DTD Quiz 1 Cold, Cough, Sinusitis, Rhinitis

The Common Cold is what kind of condition (3 words)
Western Diagnosis
S/x:
location (general)
heat/cold (2)
Fluids (2)
Etiology

Upper Respiratory Infection
1) location:viral infection of the respiratory tract (nose, paranasal sinuses, throat, larynx, maybe trachea, and bronchi)
2) heat/cold: usually febrile, inflammation (burning sensation) in any or all airways → sneezing, rhinorrhea, malaise
3) Watery/profuse in the 1st days → mcuoid+purulent
4) Rhinovirus: 30-50%. More than 100 viruses can cause.

Common Cold: Western
1) Diagnosis (3)
2) Tx principle

1) Diagnosis: -auscultation (listening) of chest; HEENT exam; throat culture if extreme sore throat

2) Tx: -make Pt feel better; - help fight off virus

Watery/profuse in the 1st days → mcuoid+purulent

Indicated for what condition?
-Western diagnosis (3 words)
1) location
2) S/x : (1 other)

Upper Respiratory Infection
1) location:viral infection of the respiratory tract (nose, paranasal sinuses, throat, larynx, maybe trachea, and bronchi)
2) heat/cold: usually febrile, inflammation (burning sensation) in any or all airways → sneezing, rhinorrhea, malaise
3) Watery/profuse in the 1st days → mcuoid+purulent
4) Rhinovirus: 30-50%. More than 100 viruses can cause.

Flu - 1) Western medical diagnosis
2) Compared to cold?
3) can progress to?
4) Etiology / Development/ At risk (3)

1) Acute viral respiratory infection

2) Worse and lasts longer than cold

3) Can progress to bacterial infection

4) Fall and Winter; Young, old, immuno-compromised; 48 hour onset after exposure

Flu - Western
1) S/x (8 - location, temp, feeling, etc.)

2) Progression/Development

3) Diagnosis (4)

4) Tx (4)

1) fever, body aches, HA, cough, sore or dry throat, malaise, lack of appetite, sniffling

2) worst 3-4 days. Can last 1-2 weeks. Takes 1-4 days to show Sx

3) CBC: Leukocyte count - auscultation of chest - HEENT - Throat culture if extreme sore throat

4) yearly vaccine - most reslve w/o Tx - Saline wash, other nasal decongestants - acetaminophin, other antipyretics

Body aches
wind cold vs wind heat? excess vs deficiency?

Body aches are more pronounced w/ wind cold excess

Wind heat will just be a little achey

There’s more of a battle in wind cold excess. No sweat, so use Ma Huang.

Nausea/Diarrhea is more common with what TCM pattern/season?

More common with summer damp heat

-diarrhea linked with dampness

Also might be w/ pre-existing deficiency + exterior attack → nausea/diarrhea

-post nasal drip can cause nausea

Wind Cold
Signs and S/x (9)
Points (5-6/10) and Formula (2)

low fever, hates cold; no thirst, no or unpro sweat, HA+body aches; (cc) runny nose/white mucous; itchy throat; possible cough

Ma Huang Tang
Jing Fan Bai Du San (JING FANG BAI DU SAN - 荆防敗毒散 - SCHIZONEPETA AND SAPOSHNIKOVIA POWDER TO OVERCOME PATHOGENIC INFLUENCES)

UB 12 (displs wnd; diffuses LU; rslvs ext.)
GB 20
Du 16
LI 20
LU 5
LI 4
LU 7
Du 24
Tai Yang
Yin Tang

Points (5-6/10) and Formula (2) for Wind Heat