Supplementing Qi, Transforming Qi, Regulating Qi, and Descending Qi to Resolve Phlegm: Leaving Phlegm Nowhere to Hide
In Traditional Chinese Medicine (TCM), it is believed that the circulation of all body fluids is carried by Qi. If Qi flows smoothly, phlegm-dampness will not form; if Qi flow is disrupted, phlegm will be generated. Conversely, phlegm can obstruct the movement of Qi, creating a cycle of cause and effect. Therefore, treating phlegm must prioritize the treatment of Qi. Today, I will explain how to resolve phlegm from four aspects: supplementing Qi, transforming Qi, regulating Qi, and descending Qi.
First is supplementing Qi to resolve phlegm. TCM holds that when Qi is sufficient, fluids circulate. If Qi is deficient, phlegm-dampness will form, characterized by a sunken tongue body, a thick, greasy, and enlarged tongue coating, accompanied by symptoms such as shortness of breath, reluctance to speak, fatigue, palpitations, and chest congestion. In this case, it is necessary not only to resolve phlegm but also to supplement Qi, which better facilitates the discharge of phlegm-dampness.
Second, transforming Qi to resolve phlegm. This can also be described as warming Yang to transform Qi, utilizing the evaporation and vaporization of Yang Qi to resolve phlegm-dampness. If you frequently feel cold, have icy limbs, a pale tongue, and a white, greasy tongue coating, this situation requires transforming Qi to stop phlegm.
Third, regulating Qi to resolve phlegm. Qi is the driving force for the normal distribution and movement of body fluids within the body; the distribution of fluids cannot occur without the propulsion of Qi. When the Qi mechanism (Qi Ji) flows smoothly, phlegm-turbidity will be metabolized or dissipated along with the circulation of Qi. If the Qi mechanism is obstructed, it leads to metabolic disorders and the internal generation of phlegm-dampness, resulting in symptoms such as phlegm in the throat, distension in the hypochondriac regions, and mental fatigue. This situation requires regulating Qi to resolve phlegm.
Fourth, descending Qi to resolve phlegm. This involves directing the phlegm downward. After all, phlegm follows the flow of Qi throughout the entire body; a common occurrence is phlegm ascending with Qi to the lungs. At this time, you will experience persistent coughing and expectoration of phlegm, which is often difficult to discharge, accompanied by a sensation of a foreign body in the throat that can neither be swallowed nor spat out. In this case, it is necessary to move Qi and benefit the throat while resolving phlegm.
Therefore, when the Qi mechanism in your body flows smoothly, phlegm will naturally be eliminated more easily.