Breathlessness & Difficulty Breathing

Including Shortness of Breath

Breathlessness and Difficulty Breathing are conditions where breathing is difficult or strained. It can come after exercise, high altitude or after prolonged lassitude. Lung infections may be associated with Shortness of Breath, usually with Fever. Allergies, Fear and panic attacks can also cause acute Breathlessness.

Chronic Breathlessness can come from chronic Lung or Heart disease. The former can be associated with Asthma, Emphysema or Chronic Obstructive Pulmonary Disease. The latter can be associated with Heart Failure. Other causes may include Lung Cancer.

Medical treatment should be sought if there is serious Breathlessness, or if the condition is worsening. If there is swollen ankles, wheezing with excess phlegm or chest pain, along with Btreathlessness, medical attention should be seeked immediately.


Traditional Medicine Treatment
In Traditional Medicine, Chronic Breathlessness can be caused by:
1. Phlegm obstruction–excess Phlegm, sound of Phlegm gurgling in throat, white tongue coat
2. Lung Deficiency–weakness, fatigue, pale face, weak voice, very low pulse
3. Blood Stasis–dull complexion, cyanosis of the tongue and lips, pain while coughing, choppy pulse

Treatment generally revolves around Lung strengthening medicines including Fruits and Nuts (Raisin, Figs, Dates, Almonds, Pine nuts), along with tonic herbs (such as Licorice, Ginseng or Mastic). These may be combined with medicines that resolve Phlegm (Mustard seed, Turbith, Pinellia Ban Xia), open the airways (Maidenhair, Ephedra). In the Westermn Tradition, Blood-moving medicines (such as Saffron and Myrrh) were also often added for Breathlessness.

Syrups and Electuaries are good dosage forms to use, but Tinctures, Decoctions or Pills can all be chosen depending on the formula being used.

Cupping and Bloodletting may be useful in some cases. Rubbing oil (especially Almond oil) on the chest and upper back can be useful for chronic Lung diseases with Breathlessness.

See also:
Asthma
Chronic Obstructive Pulmonary Disease (COPD)

Western Tradition

Simples
Figs
Pine nuts
Agaric (Mesue)
Opopanax (Mesue)
Colocynth (Mesue)
Raisins
Bitter Almonds
Turbith (Mesue)
Sagapen (Mesue)
Saffron

Shortness of Breath & Breathlessness in General

1. Eat the following: Figs, Pine nuts, Bitter Almonds
2. Thyme decocted in water with Honey added
3. Basil decocted in water and taken
4. Calamint decocted in wine
5. Nigella seed decocted in wine
6. Mustard seed powder taken with Honey
7. Blessed Thistle powder with wine
8. Southernwood seed decocted in water
9. Marjoram powder mixed with Honey and taken
10. Galbanum, Sagapen or Gum Ammoniac, taken in a 1 dram dose
11. Coltsfoot smoke inhaled
12. Asarum boiled in wine and drunk
13. Rhubarb powder taken
14. Agaric in 1 dram doses
15. Orris root powder mixed with Honey and taken
16. Rue Vinegar (made like Vinegar of Roses) is excellent for Shortness of Breath.

17. Rue and Dill seed Decoct in wine
18. Hog Fennel and Bitter Almond
19. Elecampane, Hyssop and Colstfoot. Decoct and form a Syrup. (Alexis)

Hydromel
Infusion of Thyme
Pectoral Decoction (Augustana)
Decoction for Asthma and Difficulty Breathing
Decoction of Hyssop and Rue
Decoction of Hyssop and Coltsfoot (Wirtzung)
Decoction of Hyssop (Andrezeos)
Decoction to Strengthen the Lungs
Syrup Against Consumption
Syrup of Horehound
Syrup of Horehound (Fernel)
Syrup of Maidenhair
Syrup of Coltsfoot
Syrup of Coltsfoot Compound
Syrup of Hyssop (Mesue)
Anti-Asthmatic Syrup
Vinegar of Squill
Oxymel of Squill
Tincture Against Asthma
Lohoch of Pine kernels (Mesue)
Troches for Shortness of Breath
Electuary for the Lungs (Lemery)
Electuary of Orris Root (Diaireos Salomonis) (Nicholas)
Surgeon’s Musked Troches (Alipta Muscata)
Antidotum Apollonii Laodicensis
Lohoch of Pine nuts
Lohoch of Alfescer
Pills of Agaric (Mesue)
Pills to Cleanse the Chest
Pills for Asthma and Shortness of Breath (Unani)
Pills for Cold and Moist Cough of Paulus

Nux Vomica 13 (Ko byi bcu gsum) (Tibetan Medicine)
Gentiana algida 15 (Spang rgyan dkar po 15) (Tibet.)


Breathlessness from Excess Phlegm
Oxymel of Squill
Syrup of Coltsfoot
Syrup of Garlic
Syrup of Hyssop (Mesue)
Anti-Asthmatic Syrup (D’Aquin)
Syrup of Elecampane (Horstius Augenius)
Electuary of Orris root (Diaireos Salomonis) (Nich.)
Lohoch of Squill (Galen)
Hiera Picra with Agaric
Compound of Turbith (Avicenna)
Pills for Asthma and Shortness of Breath (Unani)
Pills for Difficulty Breathing and Asthma
Pills of Agaric (Mesue)
Pills to Cleanse the Chest
Pills of Storax (Mesue)
Golden Pills of Turbith (Mesue)


Breathlessness from Cold
Syrup of Garlic
Compound Powder of Aniseed (Dianisum) (Mesue)
Comp. Cinnamon Powder (Diacinnamonum)(Mesue)
Sugar Penids w Spices (Diapenidon Comp.) (Nicholas)
Asthma Powder (Sennertus)
Electuary of Sulphur (Diasulphur)


Breathlessness from Heat
Barley water
Syrup of Violet Simple
Syrup of Hyssop Compound (Mesue)
Haly’s Powder (Haly)
Sugar Penids without Spices
Cooling Powder of Gems
Cooling Pearl Powder (Diamargariton Frigid) (Nicholas)
Troches of Camphor (Nicholas)


Qi Stagnation
Restorative of Nicholas (Pleres Arconticon) (Nich.)


Blood Stagnation
Troches for Shortness of Breath
Pills of Storax (Mesue)


Breathlessness from Deficiency
Candied Elecampane root
Candied Walnuts

Pectoral Decoction (Augustana)
Decoction for Asthma and Difficulty Breathing
Anti-Asthmatic Syrup (D’Aquin)
Syrup Against Consumption
Syrup of Hyssop (Mesue)
Lohoch of Pine nut
Lohoch of Fox Lungs (Mesue)
Cooling Pearl Powder (Nicholas)
Electuary of Pine nuts (Looch de Pino)(Mesue)
Electuary of Orris root (Diaireos Salomonis)(Nicholas)
Tablets of Elecampane


Difficulty or Labored Breathing
Oxymel Simple
Diacalamintha (Mesue)
Powder of Cumin (Diacyminum) (Nicholas)
Confection for Cold Cough
Powder of Musk Sweet (Diamoschu Dulce) (Mesue)
Antidotum Apollonii Laodicensis
Electuary of Orris Root (Diaireos) (Nicholas)
Electuary of Pine Nuts (Looch de Pino) (Mesue)
Sugar Penids (Diapenidion)
Lohoch of Pine Nuts
Lohoch of Squill
Lohoch of Fox Lungs
Troches of Agaric (Mesue)
Diathamaron

Tabasheer 9 (Tibetan)

TCM Classification


Acute Wind Cold
Acute Wheezing, cough, fever & chills, headache, runny nose, muscle aches
Ma Huang Tang
Xiao Qing Long Tang
Da Qing Long Tang


Acute Wind Cold with Internal Heat
Acute wheezing, sore throat, cough, fever, headache, maybe yellow or yellow white mucus, or alternating clear and yellow;
Ding Chuan Tang
Ma Xing Shi Gan Tang


Lung Heat
Cough and wheezing with yellow phlegm, fever, red cheeks, red tongue with a yellow tongue coat
Yin Qiao Jie Du Pian
Ma Xing Shi Gan Tang
Qing Qi Hua Tan Wan


Cold Phlegm
cough, wheezing with excess clear or white sputum, greasy white tongue coat and a slow or slippery pulse
San Zi Yang Qin Tang
Ling Gan Wu Wei Jiang Xin Tang


Lung Qi Deficiency
wheezing, panting, shortness of breath, weak cough, spontaneous sweating, aversion to wind, frequent colds or respiratory infections; if Spleen is weak, poor appetite, abdominal distension and fatigue.
Bu Fei Tang
Sheng Mai San
Yu Ping Feng San
Liu Jun Zi Tang
Bu Zhong Yi Qi Tang
Ren Shen Ge Jie San


Yin Deficiency
chronic wheezing, chronic sore throat, tight in chest, night sweats, dry skin, dry mouth
Bai He Gu Jin Tang
Bu Fei E Jiao Tang
Mai Men Dong Tang
Qi Wei Du Qi Wan
Mai Wei Di Huang Wan


Yang Deficiency
chronic Wheezing, lower back pain, cold extremities, always feels cold, slow, deep pulse
Shen Qi Wan (Jin Gui Shen Qi Wan) (Rehmannia 8)
Ren Shen Ge Jie San




Special Formulas

SYRUP FOR BREATHLESSNESS
‘When a man cannot well draw his breath’.
    Syrup of Stoechas   4 oz.
    Syrup of Calamint
    Syrup of Hyssop      2 oz. each.
(Brunschwig, 1561)


ELECTUARY FOR BREATHLESSNESS
Boil a bunch of bruised Hyssop in a pint of Honey. Strain and add:
    Angelica                
    Elecampane           6 pence in weight each
    Ginger
    Pepper                    2 pence in weight each
    Aniseed                 18 pence weight
    Licorice                   8 pence weight
Mix well into the Honey and heat briefly, add Aquia vitae 3 spoonfuls, This Electuary can be taken by dipping a Licorice stick in it and sucking it often, or else a teaspoonful can be taken several times daily. This was reportedly used by Queen Elizabeth. (Natura exenterata, Philiatros, 1655)
DECOCTION FOR BREATHLESSNESS
    Licorice                            
    Ceterach                           1.5 oz. of each
    Jujubes, stoned
    Sebestens                        10 of each
    Elecampane                    half ounce
    Coltsfoot (root)                2 drams
Boil in water until half is wasted, strain and add Manna (3 oz.). (Alexis)



Research
1. Breathlessness from the Perspective of the Persian Medicine