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Phlegm can be the cause of many diseases in Chinese medicine, some of them serious.
Unfortunately, it is easy to get and hard to clear.
Here's what you need to know, and the first thing to realise is that the 'gunk', 'goo', - thick stuff - you have to cough or hawk up is indeed nearly always 'Phlegm' with a capital P.
However, not always!
However, thick, white stuff could also be due just to Heat.
By the way, if you just want to clear some of the gunk in your throat, have a quick look here.
That page has many good ideas, but they haven't sorted them into how to deal with the different kinds of mucus.
Read on, and you'll see what I mean.
Besides, Phlegm is also lots of other things in Chinese medicine, including nodules, lumps and bumps under the skin, swellings and soft masses in the abdomen, dry powdery stuff you see in the cracks in people's tongues and at the corners of their mouths.
Worse, it can obstruct free movement of Qi in the Heart, leading to all sorts of serious Western medically-defined diseases.
Of course, it's also the result of other processes malfunctioning and of other syndromes.
Technically to be Phlegm (capital P), there should be:
There is also, very often, heaviness in the chest, with heaviness in the body as a whole, a confused 'thick' head, and sometimes dizziness. Nausea is common.
Nearly everyone agrees that the Spleen is most to 'blame' for Phlegm formation, but almost equally important, at least to my mind, are the Lungs and the Kidneys.
In fact, a Lung or Kidney syndrome can be the prime cause with the poor old Spleen tagging along, blamed for being unable to clear up all the mess the other has left.
Having pointed blame at the Spleen, do be aware that it is mainly YOUR fault if your Spleen isn't functioning well!
You've been eating wrongly, so read on.
Your Spleen energy is a bit like Cinderella, never quite able to keep up with the demands of her older sisters, but vital for keeping the house tidy.
When Cinderella fails to clear up their mess, you get decaying piles of old food, mildew and dust in the corners, smelly unwashed garments, untidy beds and an air of subdued complaint and desperation. (By the way, on the right is one of the best recordings of Rossini's interpretation of the story.)
In Chinese medicine, the Spleen is supposed to 'transform and transport'.
'Transforming' means turn something into something else (like the Fairy Godmother in many tales of Cinderella).
In this context it means both
Picture is © R.j. Walker | Dreamstime Stock Photos
Who wants fat? Everyone! It's probably our best form of energy and energy reserves, and our forefathers burned it up through physical effort and manual labour. We make it by eating too much food that turns into sugar in our blood which we don't burn up because we take no exercise. Of course our genes play a part in this too, but I doubt if they can be blamed for more than a small proportion of overweight humanity.
Anyway, you guessed it, excess fat is a form of Phlegm!
By 'Transporting', is meant clearing stuff away from where it has lost its usefulness, which means keeping the highways and byways of your body clear.
When Phlegm builds up, things don't move so smoothly, and everything becomes an effort, like wading through glue.
So far, so good.
Now it gets tricky, because there are lots of sub-categories of Phlegm and each has different causes and different treatments. Here are some of them. It's possible to have more than one of the following at the same time.
Phlegm in the Lungs disturbs and blocks the proper flow of Lung Qi which should be downwards: the result is coughing as Lung Qi 'escapes' upwards.
It also stops Lung Qi dispersing effectively and the result can be dyspnoea (meaning an awareness of breathing difficulty when you wouldn't expect it) and/or mucus expectoration. It's good to be able to expectorate mucus from the Lungs, but some people find it hard to raise, including children, so its absence doesn't mean there is no Phlegm, if other symptoms suggest it.
NB If you have thick white mucus, this may or may not be Phlegm! It could be due to Heat, which has 'cooked' the natural colourless mucus. In this case, treatment to clear Phlegm wouldn't work: you would also have to clear the Heat.
Phlegm here causes:
Phlegm here may not be in a visible form, but is still 'assumed' to be present, blocking the free flow of Heart Qi. The technical name for it is 'blocking the orifices of the Heart'.
A bit like someone with vital life or death decisions to make for his family, who can't see or hear what's going on, let alone communicate properly, and who gets very upset and disturbed, with blocked Heart's orifices you get:
ID 8111184 © Nicemonkey | Dreamstime.com
Over time, heat dries fluids and creates first phlegm then stones. Kidney and Gallbladder stones are intensely painful end-products.
Phlegm here causes:
Jingluo is the name given to all the interconnecting paths and passageways that Qi takes just under the surface of the body.
Here we get into the area of 'theoretical' Phlegm. When you get areas of numbness for which there is no other obvious cause, the default suspect is Phlegm. Elderly people are prone to this.
Mainly caused by Spleen deficiency and appears as Lung syndromes:
Commonly appears in syndromes of Stomach or Lungs:
Mainly occurs in syndromes of the Lungs, Stomach or Heart:
Usually affects the Lungs mostly:
This syndrome is mainly associated with Liver Qi stagnation.
Various kinds of Phlegm-Fluids occur, in the hypochondrium, stomach, the limbs and the diaphragm, each with different symptoms, but nearly all have
This syndrome occurs with a serious and acute condition called, in Chinese medicine, Wind-Stroke, which has a close relationship to 'stroke' and 'epileptiform' conditions.
What can you do to improve the chance of successful treatment - see below?
Certain foods are best avoided with most kinds of Phlegm:
DIY Disaster © Andre Maritz | Dreamstime Stock Photos
Given that Phlegm comes into existence when fluids either
and you'll realise that there's not much point just trying to wave it away unless you also deal with the underlying cause (Qi Stagnation, Cold or Heat).
If the cause is Qi Stagnation, then the cause of this must be addressed probably meaning you'll need to treat the Liver at some point, but other Zangfu may be involved depending on underlying emotional factors. (... not that emotional factors are the only causes of Qi stagnation, see my book, below.)
Then, because the Spleen has been unable to free up the passage of fluids, meaning that Phlegm has accumulated, you must treat the Spleen.
If the Lungs, which tend to store the Phlegm, are involved, then treatment must assist them.
Finally, Kidney Qi, which supports all the other zangfu, helps Spleen Yang to transform Phlegm and is particularly relevant for the warmth of the body, must be supported.
Lots! For example if an external pathogenic factor - a bug/bacteria/virus - is Hot and is blocking the Lung Qi from disseminating fluids, you get a thick, sticky or green phlegm that is often smelly.
If the invading pathogen has produced a Cold reaction, then the phlegm is clear, more runny and odourless.
In both cases, the body may clear the invader but be unable to clear the Phlegm. Sometimes the invader appears to remain. During treatment, symptoms of the original invasion may then recur before the body can eliminate both invader and Phlegm.
Sometimes the patient gets repeated attacks of what seems to be Wind-Cold when actually it is not a deficient immune system but Phlegm blocking the passageways and preventing 'Wei Qi' - your immune force - being circulated to the exterior. In this case, trying to strengthen Wei Qi wouldn't work until Phlegm had been cleared.
A further problem is that once Phlegm gets into the system, especially if that of an older, weaker person, a system which can't clear it, it becomes self-perpetuating and slows everything down, causing more fluids to stagnate leading to more Phlegm.
This is common where someone eats a poor diet, not recognising which foods to avoid. Dairy foods are often better avoided if you have Phlegm - but there are other causes too, see above.
However, Western medically trained doctors, not trained in energetic-type medicine, typically use medications that prevent the body making the repairs needed. For instance
As you see, although not deeply complicated, there are many ways in which Phlegm can compromise the body. Making the right diagnosis and then treatment is not always easy.
For example, if the cause has been, say Heat invasion, but there is also an underlying Yin deficiency, Kidney Yang exhaustion (as can happen with the elderly) and a history of bad diet, picking one's way through the treatment process can take time.
Here the weak Kidney Yang cannot transform fluids, which then overflow upwards and stagnate. Guess what happens? Those fluids transform back into Phlegm!
However, both acupuncture and herbs have been used to treat Phlegm for millennia. If you are receiving treatment, be patient!
If you live in the Edinburgh area of Scotland, where the author of this site (and of the books described below) works, click on Edinburgh Acupuncturist.
If you live elsewhere, click on BAcC.
Please note! The Kindle editions are less easy to read! Although the paper editions cost more, they are much easier to read and to refer back and forth to the contents and index.
Here are some of the books Jonathan has written:
No comments yet: only just published.
3000 years of Chinese being stressed, and at last, here's a book showing how all that experience can help you!
By the author of this website, it explains in simple English how to use stress to improve and enhance your life.
NB You can also order 'Qi Stagnation - Signs of Stress' from your bookseller.
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