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Rheum collecting in the chest and rib-side
饮停胸胁 〔飲停胸脅〕yǐn tíng xiōng xié
Also suspended rheum (悬饮 xuán yǐn), so called in the Jīn Guì Yào Lüè (金匮要略 Essential Prescriptions of the Golden Cabinet
).
A disease pattern chiefly characterized by distension and oppression in the chest and rib-sides with pain triggered or exacerbated by coughing or turning sides.
Description: Cough and panting; distension and oppression in the chest and rib-side sometimes with pain triggered or exacerbated by breathing, coughing or turning sides; in some cases, dizziness; a glossy white tongue fur; a pulse that is sunken and stringlike. It corresponds to suspended rheum among the four rheums.
Diseases: Cough; panting; phlegm-rheum.
Pathogenesis: Cold evil combining with phlegm-rheum, congesting the lung, and impairing diffusion and depurative downbearing. Two pathomechanisms are prominent:
- center yáng insufficiency with qì failing to transform water, allowing water to collect in the form of rheum;
- invasion of external evils impairing the lung’s ability to control the waterways so that water is obstructed and consequently gathers to form rheum, which flows into the chest and rib-side.
Analysis of signs
- Inhibited qì dynamic in the chest and rib-side: Cough, panting, and distension and oppression in the chest and rib-side; pain stretching into the rib-sides that is triggered by breathing, coughing, and turning sides.
- Rheum evil obstructing the upbearing of clear yáng: Dizzy head and vision.
- Tongue: White glossy fur.
- Pulse: Sunken and stringlike, reflecting disease of the interior and phlegm-rheum.
Treatment
Medicinal therapy: Transform rheum and expel phlegm using