Phlegm vomiting

Also vomiting of phlegm-rheum; phlegm accumulation vomiting. Vomiting that arises when disturbance of spleen-stomach movement and transformation causes dampness to form into phlegm, which lodges in the middle stomach duct and ascends counterflow. Phlegm vomiting takes the form of periodic nausea and vomiting of phlegm-drool, gurgling sounds in the stomach, heart palpitation, dizzy head, and flowery vision. If signs include yellow slimy tongue fur, and rapid stringlike pulse, it is attributed phlegm-heat; if signs include a white slimy tongue fur and a slow sunken pulse, it is ascribed to cold rheum.

Medicinal therapy: Clear heat and transform phlegm with Gardenia and Coptis Two Matured Ingredients Decoction (栀连二陈汤 zhī lián èr chén tāng). Cold rheum is treated by warming the stomach and transforming rheum with formulas such as Major Pinellia Decoction (大半夏汤 dà bàn xià tāng) or Poria, Cinnamon Twig, White Atractylodes, and Licorice Decoction (苓桂朮甘汤 líng guì zhú gān tāng). If the patient vomits after taking the formula, this is a sign of phlegm qì binding in the throat and diaphragm; in such cases use Return Again Elixir (来复丹 lái fù dān), wait for vomiting, and then take Two Matured Ingredients Decoction (二陈汤 èr chén tāng) plus amomum (Amomi Fructus, 砂仁 shā rén), clove (Caryophylli Flos, 丁香 dīng xiāng), and fresh ginger (Zingiberis Rhizoma Recens, 生姜 shēng jiāng).

Acumoxatherapy: Base treatment on alarm and lower uniting points of ST, and on CV and PC. Main points: CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), PC-6 (Inner Pass, 内关 nèi guān), ST-40 (Bountiful Bulge, 丰隆 fēng lóng), and CV-17 (Chest Center, 膻中 shān zhōng). For phlegm-heat, add ST-44 (Inner Court, 内庭 nèi tíng) and LI-11 (Pool at the Bend, 曲池 qū chí); needle with drainage. For cold rheum, add SP-4 (Yellow Emperor, 公孙 gōng sūn) and BL-20 (Spleen Transport, 脾俞 pí shù); needle with drainage and add moxa.

See vomiting (and retching).