Pulmonary atrophy

　　1. Long-term disease damage to the lung:Cough, tuberculosis, lung abscess, diabetes, febrile diseases that do not heal for a long time, consume yin fluid, endogenous deficiency-heat, burn the lung fluid, transform into sputum, lung dryness and yin exhaustion, loss of nourishment of the lung, and gradual withering; chronic diseases, long-term cough, persistent cold asthma, chronic lung asthma, deficiency-heat pulmonary atrophy for a long time, lung qi consumption, gradual injury to yang, lung deficiency with cold, failure of qi to transform fluid, fluid transforming into sputum, loss of nourishment of the lung, and gradual withering of the lung lobe.

　　2. Misdiagnosis leading to fluid injury:Misdiagnosis and overuse of diaphoresis, emesis, and purgation can lead to excessive loss of body fluid, severe deficiency of lung fluid, loss of nourishment of the lung, and pulmonary atrophy.

　　In addition to general symptoms, it may also cause other diseases. This disease may cause dizziness, nocturia, shortness of breath, tachypnea, emaciation, or damp heat, dry hair. Therefore, once detected, active treatment should be carried out, and preventive measures should also be taken in daily life.

　　Patients with deficiency-heat may have a weak cough, thick and sticky sputum, dry mouth and throat, shortness of breath, tachypnea, emaciation, or damp heat, dry hair, dry and red tongue, and thready and rapid pulse. Treatment should be tonifying yin and moistening the lung, clearing heat and generating fluid, using Jifulung decoction, Yuanshen Qingfei drink, Mai Men Dong decoction, Qing Zao Jiu Fei decoction, Ziyuan powder, etc. 'Jin Gui Yao Lue · Treatment of Lung痿, Lung Bi, Cough, and Upward Breathing Syndrome': 'If a person with Lung痿 has sputum without coughing, he will not be thirsty, but will have nocturia and frequent urination. This is because the upper deficiency cannot control the lower, and this is considered cold in the lung, which will be wiry, and there will be a lot of sputum and saliva.' There are differences between deficiency-heat and deficiency-cold. Deficiency-heat patients may have a weak cough, thick and sticky sputum, dry mouth and throat, shortness of breath, tachypnea, emaciation, or damp heat, dry hair, dry and red tongue, and thready and rapid pulse.

　　There is currently no effective preventive measure for this disease. Early detection and early diagnosis are the key to the prevention and treatment of the disease. The patient's diet should be light and easy to digest, with more fruits and vegetables, a reasonable diet, and attention to adequate nutrition. In addition, patients should also pay attention to avoiding spicy, greasy, and cold foods.

　　1. X-ray examination:It is the most reliable diagnostic method, which can observe the extent and range of the lesion, and clarify the cause. Pneumothorax: The volume of the lung lobe decreases, the density increases, and the adjacent lung lobe moves towards the pleura. The mediastinum moves towards the affected side, and the diaphragm rises.

　　2. Pulmonary function tests, blood gas analysis:The condition of pulmonary function. Abnormal pulmonary function can appear before clinical symptoms and X-ray changes, so it has certain diagnostic value. If the pulmonary function is observed dynamically, it has certain reference value for evaluating the efficacy, the progression of the disease, and judging the prognosis.

　　3. Lung radionuclide scanning, bronchoalveolar lavage, CT, magnetic resonance imaging (MRI) and other examinations are helpful for differential diagnosis of the primary disease.

　　Diet should be regular and reasonable, mainly high-protein, high-vitamin foods. Choose high-nutrition plant or animal proteins such as milk, eggs, fish, lean meat, and various bean products. Various fresh vegetables and fruits are rich in vitamins and have high nutritional value.

　　1. Key points of differentiation:Distinguish between deficiency-heat and deficiency-cold: Deficiency-heat syndrome - Easily leads to fire ascending and Qi, often accompanied by coughing, dyspnea, and asthma; Deficiency-cold syndrome - Commonly seen as the upper not controlling the lower, frequent urination or enuresis

　　2. Treatment principles:Tonify the lung and produce body fluid - Deficiency-heat - Clear heat and produce body fluid to moisten the dryness; Deficiency-cold - Warm the lung and invigorate the Qi to retain sputum; With exterior syndrome - Combine with resolving the exterior: dispersing wind, dispelling cold, clearing heat; With phlegm and turbidity - Eliminate phlegm, resolve phlegm; With cough and asthma - Stop coughing, relieve asthma.

　　3. Classification of Syndromes and Treatments

　　1. Deficiency-heat syndrome

　　Symptoms: Coughing up thick sputum and phlegm, sticky in quality - Deficiency of lung Yin, internal burning of fire, burning body fluid into sputum or coughing up blood - Yin deficiency and lung dryness, injury to the lung collateral by coughing, coughing sound not loud, even hoarse - Deficiency of lung body fluid, golden voice not sounding. Shortness of breath - Deficiency of lung moisture, malfunctions of ventilation and descent, lung Qi ascending, thirst and dry throat, afternoon fever, dry skin and hair - Internal excess of fire, Yin deficiency and body fluid injury, loss of luster of skin and hair, red and dry tongue, weak and rapid pulse - Excess of Yin fire, deficiency of lung body fluid.

　　Treatment method: Nourishing Yin and clearing heat, moistening the lung and producing body fluid

　　Representative formula: Modified Maidong decoction combined with Qingzao Jihu lung-saving decoction.

　　2. Deficiency-cold syndrome

　　Symptoms: Coughing up sputum, thin and abundant in quality - Deficiency of lung Qi and cold, Qi not transforming into body fluid, body fluid transforming into sputum, no thirst - Deficiency of lung with cold, shortness of breath - Deficiency of lung Qi, dizziness, fatigue, poor appetite - Deficiency of spleen Qi, deficiency of transportation and transformation, insufficient essence and Qi, malnourishment of the body, cold limbs, pale and edematous face - Deficiency of lung and spleen with cold, frequent urination or enuresis - Deficiency of lung Qi, inability to regulate waterways, pale tongue, weak pulse - Deficiency of lung Qi and cold.

　　Treatment method: Warming the lung and invigorating the Qi

　　Representative formula: Modified Gancao Ganjiang decoction or Shengjiang Gancao decoction.