Shortness Of Breathaccording to TCM

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What is shortness of breath?

Shortness of breath, medically known as dyspnea, is a subjective sensation of difficulty or discomfort in breathing. This condition can range from mild to severe and may occur suddenly or develop gradually over time. Individuals experiencing shortness of breath often describe feelings of tightness in the chest, inability to get enough air, or the need to breathe more quickly and deeply than usual. This symptom can be caused by various factors, including respiratory conditions, cardiovascular issues, anxiety, or physical exertion. In some cases, shortness of breath may be a sign of a medical emergency, particularly when accompanied by chest pain or severe distress. While it's a common symptom, persistent or unexplained shortness of breath warrants medical attention to determine the underlying cause and appropriate treatment.

How does TCM view shortness of breath?

Traditional Chinese Medicine (TCM) approaches shortness of breath through the lens of pattern diagnosis, a fundamental concept that distinguishes it from Western medical approaches. In TCM, dyspnea is seen as a manifestation of underlying imbalances within the body's energy systems, particularly involving the Lung and Kidney.

This holistic view considers not just the respiratory symptom itself, but how it relates to overall bodily functions, energy flow, and organ interactions. Identifying the correct pattern is crucial because it guides the entire treatment strategy.

Root Causes of Shortness Of Breath in TCM

In the TCM paradigm, shortness of breath can arise from various patterns of disharmony within the body. One significant pattern associated with dyspnea is Lung Qi Deficiency. This condition manifests not only in breathing difficulties but also in symptoms such as fatigue, weak voice, and frequent colds. TCM practitioners view this pattern as a result of insufficient energy to support proper lung function and overall vitality.

Another important pattern in TCM's understanding of shortness of breath is Damp-Phlegm in the Lungs. This pattern is characterized by labored breathing, coughing with copious sputum, and a feeling of heaviness in the chest. TCM sees this as an accumulation of pathogenic fluids obstructing the normal flow of Qi in the respiratory system. These patterns reflect TCM's nuanced approach to understanding the root causes of dyspnea, emphasizing the interconnectedness of symptoms and their underlying energetic imbalances.

Explore below more details about what might cause Shortness of breath according to TCM.

  • By Syndrome
  • By Organ
  • Phlegm
  • Qi Deficiency
  • Dampness
Detailed description of the cause

Phlegm

In TCM "Phlegm" as a pattern of disharmony is a complex concept that extends beyond the physical manifestation of mucus. It represents a pathological factor that can disrupt the flow of Qi (vital energy) and blood, leading to various health issues. Phlegm in TCM is seen as a sticky, turbid substance arising from the body's inability to metabolize fluids properly, often due to a dysfunction of the spleen. It's not only associated with respiratory problems like cough and congestion but also with systemic issues. Symptoms can include a feeling of heaviness, mental cloudiness, dizziness, and in some cases, the formation of lumps or masses. Phlegm can even be "invisible," contributing to emotional disturbances like depression or stress. ... see more

Phlegm Patterns That Can Lead to Shortness Of Breath

Common Symptoms: Feeling Of Heaviness Coughing Stifling Sensation In The Chest Dizziness Asthma Sputum Chest Distension Vertigo

Pattern Name Relevant Symptoms Relevant Formulas
Oedema Labored breathing, Abdominal edema, Ankle edema, Facial edema, Foot edema, Oedema of hands, Leg edema, Ocular swelling, Abdominal distention... see more Wu Pi Yin
Damp-Phlegm in the Lungs Shortness of breath, Coughing, Pale face, Sputum, Stifling sensation in the chest, Discomfort when lying down, Wheezing, Nausea, Feeling of heaviness, Dizziness, Profuse white sputum, Asthma, Chest distension... see more Er Chen Tang
Dry-Phlegm in the Lungs Shortness of breath, Dry cough, Scanty sputum, Stifling sensation in the chest, Sputum, Feeling of heaviness, Dizziness, Dry throat, Wheezing, Pale face... see more Bei Mu Gua Lou San
Damp-Phlegm in the Uterus Shortness of breath, Late menstruation, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Stifling sensation in the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Obesity, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Xiong Gui Er Chen Tang | Xiang Sha Liu Jun Zi Tang
Phlegm-Fluids Shortness of breath, Abdominal distention, Vomiting clear liquid, Feeling of heaviness, Hypochondrial pain that is worse on coughing and breathing, Coughing, Lack of sweating, Absence of thirst, Edema, Chest distension... see more Wu Ling San | Er Chen Tang | Wen Dan Tang | Ling Gui Zhu Gan Tang
Phlegm-Fluids in the hypochondrium Shortness of breath, Hypochondrial pain that is worse on coughing and breathing, Hypochondriac distention... see more Shi Zao Tang
Phlegm-Fluids in the Lungs Shortness of breath, Coughing, White and watery sputum, Gurgling noise in the chest, Stifling sensation in the chest, Feeling of heaviness, Dizziness, Chills, Cought with sticky phlegm, Itchy throat... see more Ling Gan Wu Wei Jiang Xin Tang | Zhi Sou San
Phlegm-Heat in the Lungs Shortness of breath, Coughing, Wheezing, Stifling sensation in the chest, Sputum, Feeling of heat, Thirst, Head and body heaviness, Dizziness, Copious thick yellow sputum... see more Er Chen Tang | Ma Xing Shi Gan Tang | Qing Qi Hua Tan Wan | Pi Pa Qing Fei Yin | Ren Shen Ge Jie San | Wen Dan Tang | Qing Xin Li Ge Tang
Turbid Phlegm Blocks Orifices Short of breath, Coma, Loss of consciousness, Clenching of teeth, Shortness of breath, Pale face, Copious sputum, Drooling... see more Tong Guan San
Phlegm in Chest Difficult breathing, Focal distention of the chest, Difficulty breathing in Gua Di San
Wind-Cold invading the Interior with Phelgm-Heat Labored breathing, Shortness of breath, Copious thick yellow sputum, Chronic bronchitis, Asthma, Bronchiolitis, Bronchial asthma... see more Ding Chuan Tang
Phlegm-Fluids in the chest and hypochondrium Shortness of breath, Cough with chest pain, Upper abdominal focal distention, Dry heaving, Headaches, Vertigo, Pericardial effusion, Pneumonia, Ascites due to liver cirrhosis, Nephritis... see more Shi Zao Tang
Phlegm in the Lower Burner Shortness of breath, Throbbing below the belly button, Vomiting frothy saliva, Vertigo, Coughing, Edema, Glomerulonephritis, Kidney infection, Nephrotic syndrome, Cystitis, Hydrocele... see more Wu Ling San

TCM Herbal Formulas for Shortness Of Breath

The treatment of shortness of breath in TCM involves carefully selected herbal formulas tailored to address the specific pattern of disharmony identified in each patient. For Lung Qi Deficiency, a commonly recommended formula is Ba Zhen Tang, which belongs to the category of formulas that tonify Qi and Blood. This formula often includes Ginseng (Ren Shen) as a key herb, known for its powerful Qi-tonifying properties.

In cases of Damp-Phlegm in the Lungs, practitioners might prescribe Er Chen Tang, a formula designed to dry Dampness and transform Phlegm. This formula typically contains Crow-Dipper Rhizomes (Ban Xia), effective in transforming Phlegm and stopping cough. It's important to note that TCM treatment is highly individualized, and the choice of formula may vary based on the patient's specific presentation and overall constitution.

Explore below some TCM herbal formulas used to address shortness of breath, organized by cause and by formula type.

  • By Cause
  • By Formula Type
  • Phlegm
  • Qi Deficiency
  • Dampness

All Formulas Recommended for Shortness Of Breath Caused by Phlegm

Formula Patterns Suitable For
Er Chen Tang Damp-Phlegm in the Lungs, Phlegm-Fluids, Phlegm-Heat in the Lungs
Wu Ling San Phlegm-Fluids, Phlegm in the Lower Burner
Wen Dan Tang Phlegm-Fluids, Phlegm-Heat in the Lungs
Shi Zao Tang Phlegm-Fluids in the hypochondrium, Phlegm-Fluids in the chest and hypochondrium
Ren Shen Ge Jie San Phlegm-Heat in the Lungs
Zhi Sou San Phlegm-Fluids in the Lungs
Ma Xing Shi Gan Tang Phlegm-Heat in the Lungs
Qing Qi Hua Tan Wan Phlegm-Heat in the Lungs
Pi Pa Qing Fei Yin Phlegm-Heat in the Lungs
Ding Chuan Tang Wind-Cold invading the Interior with Phelgm-Heat
Wu Pi Yin Oedema
Bei Mu Gua Lou San Dry-Phlegm in the Lungs
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus
Xiang Sha Liu Jun Zi Tang Damp-Phlegm in the Uterus
Ling Gui Zhu Gan Tang Phlegm-Fluids
Ling Gan Wu Wei Jiang Xin Tang Phlegm-Fluids in the Lungs
Qing Xin Li Ge Tang Phlegm-Heat in the Lungs
Tong Guan San Turbid Phlegm Blocks Orifices
Gua Di San Phlegm in Chest

Acupoints for Shortness Of Breath

Acupuncture plays a crucial role in TCM's approach to treating shortness of breath, with specific acupoints targeted to address the underlying imbalances and promote recovery of respiratory function. Several key acupoints are commonly used in the treatment of dyspnea, each chosen for its unique therapeutic properties. In the Lung Channel, Zhongfu LU-1 is valued for its ability to promote the descending of Lung Qi and resolve Phlegm. Feishu BL-13, located on the Bladder Channel, is known to tonify Lung Qi and descend Rebellious Lung Qi.

On the Stomach Channel, Fenglong ST-40 is often used to resolve Dampness and Phlegm while subduing Rebellious Qi. Additionally, points on the Kidney Channel, such as Shencang KID-25, are employed to subdue Rebellious Qi of the Lungs and Stomach. These points, along with others from the Directing Vessel like Huagai REN-20, form a comprehensive approach to addressing shortness of breath from multiple angles within the body's energy system. By stimulating these acupoints, practitioners aim to restore balance to the affected meridians, improve breathing, and address the underlying patterns contributing to dyspnea.

Explore below some acupoints used to address shortness of breath, organized by meridian.

  • By Meridian
  • Stomach Channel
  • Lung Channel
  • Kidney Channel
Renying ST-9

Renying ST-9

Level with the tip of Adam's apple, 1.5 cun lateral to the anterior midline, on the anterior border of the sternocleidomastoid muscle.

Shuitu ST-10

Shuitu ST-10

On the anterior border of sternocleidomastoid muscle, in the middle between Renying ST-9 and Qishe ST-11.

Qishe ST-11

Qishe ST-11

On the upper border of the clavicle, between the tendons of the sternal and clavicular heads of the sternocleidomastoid muscle.

Quepen ST-12

Quepen ST-12

About 4 cun lateral to the anterior midline, in the supraclavicular fossa, superior to the midpoint of the clavicle.

Qihu ST-13

Qihu ST-13

About 4 cun lateral to the anterior midline, below the midpoint of the clavicle.

Kufang ST-14

Kufang ST-14

In the 1st intercostal space, on the mammillary line, 4 cun lateral to the anterior midline.

Wuyi ST-15

Wuyi ST-15

In the 2nd intercostal space, on the mammillary line, 4 cun lateral to the anterior midline.

Yingchuang ST-16

Yingchuang ST-16

In the 3nd intercostal space, on the mammillary line, 4 cun lateral to the anterior midline.

Rugen ST-18

Rugen ST-18

In the 5nd intercostal space, on the mammillary line, 4 cun lateral to the anterior midline.

Burong ST-19

Burong ST-19

2 cun below the sternocostal angel and 6 cun above the umbilicus, 2 cun lateral to the anterior midline.

Chengman ST-20

Chengman ST-20

5 cun above the umbilicus and 2 cun lateral to the anterior midline, or 1 cun below Burong ST-19.

Zusanli ST-36

Zusanli ST-36

3 cun below Dubi ST-35, one finger breadth lateral to the anterior crest of the tibia, on the tibialis anterior muscle.

Shangjuxu ST-37

Shangjuxu ST-37

6 cun below Dubi ST-35, on finger-breadth from the anterior crest of the tibia.

Fenglong ST-40

Fenglong ST-40

Midway between Dubi ST-35 and Jiexi ST-41, two middle finger-width from the anterior crest of the tibia, or one middle finger-width from Tiaokou ST-38.

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