Lung distension is a disease caused by repeated and delayed recovery of various chronic pulmonary diseases, deficiency of the lungs, spleen and kidneys, resulting in stagnation and fullness of lung qi, which cannot be reduced. Clinical manifestations include chest distension, distension and stuffiness, wheezing and coughing, excessive phlegm, irritability, palpitation, etc. The course of the disease is lingering, sometimes mild and sometimes severe, and over time, the face becomes dull, cyanotic lips and nails, epigastric distension, and limbs Edema, or asthma and other critical syndromes. In Western medicine, chronic bronchitis, bronchial asthma, bronchiectasis, silicosis, tuberculosis, etc. are combined with emphysema, and chronic pulmonary heart disease and other diseases can be treated based on syndrome differentiation of the disease.
The cause and pathogenesis of this disease are mostly due to lung deficiency due to long-term illness and phlegm retention. The disease is aggravated by exposure to external evils again. Chronic cough, wheezing, wheezing, and repeated exposure to external pathogens lead to damage to both the lungs and the body. The disease mainly affects the lungs and affects other organs over time, especially the spleen, kidneys, and heart, resulting in dysfunction of the organs, qi, and blood. Abnormal movement and distribution of body fluids, stagnation of lung qi, phlegm and blood stasis blocking the airways, fullness of the lungs, weakness in expansion and contraction, inability to converge and lower the lungs and distension of the lungs. The disease first occurs in the lungs, with lung deficiency and phlegm blocking the lungs, and the lungs and spleen are affected by the same disease; then the lung deficiency affects the kidneys, with lung and kidney qi deficiency; in the later stages, the disease affects the heart, resulting in yang deficiency, flooding, and phlegm and blood stasis. Lung deficiency due to long-term illness is the basis of the disease. The main pathological factors are the mutual influence of phlegm, turbid water, blood stasis, and the same disease. The deficiency of righteousness and the reality of evil are cause and effect and influence each other, making the condition lingering and difficult to cure.
Diagnosis and differential diagnosis
1. Diagnostic basis
(1) Typical clinical manifestations include chest fullness, distension and stuffiness, wheezing and coughing, excessive phlegm, irritability, palpitations, etc. Characterized by wheezing, coughing, phlegm, and distension.
(2) The course of the disease is lingering, sometimes mild and sometimes severe. Over time, critical symptoms such as dark complexion, cyanosis of the lip nails or dyspnea may occur.
Severe illness may be complicated by coma, convulsions or bleeding.
(3) Have a long-term history of chronic cough and asthma and a history of repeated attacks, which usually develops over 10 to 20 years; the age of onset is mostly in the elderly, and rarely in young and middle-aged people.
(4) It is caused by external pathogens, among which cold evil is the main one. Secondly, overwork, rage, and heat can also induce this disease.
(5) Physical examination shows a barrel-shaped chest, wheezing or sputum sounds and moist rales in the lungs, and the heart sounds are distant, and the chest percussion is too voiceless.
(6) X-ray examination, electrocardiogram and blood gas analysis are helpful in the diagnosis of this disease.
2. Key points for identification
(1) Asthma: There is wheezing sound in the throat during the attack, less cough and phlegm, no swelling and blood stasis, and no chest fullness after relief. The disease has a long-standing root cause.
(2) Asthma: There will be wheezing during the asthma attack, but no swelling or blood stasis. There will be no fullness in the chest after relief. However, repeated attacks can turn into pulmonary distension.
(3) Pulmonary insufficiency: recurrent cough, spitting out saliva and shortness of breath, without swelling or blood stasis. Combined with X-ray photography when necessary for identification.