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PULMONARY ABSCESS

PHLEGM-HEAT CONGESTS THE LUNG

Clinical Manifestations	Cough with expectoration of copious thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus Sputum is difficult to expectorate Cough may have no sputum Dyspnea Asthma Pain in the ribs Mild chest pain Dry, scaly skin Fever Maybe chills and fever Red rashes Thirst T: Scarlet C: Yellow and smooth or Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Heat Counteract Toxin Transform Stasis Drain Pus Resolve Phlegm Soothe asthma in case of asthma
Herb Formulas	Wei Jing Tang For abscesses that fail to resolve: Yi Yi Fu Zi Bai Jiang San
Points	Dingchuan, LU-1, LU-5, LU-6, LU-10, REN-17, REN-22, ST-40, UB-13

PRIMARY STAGE

Clinical Manifestations	Chills and fever Cough Chest pain A small amount of sputum with mucus Dyspnea T: Normal C: Yellowish P:Floating and rapid
Treatment Principle	Clear Lung Heat Remove toxins
Herb Formulas	Yin Qiao San modified
Points

ABSCESS FORMING STAGE

Clinical Manifestations	Cough with foul-smelling, and / or thick, difficult to expectorate sputum Cough may have no sputum Sputum may be blood streaked Dyispnea Rapid breathing Chest fullness Chest pain Fever Dry mouth with no thirst T: Red C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Toxic Heat
Herb Formulas	Wei Jing Tang modified
Points

ABSCESS BURSTING STAGE

Clinical Manifestations	Coughing with a large quantity of fetid, putrid sputum Sputum may be mixed with Blood Chest pain, stuffiness and distention Slow diminishing of fever Fullness and congestion in the chest T: Red C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Drain pus Remove toxins
Herb Formulas	Jie Geng Tang modified
Points

RESTORATION STAGE WITH QI AND YIN DEFICIENCY

Clinical Manifestations -------++	Low grade fever A weak cough with little sputum Expectorating persistently putrid Blood Spontaneous perspiration Night sweats T: Red C: Little or None P:Thready and rapid
Treatment Principle	Tonify Qi Nourish Yin Clear toxins
Herb Formulas	Pulmonary Abscess #1
Points