Heart HEART_PHLEGM_HEAT2

Heart Phlegm with Heat

💊 Treatment principle: Transform Heart phlegm, clear heat, calm spirit.

Description

Palpitations, restlessness, yellow phlegm, red tongue with yellow sticky coating.

Clinical features

Palpitations, restlessness, insomnia, yellow thick phlegm, red tongue with yellow sticky coating, rapid slippery pulse.

🏥 Scientific research

Western understanding:

Clinical understanding of HEART_PHLEGM_HEAT2. 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: 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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🚫 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)