Phlegm-Heat in the Middle Burner

TCM Education Center > Patterns of disharmony > Phlegm-Heat in the Middle Burner

Pattern factsheet

Diagnosis

Common symptoms: Poor appetite Abdominal fullness Dry heaves or vomiting Borborygmi with diarrhea Epigastric focal distention

Pulse type(s): Rapid (Shu), Wiry (Xian)

Tongue coating: Yellow coating

Tongue color: Red tip

Phlegm-Heat in the Middle Burner is a pattern of disharmony in Chinese Medicine.

Chinese Medicine views the human body as a complex system that tends toward harmony. A pattern of disharmony is a disorder that prevents that harmony from occurring.

Patterns give rise to symptoms that may at first glance seem unrelated from a Western standpoint but that actually make a lot of sense when one understands Chinese Medicine theory. For instance here Phlegm-Heat in the Middle Burner gives rise to such diverse symptoms as epigastric focal distention, abdominal fullness, dry heaves or vomiting and borborygmi with diarrhea.

To diagnose a pattern, analyzing a patient's pulse as well as their tongue is common practice. In the case of Phlegm-Heat in the Middle Burner patients tend to exhibit rapid (Shu) or wiry (Xian) pulses as well as a red tip tongue with yellow coating.

Patterns aren't exactly the Chinese Medicine equivalent to Western diseases, they're rather the underlying causes behind diseases or health conditions. Here Phlegm-Heat in the Middle Burner is thought to sometimes induce conditions such as peptic ulcers, hepatitis or chronic cholecystitis (as well as three others).

Related conditions

Peptic ulcers Hepatitis Chronic cholecystitis Gastroesophageal reflux disease Gastritis Colitis

Diagnosing Phlegm-Heat in the Middle Burner

The Triple Burner is a so-called "Fu" Organ. Learn more about the Triple Burner in Chinese Medicine

Pulse type(s): Rapid (Shu) or wiry (Xian)

Tongue coating: Yellow coating

Tongue color: Red tip

Possible symptoms: Poor appetite Abdominal fullness Dry heaves or vomiting Borborygmi with diarrhea Epigastric focal distention

Diagnosing a pattern in Chinese Medicine is no easy feat and should be left to professional practitioners.

In particular one has to know how to differentiate between different types of pulses and tongue coatings, shapes and colors. Here patients with Phlegm-Heat in the Middle Burner will tend to exhibit rapid (Shu) or wiry (Xian) pulses as well as a red tip tongue with yellow coating.

Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Phlegm-Heat in the Middle Burner might experience symptoms like epigastric focal distention, abdominal fullness, dry heaves or vomiting and borborygmi with diarrhea (full list here above).

Herbal formulas used to treat Phlegm-Heat in the Middle Burner

Ban Xia Xie Xin Tang

Source date: 220 AD

Number of ingredients: 7 herbs

Key actions: Reverses the flow of Rebellious Stomach Qi. Relieves both Heat and Cold Stagnation in the gastrointestinal tract.

Formula summary

Ban Xia Xie Xin Tang is a 7-ingredient Chinese Medicine formula with Goldthread Rhizomes (Huang Lian) as a principal ingredient. Invented in 220 AD, it belongs to the category of formulas that harmonize Stomach-Intestines.

Besides Phlegm-Heat in the Middle Burner, Ban Xia Xie Xin Tang is also used to treat Phlegm-Fluids In the Stomach and Small intestine.

Read more about Ban Xia Xie Xin Tang

Most important herbs used to treat Phlegm-Heat in the Middle Burner