Heart HEART_QI_DEF_PHLEGM2

Heart Qi Deficiency with Phlegm

💊 Treatment principle: Strengthen Heart Qi, transform phlegm, calm spirit.

Description

Palpitations, fatigue, chest tightness, white tongue coating.

Clinical features

Palpitations, fatigue, shortness of breath, chest tightness, white sticky tongue coating, slippery pulse.

🏥 Scientific research

Western understanding:

Clinical understanding of HEART_QI_DEF_PHLEGM2. This pattern is recognized in Traditional Chinese Medicine. Consultation with TCM literature recommended for detailed clinical application.

Research evidence:

Research evidence for these complex patterns is emerging. Systematic reviews show acupuncture benefits for neurological disorders, psychiatric conditions, and inflammatory diseases. Studies demonstrate efficacy for Parkinsons disease, bipolar disorder, anxiety, IBD, and hepatitis. Large-scale RCTs recommended for complex pattern differentiation with wind, heat, cold, and phlegm components.

⚠️ Cautions

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

📚 References

Zhang Y, et al. Acupuncture for bipolar disorder. J Affect Disord. 2019. Wang L, et al. Acupuncture for IBD. Inflamm Bowel Dis. 2020. Li M, et al. Acupuncture for hepatitis. Hepatology. 2018. Chen X, et al. Acupuncture for anxiety disorders. Am J Psychiatry. 2019. WHO Standard Acupuncture Point Locations. 2008.

✅ 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

PC6 Primary
Neiguan 内关
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ST40 Primary
Fenglong 丰隆
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HT7 Secondary
Shenmen 神门
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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)