Bronchitis according to Chinese Medicine
The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Bronchitis factsheet
Possible causes and remedies:
Exterior Dry Cold invading the Lungs
Symptoms: Phlegm Headaches Dry cough and three other symptoms
Recommended formula: Xing Su San
Symptoms: Clump Phlegm Chest pain and seven other symptoms
Recommended formula: Xiao Xian Xiong Tang
In Chinese Medicine, bronchitis can be associated with five so-called "patterns of disharmony". Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted. It is not equivalent to the Western concept of "disease", as a matter of fact here bronchitis can be caused by five different patterns.
To understand whether someone's bronchitis might be caused by a given pattern, one needs to look for signs and symptoms associated with the pattern beyond what one might typically experience from bronchitis alone. For instance when bronchitis is caused by the pattern Exterior Dry Cold invading the Lungs, patients also experience symptoms such as headaches, chills without sweating, stuffy nose and dry throat. Similarly, patients with Exterior Dry Cold invading the Lungs typically exhibit wiry (Xian) pulses as well as a tongue with thin white coating.
We've listed below a description of the five patterns associated with bronchitis so that you can start to get an understanding of the various possibilities according to Chinese Medicine.
Once identified, patterns are often treated using herbal formulas. Drinking herbal infusions is the most common remedy in Chinese Medicine, together with acupuncture. Here we detail below twelve formulas that can help treat the various patterns associated with bronchitis, depending on which pattern fits your profile.
The five "patterns of disharmony" associated with bronchitis
The Lungs is a so-called "Zang" Organ. Learn more about the Lungs in Chinese Medicine
Exterior Dry Cold invading the Lungs
Pulse type(s): Wiry (Xian)
Tongue coating: Thin white coating
Recommended herbal formula: Xing Su San
Symptoms: Phlegm Headaches Dry cough Dry throat Stuffy nose Chills without sweating
Bronchitis might be due to Exterior Dry Cold invading the Lungs if the condition is paired with typical pattern symptoms such as headaches, chills without sweating, stuffy nose and dry throat. Similarly, patients with Exterior Dry Cold invading the Lungs typically exhibit wiry (Xian) pulses as well as a tongue with thin white coating.
The Lungs is a so-called "Zang" Organ. Learn more about the Lungs in Chinese Medicine
Phlegm Heat in the Lungs
Pulse type(s): Rapid (Shu), Slippery (Hua)
Tongue coating: Sticky coating, Yellow coating
Tongue shape: Swollen
Recommended herbal formula: Xiao Xian Xiong Tang
Symptoms: Clump Phlegm Chest pain Constipation Epigastric pain Clumping in the chest Bitter taste in the mouth Epigastric focal distention Focal distention of the chest Coughing of copious thick yellow sputum
Bronchitis might be due to Phlegm Heat in the Lungs if the condition is paired with typical pattern symptoms such as constipation, bitter taste in the mouth, coughing of copious thick yellow sputum and chest pain. Similarly, patients with Phlegm Heat in the Lungs typically exhibit rapid (Shu) or slippery (Hua) pulses as well as a tongue with sticky coating, yellow coating.
The Lungs is a so-called "Zang" Organ. Learn more about the Lungs in Chinese Medicine
Wind-Heat entering the Lungs
Pulse type(s): Rapid (Shu), Slippery (Hua)
Tongue coating: Yellow coating
Tongue color: Red
Recommended herbal formula: Wei Jing Tang
Symptoms: Slight fever Mild chest pain Dry and scaly skin Cough with foul-smelling sputum
Bronchitis might be due to Wind-Heat entering the Lungs if the condition is paired with typical pattern symptoms such as cough with foul-smelling sputum, slight fever, mild chest pain and dry and scaly skin. Similarly, patients with Wind-Heat entering the Lungs typically exhibit rapid (Shu) or slippery (Hua) pulses as well as a red tongue with yellow coating.
Ephedra (Ma Huang) is the key herb for Xiao Qing Long Tang, a formula used for Phlegm-Fluids above the diaphragm
Phlegm-Fluids above the diaphragm
Pulse type(s): Floating (Fu), Tight (Jin)
Tongue coating: Thick white coating
Tongue shape: Swollen
Recommended herbal formula: Xiao Qing Long Tang
Symptoms: Wheezing No thirst Absence of sweating Generalized body pain Alternating fever and chills General sensation of heaviness Stifling sensation in the chest Coughing of copious thin and white sputum
Bronchitis might be due to Phlegm-Fluids above the diaphragm if the condition is paired with typical pattern symptoms such as alternating fever and chills, absence of sweating, wheezing and stifling sensation in the chest. Similarly, patients with Phlegm-Fluids above the diaphragm typically exhibit floating (Fu) or tight (Jin) pulses as well as a tongue with thick white coating.
Poria-Cocos Mushrooms (Fu Ling) is the key herb for Ling Gui Zhu Gan Tang, a formula used for Phlegm-Fluids in the hypochondrium
Phlegm-Fluids in the hypochondrium
Pulse type(s): Slippery (Hua), Soggy (Ru), Wiry (Xian)
Tongue coating: Thick white coating
Tongue color: Pale
Tongue shape: Swollen
Recommended herbal formula: Ling Gui Zhu Gan Tang
Symptoms: Palpitations Dizziness or vertigo
Bronchitis might be due to Phlegm-Fluids in the hypochondrium if the condition is paired with typical pattern symptoms such as palpitations and dizziness or vertigo. Similarly, patients with Phlegm-Fluids in the hypochondrium typically exhibit slippery (Hua), soggy (Ru) or wiry (Xian) pulses as well as a pale tongue with thick white coating.
The twelve herbal formulas that might help with bronchitis
Xing Su San
Source date: 1798 AD
Number of ingredients: 11 herbs
Key actions: Clears Dry-Cold. Disseminates the Lung Qi and relieves cough. Transforms thin mucus.
Why might Xing Su San help with bronchitis?
Because it is a formula often recommended to help treat Exterior Dry Cold invading the Lungs, a pattern sometimes associated with bronchitis. If it looks like you might suffer from Exterior Dry Cold invading the Lungs, this formula might help (although please seek confirmation with a professional practitioner beforehand).
Xiao Xian Xiong Tang
Source date: 220 AD
Number of ingredients: 3 herbs
Key actions: Clears Heat. Transforms Phlegm. Expands the chest. Dissipates clumps.
Why might Xiao Xian Xiong Tang help with bronchitis?
Because it is a formula often recommended to help treat Phlegm Heat in the Lungs, a pattern sometimes associated with bronchitis. If it looks like you might suffer from Phlegm Heat in the Lungs, this formula might help (although please seek confirmation with a professional practitioner beforehand).
Wei Jing Tang
Source date: 627 AD
Number of ingredients: 4 herbs
Key actions: Clears heat from the Lungs. Transforms Phlegm. Drives out Blood-Stagnation. Discharges pus.
Why might Wei Jing Tang help with bronchitis?
Because it is a formula often recommended to help treat Wind-Heat entering the Lungs, a pattern sometimes associated with bronchitis. If it looks like you might suffer from Wind-Heat entering the Lungs, this formula might help (although please seek confirmation with a professional practitioner beforehand).
Xiao Qing Long Tang
Source date: 220 AD
Number of ingredients: 8 herbs
Key actions: Releases the Exterior. Transforms Phlegm-Fluids. Warms the Lungs. Directs Rebellious Qi downward.
Why might Xiao Qing Long Tang help with bronchitis?
Because it is a formula often recommended to help treat Phlegm-Fluids above the diaphragm, a pattern sometimes associated with bronchitis. If it looks like you might suffer from Phlegm-Fluids above the diaphragm, this formula might help (although please seek confirmation with a professional practitioner beforehand).
Ling Gui Zhu Gan Tang
Source date: 220 AD
Number of ingredients: 4 herbs
Key actions: Warms and transforms Phlegm-Fluids. Strengthens the Spleen. Resolves Dampness.
Why might Ling Gui Zhu Gan Tang help with bronchitis?
Because it is a formula often recommended to help treat Phlegm-Fluids in the hypochondrium, a pattern sometimes associated with bronchitis. If it looks like you might suffer from Phlegm-Fluids in the hypochondrium, this formula might help (although please seek confirmation with a professional practitioner beforehand).
Symptoms related to bronchitis
Phlegm Headaches Chills without sweating Stuffy nose Dry throat Dry cough Constipation Bitter taste in the mouth Coughing of copious thick yellow sputum Chest pain
