Type 3 / 6

Phlegm-Blood Stasis

Prolonged phlegm obstruction impairs blood flow; phlegm and stasis bind together, progressively narrowing the airway. Common in long-term snorers. If accompanied by nocturnal choking episodes, sleep apnea should be ruled out.

Tongue & Pulse Dark or purplish tongue with ecchymosis, white greasy or grey greasy coating; wiry-choppy or deep-slippery pulse

Who Is Most Affected

Long-term snorers with chronic patternThose with tendency toward sleep apneaMiddle-aged and older, overweight individualsThose at risk for cardiovascular disease

Common Symptoms

Intermittent snoring that fluctuates in volume
Multiple nocturnal awakenings due to choking, significant daytime sleepiness
Dull, lusterless complexion with purplish lips
Chest tightness and palpitations, headache and dizziness
Dark tongue with ecchymosis, dull pain in the chest and flanks

Treatment Focus

1 Dissolve phlegm and activate blood simultaneously; dispel stasis and open orifices

2 Consistent aerobic exercise to improve circulation

3 Strongly recommended: professional sleep monitoring (PSG)

4 CPAP therapy as adjunct when necessary

Representative Formula

Xue Fu Zhu Yu Tang combined with Er Chen Tang

Tao Ren (activates blood, dispels stasis)Hong Hua (activates blood, unblocks channels)Dang Gui (nourishes and activates blood)Chuan Xiong (moves Qi and blood)Ban Xia (dissolves phlegm, descends Qi)Chen Pi (regulates Qi, dissolves phlegm)Shi Chang Pu (transforms dampness, opens orifices)

Chinese herbs should be used under guidance of a qualified TCM practitioner. Do not self-prescribe.