Heart HEART_PHLEGM_FIRE

Heart Phlegm-Fire

💊 Treatment principle: Transform Phlegm, clear fire, calm spirit.

Description

Palpitations, restlessness, tongue coating and rapid pulse.

Clinical features

Palpitations, restlessness, insomnia, yellow sticky tongue coating, slippery rapid pulse.

🏥 Scientific research

Western understanding:

Heart Phlegm Fire correlates with bipolar disorder, mania, delirium, and severe insomnia. Characterized by agitation, rapid speech, red tongue with yellow coating, and a slippery rapid pulse.

Research evidence:

Research evidence for these patterns is emerging. Systematic reviews show acupuncture benefits for respiratory diseases, digestive disorders, and neurological conditions. Studies demonstrate efficacy for asthma, COPD, GERD, and IBS. Large-scale RCTs recommended for specific pattern differentiation.

⚠️ Cautions

Caution in acute febrile conditions. May indicate serious infection requiring antibiotics. Acupuncture as adjunctive therapy only.

📚 References

Zhang Y, et al. Acupuncture for asthma. Cochrane Database. 2019. Wang L, et al. Acupuncture for GERD. Am J Gastroenterol. 2020. Li M, et al. Acupuncture for Parkinsons disease. Neurology. 2018. WHO Standard Acupuncture Point Locations. 2008. Maciocia G. Foundations of Chinese Medicine. 2015.

✅ Cupping advice

Highly effective
Technique: Flash
⏱️ Duration: 5 minutes
📅 Frequency: 2x per week
💪 Intensity: Light
Clinical notes:

Flash cupping is effectief bij damp, flegm en longaandoeningen

Special notes:

Quick application: cups are placed briefly and removed immediately. Repeat 5-10x per session. Excellent for back in chronic cough, asthma and phlegm.

🚫 Contraindications:

Severe lung diseases (COPD, asthma attack), fever, acute infection, fragile skin

Recommended cupping points:
BL13 primary
Feishu 肺俞
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ST40 primary
Fenglong 丰隆
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BL-20 primary
Pishu 脾俞
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BL-13 secondary
Feishu 肺俞
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LU-1 secondary
Zhongfu 中府
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BL12 secondary
Fengmen 风门
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📍 Acupuncture points

HT7 Primary
Shenmen 神门
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ST40 Primary
Fenglong 丰隆
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PC6 Secondary
Neiguan 内关
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LI11 Adjuvant
Quchi 曲池
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🚫 Moxa advice

not recommended

📜 Herbal formulas

Erchen Tang 二陈汤
🧠 TCM pattern:

Phlegm-Damp

📋 Indications:

Chronic bronchitis, nausea, dizziness, swollen tongue

📖 Classical source: Taiping Huimin Heji Jufang
🚫 Contraindications:

Yin deficiency with dryness

⚠️ Safety warnings:

Pinellia must be prepared (fa ban xia)