The factors that cause this pattern are stress, relentless pressure and overwork in combination with unhealthy compensatory behaviours, such as smoking for stress management or high-pressure business lunches with excessive consumption of hot (this is an energetic quality not actual temperature), spicy and greasy foods. These affect the spleen’s function of transforming and transporting fluids which then forms phlegm. The stress, pressure and smoking causes heat and combines with the phlegm to cause phlegm heat.
Barking cough, profuse yellow or green or dark sputum (foul smelling), shortness of breath, asthma, stuffy chest, and disliking lying flat because it makes the symptoms feel worse.

Jost Sauer Spiritual attunement acupuncture

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