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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:

Analysis of signs

Treatment

Medicinal therapy: Transform rheum and expel phlegm using Minor Black Dragon Decoction (小青龙汤 xiǎo qīng lóng tāng), Lepidium/Descurainiae and Jujube Lung-Draining Decoction (葶苈大枣泻肺汤 tíng lì dà zǎo xiè fèi tāng), Ten Jujubes Decoction (十枣汤 shí zǎo tāng), and Drool-Controlling Elixir (控涎丹 kòng xián dān).

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