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Transforming phlegm and opening the orifices

化痰开窍 〔化痰開竅〕huà tán kāi qiào

Also sweeping phlegm and opening the orifices; sweeping phlegm and arousing the brain; eliminating phlegm and opening the orifices. To treat clouded spirit in phlegm patterns. Distinction is made between heat phlegm and cold phlegm.

Heat phlegm (热痰rè tán) patterns are characterized by exuberant phlegm with rough breathing, clouded spirit and delirious speech, generalized heat, vexation and agitation, and a red tongue with yellow fur.

Medicinal therapy: Use Bovine Bezoar Pill (牛黄丸 niú huáng wán) or Supreme Jewel Elixir (至宝丹 zhì bǎo dān).

Acumoxatherapy: Main points: ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), CV-22 (Celestial Chimney, 天突 tiān tú), ST-40 (Bountiful Bulge, 丰隆 fēng lóng), PC-6 (Inner Pass, 内关 nèi guān), PC-5 (Intermediary Courier, 间使 jiān shǐ), and GV-26 (Water Trough, 水沟 shuǐ gōu). For heat phlegm, add LI-4 (Union Valley, 合谷 hé gǔ), LI-11 (Pool at the Bend, 曲池 qū chí), GV-14 (Great Hammer, 大椎 dà zhuī); needle with drainage, and prick Twelve Well Points (十二井穴 shí èr jǐng xué) to bleed.

Cold phlegm <寒痰 hán tán) transforming phlegm and opening the orifices patterns are characterized by phlegm drool congestion, clouded spirit, green-blue or white face, cold extremities, and a sunken pulse.

Medicinal therapy: Use Storax Pill (苏合香丸 sū hé xiāng wán).

Acumoxatherapy: To the main points given above add add CV-4 (Pass Head, 关元 guān yuán), GV-4 (Life Gate, 命门 mìng mén), and CV-8 (Spirit Gate Tower, 神阙 shén què); needle with even supplementation and drainage and moxa (CV-8 can only be moxaed).

See opening the orifices.

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