Liver fire attacking the lung

　　Traditional Chinese medicine believes that liver fire attacking the lung is a disease caused by emotional stagnation, depression, Qi stagnation, fire attacking the lung, heat in the liver meridian attacking the lung, or long-term lung Qi disorder, liver Qi attacking, and lung not being able to ventilate properly. This condition belongs to a实证, a disease of both the liver and lung, where the liver disease comes first, affecting the lung, forming the penalty of wood fire on metal, or burning the lung collaterals, coughing up blood like a jet, so it is often an acute and serious condition.

　　Western medicine believes that after the pathogen directly reaches the respiratory tract, it multiplies and reproduces, causing pulmonary alveolar capillary congestion, edema, fibrin exudation in the alveoli, and cell infiltration.

　　The complications of liver fire attacking the lung include hyperactivity of liver fire, reverse breathing, red face and eyes, bitter taste, internal accumulation of heat in sputum, and excessive sputum. The lung is responsible for descending, and when both the liver and lung are affected, the liver rises excessively and the lung does not descend sufficiently, leading to a disorder of Qi movement. When using medicine, attention should be paid to the rising and descending properties of the medicine and their suitability for the disease condition, especially the use of sinking medicine. Fire is a Yang pathogen and is most likely to injure the law, consume blood, and cause blood movement, burning the lung Yin, which often leads to insufficient lung Yin. Attention should be paid to protecting the lung Yin during treatment. Most of the herbs for clearing the liver and draining the lung are bitter and cold, which can harm the stomach, so those with weak spleen and stomach should use them with caution.

　　The symptoms of liver fire attacking the lung include paroxysmal coughing, reverse breathing, yellow and thick sputum, and in severe cases, coughing up blood, chest and rib pain, irritability, restlessness, bitter mouth, dizziness, red eyes, dry stools, short and dark urine, red edges of the tongue, thin yellow fur, and wiry and rapid pulse. This condition is often caused by emotional stagnation, Qi stagnation transforming into fire, burning the Yin, or pathogenic heat stagnating in the liver and gallbladder, attacking the lung, causing the lung to lose its purity or injury to the lung, resulting in the lung not being able to ventilate properly.

　　PreventionLiver fire attacking the lung. In addition to sufficient sleep and relaxation, some simple herbs or foods can also help to cool the fire, such as in the case of excessive liver heat, the patient can use herbs such as chrysanthemum, Xihuangcao, Xijuhua, and Baishao to calm the liver and relieve fire, and decoct and drink them. The key to preventing liver fire is to control anger, and at the same time, attention should be paid to rest and prevent overexertion, because physical fatigue will make people emotional and irritable. It is recommended to eat less spicy, seafood, overly greasy and sour foods, fried foods, and mutton, shrimps, fatty meat, and Wumei in daily life to prevent the fire from being fueled.

　　Liver fire attacking the lung can be diagnosed by combining the patient's clinical symptoms and signs with their medical history, according to the methods of traditional Chinese medicine, by pulse diagnosis. Laboratory tests such as blood routine and auxiliary CT scans can also be performed.

　　Patients with liver fire attacking the lung should eat more foods that clear the liver and fire, such as bitter melon, bitter vegetables, tomatoes, mung beans, mung bean sprouts, soybean sprouts, celery, cabbage, broccoli, cauliflower, mushrooms, rapeseed, loofah, plums, umeboshi, hawthorn, and citrus fruits, etc. They should also quit smoking and limit alcohol, avoid sweet, fatty, spicy foods, hot fruits such as lychees, oranges, pineapples, longans, pomegranates, scallions, ginger, garlic, chili, pepper, Sichuan pepper, smoked foods. In addition, they can also use food therapy:

　　(1) Take an appropriate amount of Sangye and Chrysanthemum, soak in boiling water, and drink as tea.

　　(2) Winter melon seed 20 grams, 50 grams of glutinous rice, cook into porridge for consumption.

　　(3) Zhizi Ren Porridge: Take 3-5 grams of Zhizi Ren (ground powder), 50 grams of glutinous rice, first cook the glutinous rice into porridge, then add the drug powder for consumption.

　　(4) Pear, Fritillaria, and Chrysanthemum Drink: Steam pears and Fritillaria, then extract the juice and brew with chrysanthemum for consumption.

　　(5) Mint tea: Take 10 grams of fresh mint leaves, soak in boiling water, and drink as tea.

　　Liver fire attacking the lung is a condition of simultaneous liver and lung disease, belonging to a实证, the treatment is mainly to purge the liver and clear the lung. For those with emotional stagnation transforming into fire attacking the lung, the main treatment is Dahuang San combined with Qingjin Huatan Decoction; for those with excessive heat of the liver channel attacking the lung, the formula of Longdan Xiegan Decoction combined with Xiebai San can be used; for those with liver fire burning the lung collaterals and symptoms of coughing with blood, the main treatment is Dahuang San combined with Xiebai San, and add cooling blood and止血 medicine.

　　1. Treatment principle

　　Clear the liver and fire, calm the lung and stop coughing.

　　2. Internal medicine

　　Take Dahuang San (or Longdan Xiegan Decoction) combined with Qingjin Huatan Decoction (or Xiebai San) with modifications. If there is excessive liver fire, cough with reversed breath, red face and eyes, bitter taste in the mouth, add Longdan Cao; if there is internal heat and phlegm, with excessive cough and sputum, add Zhuli; if there is heat injury to yin with dry mouth and thirst, irritability and insomnia, add Shengdi, Tianhuafen, and Lugen; if there is burning of wood fire with deficiency of both lung qi and yin, add Renshen, Maidong, and Wuweizi; if there is cough with blood in the sputum, add Xianhecao, Diyu Tan, and Digupi; if there is profuse bleeding, add Xi jiao, Shengdahuang, and rush the powder of Renshen San or Yunnan Baiyao; if there is loss of yang and collapse with pale complexion, cold limbs, and excessive sweating, take emergency Renshen decoction, or take Renshen and Fupian decoction.

　　3. External application of medicine

　　1. Take an appropriate amount of aconite, crush it and apply it to the Yongquan acupoint.

　　2. Take an appropriate amount of garlic, crush it into juice and apply it to the Yongquan acupoint. Alternate between both feet.