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Lung Heat: Chronic Cough & Yellow Phlegm

What is Lung Heat cough in Traditional Chinese Medicine?

Lung Heat (肺热) is a TCM pattern where excessive heat accumulates in the Lung system, typically from environmental heat exposure, spicy foods, smoking, or external pathogens transforming into heat. This manifests as persistent dry cough with difficulty expectorating, thick yellow or green phlegm when it does come up, sore throat, red tongue tip and front third (Lung area), thirst, and sometimes fever. Unlike common cold coughs that improve in days, Lung Heat cough persists for weeks or months as the heat 'bakes' the lung fluids into thick, sticky phlegm that's hard to clear. In this case, a 28-year-old teacher had a persistent cough for 6 weeks that wouldn't resolve despite antibiotics. AI tongue diagnosis detected the red coloration and yellow coating indicating Lung Heat pattern. Treatment used cooling, heat-clearing herbs specifically targeting the Lungs, combined with avoiding heating foods (spicy, fried, alcohol). Results were rapid: cough resolved completely within 2 weeks, phlegm cleared, throat healed, and tongue returned to normal pink color with 95% Lung Heat pattern resolution confirmed by AI follow-up.

Quick Takeaways:
  • Lung Heat causes persistent dry cough with yellow/green phlegm and sore throat
  • Common from environmental heat, spicy foods, or infections transforming to heat
  • AI detected red tongue tip/front and yellow coating indicating Lung Heat pattern
  • Treatment: Cooling herbs clear heat from Lungs + avoid spicy/fried foods → cough resolved in 2 weeks

Common Questions About Lung Heat Cough

Why won't my cough go away after antibiotics?

Lung Heat is a functional pattern, not a bacterial infection. Antibiotics kill bacteria but don't address the heat/inflammation mechanism in TCM terms. This is why post-viral or post-infection coughs linger - the pathogen is gone but heat remains 'baked' in the Lungs. TCM cooling herbs specifically drain this residual heat, which is why they work when antibiotics don't help anymore.

What foods make Lung Heat worse?

Avoid all heating foods: spicy/hot peppers, fried foods, alcohol, coffee, lamb, shrimp, garlic, ginger (which warms), chocolate, and smoking. These add more heat to already-hot Lungs. Instead eat cooling foods: pears (specific for Lung Heat), watermelon, cucumber, celery, mint tea, mung beans, tofu, and plenty of water. Pear with honey is a classic Lung-cooling remedy.

Can Lung Heat turn into pneumonia?

Lung Heat itself isn't pneumonia, but untreated Lung Heat can create conditions for bacterial pneumonia to develop. Chronic heat and thick phlegm provide a breeding ground for pathogens. Additionally, what Western medicine calls 'lingering bronchitis' or 'post-viral cough' is often Lung Heat in TCM terms. If fever develops, breathing difficulty worsens, or phlegm becomes rust-colored, seek immediate medical evaluation.

How is Lung Heat different from common cold?

Common cold (Wind-Cold or Wind-Heat in TCM) is acute (days to 1-2 weeks) with watery discharge, body aches, and clears naturally or with simple remedies. Lung Heat is persistent (weeks to months), involves thick difficult-to-expectorate phlegm, red/yellow tongue signs, and needs specific heat-clearing treatment. Common cold can transform into Lung Heat if not properly treated or if heat accumulates.

Can children get Lung Heat?

Yes, children are actually prone to Lung Heat due to their yang constitution (more heat), tendency to eat sweets/fried foods, and rapid transformation of infections into heat. Signs include persistent cough after illness, night sweats, red cheeks, restless sleep, and thick phlegm. Treatment principles are the same but with gentler herbs and lower doses appropriate for pediatric use. Consult a qualified pediatric TCM practitioner.

What Were the Treatment Results? (Cough Resolved in 2 Weeks)

Cough: Resolved completely

Phlegm: Clear, minimal