Phlegm Misting the Heart

Star

痰迷心窍 (Tán Mí Xīn Qiào)

Zang-Fu

Tongue

Swollen, thick greasy coat

Pulse

Slippery

Key Symptoms

Mental confusion; staring; dull affectIncoherent speech or aphasiaRattling sputumDepression or comaYang obstruction: clenched jaw, red face, constipationYin obstruction: pale, quiet, cold, open mouth

Overview

Phlegm clouds the orifices of the Heart. Yin-type blockage is quiet and collapsed; Yang-type is restless.

Differentiate from

Phlegm-Fire (heat, mania, yellow coat)
Heart Blood Deficiency (clear mind, pale thin tongue, insomnia)

Etiology

Spleen Phlegm rising; after Wind-stroke; severe emotional shock; damp climate plus weak Spleen.

Treatment Principle

Open the orifices; transform Phlegm; revive consciousness in acute cases.

Representative formulas. Di Tan Tang; Su He Xiang Wan (Yin/cold blockage); Zhi Bao Dan or An Gong Niu Huang Wan for Yang/heat blockage — prescription patent; Niu Huang is restricted in many jurisdictions; use only certified or artificial bezoar products, never unregulated wildlife sources.

Representative points. HT-9, P-5, ST-40, DU-26, DU-20, REN-12, BL-20.

Acupuncture Points

HT9 Shaochong PC5 Jianshi ST40 Fenglong GV26 Shuigou GV20 Baihui CV12 Zhongwan BL20 Pishu

Related Conditions

Epilepsy

Related Patterns

Wind-Phlegm Phlegm-Fire Harassing the Heart

Similar Patterns

Phlegm-Heat Cold-Phlegm Phlegm-Heat Obstructing the Lung Phlegm-Damp Obstruction (uterus / middle) Heart Blood Stasis Wind-Dryness Invading the Lung

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