Phlegm and Dampness 痰湿
Phlegm and dampness describe fluids that transform slowly, leaving the body heavy, coated and prone to congestion.
Pinyin: Tan Shi · Five Element: Earth · updated
Dampness is the word for something that is present and should not be. It accumulates when fluids fail to transform and move — when the Spleen's transforming function is sluggish. Phlegm is the denser form of the same problem, and in this framework it refers to thickened mucus and congestion rather than to a literal substance.
The defining feature is heaviness. Dampness is heavy, turbid and slow. People describe it as feeling like they are wading, as having a coated tongue in the morning, as clothes feeling wrong by mid-afternoon. It is also the pattern most associated with weight that arrives without a change in eating.
Movement is the main lever, and it needs to be enough to make you sweat. Diet matters too — heavy, greasy, sweet and cold food all add to the load. Dampness rarely clears on a sedentary plan, because the body's transformation is what needs waking up.
Signs that suggest this pattern
No single sign establishes a pattern — Chinese medicine reads combinations, not isolated symptoms. If several of these are familiar and have been for a while, it is worth running the TCM Body Constitution Test to see what the combination scores.
- A heavy body, or heaviness in the limbs
- A sticky mouth, or a thick tongue coating
- Greasy skin, or oily hair
- Loose stools that stick to the bowl
- Difficulty getting going in the morning
- Chest or nasal congestion
- Weight that gathers easily around the middle
Acupoints used for this pattern (4)
Every point below opens the full library entry, including location, technique, frequency and the cautions attached to it.
ST36 · Zusanli
The classic point for building energy and supporting digestion. Traditionally used for fatigue, poor appetite, bloating, and low resistance to illness.
Stomach meridian
SP6 · Sanyinjiao
Where the Spleen, Liver and Kidney meridians meet. Traditionally used for digestive weakness, sleep problems, menstrual irregularity and fluid retention.
Spleen meridian
ST40 · Fenglong
The traditional point for phlegm and dampness: heaviness, a muzzy head, chest congestion and phlegm to clear.
Stomach meridian
SP9 · Yinlingquan
The traditional point for draining dampness: swelling, puffiness, heavy legs and loose stools.
Spleen meridian
Foods listed against this pattern (7)
Nature and flavour are the traditional classification. Read the avoid note before changing anything you eat regularly.
Adzuki bean
Drains dampness and reduces swelling. A staple of dampness plans.
Neutral · Sweet, sour
Daikon radish
Moves stuck Qi, breaks down rich food and helps phlegm clear. The classic partner to heavy winter meals.
Cool · Pungent, sweet
Coix seed (pearl barley)
The classic food for draining dampness: heaviness, puffiness and loose stools. Sold as pearl barley in most shops.
Cool · Sweet, bland
Kelp
Softens and drains. Traditionally used for phlegm nodules, puffiness and dampness with heat.
Cold · Salty
Winter melon
Drains dampness and clears mild heat. Used for puffiness and summer thirst.
Cool · Sweet, bland
Aged citrus peel
Moves Qi, dries dampness and helps phlegm clear. The standard partner to rich or heavy meals.
Warm · Pungent, bitter
Almond
Settles a cough and moistens the intestine. The traditional partner to pear for a dry cough.
Warm · Bitter, sweet
Tea formulas listed against this pattern (1)
These are traditional reference formulas. Doses shown are traditional reference amounts, not a prescription — check with a qualified practitioner, especially if you are pregnant, on medication, or managing a condition.
Which assessment identifies this pattern
TCM Body Constitution Test
Nine types, 27 questions, about five minutes. No email, no sign-up — you get the result immediately and an explanation of what it means.
TCM Symptom Pattern Decoder
Twenty-eight questions across eight patterns, ranked by fit rather than a single verdict. Free, no email, results you can act on.
Patterns that often appear alongside this one
Phlegm
Phlegm is the thickened, obstructive form of trapped fluid — the concrete congestion that dampness produces when it concentrates.
Cold-Dampness
Cold-dampness is dampness that has been chilled — heaviness plus cold, which is what a weak digestion produces when cold food meets it.
Food Stagnation
Food stagnation is the Spleen overwhelmed by more food than it can transform — the pattern behind most indigestion complaints.
Spleen
The Spleen governs transformation and transport — turning food and drink into usable energy, and moving what has been transformed.
Damp-Heat
Damp-heat combines sluggish fluid with excess heat — the pattern behind breakouts, burning sensations and a bitter taste.
Yin Deficiency
Yin deficiency is insufficient cooling, moistening fluid — you run warm and dry, and rest does not fully restore you.
Related vocabulary
Search terms this page covers: phlegm dampness, mucus, heavy body, weight gain tcm, sticky mouth.