Heart HEART_QI_STAG_PHLEGM

Heart Qi Stagnation with Phlegm

💊 Treatment principle: Circulate Qi, transform phlegm, open heart.

Description

Chest tightness, palpitations, white tongue coating and slippery pulse.

Clinical features

Chest tightness, palpitations, white sticky tongue coating, slippery pulse.

🏥 Scientific research

Western understanding:

Clinical understanding of HEART_QI_STAG_PHLEGM. This pattern is recognized in Traditional Chinese Medicine. Consultation with TCM literature recommended for detailed clinical application.

Research evidence:

Research evidence for these patterns is emerging. Systematic reviews show acupuncture benefits for digestive disorders, cardiovascular conditions, and pain management. Studies demonstrate efficacy for IBS, angina, and functional dyspepsia. Large-scale RCTs recommended for temperature-sensitive pattern differentiation.

⚠️ Cautions

Standard acupuncture precautions apply. Assess patient individually. Screen for contraindications including pacemaker, seizures, anticoagulation therapy.

📚 References

Zhang Y, et al. Acupuncture for angina. Heart. 2019. Wang L, et al. Acupuncture for IBS. Gut. 2020. Li M, et al. Acupuncture for functional dyspepsia. Gastroenterology. 2018. WHO Standard Acupuncture Point Locations. 2008.

✅ Cupping advice

Highly effective
Technique: Moving
⏱️ Duration: 15 minutes
📅 Frequency: 1x per week
💪 Intensity: Moderate
Clinical notes:

Bewegende cupping is zeer effectief bij dit stagnatie syndroom

Special notes:

Use massage oil on the skin. Slowly glide cups along meridian direction. Very effective for neck pain, shoulder stiffness, low back pain and muscle knots.

🚫 Contraindications:

Pregnancy (back/abdomen), varicose veins, wounds, acute inflammation, fever

Recommended cupping points:
LI4 primary
Hegu 合谷
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LR3 primary
Taichong 太冲
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SP10 primary
Xuehai 血海
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BL-18 primary
Ganshu 肝俞
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GB34 secondary
Yanglingquan 阳陵泉
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TE-5 secondary
Waiguan 外關
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BL-12 secondary
Fengmen 風門
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📍 Acupuncture points

PC6 Primary
Neiguan 内关
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ST40 Primary
Fenglong 丰隆
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TE-5 Secondary
Waiguan 外關
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ST36 Adjuvant
Zusanli 足三里
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🔥 Moxa advice

strongly recommended
Recommended moxa points:
ST36 indirect moxa (ginger)
Zusanli 足三里
⏱️ Duration: 600 seconds
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BL15 indirect moxa (ginger)
Xinshu 心俞
⏱️ Duration: 600 seconds
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📜 Herbal formulas

Ganmai Dazao Tang 甘麦大枣汤
🧠 TCM pattern:

Heart-qi deficiency

📋 Indications:

Anxiety with tearfulness, restlessness, poor appetite

📖 Classical source: Jingui Yaolue
🚫 Contraindications:

Phlegm pattern

⚠️ Safety warnings:

Safe; may cause mild bloating

Kai Xin San 开心散
🧠 TCM pattern:

Heart-qi deficiency with phlegm

📋 Indications:

Anxiety with depression (comorbid)

📖 Classical source: Qianjin Yaofang
🚫 Contraindications:

Liver-fire pattern

⚠️ Safety warnings:

Monitor for dry mouth; ginseng may cause insomnia

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)