Phlegm-Fire Harassing the Heart

Star

痰火扰心 (Tán Huǒ Rǎo Xīn)

Zang-Fu

Tongue

Red, yellow greasy coat, often a Heart crack

Pulse

Slippery, rapid, wiry

Key Symptoms

Agitation; insomnia; violent dreamsPalpitations; bitter tasteRattling in the throatMania or chaotic speech in excessDepression that flips into restlessness

Overview

Phlegm and Fire together agitate the Shen.

Differentiate from

Heart Fire without Phlegm (ulcers and thirst, little sputum or greasy coat)
Phlegm misting without Fire (dullness, no mania)

Etiology

Emotional Fire cooking Phlegm; alcohol and rich food; long constraint.

Treatment Principle

Clear Heart Fire; transform Phlegm; settle the spirit.

Representative formulas. Wen Dan Tang; Huang Lian Wen Dan Tang; Sheng Tie Luo Yin in severe mania.

Representative points. P-5, HT-8, HT-9, ST-40, REN-12, DU-24, GB-13.

Representative Formulas

Wen Dan Tang

Acupuncture Points

PC5 Jianshi HT8 Shaofu HT9 Shaochong ST40 Fenglong CV12 Zhongwan GV24 Shenting GB13 Benshen

Related Patterns

Phlegm Misting the Heart Phlegm-Heat Heart Fire Blazing

Similar Patterns

Phlegm-Heat Obstructing the Lung Wind-Phlegm Liver Fire Invading the Lung Liver Wind from Fire Cold-Phlegm Heart Blood Stasis

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