Asthma 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.
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Asthma can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like asthma here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here asthma is often associated with coughing, vomiting and insomnia in the pattern “Rebellious Qi”. As you will see below, we have in record four patterns that can cause asthma.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of asthma we’ve identified five herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat asthma.
The four "patterns of disharmony" that can cause asthma
In Chinese Medicine asthma is a symptom for 4 patterns that we have on record. Below is a small explanation for each of them with links for more details.
Inula Flowers (Xuan Fu Hua) is the king ingredient for Xuan Fu Dai Zhe Tang, a formula used for Rebellious Qi
Rebellious Qi
Pulse type(s): Wiry (Xian)
Tongue color: Normal (light red), Red sides
Rebellious Qi is when Qi flows in the wrong direction. For instance, if one suffers from a rebellious Stomach Qi (a common case), the normal downward flow of Stomach Qi is disrupted and it goes upward instead. This may result in nausea, vomiting, belching or hiccupping.
In addition to asthma, other symptoms associated with Rebellious Qi include coughing, vomiting and insomnia.
Rebellious Qi is often treated with Xuan Fu Dai Zhe Tang, a herbal formula made of 7 herbs (including Inula Flowers - Xuan Fu Hua - as a key herb). Xuan Fu Dai Zhe Tang belongs to the category of "formulas for a rebellious qi", which might be why it is often recommended for this pattern. Its main action as a formula is: "Regulates the downward flow of Stomach Qi".
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney Yang Deficiency
Pulse type(s): Deep (Chen), Slow (Chi)
Tongue coating: Thin white coating
Tongue color: Pale
Tongue shape: Swollen
Kidney Yang Deficiency causes Internal Cold and weakness.
In addition to asthma, other symptoms associated with Kidney Yang Deficiency include coughing, dizziness and impotence.
From a Western Medicine standpoint Kidney Yang Deficiency is associated with health issues such as Late Menstruation, Menopausal Syndrome or Irregular Menstruation.
Kidney Yang Deficiency is often treated with Ba Wei Di Huang Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Ba Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Yang".
The Lungs is a so-called "Zang" Organ. Learn more about the Lungs in Chinese Medicine
Damp-Phlegm in the Lungs
Pulse type(s): Slippery (Hua), Soggy (Ru)
Tongue coating: Sticky coating, Thick coating
Tongue shape: Swollen
Phlegm in the Lungs (a synonym for "Substantial Phlegm") is the sputum that collects in the Lungs and is spat out during bronchitis or other Lung diseases.
In addition to asthma, other symptoms associated with Damp-Phlegm in the Lungs include coughing, dizziness and wheezing.
Damp-Phlegm in the Lungs is often treated with Er Chen Tang, a herbal formula made of 5 herbs (including Crow-Dipper Rhizomes - Ban Xia - as a key herb). Er Chen Tang belongs to the category of "formulas that dry dampness and transform phlegm", which might be why it is often recommended for this pattern. Its main action as a formula is: "Dries Damp and dispels Phlegm".
Ephedra (Ma Huang) is the king ingredient for Xiao Qing Long Tang, a formula used for Phlegm-Fluids above the diaphragm
Phlegm-Fluids above the diaphragm
Pulse type(s): Wiry (Xian)
Tongue coating: Thick white coating
Tongue shape: Swollen
This is when, often due to a stagnant Qi, the Body Fluids are retained in the chest and Lungs.
In addition to asthma, other symptoms associated with Phlegm-Fluids above the diaphragm include coughing, dizziness and wheezing.
Phlegm-Fluids above the diaphragm is often treated with Xiao Qing Long Tang, a herbal formula made of 8 herbs (including Ephedra - Ma Huang - as a key herb). Xiao Qing Long Tang belongs to the category of "formulas that clear wind-cold", which might be why it is often recommended for this pattern. Its main action as a formula is: "Releases the Exterior".
Five herbal formulas that might help with asthma
Su Zi Jiang Qi Tang
Source date: 650 AD
Number of ingredients: 8 herbs
Key actions: Directs rebellious Qi downward. Arrests wheezing. Stops coughing. Warms and transforms Phlegm-Cold.
Why might Su Zi Jiang Qi Tang help with asthma?
Because it is a formula often recommended to treat the pattern 'Rebellious Qi' of which asthma is a symptom.
You Gui Wan
Source date: 1624 AD
Number of ingredients: 10 herbs
Key actions: Warms and tonifies Kidney Yang. Replenishes the Essence. Tonifies the Blood.
Why might You Gui Wan help with asthma?
Because it is a formula often recommended to treat the pattern 'Kidney Yang Deficiency' of which asthma is a symptom.
Er Chen Tang
Source date: 1148 AD
Number of ingredients: 5 herbs
Key actions: Dries Damp and dispels Phlegm. Regulates Qi and harmonizes the Middle Burner (Stomach and Spleen).
Why might Er Chen Tang help with asthma?
Because it is a formula often recommended to treat the pattern 'Damp-Phlegm in the Lungs' of which asthma is a symptom.
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 asthma?
Because it is a formula often recommended to treat the pattern 'Phlegm-Fluids above the diaphragm' of which asthma is a symptom.
Ling Gan Wu Wei Jiang Xin Tang
Source date: 220 AD
Number of ingredients: 5 herbs
Key actions: Warms the Lungs. Transforms congested Fluids.
Why might Ling Gan Wu Wei Jiang Xin Tang help with asthma?
Because it is a formula often recommended to treat the pattern 'Phlegm-Fluids above the diaphragm' of which asthma is a symptom.
Acupuncture points used for asthma
The five Chinese Medicinal herbs most likely to help treat asthma
Why might Dong Quai (Dang Gui) help with asthma?
Because it is a key herb in Su Zi Jiang Qi Tang, a herbal formula indicated to treat the pattern 'Rebellious Qi' (a pattern with asthma as a symptom)
Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Heart, the Liver and the Spleen.
Its main actions are: Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation.
Why might Ephedra (Ma Huang) help with asthma?
Because it is a key herb in Da Qing Long Tang, a herbal formula indicated to treat the pattern '' (a pattern with asthma as a symptom)
Ephedra is a Warm herb that tastes Bitter and Pungent. It targets the Bladder and the Lung.
Its main actions are: Releases the surface through sweating. Promotes the circulation of Lung Qi and stop wheezing. Promotes urination.
Why might Tangerine Peel (Chen Pi) help with asthma?
Because it is a key herb in Er Chen Tang, a herbal formula indicated to treat the pattern 'Damp-Phlegm in the Lungs' (a pattern with asthma as a symptom)
Tangerine Peel is a Warm herb that tastes Bitter and Pungent. It targets the Lung and the Spleen.
Its main actions are: Warms the Spleen and regulates the Middle Burner Qi. Dries Dampness and disperses Phlegm from the Lungs and Middle Burner. Reduces the potential for Stagnation caused by tonifying herbs.
Why might Dried Ginger (Gan Jiang) help with asthma?
Because it is a key herb in Ling Gan Wu Wei Jiang Xin Tang, a herbal formula indicated to treat the pattern 'Phlegm-Fluids above the diaphragm' (a pattern with asthma as a symptom)
Dried Ginger is a Hot herb that tastes Pungent. It targets the Heart, the Kidney, the Lung and the Stomach.
Its main actions are: Warms the Spleen and expels Cold. Restores collapse of Yang and expels Interior Cold. Warms the Lungs and assists expectoration of Cold Phlegm. Stops chronic bleeding caused by Cold.
Why might Houpu Magnolia Bark (Hou Pu) help with asthma?
Because it is a key herb in Su Zi Jiang Qi Tang, a herbal formula indicated to treat the pattern 'Rebellious Qi' (a pattern with asthma as a symptom)
Houpu Magnolia Bark is a Warm herb that tastes Bitter and Pungent. It targets the Lung, the Spleen and the Stomach.
Its main actions are: Moves Rebellious Qi downward, dries Dampness and relieves Food Stagnation. Transforms Phlegm and redirects Rebellious Qi of the Lung.
Other symptoms often associated with asthma
Coughing Dizziness Phlegm Wheezing Fever Palpitations Vomiting Dry cough Constipation Impotence