It is characterized by foreign body sensation in the throat, such as plum pit blocking the throat, coughing up and swallowing, but it does not affect eating. It mainly happens to women. It is equivalent to neurosis or hysteria in western medicine. Plum-core qi is mostly due to poor mood, stagnation of liver qi, rising and falling along the meridian and ending in the throat; Or liver depression and spleen deficiency, body fluid can't turn into phlegm, and phlegm qi starts from the throat. The patient feels a foreign body sensation in his throat, with no pain, unable to cough, unable to swallow, and does not interfere with his diet. Sometimes light and sometimes heavy, accompanied by depression, chest pain, anorexia, lethargy, emaciation, irregular menstruation, black tongue coating and heavy pulse. Banxia Houpu decoction, Xiaoyao powder, etc.
====
Pharyngeal foreign body sensation is a disease caused by some local and systemic factors or mental factors. This disease is also called plum nucleus gas, pharyngeal bulb syndrome and pharyngeal neurosis. It is also called Mei Qi in Chinese medicine. Most patients are middle-aged, and women are more common. The abnormal sensation of this disease is various, such as foreign body sensation in the throat, swelling, oppression, blockage, dryness, floating ball and so on. Symptoms are sometimes good and bad, sometimes light and sometimes heavy. These symptoms are more obvious when swallowing saliva, but swallowing food has no effect; When you are nervous and tired, you get worse, and when you are in a good mood, you often reduce or disappear. The main reasons for these symptoms are as follows: First, the pharynx is the door of the respiratory tract and digestive tract, and it is often stimulated by various dusts and harmful gases. The throat is rich in nerves, such as glossopharyngeal nerve, vagus nerve, trigeminal nerve and sympathetic nerve. Many nerve endings are interwoven into a net to form a nerve plexus. These nerve plexuses are connected with distant organs such as esophagus, stomach, intestine and trachea. When these organs have diseases, such as gastric ulcer, enteritis, tracheitis, etc. They all have symptoms of plum gas. Second, the diseases of the adjacent organs of the throat, such as tonsil hypertrophy's disease, long styloid process or tumor stimulation, rhinitis and sinusitis secretion, cervical hyperosteogeny, periodontal disease, etc. These diseases can also indirectly cause foreign body sensation in the throat. Third, systemic diseases, such as endocrine dysfunction, autonomic nerve dysfunction, digestive dysfunction and so on. , will also produce foreign body sensation in the throat. Then there is the mental factor, that is, there is no organic disease, but it is caused by psychological factors.
====
Mr. Xu, a teacher in Lindian County, Heilongjiang Province, felt that something was stuck in his throat. In class,
I always stumble after class. X-rays and endoscopes were taken many times, and no space occupation was found.
Lesions. Later, I went to the First Hospital of Daqing City to see the medical department, and the doctor Li told him that this
This disease is called "He Mei Qi" in traditional Chinese medicine and "throat paraesthesia" in modern medicine. Doctor Li's prescription
Jiawei Banxia Houpu Decoction 15. As a result, xu teacher's voice changed less than a week after drinking the decoction.
Calm down, the voice of the lecture will be much louder.
Sun Simiao in the Tang Dynasty described in Qian Jin Fang: "Chest full, heart firm, throat firm."
If there is barbecue, you can't spit it out and swallow it. "Song Yang Shiying Ren Zhai Zhi Fang"
He said, "Seven emotions stagnate, forming phlegm and saliva, accumulating with qi, stronger than a block, in the heart, or being blocked."
The throat is like a plum pit, pink and tender, unable to cough, unable to swallow, heartache every time, and harmful to diet. ""
The main feature of "He Mei Qi" is the foreign body sensation between the throat and pleura. Dr. Li is in clinical practice.
* * * Hundreds of patients with this syndrome have been treated, with foreign body sensation in the throat and other symptoms and signs.
82.4%, of which gastropathy, belching and acid regurgitation are the most common, followed by chronic pharyngitis.
Vascular disorders, cardiovascular diseases and bone diseases.
The prescriptions prescribed by Dr. Li are: Jiang Banxia, Poria, Magnolia Officinalis, and Folium Perillae 10.
Grams, 5 grams of Evodia rutaecarpa and Coptidis Rhizoma each, and a number of ginger and jujube. The patient took modified Pinellia ternata.
After Houpu decoction, the condition is different and the curative effect is different. Patients with gastrointestinal dysfunction have the best curative effect.
The curative effect of patients with simple "plum qi" is average.
Dr. Li reminded that the treatment of qi with Jiawei Banxia Houpu Decoction should be based on syndrome differentiation.
Seek the cause and eliminate organic diseases such as cancer. The hospital examined 305 patients with paraesthesia of throat.
Three of them were diagnosed with cancer. Therefore, when treating diseases, we must first distinguish whether it is cancer or local.
Lesions. If it is caused by gastrointestinal diseases or complicated with gastrointestinal diseases, it can be treated with Banxia Houpu Decoction.
1. Several small folk remedies:
Party 1
Comprises 3g of green tea, 3g of Chinese rose, 6g of platycodon grandiflorum and 6g of dogwood.
Usage: grind into fine powder, brew with boiling water, and drink tea instead.
Indications: Plumbum qi stagnation and blood stasis.
Fang 2
It consists of 3 grams of green sepals, 3 grams of green tea, 3 grams of albizzia flowers and 5 grams of medlar.
Usage: brew with boiling water, without tea.
Indications: Plumbum gas.
Fang 3
It consists of 20g raw honey, eggs 1 piece and a few drops of sesame oil.
Usage: Beat the eggs into a bowl and stir well. Take it with boiling water, add honey and sesame oil, 1, twice a day, and take it on an empty stomach in the morning and evening.
Indications: Plum pit qi, lung and stomach deficiency fire, dry mouth and throat, sometimes light and sometimes heavy, chronic pharyngitis.
2. Other methods:
Diagnostic points of plum blossom nuclear gas
1. Pharyngeal foreign body sensation is the main symptom, but it does not interfere with diet. The severity of symptoms is related to emotional changes.
2. Check whether all parts of the throat are normal without any relevant positive signs.
3. This disease should be differentiated from laryngeal obstruction caused by yin deficiency and excessive fire and tumor of throat and esophagus. Laryngitis caused by deficiency fire has foreign body sensation and dry throat, and often makes a "click" sound, and the symptoms have little to do with emotional changes; During the examination, the mucous membrane of the throat was slightly dark red, and there was lymphofollicular hyperplasia at the bottom of the throat. Tumors in the throat and esophagus, which are difficult to swallow and interfere with diet, can be found by naked eye examination or X-ray barium fluoroscopy.