What is the sleeping position for bronchial asthma?

Written by Zeng Xiang Bo
Respiratory and Critical Care Medicine
Updated on June 20, 2025
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In terms of posture for bronchial asthma, normally, during remission, it does not have any impact, and one can sleep or lie down in any desired position. However, during an asthma attack, especially a severe one, patients often adopt a forced semi-sitting or upright sitting position to alleviate respiratory distress. This posture indicates that the patient is experiencing severe respiratory difficulties, whether it is bronchial asthma or other conditions like chronic obstructive pulmonary disease or severe heart failure, patients will adopt this posture.

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Written by Wang Xiang Yu
Pulmonology
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Is it okay to take Chinese medicine for bronchial asthma?

Bronchial asthma can be treated with traditional Chinese medicine, but it is definitely not feasible to treat bronchial asthma only with Chinese medicine without Western medicine. Modern medicine still primarily uses Western medicine, which is the mainstream. Traditional Chinese medicine serves as an auxiliary treatment. Bronchial asthma is a recurrent disease that needs standardized treatment to be controlled. Currently, many unscrupulous businesses are exploiting the banner of traditional Chinese medicine or some ancestral secret formulas to provide non-standard treatments to patients with bronchial asthma, which may contain corticosteroids. Long-term oral intake of their herbal medicines might control bronchial asthma in the short term, but such long-term treatments are definitely non-standard and will lead to future difficulties in controlling the asthma. Therefore, patients with bronchial asthma must receive standardized Western medical treatment and can use traditional Chinese medicine as an auxiliary treatment, but it must be provided by a formal hospital.

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Written by Xia Bao Jun
Pulmonology
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Consequences of worsening bronchial asthma

The consequences of exacerbated bronchial asthma can cause the patient to feel short of breath even at rest, exhibit orthopnea, and be able to speak only in single words or syllables. The patient may experience anxiety or irritability, sometimes accompanied by profuse sweating, and an increased respiratory rate which, if severe, can exceed 30 breaths per minute. There may also be activity of the respiratory muscles and signs of tracheal tugging, an increased heart rate exceeding 100 beats per minute, which in severe cases can surpass 120 beats. Additionally, there is a decrease in blood oxygen saturation, which can drop below 60%.

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Written by Hao Ze Rui
Pulmonology
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Symptoms of bronchial asthma

The most common symptoms of bronchial asthma are episodic difficulty in breathing, which can also manifest as episodic chest tightness and coughing. During an asthma attack, there will be accompanying wheezing sounds. If the patient is more severe, they may be forced to sit up to breathe during episodes of breathing difficulties, exhibiting orthopneic breathing. Some patients may experience a dry cough or cough up a large amount of white foamy sputum. In severe cases, symptoms of hypoxia such as cyanosis of the lips and nail discoloration can occur. Asthma attacks are generally acute, with symptoms appearing within minutes, but they can also begin more slowly, worsening over several hours or days. Asthma generally relieves itself, or even after relieving, it may recur, typically worsening during the night.

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Written by Wang Xiang Yu
Pulmonology
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Which department should I go to for bronchial asthma?

In our common areas, we would visit the Department of Respiratory Medicine for conditions such as bronchial asthma, which is a respiratory system disease. The Department of Respiratory Medicine is the most specialized department for treating bronchial asthma. However, in some areas, such as those below the county level like town health centers or community clinics, a respiratory medicine department might not be available. In such cases, we can only visit the general internal medicine department, also known as the major internal medicine department. Generally, bronchial asthma is treated in the outpatient clinics of these departments. However, if an acute attack of bronchial asthma occurs, causing breathing difficulties and a sudden exacerbation of the condition, it then becomes necessary to visit the emergency medicine department. Emergency doctors will handle the situation and then decide whether the patient should continue treatment under observation in the emergency department or need hospitalization, etc.

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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Bronchial Asthma Massage Method

In clinical situations of acute exacerbations of bronchial asthma, or even normally, we can alleviate clinical symptoms through certain massage techniques. These methods mainly involve massaging specific acupoints to relieve asthma attacks and reduce their frequency. We can massage points along the lung meridian, such as Chize, Taiyuan, and Kongzui. Additionally, we can massage an extra-meridian acupoint called Dingchuan, as well as Lung Shu, Zhongfu, Tiantu, and Danzhong. Beyond these basic points, we also need to select acupoints based on the patient's condition. For example, if the patient's bronchial asthma is caused by exposure to cold wind, we can massage Fengmen. If the patient has excessive heat phlegm causing asthma, we can add Quze and Taibai to clear heat and transform phlegm.