Pattern Full

Phlegm-Fluids in the hypochondrium

Xuán Yǐn 悬饮

Pattern of Disharmony Full

Phlegm-Fluids in the hypochondrium

Xuán Yǐn 悬饮

Key Signs

Formulas

Conditions

Educational content • Consult qualified TCM practitioners for diagnosis and treatment

Diagnostic Signs

Tongue

Swollen tongue with sticky coating

Pulse

Deep (Chen), Wiry (Xian)

Key Characteristic Symptoms

Hypochondrial pain that is worse on coughing and breathing Shortness of breath HypochondriaI distension

Other Associated Symptoms

Coughing Palpitations Dizziness or vertigo

Diagnostic Considerations

Key characteristic symptoms of this pattern are the hypochondrial pain and distension that gets worse on coughing and breathing.

Causes & Pathology

Pathological Mechanism

When Phlegm-Fluids (a type of Phlegm characterized by white, very watery and thin mucus) clogs up the chest and hypochondriac regions, the Qi rebels, producing cough and shortness of breath.

Obstruction of the flow of Qi also produces chest and hypochondriac pain that, in severe cases, may extend to the back.

Treatment Approach

Treatment Principle

Drain Dampness, Phlegm and Fluids

Recommended Herbal Formulas

Shi Zao Tang

Purges and drives out Phlegm-Fluids

Ling Gui Zhu Gan Tang

Warms and transforms Phlegm-Fluids, Strengthens the Spleen

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Pattern Relationships

Derives From

Phlegm-Fluids

Related Conditions

This pattern can manifest as:

Menieres disease Basilar insufficiency Coronary heart disease Hypertension Hypotension Cor pulmonare Mitral valve prolapse Myocarditis Pericardial effusion Gastroptosis Peptic ulcers Chronic gastritis

Related TCM Concepts

Phlegm Fluids