TCM Syndrome Differentiation Methods for Pneumonia with Cold and Heat Patterns

Cold and heat are one aspect of TCM syndrome differentiation for identifying the pattern of disease onset, so in TCM, pneumonia is described as wind-cold closing the lungs, or wind-heat harassing the lungs and other causes of disease onset, generally mild symptoms just after onset. If there is no high fever or other acute symptoms and medical attention is delayed for several days, the condition has already developed new changes. Generally the invading pathogenic qi has already accumulated and transformed into heat, with phlegm-heat closing the lungs, suddenly transforming into the interior excess pattern of phlegm-heat harassing the lungs.

Pale complexion in pneumonia

If the pathogenic qi is fierce, it is also prone to heart yang depletion, namely heart failure, or the pathogen sinking inward into the jueyin, becoming viral encephalopathy. These are relatively critical syndrome changes, and in modern clinical practice, integrated Chinese and Western medicine emergency treatment is mostly used. In terms of triggers, pneumonia is mostly caused by common cold due to externally contracted wind pathogen, and also occurs frequently in infants, young children, and adolescents. Another relatively prominent type is senile pneumonia, which differs considerably in symptoms and severity.

These onset characteristics all show that the elderly and young groups have weak resistance and inadequate defensive qi, especially infants, young children, and adolescents, whose organs are delicate and tender and whose wei qi is deficient, making them very susceptible to external pathogens invading the lung meridian and developing into pneumonia. Besides common cold, diseases such as measles, scarlet fever, and whooping cough can also easily trigger pneumonia, and attention should be paid to active prevention. If a child has congenital deficiency and weak endowment, or symptoms such as cough linger without healing, all are included in pneumonia prevention.

Pneumonia tongue and tongue coating

According to the tongue coating, family members or relatives can promptly distinguish the internal cold, heat, deficiency, and excess of the body. If at onset the tongue is not red and there is no thirst, it is mostly a surface sign of wind-cold binding the lungs, and heat has not yet entered the interior. If the phlegm is white and thin and the coating is white, it is generally cold phlegm internally obstructing the lung collaterals, with a rapid and tight pulse and other wind-cold pulse signs. In the wind-heat harassing the lungs symptoms of pneumonia, there will be fever and aversion to wind, cough with rapid breathing, slight sweating, thirst with yellow phlegm, red and swollen throat, thin yellow or yellow greasy tongue coating, and a floating, rapid, and slippery pulse.

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