Water-cold shooting into the lung

A pattern that occurs in patients suffering from phlegm-rheum or water swelling when they contract cold evil. Cold evil stirs the water-rheum and both evils rise into the lung counterflow, causing nondiffusion of lung qì. The chief signs are cough, hasty panting with inability to lie down and puffy swelling of the lower limbs. Other signs include copious thin white phlegm-drool, fullness and oppression in the chest and rib-side, distension and fullness in the lesser abdomen, cold pain in the lumbar region, cold knees and lower legs, and scant urine. In some cases, there may be aversion to cold with heat effusion, absence of sweating, and generalized pain. The tongue fur is thin, white, and glossy, or white and slimy. The pulse is tight and floating or tight and stringlike.

Medicinal therapy: Warm the lung and transform rheum; assist yáng and disinhibit water. Use Minor Black Dragon Decoction (小青龙汤 xiǎo qīng lóng tāng) combined with True Warrior Decoction (真武汤 zhēn wǔ tāng).

Acumoxatherapy: Base treatment mainly on LU, ST, CV, and back transport points. Select BL-13 (Lung Transport, 肺俞 fèi shù), LU-9 (Great Abyss, 太渊 tài yuān), ST-40 (Bountiful Bulge, 丰隆 fēng lóng), LI-4 (Union Valley, 合谷 hé gǔ), CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), and CV-17 (Chest Center, 膻中 shān zhōng), to warm the lung and transform rheum, and select CV-9 (Water Divide, 水分 shuǐ fēn), CV-6 (Sea of Qì, 气海 qì hǎi), BL-23 (Kidney Transport, 肾俞 shèn shù), BL-20 (Spleen Transport, 脾俞 pí shù), BL-22 (Triple Burner Transport, 三焦俞 sān jiāo shù), and SP-9 (Yīn Mound Spring, 阴陵泉 yīn líng quán) to assist yáng and disinhibit water; needle with supplementation and moxa.