Heart - Phlegm Fire Harassing the Mind   痰火扰心

Disclaimer: For educational purposes only.  Do not use as medical advice.

Pattern Names
Heart - Phlegm Fire Harassing the Mind • 痰火扰心 • Tán Huǒ Rǎo Xīn
Classification
Category: Zang Fu Syndrome: Heart
Symptoms
Tongue: red tongue, yellow greasy sticky coat Pulse: rapid, slippery, forceful
Indications: Mental confusion, Mania, Aggressive behavior, Insomnia, Dream-disturbed sleep, Flushed face, Coarse breathing, Constipation, Dark urine, Fever, Fidgeting, Wheezing, Gurgling sound in throat, Thick yellow sputum, Delirium, Aimless wandering, Palpitations, Thirst [34] • Flushed face, fever, thirst, harsh breathing, fidget, mania, restlessness, slurred speech, delirium, rattling sound in throat, yellow sputum, constipation, dark yellow urine. Insomnia, vexation, incoherent speech, uncontrolled laughing or cry, muttering shouting, manic behavior. Red tongue, greasy yellow coating, a slippery pulse. [32]
Keywords
delirium, palpitation, throat gurgling, thick yellow sputum, red face [Maciocia] • Yang madness plus heat phlegm symptoms and signs [Qiao]   
Treatment 
drain fire, clear phlegm, calm shen
Acupuncture 
DU14, HT7, LI4, LI11, ST40[32] • PC5, HT, HT8, HT9, PC7, REN15, BL15, REN12, ST40, SP6, LV3, LV2, BL20, DU20, GB13, GB15, DU24, Sun Si Miao ghost points [35]
Herb
Huang Lian Wen Dan Tang[32]
Etiology
Notes
Both Phlegm Fire harassing the Heart and Phlegm misting the Mind deal with mental state. Phlegm misting the Mind has NO HEAT and tends to be depressive, dullness, lethargic stupor, collapse, depression. Phlegm Fire harassing the heart has HEAT and tends to be manic, have palpitations, agitation, bitter taste, violent, tongue ulcers, dark urine. [35]
Source 1
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Source 3