Cough is defined as a sudden, forced noise at expiration.
Causes of cough:
Inhalation of dust, fumes, irritant gases or pungent smells, tobacco smoking.
Foreign body in larynx, bronchi
Pressure in air passage
Reflex: - wax in external ear or otitis media
Distention of stomach
Thermal condition: inhalation of cold air especially in asthmatics.
Psychogenic cough – obsessional disorders
Types of cough:
Dry or unproductive – this type of cough is without expectoration and is found in following diseases:
Upper respiratory tract infection (URTI)
At early stage in bronchitis
Wet or productive cough is with expectoration and is found in
Bronchiectasis (dilation of bronchi
Paroxysmal – cough comes in attacks where intensity of disease is increased. It is found in-
Cough with wheezing –respiration with a hissing sound (sibilant) is called cough with wheezing is found in
Barking – harsh, loud cough in paroxysms, is generally found in hysteria.
Nocturnal : cough at night
Chronic sinusitis (due to dropping of mucus in throat)
Inflammation of foot tract (oesophagitis).
Croupy: harsh hoarse cough in laryngeal infection.
Hacking: short dry, irritating and frequent cough. It is seen in smokers, congestion of pharynx, upper respiratory infection.
Suppressed cough: cough is suppressed as it causes pain in the chest as seen in pleurisy.
Cough related to exertion: cough coming on exertion in early left ventricle failure and mitral stenosis.
Cough related to meals: cough from eating, drinking suggests diseases of the esophagus like reflux esophagitis.
Acupressure treatment for cough:
Treatment should be started after investigating the cause. The external factors causing cough such as dust, fumes, gases, strong odors should be avoided.
St 25, 36, 40
Ex 1, 17
Sp 6, 10, 15
Reflex points: nose, lungs