A 56-year-old overweight man reports chest oppression, abundant phlegm, a heavy wrapped-head sensation, restless sleep, and a sticky mouth on waking. Tongue coat is thick and greasy. Pulse is slippery. What is the most likely pattern?
Four training angles
Heavy Phlegm with Chest Oppression and Disturbed Sleep: Pattern
Heavy Phlegm with Chest Oppression and Disturbed Sleep: Treatment Principle
Heavy Phlegm with Chest Oppression and Disturbed Sleep: Formula
Heavy Phlegm with Chest Oppression and Disturbed Sleep: Points
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Heavy Phlegm with Chest Oppression and Disturbed Sleep: Pattern
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Heavy Phlegm with Chest Oppression and Disturbed Sleep: Treatment Principle
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Heavy Phlegm with Chest Oppression and Disturbed Sleep: Formula
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Heavy Phlegm with Chest Oppression and Disturbed Sleep: Points
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Case-to-knowledge links
Greasy Coating
A greasy coating commonly indicates phlegm, dampness, food retention, or other turbid obstruction.
Slippery Pulse
A slippery pulse commonly points to phlegm, dampness, or food retention, and may appear with phlegm-heat patterns as well.
Insomnia
Insomnia may occur in Heart blood deficiency, Heart-Spleen deficiency, yin deficiency heat, or phlegm-heat disturbing the Heart.
Phlegm Misting the Heart Orifices
The key to this pattern is that turbid phlegm blocks the clear orifices and disturbs mental clarity. In exam stems it often appears with chest oppression, abundant sputum, nausea, mental fogginess, greasy coating, and slippery pulse.