Also food accumulation cough; food accumulation phlegm cough. Food accumulation engendering phlegm and causing phlegm-qì to surge upward. Signs include cough with copious phlegm that is pronounced at dawn. There may be oppression in the chest and abdominal distension. Other signs include sour belching, nausea, sloppy stool, and a slippery sunken pulse.
Medicinal therapy: Transform phlegm and disperse the accumulation. Use formulas such as Two Matured Ingredients Decoction (二陈汤èr chén tāng) combined with Stomach-Calming Powder (平胃散píng wèi sǎn), Three-Seed Filial Devotion Decoction (三子养亲汤sān zǐ yǎng qīn tāng), and Five Accumulations Powder (五积散wǔ jī sǎn). If there is lung fire and phlegm heat with a sunken rapid and slippery pulse, treatment should also be directed toward clearing lung fire. For this latter case, use formulas such as Anemarrhena and Fritillaria Cough-Quieting Decoction (二母宁嗽汤èr mǔ níng sòu tāng).
Acumoxatherapy: Base treat mainly CV, SP, ST, and LU. Select CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), ST-25 (Celestial Pivot, 天枢 tiān shū), CV-6 (Sea of Qì, 气海 qì hǎi), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), ST-40 (Bountiful Bulge, 丰隆 fēng lóng), LI-4 (Union Valley, 合谷 hé gǔ), Lǐ Inner Court (里内庭lǐ nèi tíng), LU-9 (Great Abyss, 太渊 tài yuān), and SP-3 (Supreme White, 太白 tài bái). Needle with drainage and moxa if appropriate. For lung fire and phlegm heat, add PC-1 (Celestial Pool, 天池 tiān chí), LI-11 (Pool at the Bend, 曲池 qū chí), and prick LU-11 (Lesser Shang, 少商 shào shāng) to bleed (and do not use moxa).