Copious Thick Yellow Sputumaccording to TCM

What is Copious Thick Yellow Sputum?

Copious thick yellow sputum is a symptom that can indicate an underlying respiratory condition. It involves the production of a significant amount of dense, yellowish phlegm that is expelled through coughing.

This symptom is commonly associated with infections or inflammatory conditions of the respiratory tract, where the sputum serves as a way for the body to rid itself of irritants and pathogens. The presence of thick, yellow sputum often suggests an infection or inflammation that has prompted the immune system to respond vigorously.

How does TCM view Copious Thick Yellow Sputum?

Traditional Chinese Medicine (TCM) offers a unique perspective on copious thick yellow sputum, viewing it as a manifestation of internal disharmony rather than merely a symptom of a respiratory infection. TCM interprets this condition as indicative of Heat and Phlegm accumulation within the body, particularly affecting the Lung and Stomach meridians.

This approach underscores the importance of identifying the specific TCM pattern contributing to the symptom, as treatments are tailored to rectify the identified imbalance, thereby addressing the root cause of the symptom rather than just its physical manifestation.

Root Causes of Copious Thick Yellow Sputum in TCM

In TCM, copious thick yellow sputum is primarily attributed to Heat and Phlegm disturbances. Two key patterns often identified are Phlegm-Heat obstructing the Lungs and Heat in the Lungs generating Phlegm. The former involves an accumulation of Phlegm mixed with Heat in the Lung, leading to symptoms such as a productive cough with thick yellow sputum, a feeling of chest oppression, and possible fever.

The latter pattern signifies an Excess Heat condition in the Lungs, which can manifest as coughing, wheezing, and a rapid pulse. These patterns highlight the intricate relationship between the body's Qi, moisture, and temperature regulation, according to TCM principles.

Explore below more details about what might cause Copious thick yellow sputum according to TCM.

  • By Syndrome
  • By Organ
  • Lung
  • Gallbladder
  • Stomach
Detailed description of the cause

Heat

In TCM "Heat" signifies an excess of Yang energy, leading to an imbalance where heat predominates over the body's cool Yin aspects. This condition is metaphorically akin to an internal over-heating. Symptoms indicative of Heat can include feelings of warmth, fever, sweating, irritability, red face, thirst with a preference for cold drinks, and a rapid pulse. The tongue may appear red with a yellow coating. Unlike the common interpretation of heat in terms of temperature, in TCM, it represents a state of hyperactivity or inflammation in the body.... see more

Heat Patterns That Can Lead to Copious Thick Yellow Sputum

Common Symptoms: Chronic Bronchitis Asthma Shortness Of Breath Depression Chest Distension Pneumonia Coughing Thirst

Pattern Name Relevant Symptoms Relevant Formulas
Phlegm-Heat Coughing and wheezing with copious thick and yellow sputum, Coughing of copious thick yellow sputum, Upper abdominal oppression, Mucous in feces, Depression Ding Chuan Tang | Qing Qi Hua Tan Wan | Wen Dan Tang | Gun Tan Wan
Phlegm-Heat in the Lungs Coughing of copious thick yellow sputum, Coughing, Shortness of breath, Wheezing, Stifling sensation in the chest, Sputum, Feeling hot, Thirst, Head and body heaviness, Dizziness, Copious thick yellow sputum... see more Qing Qi Hua Tan Wan | Wen Dan Tang | Ma Xing Shi Gan Tang | Er Chen Tang | Qing Xin Li Ge Tang | Ren Shen Ge Jie San | Pi Pa Qing Fei Yin | Xiao Xian Xiong Tang
Wind-Heat invading the Lungs Coughing of copious thick yellow sputum, Aversion to cold, Fever, Coughing, Sore throat, Congested nose, Nasal discharge, Copious thick yellow sputum, Sneezing, Headaches, Body pain, Thirst, Tonsil swelling... see more Yin Qiao San
Wind-Cold invading the Interior with Phelgm-Heat Coughing and wheezing with copious thick and yellow sputum, Shortness of breath, Copious thick yellow sputum, Chronic bronchitis, Asthma, Bronchiolitis... see more Ding Chuan Tang
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat Coughing of copious thick yellow sputum, Nausea or vomiting, Vertigo, Vivid dreaming, Palpitations, Anxiety, Excessive hunger, Focal distention of the chest, Bitter taste in the mouth, Slight thirst, Copious thick yellow sputum... see more Wen Dan Tang
Detailed description of the cause

Phlegm

In TCM "Phlegm" as a pattern of disharmony is a complex concept that extends beyond the physical manifestation of mucus. It represents a pathological factor that can disrupt the flow of Qi (vital energy) and blood, leading to various health issues. Phlegm in TCM is seen as a sticky, turbid substance arising from the body's inability to metabolize fluids properly, often due to a dysfunction of the spleen. It's not only associated with respiratory problems like cough and congestion but also with systemic issues. Symptoms can include a feeling of heaviness, mental cloudiness, dizziness, and in some cases, the formation of lumps or masses. Phlegm can even be "invisible," contributing to emotional disturbances like depression or stress. ... see more

Phlegm Patterns That Can Lead to Copious Thick Yellow Sputum

Common Symptoms: Chronic Bronchitis Asthma Shortness Of Breath Depression Chest Distension Pneumonia Insomnia Anxiety

Pattern Name Relevant Symptoms Relevant Formulas
Phlegm-Heat Coughing and wheezing with copious thick and yellow sputum, Coughing of copious thick yellow sputum, Upper abdominal oppression, Mucous in feces, Depression Ding Chuan Tang | Qing Qi Hua Tan Wan | Wen Dan Tang | Gun Tan Wan
Phlegm-Heat in the Lungs Coughing of copious thick yellow sputum, Coughing, Shortness of breath, Wheezing, Stifling sensation in the chest, Sputum, Feeling hot, Thirst, Head and body heaviness, Dizziness, Copious thick yellow sputum... see more Qing Qi Hua Tan Wan | Wen Dan Tang | Ma Xing Shi Gan Tang | Er Chen Tang | Qing Xin Li Ge Tang | Ren Shen Ge Jie San | Pi Pa Qing Fei Yin | Xiao Xian Xiong Tang
Wind-Cold invading the Interior with Phelgm-Heat Coughing and wheezing with copious thick and yellow sputum, Shortness of breath, Copious thick yellow sputum, Chronic bronchitis, Asthma, Bronchiolitis... see more Ding Chuan Tang
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat Coughing of copious thick yellow sputum, Nausea or vomiting, Vertigo, Vivid dreaming, Palpitations, Anxiety, Excessive hunger, Focal distention of the chest, Bitter taste in the mouth, Slight thirst, Copious thick yellow sputum... see more Wen Dan Tang
Detailed description of the cause

Wind

In TCM "Wind" is a concept that represents a pattern of disharmony, often characterized by its sudden and unpredictable nature, much like a gusty wind changing direction without warning. This pattern is associated with symptoms that come and go quickly or move around the body, such as itching, tremors, or even certain types of pain. Wind is considered to be a primary cause of illnesses that have these rapidly changing characteristics. In TCM, external Wind often refers to illnesses that start suddenly, like the common cold, believed to be caused by external pathogenic factors like climatic changes. On the other hand, internal Wind can be linked to internal imbalances and can manifest in conditions like dizziness or spasms. ... see more

Wind Patterns That Can Lead to Copious Thick Yellow Sputum

Common Symptoms: Shortness Of Breath Chronic Bronchitis Asthma Bronchiolitis Aversion To Cold Fever Coughing Sore Throat

Pattern Name Relevant Symptoms Relevant Formulas
Wind-Heat invading the Lungs Coughing of copious thick yellow sputum, Aversion to cold, Fever, Coughing, Sore throat, Congested nose, Nasal discharge, Copious thick yellow sputum, Sneezing, Headaches, Body pain, Thirst, Tonsil swelling... see more Yin Qiao San
Wind-Cold invading the Interior with Phelgm-Heat Coughing and wheezing with copious thick and yellow sputum, Shortness of breath, Copious thick yellow sputum, Chronic bronchitis, Asthma, Bronchiolitis... see more Ding Chuan Tang
Detailed description of the cause

Qi Stagnation

Qi Stagnation in TCM is like having a traffic jam in your body's energy system. Qi, the vital life force that flows through your body, is supposed to move smoothly to maintain health and balance. But with Qi Stagnation, this flow gets blocked or slowed down, like cars stuck on a highway. This can lead to symptoms like feeling stressed, emotional mood swings, and physical discomfort, often described as a feeling of fullness or tightness, especially in the chest or abdomen. It's as though the body's internal energy circulation is disrupted, causing various issues. TCM sees this as an energy flow problem, different from modern medicine's focus on specific physiological processes.... see more

Qi Stagnation Patterns That Can Lead to Copious Thick Yellow Sputum

Pattern Name Relevant Symptoms Relevant Formulas
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat Coughing of copious thick yellow sputum, Nausea or vomiting, Vertigo, Vivid dreaming, Palpitations, Anxiety, Excessive hunger, Focal distention of the chest, Bitter taste in the mouth, Slight thirst, Copious thick yellow sputum... see more Wen Dan Tang
Detailed description of the cause

Cold

In TCM "Cold" as a pattern of disharmony refers to a specific type of imbalance within the body's systems, often linked to a deficiency or weakness. It's not about feeling physically cold or having a common cold, but rather a metaphorical description of certain symptoms and underlying conditions. When a TCM practitioner says someone suffers from "Cold," it usually implies that the body's Yang energy, which is warm and active, is insufficient or overpowered by Yin energy, which is cool and passive. Symptoms of Cold in TCM can include a general feeling of coldness, cold limbs, pale complexion, low energy, slow metabolism, and a preference for warmth. ... see more

Cold Patterns That Can Lead to Copious Thick Yellow Sputum

Pattern Name Relevant Symptoms Relevant Formulas
Wind-Cold invading the Interior with Phelgm-Heat Coughing and wheezing with copious thick and yellow sputum, Shortness of breath, Copious thick yellow sputum, Chronic bronchitis, Asthma, Bronchiolitis... see more Ding Chuan Tang
Detailed description of the cause

Lung

In TCM the Lungs are seen as the organ responsible for controlling Qi and respiration, as well as being a key part of the body's defensive system. They are thought to maintain the balance and flow of air and moisture, and are closely linked to the skin and hair. When the Lungs are imbalanced or malfunctioning in TCM, it can lead to respiratory issues like coughing or asthma, a weakened immune system, dry skin, and emotional disturbances such as sadness or grief. These symptoms are believed to arise from disruptions in the Lungs' ability to regulate Qi and protect the body, highlighting their central role in maintaining overall health and well-being.... see more

Lung Patterns That Can Lead to Copious Thick Yellow Sputum

Common Symptoms: Coughing Thirst Fever Shortness Of Breath Wheezing Stifling Sensation In The Chest Sputum Feeling Hot

Pattern Name Relevant Symptoms Relevant Formulas
Phlegm-Heat in the Lungs Coughing of copious thick yellow sputum, Coughing, Shortness of breath, Wheezing, Stifling sensation in the chest, Sputum, Feeling hot, Thirst, Head and body heaviness, Dizziness, Copious thick yellow sputum... see more Qing Qi Hua Tan Wan | Wen Dan Tang | Ma Xing Shi Gan Tang | Er Chen Tang | Qing Xin Li Ge Tang | Ren Shen Ge Jie San | Pi Pa Qing Fei Yin | Xiao Xian Xiong Tang
Wind-Heat invading the Lungs Coughing of copious thick yellow sputum, Aversion to cold, Fever, Coughing, Sore throat, Congested nose, Nasal discharge, Copious thick yellow sputum, Sneezing, Headaches, Body pain, Thirst, Tonsil swelling... see more Yin Qiao San
Detailed description of the cause

Gallbladder

In TCM the Gallbladder has a unique role in storing and excreting bile, but more importantly, it's seen as crucial for decision-making and courage. It's closely connected to the Liver, assisting in the smooth flow of Qi (vital energy) and supporting the Liver's role in maintaining emotional balance. When the Gallbladder malfunctions or is imbalanced in TCM, it can lead to physical symptoms like gallstones, jaundice, or a bitter taste in the mouth. There might also be digestive disturbances, particularly related to fat metabolism. On an emotional level, a Gallbladder disorder can manifest as indecisiveness, timidity, or a tendency to easily succumb to stress. These symptoms highlight the TCM view of the Gallbladder as integral to both physical processes and emotional resilience.... see more

Gallbladder Patterns That Can Lead to Copious Thick Yellow Sputum

Pattern Name Relevant Symptoms Relevant Formulas
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat Coughing of copious thick yellow sputum, Nausea or vomiting, Vertigo, Vivid dreaming, Palpitations, Anxiety, Excessive hunger, Focal distention of the chest, Bitter taste in the mouth, Slight thirst, Copious thick yellow sputum... see more Wen Dan Tang
Detailed description of the cause

Stomach

In TCM the Stomach is regarded as the "sea of nourishment," pivotal for digesting food and transforming it into Qi and blood. It works closely with the Spleen to distribute these essential nutrients throughout the body. When the Stomach is out of balance or malfunctions in TCM, it often leads to digestive problems such as bloating, nausea, vomiting, poor appetite, or a feeling of fullness. There may also be issues like acid reflux or a sour taste in the mouth. Emotionally, an imbalanced Stomach can contribute to excessive worry and overthinking, reflecting the TCM belief that physical and emotional well-being are deeply interconnected.... see more

Stomach Patterns That Can Lead to Copious Thick Yellow Sputum

Pattern Name Relevant Symptoms Relevant Formulas
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat Coughing of copious thick yellow sputum, Nausea or vomiting, Vertigo, Vivid dreaming, Palpitations, Anxiety, Excessive hunger, Focal distention of the chest, Bitter taste in the mouth, Slight thirst, Copious thick yellow sputum... see more Wen Dan Tang

TCM Herbal Formulas for Copious Thick Yellow Sputum

For the treatment of copious thick yellow sputum, TCM emphasizes formulas that clear Heat and transform Phlegm. Two notable formulas include Ding Chuan Tang and Qing Qi Hua Tan Wan. Ding Chuan Tang is recommended for its effectiveness in addressing rebellious Qi marked by coughing and wheezing, with Ginkgo nuts as a key ingredient that helps stabilize and bind.

Qing Qi Hua Tan Wan, on the other hand, targets Phlegm-Heat in the Lungs, utilizing herbs like Arisaema with bile to cool the heat and transform Phlegm, thereby alleviating symptoms. These formulas underscore TCM's approach of treating the underlying pattern of disharmony, rather than merely the symptoms.

Explore below some TCM herbal formulas used to address copious thick yellow sputum, organized by cause and by formula type.

  • By Cause
  • By Formula Type
  • Formulas that clear heat and transform phlegm
  • Formulas that dry dampness and transform phlegm
  • Formulas for a rebellious qi
  • Formulas that clear heat from the organs
  • Formulas that clear internal abscesses and sores
  • Formulas that tonify qi
  • Formulas that clear lung-Heat
  • External formulas for external disorders

All Formulas Recommended for Copious Thick Yellow Sputum Caused by Heat

Formula Patterns Suitable For
Wen Dan Tang Phlegm-Heat, Phlegm-Heat in the Lungs, Qi Stagnation in Gallbladder and Stomach with Phlegm Heat... see more
Ding Chuan Tang Wind-Cold invading the Interior with Phelgm-Heat, Phlegm-Heat
Qing Qi Hua Tan Wan Phlegm-Heat, Phlegm-Heat in the Lungs
Gun Tan Wan Phlegm-Heat
Ma Xing Shi Gan Tang Phlegm-Heat in the Lungs
Er Chen Tang Phlegm-Heat in the Lungs
Qing Xin Li Ge Tang Phlegm-Heat in the Lungs
Ren Shen Ge Jie San Phlegm-Heat in the Lungs
Pi Pa Qing Fei Yin Phlegm-Heat in the Lungs
Xiao Xian Xiong Tang Phlegm-Heat in the Lungs
Yin Qiao San Wind-Heat invading the Lungs

All Formulas Recommended for Copious Thick Yellow Sputum Caused by Phlegm

Formula Patterns Suitable For
Wen Dan Tang Phlegm-Heat, Phlegm-Heat in the Lungs, Qi Stagnation in Gallbladder and Stomach with Phlegm Heat... see more
Ding Chuan Tang Wind-Cold invading the Interior with Phelgm-Heat, Phlegm-Heat
Qing Qi Hua Tan Wan Phlegm-Heat, Phlegm-Heat in the Lungs
Gun Tan Wan Phlegm-Heat
Ma Xing Shi Gan Tang Phlegm-Heat in the Lungs
Er Chen Tang Phlegm-Heat in the Lungs
Qing Xin Li Ge Tang Phlegm-Heat in the Lungs
Ren Shen Ge Jie San Phlegm-Heat in the Lungs
Pi Pa Qing Fei Yin Phlegm-Heat in the Lungs
Xiao Xian Xiong Tang Phlegm-Heat in the Lungs

All Formulas Recommended for Copious Thick Yellow Sputum Caused by Wind

Formula Patterns Suitable For
Ding Chuan Tang Wind-Cold invading the Interior with Phelgm-Heat
Yin Qiao San Wind-Heat invading the Lungs

All "formulas that dry dampness and transform phlegm" recommended for copious thick yellow sputum

Formula Patterns Suitable For (if applicable)
Wen Dan Tang Phlegm-Heat, Phlegm-Heat in the Lungs, Qi Stagnation in Gallbladder and Stomach with Phlegm Heat... see more
Er Chen Tang Phlegm-Heat in the Lungs

All "formulas that clear heat and transform phlegm" recommended for copious thick yellow sputum

Formula Patterns Suitable For (if applicable)
Qing Qi Hua Tan Wan Phlegm-Heat, Phlegm-Heat in the Lungs
Gun Tan Wan Phlegm-Heat
Xiao Xian Xiong Tang Phlegm-Heat in the Lungs

Acupoints for Copious Thick Yellow Sputum

In the treatment of copious thick yellow sputum, TCM also recommends specific acupoints, particularly within the Lung Channel. One pivotal acupoint is Chize LU-5. Located on the cubital crease, on the radial aspect of the biceps tendon, Chize LU-5 is instrumental in clearing Lung Heat, descending the Lung Qi, regulating water passages, and benefiting the Bladder.

Its activation is believed to also relax the sinews and ease pain, making it a crucial point for addressing symptoms associated with respiratory conditions marked by the production of thick yellow sputum. This holistic approach, combining herbal formulas with acupoint stimulation, exemplifies TCM's integrative strategy in restoring health and balance.

See more details below about Chize LU-5, an acupoint used to address copious thick yellow sputum.

  • By Meridian
  • Lung Channel
Chize LU-5

Chize LU-5

On the cubital crease, on the redial aspect of the biceps tendon. It can be easily identified when the elbow is slightly flexed.