Fighting Phlegm

Phlegm—nobody’s favorite bodily function. In the West we tend to think of mucus and phlegm as something our body produces only during certain times such as when we have the flu or a cold or when allergies cause us to have a post-nasal drip. In Traditional Chinese Medicine (TCM), identifying the reason your body is producing phlegm helps in diagnosing many ailments. Phlegm production is a much broader and deeper issue than a seasonal cold or flu. In fact, the secretions produced by the nose and mouth during those illnesses are actually mucus, and not technically phlegm. This is understood in TCM which treats the spleen-originating phlegm, stored in the lungs, that affects the joints and the muscles and creates overall feelings of not being well.


Mucus or Phlegm?

Mucus is produced by the body to carry away particles and debris—think of it as a pollution disposal substance for your body. The process of producing mucus to carry away these pollutants is one of the body’s most important ways to protect the lungs. This substance is so important for the proper functioning of your body that it produces about one quart per day!

Phlegm is a different substance. It is a type of mucus but rather than originating in your mouth or nose and sinuses, it is produced by the spleen and mal-functioning digestive system, stored in the lungs and lower airways as a result of excess and inflammation. In TCM, the lungs play this secondary role in the production of phlegm. The spleen extracts the energy from the foods you consume and sends it to the small intestine. In a weakened or compromised digestive system, phlegm is the result of foods not being broken down properly and the by-product of that faulty process is the phlegm. The foods we choose to eat and the times we eat them are major contributors to the production of this substance.

Consuming cold, damp and raw foods is tough work for the body. The process of first warming and then digesting these foods is sometimes incomplete, leaving us with partially digested food and the phlegm. Add in eating on the go, stress, irregular mealtimes, smoking, and processed foods, and we are primed for the digestive process to backfire and produce phlegm that will diminish our overall health and cause a weakened spleen. The phlegm overwhelms the spleen, and this organ attempts to rid itself of the substance. When the spleen is overcome by its disfunction, the phlegm starts to build up in the lungs where it is then stored. We then begin coughing to rid ourselves of it. If unhealthy habits and resulting overproduction of phlegm continues unchecked for years, this sticky substance literally “sticks” around and becomes more firm and more resistant to being removed. In TCM, before the phlegm moves out of your body through coughing and the clearing of the lungs, it needs to be transformed. This transformation takes place by softening the hardened phlegm and moving it out through coughing. It may not seem like it when you are hacking away, but our body is doing us a favor when we cough and sneeze, because it is trying to dislodge this garbage by-product substance that has taken hold in our lungs.

Acupuncture and herbs are great for transforming and getting rid of phlegm. An overproduction of phlegm, or phlegm stuck in your body may manifest in the following complaints:

  • throat clearing

  • excessive nose blowing

  • puffy face

  • thick tongue

  • ear wax

  • fatigue

  • body odor

When a patient comes into the Acupuncture by Andrea clinic with these complaints, my first treatment step is to drain the dampness through specific placement of acupuncture needles. The treatment protocol then moves to target the spleen, stomach, digestive system and lungs.

TCM has several highly effective, ancient herbal treatments for expelling phlegm. There are formulas for heat and formulas for cold phlegm—the symptoms will correspond with the diagnosis and the treatment will be applied accordingly. Some formulas resolve phlegm using herbs like seaweed and orange peels to dissolve and move the stubborn concentrated mass. If the phlegm has “invaded” the thoughts, indicating a digestive system in distress and/or a mental health condition, amber is used to calm the mind. This herb soothes the body, allowing a sustained calmness so the healing can slowly begin. Fu ling is an herb often used in formulas to rid the body of dampness, the main component of phlegm. This herb will also work to strengthen the spleen.

Along with acupuncture and herbal medicinals, making good food choices every day is a highly effective way to prevent phlegm overproduction and storing of this substance that should be naturally and routinely expelled.  

Food not Phlegm

Foods that help resolve dampness and phlegm include:

  • grains—rice, barley, buckwheat, amaranth, and Job’s Tears

  • beans—adzuki, chick peas, black beans, kidney beans and fava beans

  • cooked vegetables—asparagus, pumpkin, carrots and peas

  • foods from the alum family—onions, garlic, leeks and radishes

  • seaweed

  • corn products

  • almonds

Foods to limit your intake of include:

  • proteins—dairy, egg yolks, beef and pork,

  • bananas

  • oatmeal

  • oils and nut butters

  • raw foods and iced or cold foods

  • refined sugars

This doesn’t mean you can never eat these foods again; we just advise you to take a break from many of these food options so that your digestive system can heal from the overproduction of phlegm.

Phlegm-Free and Feeling Fine

Clearing phlegm out of your body through acupuncture, herbs, and dietary changes often has immediate and noticeable effects. Many patients report feeling lightness in their body, and most people find that their snoring lessens or even disappears completely!

You will also notice a reduction in:

  • joint pain

  • vertigo

  • dizziness

  • skin conditions such as acne, nodules, and fatty cysts

Diet and digestion can never be overlooked when there is any type of complaint in the body.  

With acupuncture and cupping treatments, herbal formulas and dietary changes you will feel clearer, happier and healthier being phlegm-free!

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