Chronic Obstructive Pulmonary Disease (COPD)

Including Emphysema
Chronic Obstructive Pulmonary Disease (COPD) is a group of chronic Lung diseases that obstruct airflow and cause difficulty breathing.

Emphysema and chronic Bronchitis are the 2 most common causes.

Symptoms
Shortness of breath, wheezing, chronic cough, breathless on exertion. Severe cases will have cyanosis of the lips, face and fingernails due to low blood oxygen.

Causes
Damage to the Lungs from chronic Inflammation is a common cause. Excess smoking and exposure to other harmful chemical vapors or smoke are major causative factors. Chronic Lung diseases like Asthma can devlop into COPD. There is also a genetic link in some cases.

In traditional medicine, a primary cause is Phlegm. Phlegm obstructs the alveoli of the Lungs leading to poor lung function. Because of the fine capillary circulation required to the mucosa, chronic conditions often have blood stasis requiring medicines to resolve stasis.

Treatment
Traditional Herbal medicine will generally use medicines from one of several groups depending on diagnosis::
  1. Phlegm-Damp-clearing–Radish seed, Mustard seed, Pepper, Ginger, Turbith, Agaric, Fritillaria Bei Mu, Poria Fu Ling, Pinellia Ban Xia
  2. Lung strengthening–Licorice, Mastic, Sweet Almond, Raisin, Date, Asparagus root, Astragalus, Ginseng, Cordyceps, Fox Lung Powder
  3. Stops Cough and Wheezing–Thyme, Coltsfoot, Bitter Almond, Ephedra, Platycodon Jie Geng
  4. Blood-moving–Saffron, Myrrh, Bitter Almond (or Peach) kernel, Salvia Dan Shen
In chronic cases, the blood supply to the alveoli may also be obstructed requiring Blood-moving herbs in addition to mucolytics and expectorants.

Cupping, Bloodletting, applying oil or plasters over the chest and upper back, steam inhalations, yoga and breathing exercises can all be helpful.

Diet
Warms foods with herbs and spices such as Thyme, Basil, Ginger, Garlic, Radish and spices in general. Warm drinks such as Ginger tea, Green Tea, Raisin or Date tea can be taken throughout the day. A Radish and Ginger Soup can help resolve thick phlegm.
Foods to be avoided include Sweets, Dairy, coconut oil, fermented and sour foods, cold drinks and raw foods in general. A gluten-free diet may be beneficial in some cases.

See also
Breathlessness, Difficulty Breathing
Asthma.
Western Tradition

Simples
Raisins
Figs
Bitter Almond
Hyssop
Maidenhair
Myrrh
Fox Lungs
Jujubes
Dates
Licorice
Thyme
Coltsfoot
Saffron

Formulas

Fox Lung powder
Pectoral Decoction (Augustana)
Anti-Asthmatic Syrup
Syrup of Coltsfoot
Syrup of Horehound (Fernel)
Lohoch of Fox Lungs (Mesue)
Lohoch of Pine kernels (Mesue)
Electuary of Orris Root (Diaireos Salomonis) (Nicholas)
Compound Powder of Aniseed (Dianisum) (Mesue)
Elixir Salutis, Elixir of Health

Sitopaladi Powder (Ayurveda)
Raisin 7 (Tibetan)
Chinese Classification

Simples
Ginseng
Apricot kernel
Mustard seed
Mulberry bark (Sang Bai Pi)
Fritillaria Bei Mu
Solomon’s Seal Yu Zhu
Cordyceps
Notoginseng San Qi
Peach kernel
Radish seed
Schisandra Wu Wei Zi
Pinellia Ban Xia
Ophiopogon Mai Men Dong

Formulas

Bu Fei Tang
Di Dan Tang
Gua Lou Xie Bai Jiu Tang
Gun Tan Wan
Xiang Sha Liu Jun Zi Tang

Special Formula

Jin Shui Bao capsules
Jin Shui Bao is a fermented Cordyceps extract which has been widely used for COPD in China and has proven efficacy. (See here)


HX110B
    Dandelion (Pu Gong Ying)
    Dioscorea batatas (Shan Yao)
    Schizonepeta Jing Jie
This is an experimental formula and was studied and found effective in an Emphysema-animal model. (See here)


Shen Qi Tiao Shen Formula
    Ginseng (Ren Shen)
    Astragalus Huang Qi
    Cornus Shan Zhu Yu
    Alpinia Oxyphylla Yi Zhi Ren
    Cinnamon (Rou Gui)
    White Mustard Seed (Bai Jie Zi)
    Tangerine Peel (Chen Pi)
    Peach kernel (Tao Ren)
    Solomon’s Seal (Yu Zhu)
This has been studied and found effective for stable COPD. Multiple compounds were shown to work against respiratory inflammation and other pathways related to COPD.


Vasadi syrup
    Vasa (Adhatoda)
    Haridra (Turmeric)
    Dhanyaka (Coriander)
    Bharangi (Clerodendron serratum)
    Guduchi (Tinospora)
    Shunthi (Ginger)
    Kantakari (Solanum xanthocarpum)
    Pippali (Long Pepper)
Equal parts of each herb are taken, a decoction is prepared and Black Pepper is added at the end. This has proven efficacy in a clinical trial. (See here)


Shwasaghna Dhuma (Unani)
    Long Pepper
    Mastic
    Barley
    Licorice
    Pomegranate peel
    Ginger
This was formed into Tablets and taklen with Syrup of Adhatoda vasica. In a trial of 5 patients, there was good-to-marked improvement after 60 days of treatment. (See here)
Shen Qi Hua Tan Decoction
    American Ginseng Xi Yang Shen  10 grams
    Panax notoginseng San Qi              3 grams
    Cordyceps Dong Chong Xia Cao   5 grams
    Perilla seed (Zi Su Zi)                      10 grams
    Mustard seed (Bai Jie Zi)                10 grams
    Inula flower (Xuan Fu Hua).             8 grams
    Ephedra Ma Huang                          6 grams
This has been used and found clinically useful in COPD. There has been multiple research on this formula (here & here)


Yi Qi Gu Biao Pill
    Codonopsis Dang Shen
    Atractylodes Bai Zhu
    Poria Fu Ling
    Tangerine peel (Chen Pi)
    Pinellia Ban Xia
    Coix Yi Yi Ren
    Wheat Fu Xiao Mai
    Perilla Zi Su
    Tussilago Kuan Dong Hua
    Scutellaria Huang Qin
    Fritillaria pallidiflora Yi Bei Mu
    Eriobotrya Pi Ba Ye
    Saponshnikovia Fang Feng
This has been used in pill form since 2004. It has proven to reduce the number of acute exacerbations of COPD,
extend the interval between acute exacerbations, and shorten the duration of acute exacerbations. It significantly alleviates symptoms in patients with COPD. (See here)

Research

1. Herbal Treatment of COPD and Asthma According to Persian Medicine: a Review of Current Evidence.