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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Coughing with copious sputum 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 coughing with copious sputum 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 coughing with copious sputum is often associated with constipation, headaches and stifling sensation in the chest in the pattern “Wind-Phlegm”. As you will see below, we have in record two patterns that can cause coughing with copious sputum.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of coughing with copious sputum 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 coughing with copious sputum.
In Chinese Medicine coughing with copious sputum is a symptom for 2 patterns that we have on record. Below is a small explanation for each of them with links for more details.
Crow-Dipper Rhizomes (Ban Xia) is the king ingredient for Ban Xia Bai Zhu Tian Ma Tang, a formula used for Wind-Phlegm
Pulse type(s): Wiry (Xian)
Tongue coating: Sticky coating
Tongue shape: Deviated, Swollen
Wind-Phlegm is when Phlegm invades the Channels and sensory orifices, leading to such symptoms as dizziness, vertigo, or headache.
In addition to coughing with copious sputum, other symptoms associated with Wind-Phlegm include constipation, headaches and stifling sensation in the chest.
Wind-Phlegm is often treated with Ban Xia Bai Zhu Tian Ma Tang, a herbal formula made of 8 herbs (including Crow-Dipper Rhizomes - Ban Xia - as a key herb). Ban Xia Bai Zhu Tian Ma Tang belongs to the category of "formulas that transform phlegm and extinguish wind", which might be why it is often recommended for this pattern. Its main action as a formula is: "Dries and dissolves Phlegm".
The Lungs is a so-called "Zang" Organ. Learn more about the Lungs in Chinese Medicine
Pulse type(s): Slow (Chi), Slowed-down (Huan), Wiry (Xian)
In addition to coughing with copious sputum, other symptoms associated with Lung Yang Deficiency include wheezing, poor appetite and frequent urination.
Lung Yang Deficiency is often treated with Gan Cao Gan Jiang Tang, a herbal formula made of 2 herbs (including Dried Ginger - Gan Jiang - as a key herb). Gan Cao Gan Jiang Tang belongs to the category of "formulas that warm interior cold", which might be why it is often recommended for this pattern. Its main action as a formula is: "Warms the Lungs".
Source date: 1732 AD
Number of ingredients: 8 herbs
Key actions: Dries and dissolves Phlegm. Strengthens the Spleen. Smoothes the Liver and calms Liver Wind (antispasmodic).
Because it is a formula often recommended to treat the pattern 'Wind-Phlegm' of which copious sputum is a symptom.
The top herbs in Gan Cao Gan Jiang Tang are Dried Ginger (Gan Jiang) and Liquorice (Gan Cao)
Source date: 220 AD
Number of ingredients: 2 herbs
Key actions: Warms the Lungs. Strengthens the Stomach.
Because it is a formula often recommended to treat the pattern 'Lung Yang Deficiency' of which coughing with copious clear thin sputum is a symptom.
The top herbs in Si Jun Zi Tang are Ginseng (Ren Shen), Atractylodes Rhizomes (Bai Zhu) and Poria-Cocos Mushrooms (Fu Ling)
Source date: 1107 AD
Number of ingredients: 4 herbs
Key actions: Tonifies Qi. Strengthens the Spleen and Stomach.
Because it is a formula often recommended to treat the pattern 'Lung Yang Deficiency' of which coughing with copious clear thin sputum is a symptom.
The top herbs in Sheng Mai San are Ginseng (Ren Shen), Dwarf Lilyturf Roots (Mai Dong) and Schisandra Berries (Wu Wei Zi)
Source date: Yuan Dynasty
Number of ingredients: 3 herbs
Key actions: Augments Qi. Supplies the Yin. Stops excessive sweating. Generates Body Fluids.
Because it is a formula often recommended to treat the pattern 'Lung Yang Deficiency' of which coughing with copious clear thin sputum is a symptom.
Because Ginseng is an ingredient in several formulas indicated to treat coughing with copious sputum as a symptom, like Si Jun Zi Tang or Sheng Mai San for instance.
Ginseng is a Warm herb that tastes Bitter and Sweet. It targets the Heart, the Lung and the Spleen.
Its main actions are: Very strongly tonifies the Qi. Tonifies the Lungs and Spleen. Assists the body in the secretion of Fluids and stops thirst. Strengthens the Heart and calms the Shen (mind/spirit).
Because Bupleurum Root is an ingredient in several formulas indicated to treat coughing with copious sputum as a symptom, like Xiao Yao San or Chai Hu Shu Gan San for instance.
Bupleurum Roots is a Cool herb that tastes Bitter. It targets the Gallbladder and the Liver.
Its main actions are: Harmonizes exterior and interior. Smoothes the Liver and upraises the Yang.
Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat coughing with copious sputum as a symptom, like Xiao Yao San or Qi Ge San for instance.
Poria-Cocos Mushrooms is a Neutral herb that tastes Sweet. It targets the Heart, the Kidney, the Lung and the Spleen.
Its main actions are: Encourages urination and drains Dampness. Tonic to the Spleen/Stomach. Assists the Heart and calms the Spirit.
Because Coco-Grass Rhizome is an ingredient in several formulas indicated to treat coughing with copious sputum as a symptom, like Chai Hu Shu Gan San or Yue Ju Wan for instance.
Coco-Grass Rhizomes is a Neutral herb that tastes Bitter, Pungent and Sweet. It targets the Liver, the Sanjiao and the Spleen.
Its main actions are: Unblocks Stagnant Liver Qi and relieves pain. Regulates the Liver and Spleen. Assists the regulation of menses and relieves pain.
Because Atractylodes Rhizome is an ingredient in several formulas indicated to treat coughing with copious sputum as a symptom, like Yue Ju Wan or Xiao Yao San for instance.
Atractylodes Rhizomes is a Warm herb that tastes Bitter and Sweet. It targets the Spleen and the Stomach.
Its main actions are: Tonifies the Spleen Qi. Fortifies the Spleen Yang and dispels Damp through urination. Tonifies Qi and stops sweating. Calms restless fetus when due to Deficiency of Spleen Qi.
Convulsions Wheezing Coughing Bloody sputum Anxiety Constipation Vomiting Poor appetite Chest congestion Vertigo