The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Preliminary reading: What is a pattern? The concept of Phlegm
Key attributes
Chinese name: 痰滞胸中 Pinyin name: Tán Zhì Xiōng Zhōng
Pattern nature: Empty
Causes
Common causes: 1. Diet, 2. Emotional Stress
Diagnosis
Common symptoms: Difficult breathing Focal distention of the chest
Pulse type(s): Wiry (Xian)
Treatment
Treatment principle: Discharges Phlegm
Common formulas: Gua Di San
This pattern is characterized by Phlegm accumulation that obstructs the chest and diaphragm region. This obstruction severely impedes the flow of Qi, leading to symptoms such as firm areas of focal distention in the chest, a feeling of vexation, and difficult breathing.
The sensation of Qi rushing into the throat is a key symptom of this pattern. Additionally, the slightly floating quality of the distal pulse is indicative of the upward disturbance of Qi caused by the phlegm or food stagnation in the chest area.
Diet: Overconsumption of cold, greasy, or damp-producing foods can lead to phlegm accumulation.
Emotional Stress: Prolonged emotional disturbances, particularly worry or overthinking, can disrupt Qi flow and lead to phlegm accumulation.
Diagnosing a pattern in Chinese Medicine is no easy feat and should be left to professional practitioners. In particular one has to know how to differentiate between different types of pulses and tongue coatings, shapes and colors as well as learn to read from a long list of seemingly unrelated symptoms.
Pulse type(s): Wiry (Xian)
Main symptoms: Difficult breathing Focal distention of the chest
Diagnosis commentary: focal distention in the chest, difficult breathing, and a sensation of qi rushing into the throat, often accompanied by a slightly floating distal pulse.
Discharges Phlegm
The top herbs in Gua Di San are Melon Stalks (Gua Di ), Adzuki Beans (Chi Xiao Dou) and Fermented Soybeans (Dan Dou Chi)
Source date: 220 AD
Number of ingredients: 3 herbs
Key actions: Discharges Phlegm or food stagnation through vomiting .
Gua Di San is a 3-ingredient Chinese Medicine formula. Invented in 220 AD, it belongs to the category of formulas that induce vomiting.
Besides Phlegm in Chest, Gua Di San is also used to treat Food Stagnation in the Stomach.