizing the mind" and " inhibiting impetuosity and checking anger". The singing therapy. It has good therapeutic effects on grief and melancholy impairing the lung as well as prolonged qi stagnation.

Physical training

Select the traditional sports events like Taijiquan, Taiji sword and eight-section brocade at the resolving stage.