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Old phlegm

老痰 〔老痰〕lǎo tán

A phlegm pattern arising when fire evil fumes in the upper burner, depressing lung qì, and causing fluids to congeal into phlegm that in time becomes gluey. Old phlegm is characterized by phlegm binding in sticky lumps that adhere to the throat and are difficult to cough up or swallow. Other signs include parched body hair, dry pharynx, thirst, cough and hasty panting, and a complexion that is white like the color of withered bones.

Medicinal therapy: Free depression and downbear fire; soften hardness with cold salty medicinals; moisten the lung and disperse phlegm. Use Two Matured Ingredients Decoction (二陈汤 èr chén tāng) plus unripe bitter orange (Aurantii Fructus Immaturus, 枳实 zhǐ shí), costazia bone/pumice (Costaziae Os/Pumex, 海浮石 hǎi fú shí), mirabilite (Natrii Sulfas, 芒硝 máng xiāo), scutellaria (Scutellariae Radix, 黄芩 huáng qín), and indigo (Indigo Naturalis, 青黛 qīng dài).

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