The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
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Coma can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like coma here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here coma is often associated with aphasia, mental confusion and incoherent speech in the pattern “Phlegm Misting the Heart”. As you will see below, we have in record four patterns that can cause coma.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of coma we’ve identified four herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat coma.
The four "patterns of disharmony" that can cause coma
In Chinese Medicine coma is a symptom for 4 patterns that we have on record. Below is a small explanation for each of them with links for more details.
The Heart is a so-called "Zang" Organ. Learn more about the Heart in Chinese Medicine
Phlegm Misting the Heart
Pulse type(s): Slippery (Hua)
Tongue coating: Sticky coating, Thick coating
Tongue shape: Swollen
This is a condition where Phlegm enters the Heart and disturbs the Mind (Shen).
In addition to coma, other symptoms associated with Phlegm Misting the Heart include aphasia, mental confusion and incoherent speech.
Phlegm Misting the Heart is often treated with Wen Dan Tang, a herbal formula made of 8 herbs (including Crow-Dipper Rhizomes - Ban Xia - as a key herb). Wen Dan Tang belongs to the category of "formulas that dry dampness and transform phlegm", which might be why it is often recommended for this pattern. Its main action as a formula is: "Clears Hot-Phlegm".
The Heart is a so-called "Zang" Organ. Learn more about the Heart in Chinese Medicine
Phlegm-Fire harassing the Heart
Pulse type(s): Overflowing (Hong), Rapid (Shu), Slippery (Hua), Wiry (Xian), Full (Shi)
In addition to coma, other symptoms associated with Phlegm-Fire harassing the Heart include aphasia, mental confusion and incoherent speech.
Phlegm-Fire harassing the Heart is often treated with Huang Lian Wen Dan Tang, a herbal formula made of 7 herbs (including Crow-Dipper Rhizomes - Ban Xia - as a key herb). Huang Lian Wen Dan Tang belongs to the category of "formulas that dry dampness and transform phlegm", which might be why it is often recommended for this pattern. Its main action as a formula is: "Clears Hot Phlegm".
The Pericardium is a so-called "Zang" Organ. Learn more about the Pericardium in Chinese Medicine
Heat in Pericardium
Pulse type(s): Rapid (Shu), Fine (Xi)
In addition to coma, other symptoms associated with Heat in Pericardium include convulsions, aphasia and mental confusion.
Heat in Pericardium is often treated with Qing Ying Tang, a herbal formula made of 9 herbs (including Water Buffalo Horns - Shui Niu Jiao - as a key herb). Qing Ying Tang belongs to the category of "formulas that clear nutritive-level heat", which might be why it is often recommended for this pattern. Its main action as a formula is: "Clears the Nutritive level Heat".
Saiga Antelope's Horns (Ling Yang Jiao) is the king ingredient for Ling Jiao Gou Teng Tang, a formula used for Heat victorious stirring Wind
Heat victorious stirring Wind
Pulse type(s): Rapid (Shu), Wiry (Xian)
In addition to coma, other symptoms associated with Heat victorious stirring Wind include convulsions, high fever and opisthotonos.
Heat victorious stirring Wind is often treated with Ling Jiao Gou Teng Tang, a herbal formula made of 10 herbs (including Saiga Antelope's Horns - Ling Yang Jiao - as a key herb). Ling Jiao Gou Teng Tang belongs to the category of "formulas that pacify and extinguish internal wind", which might be why it is often recommended for this pattern. Its main action as a formula is: "Cools the Liver".
Four herbal formulas that might help with coma
Wen Dan Tang
Source date: 1174 AD
Number of ingredients: 8 herbs
Key actions: Clears Hot-Phlegm. Clears Gallbladder heat. Regulates Qi. Harmonizes the Stomach.
Why might Wen Dan Tang help with coma?
Because it is a formula often recommended to treat the pattern 'Phlegm Misting the Heart' of which coma is a symptom.
Other symptoms characteristic of Phlegm Misting The Heart include aphasia, mental confusion and incoherent speech.
Huang Lian Wen Dan Tang
Source date: 1852 AD
Number of ingredients: 7 herbs
Key actions: Clears Hot Phlegm. Clears Gallbladder Heat. Regulates Qi. Harmonizes the Stomach.
Why might Huang Lian Wen Dan Tang help with coma?
Because it is a formula often recommended to treat the pattern 'Phlegm-Fire harassing the Heart' of which coma is a symptom.
Other symptoms characteristic of Phlegm-Fire Harassing The Heart include aphasia, mental confusion and incoherent speech.
Qing Ying Tang
Source date: 1798 AD
Number of ingredients: 9 herbs
Key actions: Clears the Nutritive level Heat. Relieves Fire Toxin. Removes Heat. Nourishes Yin.
Why might Qing Ying Tang help with coma?
Because it is a formula often recommended to treat the pattern 'Heat in Pericardium' of which coma is a symptom.
Other symptoms characteristic of Heat In Pericardium include convulsions, aphasia and mental confusion.
Ling Jiao Gou Teng Tang
Source date: Qing dynasty
Number of ingredients: 10 herbs
Key actions: Cools the Liver. Extinguishes Wind. Increases Fluids. Relaxes the sinews.
Why might Ling Jiao Gou Teng Tang help with coma?
Because it is a formula often recommended to treat the pattern 'Heat victorious stirring Wind' of which coma is a symptom.
Other symptoms characteristic of Heat Victorious Stirring Wind include convulsions, high fever and opisthotonos.
The five Chinese Medicinal herbs most likely to help treat coma
Why might Poria-Cocos Mushroom (Fu Ling) help with coma?
Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat coma as a symptom, like Wen Dan Tang or Di Tan Tang for instance.
Poria-Cocos Mushrooms is a Neutral herb that tastes Sweet. It targets the Spleen, the Heart, the Kidney and the Lung.
Its main actions are: Encourages urination and drains Dampness. Tonic to the Spleen/Stomach. Assists the Heart and calms the Spirit.
Why might Bamboo Shaving (Zhu Ru) help with coma?
Because Bamboo Shaving is an ingredient in several formulas indicated to treat coma as a symptom, like Wen Dan Tang or Huang Lian Wen Dan Tang for instance.
Bamboo Shavings is a Cool herb that tastes Sweet. It targets the Gallbladder, the Stomach and the Lung.
Its main actions are: Clears Phlegm-Heat in the Lungs. Clears Heat in the Stomach and stops vomiting. Cools the Blood and stops bleeding.
Why might Crow-Dipper Rhizome (Ban Xia) help with coma?
Because Crow-Dipper Rhizome is an ingredient in several formulas indicated to treat coma as a symptom, like Wen Dan Tang or Huang Lian Wen Dan Tang for instance.
Crow-Dipper Rhizomes is a Warm herb that tastes Pungent. It targets the Spleen, the Stomach and the Lung.
Its main actions are: Drains Dampness and reduces Phlegm. Reverses the flow of Rebellious Qi. Reduces hardenings and relieves distention.
Why might Liquorice (Gan Cao) help with coma?
Because Liquorice is an ingredient in several formulas indicated to treat coma as a symptom, like Wen Dan Tang or Di Tan Tang for instance.
Liquorice is a Neutral herb that tastes Sweet. It targets the Spleen, the Stomach, the Heart and the Lung.
Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.
Why might Goldthread Rhizome (Huang Lian) help with coma?
Because Goldthread Rhizome is an ingredient in several formulas indicated to treat coma as a symptom, like Huang Lian Wen Dan Tang or Qing Ying Tang for instance.
Goldthread Rhizomes is a Cold herb that tastes Bitter. It targets the Gallbladder, the Spleen, the Stomach, the Heart, the Large intestine and the Liver.
Its main actions are: Expels Damp-Heat especially in the Lower Burner. Eliminates Fire toxicity especially when there is associated Dampness. Acts as a sedative by eliminating Heart Fire. Eliminates Stomach Fire. Expel parasites
Other symptoms often associated with coma
Convulsions Aphasia Mental confusion Incoherent speech Red face Rattling sound in the throat Muttering to oneself Palpitations Cold hands and feet Insomnia