KC

Intro to Herbs: Herbs that Transform Phlegm and Stop Coughing

Intro to Herbs Lecture 5

Herbs that Transform Phlegm and Stop Coughing


Definition and Nature of Phlegm

  • Phlegm:

    • Often conceptualized as mucus.

    • Described as congealed dampness.

    • Origin: “Made by the Spleen and stored in the Lungs.”

    • Manifestation: Lumps, nodules can appear under the skin.

    • Reiteration of its significance: “Phlegm is the mother of a hundred diseases.”

    • Philosophical viewpoint: Phlegm is also considered “the yin of acquired experiences.”


Causes of Phlegm

  1. Spleen Qi Deficiency: Weakness in the Spleen can interrupt normal fluid metabolism.

  2. Kidney Deficiency: Impairs fluid regulation and can lead to accumulation.

  3. Heat or Cold Congealing the Fluids: External temperature influences can cause fluids to congeal.

  4. Liver Qi Stagnation: Emotional and physical factors that affect liver flow can lead to phlegm production.

  5. Additional Factors: Other contributing factors may also exist but were not detailed extensively in the lecture notes.


Symptoms of Phlegm

  • Symptoms vary depending on the affected organ but generally include:

    • Descriptions of phlegm: Sticky, turbid, cloudy/muzzy.

    • Associated Symptoms: Mental impairment, nausea, vomiting.

    • Movement of Phlegm: Phlegm moves and follows the Qi in the body.


Herbs that Dispel Phlegm and Stop Cough

  • Combining Herbs: Typically combined with herbs that move Qi.

  • Taste Characteristics:

    • Bitter and pungent are commonly used.

    • Occasionally salty.

  • Effects on Phlegm:

    • Expectoration, anti-tussive (cough suppressing), anti-inflammatory.

  • Types of Phlegm:

    • Phlegm-Cold: Herbs used to treat this are warming and drying; generally acrid or bitter.

    • Phlegm-Heat: Herbs for this condition are cooling and moistening; generally sweet and cool.


Herbs that Warm and Transform Phlegm Cold and Stop Cough

  • Herb Highlighted: Zhi Ban Xia (prepared Pinellia rhizome).


Zhi Ban Xia - Properties

  • Significance: Considered the single most important herb for transforming phlegm.

  • Characteristics:

    • Taste: Acrid

    • Temperature: Warm

    • Toxicity: Toxic

    • Appearance: White color, round shape.

  • Plant Details:

    • Part used: Root/rhizome.

    • Channels entered: Lung, Spleen, Stomach.

    • Nature: Described as “slippery,” and versatile in its applications.


Actions and Indications of Zhi Ban Xia

  • Actions:

    • Dries damp, transforms phlegm, descends rebellious Qi.

    • Directs rebellious Qi downward, stops vomiting.

    • Dissipates nodules and clumps.

  • Indications:

    • Cough with copious sputum.

    • Nausea and vomiting due to various reasons: Dis-harmony, pregnancy, cold.

    • Lumps or nodules in channels, distention in the chest or epigastrium.


Herbs that Warm and Transform Phlegm Cold and Stop Cough

  • Next Herb: Bai Jie Zi (mustard seed).


Properties of Bai Jie Zi

  • Classification: Brassica family.

  • Taste and Characteristics:

    • Taste: Acrid

    • Temperature: Warm

  • Channels Entered: Enters the Lung.

  • Functionality: “Penetrates the yin to restore movement to the yang.”

  • Part Used: Seed.

  • Flavor Profile: Strong flavor and nature.


Actions and Indications of Bai Jie Zi

  • Actions:

    • Transforms cold-phlegm, dissipates clumps, penetrates yin to restore movement to yang.

    • Warms the Lungs, regulates Qi, and expels phlegm.

    • Promotes movement of Qi, disperses clumps, unblocks channels.

  • Indications:

    • Coughing with mucus, chest distention and pain.

    • Phlegm dampness in channels with lumps and nodules.


Cautions for Bai Jie Zi

  • Contraindications:

    • Qi deficiency (qi xu), yin deficiency (yin xu).

    • Avoid in conditions of excess heat.

  • Potential Side Effects:

    • May irritate skin or gastric mucosa.

  • Dosage: Keep doses low.


Classic Formula: 3 Seeds to Nourish One’s Parents

  • Formula: San Zi Yang Qin Tang.

  • Components: Zi Su Zi (Perilla Seed), Lai Fu Zi (Radish Seed), Mustard Seed (Bai Jie Zi).


Mustard Seed Plaster

  • Description: A classic remedy for stubborn cough.

  • Effectiveness: Great for stuck phlegm in the Lungs and lingering infections or colds.

  • Properties of Mustard: Acts as a rubefacient (causes redness of the skin).

  • Preparation: Combine 1 part dried ground mustard seeds with 8-10 parts flour of your choice.


Herbs that Cool and Transform Hot Phlegm

  • Highlighted Herb: Gua Lou (Trichosanthes fruit).


Properties of Gua Lou

  • Family: Cucurbitaceae.

  • Taste and Temperature: Sweet, cold.

  • Channels Entered: Lung, Large Intestine, Stomach.

  • Part Used: All parts of the plant can be utilized.


Actions and Indications for Gua Lou

  • Actions:

    • Cools and transforms phlegm-heat, scours and directs turbidity down and out.

    • Clears heat and transforms phlegm heat.

    • Unbinds the chest and dissipates nodules.

  • Indications:

    • Thick, difficult-to-expectorate sputum caused by heat, possibly related to smoker's cough.

    • Chest pain, pressure in the diaphragm, a feeling of oppression, tightness, or distention in the chest.


Herbs that Stop Cough

  • Cough Definition: Indicates that Lung Qi is not descending.

  • Considerations: Identify potential blockages preventing the Qi from descending; herbs should address the root cause of the cough.

  • Types of Herbs: Anti-tussive (cough-suppressing) herbs.


Herbs that Stop Cough: Xing Ren (apricot seed)


Properties of Xing Ren

  • Family: Rosaeceae, genus Prunus.

  • Taste and Characteristics:

    • Taste: Bitter

    • Temperatures: Slightly warm

    • Moist; slightly toxic.

  • Channels Entered: Lung and Large Intestine.

  • Part Used: Seed.

  • Toxicity: Contains cyanogenic glycosides, which can be toxic in large amounts.


Actions and Indications of Xing Ren

  • Actions:

    • Stops cough and wheezing.

    • Moistens the intestines and unblocks the bowels.

  • Indications:

    • Applicable for many types of coughs, whether hot or cold.

    • Especially effective for dry cough, and also beneficial for Qi deficient, blood deficient, and cases of dry constipation, often observed in the elderly.


Cautions with Xing Ren

  • Toxicity Warning:

    • Slightly toxic; should avoid prolonged use and large single doses.


Herbs that Stop Cough: Kuan Dong Hua (Coltsfoot)


Properties of Kuan Dong Hua

  • Genus: Tussilago (Tussis meaning cough, and lago meaning large).

  • Taste and Characteristics:

    • Taste: Acrid

    • Temperature: Warm, but not drying.

  • Growing Conditions: Typically grows in mucky ditches during the spring.

  • Part Used: New flower buds, known for being moist, fresh, and light.

  • Channels Entered: Lung.


Actions and Indications of Kuan Dong Hua

  • Actions:

    • Considered an all-purpose herb for cough and wheezing of various etiologies.

    • Moistens the Lungs and directs Qi downwards.

    • Stops cough and transforms phlegm.

  • Indications:

    • Effective for many types of cough and wheezing, whether hot or cold, acute or chronic.

    • Particularly useful for cough with phlegm due to wind-cold.


Coltsfoot (Kuan Dong Hua) Honey

  • Use: A classic children's cough remedy.

  • Preparation: Kuan Dong Hua is often prepared with honey to enhance its moistening properties.

  • Additional Resource: A video link for further reference: https://www.youtube.com/watch?v=DRZDRdOvn2E .