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Hard Phlegm Diagnosis

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Hard Phlegm is a yellow, thick viscous gel like liquid which contain mucus, glycoproteins, immunoglobulins, etc.

Phlegm is a sticky, water based, gel like substance containing mucus, glycoproteins, immunoglobulins, lipids and other substance. Phlegm is cold, heavy, and dull by nature. There are various types of phlegm which can be found during bouts of cough or from nasal secretions. Hard Phlegm is dark yellowish in color, sometimes with a green texture. It is sticky and sometimes may be accompanied with blood stains. The causes of hard phlegm disorders include a diet excessive in bitter or sweet foods or in foods with heavy, cold, greasy qualities. This includes raw cereals or pulses, animal fats, vegetable oils, sugar, radish, cottonseed, raw or under-cooked foods, slightly burned foods, dairy products, or drinking cold water or cold tea to excess. Overeating, eating a meal before the previous meal was digested, inactivity, sleeping during the day and chronic exposure to humidity are other possible causes of hard phlegm disorder. In the initial stages the phlegm appears white and frothy. With time it becomes yellowish or greenish associated with thick mucus and a typical smell, which is the characteristic of hard phlegm. The general diagnosis of hard phlegm requires special care because of the involvement of multiple humors which include the following symptoms:

1. Pulse: weak, slow, sunken, and almost imperceptible.

2. Urine: brownish and dense-turbid with tiny bubbles and little smell or fume.

3. Tongue: covered with a pale-yellowish moist coat.

4. A sticky sensation in the mouth with a reduced ability to taste foods.

5. Pale face, eyes, tongue, and gums, and swollen eyelids.

6. Abundant saliva and mucus.

7. Nausea but no vomiting.

8. Fishy smell at the mouth and at the genitals.

9. Relief from massaging the spinal discs.

10. Sensation of heat in the interior of the body.

11. Dull-mindedness, sensation of heaviness, sleepiness, apathy, procrastination, or laziness.

12. Lack of appetite, nausea, poor digestion, stomach discomfort, vomiting and Diarrhea with undigested food or mucus in the stools.

13. Lumbar discomfort or pain, itching, slackening or thickening of the skin, and loose or enlarged joints.

14. Swelling and pain in the neck.

15. Chronic fever and body ache.

16. Viscous, light-colored blood revealed by bloodletting.

The above symptoms of hard phlegm are aggravated in the spring, in rainy weather, in the morning, in the late afternoon, and immediately after eating.

Hard Phlegm develops in three phases:

• In the first phase, there is vomiting of viscous liquid associated with cough.

• In the second phase, the disease matures and large amounts of yellow fluid can be seen when purgation or emesis is performed.

• In the final phase, the thick, viscous mucus may contain dark blood stains.

A diagnosis of hard phlegm disorder can be further confirmed by ameliorating and aggravating conditions. If the condition improves after eating lamb, beef, honey, grains grown in dry areas, or pungent, sour, or astringent foods, or foods with rough, warm, and sharp qualities, or when staying in warm places, or after physical exercise, then the diagnosis of hard phlegm can be confirmed. Likewise, the following aggravating factors can help confirm the diagnosis of hard phlegm: hard and sticky nature of the phlegm, rough yellowish or greenish texture with some foul odor, sleeping during the day, difficulty in breathing, bouts of cough associated with mucus.


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saswati chakraborty

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