Heart HEART_PHLEGM_COLD2

Heart Phlegm with Cold

💊 Treatment principle: Transform Heart phlegm, dispel cold, move qi.

Description

Chest tightness, phlegm, cold sensation, thick white tongue coating.

Clinical features

Chest tightness, coughing up white frothy phlegm, cold sensation in chest, thick white sticky tongue coating, slippery pulse.

🏥 Scientific research

Western understanding:

Clinical understanding of HEART_PHLEGM_COLD2. 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 well-established for many conditions. Cochrane reviews show strong evidence for acupuncture in chronic pain, nausea/vomiting, and headache. Moderate evidence exists for insomnia, anxiety, depression, and allergic rhinitis. Systematic reviews demonstrate efficacy for IBS, GERD, COPD, and hypertension. Large-scale RCTs recommended for complex 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 chronic pain. JAMA. 2019. Wang L, et al. Acupuncture for IBS. Gastroenterology. 2020. Li M, et al. Acupuncture for allergic rhinitis. Allergy. 2018. Chen X, et al. Acupuncture for insomnia. Sleep Med Rev. 2019. WHO Standard Acupuncture Point Locations. 2008. Cochrane Database Systematic Reviews. Various years.

✅ Cupping advice

Highly effective
Technique: Dry
⏱️ Duration: 10 minutes
📅 Frequency: 1-2x per week
💪 Intensity: Moderate
Clinical notes:

Standaard droge cupping is effectief bij koude syndromen

Special notes:

Local cupping on painful points or along the affected meridian. Suitable for chronic pain, joint disorders and muscle stiffness.

🚫 Contraindications:

Acute inflammation, fever, bleeding tendency, skin infections, pregnancy (back/abdomen)

Recommended cupping points:
LI4 primary
Hegu 合谷
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ST36 primary
Zusanli 足三里
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GV-14 primary
Dazhui 大椎
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BL23 secondary
Shenshu 肾俞
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GB-20 secondary
Fengchi 風池
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GB20 secondary
Fengchi 风池
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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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BL40 Secondary
Weizhong 委中
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HT7 Adjuvant
Shenmen 神门
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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

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)