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Phlegm in Respiratory System

How Chinese medicine differentiates phlegm in the respiratory system into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Copious Sputum and Chronic Bronchitis pages. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Difficulty breathing, blue lips, or coughing up blood are medical emergencies — seek immediate care.
General Acupuncture Points

Acupuncture points traditionally used for phlegm in the respiratory system — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-40Resolves Phlegm and Dampness. Opens the chest and subdues rebellious Qi. Promotes the descending of Lung-Qi and stops cough.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
BL-13Stimulates the diffusing and descending of Lung-Qi. Expels external Wind. Regulates Nutritive and Defensive Qi.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Phlegm-Heat in the Lungs View full pattern →

Clinical manifestations: Copious thick yellow or green sputum; fever; rapid breathing; chest oppression; restlessness; thirst; a rapid cough.
Tongue: Red with thick yellow greasy coating and red prickles. Pulse: Slippery and rapid.
Treatment principle: Clears Heat, transforms Phlegm and restores the descent of Lung Qi.
Note: no moxa.

2. Damp-Phlegm in the Lungs View full pattern →

Clinical manifestations: Copious white or grey-white sticky phlegm; a heavy chest sensation; fatigue; poor appetite; bloating; a greasy tongue coating.
Tongue: Pale, swollen, teeth-marked, thick white greasy coating. Pulse: Slippery.
Treatment principle: Dries Dampness, transforms Phlegm and strengthens Spleen digestion.
Note: moxa is appropriate.

3. Cold-Phlegm in the Lungs View full pattern →

Clinical manifestations: Copious white, watery or frothy phlegm; chilliness; cold extremities; no thirst, preferring warm drinks; wheezing; difficulty lying flat.
Tongue: Pale, swollen, thick white greasy or slippery coating. Pulse: Slippery and slow.
Treatment principle: Warms the Lungs, expels Cold, transforms Phlegm and restores Yang function.
Note: moxa is strongly indicated.

4. Phlegm-Fluids in the Lungs View full pattern →

Clinical manifestations: Large amounts of white or grey sticky phlegm; chest stuffiness improving after expectoration; a morning cough that worsens; body heaviness; loose stools.
Tongue: Pale, swollen, teeth-marked, thick white greasy slippery coating. Pulse: Slippery.
Treatment principle: Warms Yang, transforms fluid retention, strengthens the Spleen and resolves Dampness.
Note: moxa is appropriate.

5. Dry-Phlegm in the Lungs View full pattern →

Clinical manifestations: Scanty, sticky sputum difficult to expectorate; a dry throat and mouth; a scratchy throat; a hoarse voice; an intermittent cough.
Tongue: Red, slightly thin, white dry coating with cracks. Pulse: Fine and slippery.
Treatment principle: Moistens the Lungs, nourishes Yin, transforms dry Phlegm and generates fluids.
Note: no moxa.

6. Phlegm Clogging Lungs with Qi Stagnation

Clinical manifestations: White phlegm easily expectorated; chest distension and tightness; upper abdominal bloating; body heaviness; wheezing; fatigue; a wiry quality to the symptoms.
Tongue: Pale, puffy, teeth-marked, thick white excessively moist coating. Pulse: Slippery with a wiry quality.
Treatment principle: Moves stagnant Qi, dries Dampness, transforms Phlegm and supports the Spleen.
Note: no moxa. This site's decks have no combined Phlegm-Clogging-the-Lungs-with-Qi-Stagnation slide — no pattern link is given here.
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