Asthma is a disease process involving widespread narrowing of the bronchi associated with wheezing and often spnea at rest The bronchial narrowing is a response to either inhaled, ingested, or parent rally administered antigens Asthma ay also be induced by bacterial or viral infections and is apparently a manifestation of an allergic response to some allergen produced by the infecting organism.

Although asthma may be a life-threatening disease, many physicians consider emotional factors significant in precipitating acute exacerbations We might say that they cause an imbalance of Yin-Yang energy in the respiratory system making the patient more sensitive to allergens.
Evaluation of asthma patients prior to acupuncture treatment should exclude an infective or parenteral basis for the disease. A chest X-ray will help to exclude causes of wheezing, such as airway obstruction by neoplasm. Consideration should also be given to more rare causes of wheezing, as for example, erotonin producing tumors. Most patients seeking acupuncture treatment for asthma, however, have had the disease for several years and adequate diagnostic studies to rule out etiology requiring surgical or other medical treatment.

The first acupuncture treatment will often relieve an acute exacerbation, but a course of 6 - 10 treatments should be given for lasting relief. It is not necessary that the patient have asthma symptoms at the time he takes acupuncture treatments or it.

If a person has been taking cortisone or one of its derivatives for a long time, the drug may have suppressed his adrenal glands to the point that he will develop a life-threatening adrenal crisis if he stops taking the drug abruptly. These drugs should only be discontinued gradually over a period of months under the supervision of a physician, even if the asthma has been completely relieved by acupuncture.

[Treatment]

1. Body acupuncture

Prescription. Feishu (BL 13 ), Dingchuan (EX ¨C B 1), Tiantu (CV 22), Zhongfu (LU 1), Tanzhong (CV 17) and Kongzui (LU 6).

Modification: For retention of cold fluid in the lung, Fengmen (BL 12) and Taiyuan (LU 9) are added; for stagnation of phlegm-heat in the lung, Dazhui (GV 14)

and Fenglong (ST 40) are added; for asthenia of spleen and lung qi, Pishu (BL 20), Gaohuang (BL 43), Qihai (CV 6) and Zusanli (ST 36) are added; for asthenia of lung and kidney yin, Shenshu (BL 23), Guanyuan (CV 4), Taixi (KI 3) and Sanyinjiao (SP 6) are added; for asthe-nia of heart and kidney yang, Xinshu (BL 15), Shenshu (BL 23), Qihai (CV 6), Guanyuan (CV 4) and Neiguan (pc 6) are added; for tidal fever and night sweating, Yinxi (HT 6) and Fuliu (KI 7) are added; for coma, Shui-gou (GV 26) and Suliao (GV 25) are added.

Performance: In the stage of attack, usually filiform needles are used with reducing techniques. For the treat-ment of syndrome with a mixture of asthenia and sthenia, mild reinforcing and reducing technique can be used. The needling is done twice or more a day. Electrical acupunc-ture can also be used at the same time. Each time 2 - 3 couples of acupoints are selected and dense or sparse wave can be chosen, 400 - 500 times one minute. The stimula-tion is monitored to the tolerance of the patient. The elec-tricity is attached to the needles for 30 - 40 minutes. In the remission stage, reinforcing technique is used. The needling is done once every 1- 2 days. For the treatment of cold syndrome, qi asthenia syndrome and yang asthenia

syndrome, acupuncture and moxibustion can be used together; for weak and slow regular intermittent pulse and slow pulse with irregular intervals, Qihai (CV 6) and Guanyuan (CV 4 ) are moxibusted heavily for restoring yang and stopping prostration.

2. Ear acupuncture

Prescription: Antitragic Apex (AT1,2,4i), Adrenal Gland (TG2p), Trachea (C016), Lung (CO14), Subcortex AT4) and Sympathetic (AH6a).

Performance. In the stage of attack, the filiform needles are used with strong stimulation. The needles are retained for 30 minutes and manipulated once every 5 ¨C 10 minutes. The needling is done once or twice a day. In the remission stage, needling is done with mild stimulation and twice a week.

3. Moxibustion in summer

Prescription. Dazhui (GV 14), Fengmen (BL 12), Feishu (BL 13), Gaohuangshu (BL 43), Pishu (BL 20), Shenshu (BL 23), Tanzhong (CV 17) and Qihai (CV 6).

Performance= The moxibustion is done in the three periods of dog days. Each time 3 - 4 acupoints are selected and moxibusted once every other day. Three times make up one course of treatment. The moxibustion in this way should continue for over three years. Such a treatment is effective in preventing: bronchitis.

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