Cor Pulmonale in Traditional Chinese Medicine

Understanding different cor pulmonale patterns according to TCM theory

Educational content Consult qualified practitioners for medical advice

Condition Categories

6
TCM Patterns
10
Formulas
Overview
What causes it 6 TCM patterns documented
How to recognize Symptoms specific to each cor pulmonale pattern
Classical remedies 10 herbal formulas documented

Traditional Chinese Medicine (TCM) views cor pulmonale through the lens of energetic imbalances and disturbances in organ functions. Unlike Western medicine, which primarily focuses on the heart and lungs' physical pathologies, TCM considers symptoms of cor pulmonale as a manifestation of underlying imbalances such as Qi Stagnation, Blood Stasis, and organ dysfunction.

TCM emphasizes that effective treatment hinges on identifying these disharmonies through a holistic assessment of the patient's health and lifestyle. Addressing these patterns through acupuncture, herbal medicine, and lifestyle adjustments is crucial to restoring balance and improving heart and lung function.

TCM Patterns for Cor Pulmonale

Yin Deficiency

Depletion of cooling, moistening fluids causing dryness, false heat rising, and restless agitation throughout the body

Causes: Coughing with blood-streaked sputum, Wheezing, Dry throat, Hot palms and soles, Night sweats

1 variation documented
Onset Gradual
Location Systemic
Features Night sweats • Dry mouth/throat • Heat in afternoon/evening • Malar flush

Yin Deficiency represents a fundamental pattern in Traditional Chinese Medicine where the body's yin fluids - blood, essence, and body fluids - become depleted, losing their ability to cool, moisten, and anchor the yang energy, resulting in relative hyperactivity of yang and internal heat manifestations.

Lung and Kidney Yin Deficiency with Empty Fire
How it presents with cor pulmonale

Coughing with blood-streaked sputum, Wheezing, Dry throat, Hot palms and soles, Night sweats

Painful Obstruction with Wind-Cold-Damp

Causes: Swollen and painful joints that are warm to the touch and worsen at night, Reduced range of motion in the affected joints, Chills without sweating, Weight loss, Headaches, Dizziness, Shortness of breath, Nausea

1 variation documented
Painful Obstruction with Wind-Cold-Damp
How it presents with cor pulmonale

Swollen and painful joints that are warm to the touch and worsen at night, Reduced range of motion in the affected joints, Chills without sweating, Weight loss, Headaches, Dizziness, Shortness of breath, Nausea

Heat in Yang brightness Organs

Causes: Severe constipation, Flatulence, Focal distention, Abdominal fullness, Abdominal pain that increases upon pressure, Tense and firm abdomen

1 variation documented
Heat in Yang brightness Organs
How it presents with cor pulmonale

Severe constipation, Flatulence, Focal distention, Abdominal fullness, Abdominal pain that increases upon pressure, Tense and firm abdomen

Yang Excess

Excessive yang energy that generates heat, agitation, and hyperactivity throughout the body systems

Causes: Can cause cor pulmonale

1 variation documented
Onset Can be sudden
Location Systemic
Features True excess heat • Strong constitution • Full/forceful presentation • Red complexion

Yang Excess represents pathological hyperactivity of the body's yang qi in Traditional Chinese Medicine. It manifests as excessive heat, inflammation, and overstimulation that disrupts the normal balance between yin and yang, causing various acute and intense symptoms.

Phlegm

Thick, sticky pathological fluid that obstructs body functions and can manifest anywhere in the body

Causes: Hypochondrial pain that is worse on coughing and breathing, Shortness of breath, HypochondriaI distension, Coughing, Asthma, Oedema, Feeling of oppression of the chest, Dizziness, Profuse white sputum

2 variations documented
Onset Gradual
Location Local or systemic
Features Nodules/lumps • Heavy sensation • Mucus/expectoration • Mental confusion (if affecting mind)

Phlegm is both a pathological product and a pathogenic factor in Traditional Chinese Medicine. It results from impaired fluid metabolism when the body's transformative functions fail, particularly affecting the Spleen, Lungs, and Kidneys. Classical texts emphasize that "the Spleen is the source of phlegm production, while the Lungs are the storage vessel for phlegm."

Phlegm-Fluids in the hypochondrium
How it presents with cor pulmonale

Hypochondrial pain that is worse on coughing and breathing, Shortness of breath, HypochondriaI distension

Phlegm-Fluids above the diaphragm
How it presents with cor pulmonale

Coughing, Asthma, Oedema, Feeling of oppression of the chest, Dizziness, Profuse white sputum

Blood Stasis

Blood that is no longer flowing smoothly through the vessels

Causes: Severe epigastric pain that may worsen at night, Dislike of pressure on epigastric area, Nausea or vomiting, Possible vomiting of blood, Bloody stools, Palpitations, Chest pain, Chest fullness, Stifling sensation in the chest, Shortness of breath, Purple lips, Purple nails, Painful period, Dark clots in menstrual blood

2 variations documented
Onset Gradual (trauma=sudden)
Location Often local, can be systemic
Features Fixed/stabbing pain • Purple/dark coloration • Masses/tumors • Pain worse at night

Blood Stasis represents blood that is no longer flowing smoothly through the vessels, either moving too slowly, pooling in certain areas, or congealing into clots. It's one of the most important pathological conditions in Traditional Chinese Medicine and can be both a result of disease and a cause of further illness.

Stomach Blood Stagnation
How it presents with cor pulmonale

Severe epigastric pain that may worsen at night, Dislike of pressure on epigastric area, Nausea or vomiting, Possible vomiting of blood, Bloody stools

Pericardium Blood Stagnation
How it presents with cor pulmonale

Palpitations, Chest pain, Chest fullness, Stifling sensation in the chest, Shortness of breath, Purple lips, Purple nails, Painful period, Dark clots in menstrual blood

Herbal Formulas for Cor Pulmonale

Traditional Chinese Medicine formulas used to address cor pulmonale

Di Dang Tang

Traditional formula for cor pulmonale

Xue Fu Zhu Yu Tang

Traditional formula for cor pulmonale

Ling Gui Zhu Gan Tang

Traditional formula for cor pulmonale

Xuan Fu Hua Tang

Traditional formula for cor pulmonale

Bai He Gu Jin Tang

Traditional formula for cor pulmonale

Gui Zhi Shao Yao Zhi Mu Tang

Traditional formula for cor pulmonale

Ren Shen Ge Jie San

Traditional formula for cor pulmonale

Da Cheng Qi Tang

Traditional formula for cor pulmonale

Sheng Mai San

Traditional formula for cor pulmonale