A 28-year-old woman complained of bitter mouth, hypochondriac pain, low intake, boredom, less sleep, more dreams, oral Prozac. Diagnosis: taciturn, dull expression, unglamorous complexion, black menstruation, white tongue, and stringy pulse. Western medicine diagnosis: depression. TCM diagnosis: depression. Syndrome differentiation: stagnation of liver qi, phlegm and fire disturbing the heart. Treatment: soothe the liver and relieve depression, improve qi and dissolve phlegm.
Prescription medicine: Use Xiaoyaosan and warm bile decoction. Bupleurum 15g, Angelica Sinensis 15g, White Peony 15g, Poria Cocos 20g, Banxia 20g, Glycyrrhiza Glabra 15g, Citrus Aurantium 10g, Zhuru 15g, Tangerine Peel 10g, Ginger and Jujube 10g, Chuanxiong 10g, Roasted Gardenia 10g, Jujube Kernel 20g, Yanhusuo 15g, Ganoderma Lucidum 10g. After taking it for 3 weeks, I stopped taking Prozac, my face turned ruddy, I spoke fluently, I felt good, my menstrual color turned from dark to red, and I slept well.
Phlegm and fire disturbing the heart is a traditional Chinese medicine disease name. The disease refers to the lesion in which phlegm disturbs the mind and causes confusion due to fiery phlegm turbidity. Such as delirium, disorganized speech, and even manic delirium, the tip of the tongue is red and greasy, and the pulse is slippery. It is more common in schizophrenia and hysteria. It is mostly caused by mental stimulation, anxiety and anger, qi depression turning fire refining liquid into phlegm, phlegm and fire inside, or external heat evil, hot burning liquid boiling into phlegm, hot phlegm internal disturbance of the mind.
"Phlegm and fire disturb the heart" is also known as "phlegm and fire disturb the divine evidence". As the name suggests, it is a syndrome with symptoms of madness, dizziness and other delirium, as well as phlegm fever.
The clinical manifestations of this syndrome are mild irritability, insomnia, dreams, or even mania and faintness. The symptoms of phlegm fever can be manifested as chest tightness and coarseness, vomiting yellow sputum, phlegm in the throat, fever and thirst, red face, red tongue, yellow greasy tongue, and slippery pulse. The "manic" person may appear to beat people and destroy things, do not avoid relatives, talk nonsense, crying and laughing impermanence.
The so-called "phlegm" in traditional Chinese medicine is divided into "visible phlegm" and "invisible phlegm". Tangible phlegm is visible, palpable or audible phlegm, that is, phlegm known to people in their daily life, while invisible phlegm mainly refers to phlegm that stays in the viscera, meridians, skin and other parts. Invisible phlegm can show the symptoms and signs of phlegm syndrome, such as body obesity, greasy tongue, slippery pulse, etc., and what we call "phlegm" today refers to invisible phlegm.
So why does "phlegm fire" occur?
The etiology is divided into two kinds: external fever and internal injury and miscellaneous diseases, which are mostly caused by mental stimulation, anxiety and anger, depression and fire, and phlegm and fire in the refining liquid, or due to external warmth, damp heat, and heat and evil, heat and evil suffering, refining liquid into phlegm, and phlegm and fire internal disturbance.
（1）外感热病中，痰热扰心，故烦躁不宁、失眠多梦
(2) Phlegm and fire blind the mind and disturb the consciousness, so there are various manifestations of delirium
(3) The phlegm is full of fire, so it can be seen that there is fever and thirst, and the face is red and red. In internal injuries and miscellaneous diseases, mental stimulation causes phlegm and fire to close the mind and cause delirium, and phlegm and fire cause poor qi.
It should be noted that phlegm and fire disturbing the heart syndrome is sometimes easy to confuse with phlegm blinding mental syndrome. Both syndromes can be caused by emotional injury, and both can have abnormalities in consciousness and consciousness. However, the abnormalities of phlegm and mind are mainly confusion, depression, confusion, and dementia, and there is no obvious manifestation of fiery symptoms; phlegm and fire disturbance are both "phlegm" and "fire", and the main manifestations of mania and delirium are mania and delirium.
When it comes to "phlegm", people who are not studying Chinese medicine often think of the "phlegm" that comes out of spitting.
In fact, the scope of "phlegm" in TCM is very broad, including "visible phlegm" and "invisible phlegm". Visible phlegm refers to the sputum that is coughed up and spit out.
In addition, some disorders such as dizziness, nausea and vomiting, palpitations, shortness of breath, dizziness or madness may also be caused by phlegm. This invisible phlegm is invisible phlegm.
"The spleen is the source of phlegm, and the lungs are the organs of phlegm", and the production of phlegm is mainly related to the lungs and spleen. The lungs are the main breath and regulate the air.
When evil qi invades the lungs, it is easy to cause the fluid in the lungs to condense into phlegm. The spleen is the main transport, that is, the digestion and transport of nutrients to the various organs.
If dampness invades the human body, or if it is overly thoughtful, tired, or undisciplined, it can hurt the spleen and cause it to lose its function of transport, causing the dampness to stop and condense into phlegm.
For the "tangible phlegm", we can distinguish the main ones such as cold phlegm, hot phlegm, wet phlegm and dry phlegm.
Cold phlegm
The phlegm is white, the patient is afraid of cold, loves to drink hot, and the tongue coating is thin and white. This condition is caused by a feeling of coldness. Patients can use tangerine peel, bellflower and other soaked water, and at the same time can cure colds.
Hot phlegm
The phlegm is yellow and viscous, which is transformed by the heat evil that invades the lungs or first suffers from wind chill and high fever for a few days, and the patient is afraid of heat and likes to drink cold, and the tongue is red and yellow. At this time, it is necessary to clear away heat and phlegm. The diet should be light, do not eat some fried food that is easy to get hot, you can drink some fresh bamboo drain or pear juice.
Traditional Chinese medicine for phlegm and fire disturbing the heart
1. Weak heart and timidity
Symptoms: palpitations, panic, restlessness, sleepless dreams, noisy noises, lack of food, pale moss, thin or thin pulses.
Governance: calm the mind, nourish the heart and calm the nerves. Prescription medicine: Tranquilizer pills plus or minus.
Commonly used medicines: dragon tooth, amber, sour jujube kernel, yuanzhi, cocos, ginseng, poria cocos, yam, asparagus, shengdi, rehman, cinnamon, schisandra.
2. Lack of effort
Symptoms: palpitations, shortness of breath, dizziness, insomnia, forgetfulness, paleness, fatigue, lack of food, pale red tongue, weak pulse.
Treatment: Nourish the blood and nourish the heart, nourish the qi and calm the nerves. Prescription medicine: Gui Spleen decoction plus or minus.
Commonly used medicines: Astragalus, ginseng, atractylodes, boiled licorice, rehmannia root, angelica, longan meat, cocoon, yuanzhi, sour jujube kernel, wood.
3. Lack of impotence
Symptoms: palpitations, chest tightness and shortness of breath, especially movement, paleness, cold limbs, pale tongue, weak or weak pulse.
Treatment: Warm and replenish the heart and yang, calm the nerves and palpitate. Prescription: Cinnamon branch, licorice, keel, oyster soup, ginseng and decoction.
Commonly used medicines: cinnamon branch, aconite, ginseng, astragalus, wheat winter, wolfberry, boiled licorice, keel, oyster.
4. Drink water and drink Lingxin
Symptoms: palpitations and dizziness, chest tightness, thirst and lack of desire to drink, shortness of urination, or edema of the lower limbs, cold limbs, accompanied by nausea, vomiting, salivation, pale tongue, white and slippery, smooth pulse like strings or thin and slippery.
Treatment: Invigorate the heart and yang, turn qi into water, calm the heart and calm the nerves. Prescription medicine: Ling Guishu Gantang plus or minus.
Commonly used medicines: Ze Yuan, Zhu Ling, Psyllium, Poria Cocos, Cinnamon Branch, Boiled Licorice, Ginseng, Atractylodes, Astragalus, Yuanzhi, Fushen, Jujube Kernel.