Types of Phlegm & Tan Yin

Wind phlegm

*dizziness

nausea

vomiting*

numbness of the limbs

coughing

coughing of phlegm

*rattling sound in the throat

aphasia*

(known also as phlegm in ST channel)

*(Ban Xia Bai Zhu Tian Ma Tang)*

Phlegm heat

*expectoration of yellow sticky phlegm*

red face

dry mouth and lips

restlessness

T: red w/ sticky yellow coat

P: rapid, rolling

Cold phlegm

*expectoration of white watery phlegm

cold feeling in the limbs* and back

nausea

T: pale with white wet coat

P: deep, rolling, slow

Damp phlegm

*expectoration of very profuse phlegm that is white and sticky*

no appetite

no thirst

feeling of oppression in chest and epigastrium

T: sticky coat

P: rolling

Qi phlegm

*non substantial, feeling of swelling in the throat*, but no actual swelling), a difficulty swallowing

feeling of oppression in chest and diaphragm

aka plum pit qi/syndrome

Phlegm-Fluids

substantial phlegm characterized by very watery and thin fluids

(divided into 4 more: tan yin phlegm fluid=rheum)

Phlegm fluid

(ST & intestines)

=phlegm-fluid

ABD fullness and distension, *vomiting of watery fluids,* a dry tongue & mouth w/out a desire to drink, *a splashing sound in the ST,* a feeling of fullness of the chest, loose stools, loss of weight a deep slippery or wiry pulse and a swollen tongue w/ a sticky coating

*key sx: gurgling sound*

Suspended fluids

(hypochondrium)

= suspended rheum

*hypochoondrial px that is worse on coughing and breathing,* a feeling of distension of the hypochondriac, SOB, a swollen tongue w/ a sticky coating and a deep-wiry pulse

*key sx: cough, ribcage px*

Flooding fluids

(limbs)

=spillage rheum

feeling of heaviness of the body, *px in the muscles*, absence of sweating, lack of desire to drink, a cough w/ abundant white sputum, a swollen tongue w/ a sticky white coating and a wiry pulse

*key sx: pain, deep heaviness, puffy swelling*

Propping fluids

(above diaphragm)

=propping rheum

cough, *asthma, edema,* a feeling of oppression of the chest, *dizziness*, abundant white sputum, a swollen tongue w/ a sticky, thick, white coating and a wiry pulse. all the sx *are aggravated by exposure to cold*

*key sx: cough, panting, inability to lie flat* (only one affected by temp)