In the outpatient clinic, we often come across plum nucleus qi, it can be said that most of them have already seen a lot of gentlemen, why? Because the plum nucleus gas is easy to recur due to lack of attention, sometimes health care is more important than treatment. For the plum nucleus qi and the treatment of the following briefly:

I. Plum nucleus gas:Due to emotional disorders, stagnation of liver qi, phlegm and qi, and the accumulation of phlegm in the pharynx, the main manifestation of the disease is that the pharynx seems to be blocked by prune kernels, and it is not possible to cluck, not be able to swallow, and the disease stops when it occurs. Clinically, there is a foreign body sensation in the pharynx, but there is no dysphagia. Plum nuclei gas is the name of Chinese medicine, equivalent to Western medicine, pharyngeal allodynia, also known as pharyngeal neurosis, hysteria, also seen in chronic pharyngolaryngitis.

II. Etiology:Due to anger or work and life stress, liver qi is stagnant, and the qi knots up with the throat; and due to liver depression and qi stagnation, which offends the spleen and stomach, liver depression rides on the spleen, the spleen's function of transporting water and grains and essence, or water and wetness decreases, and the spleen can't raise the clear, which becomes turbid liquid, and the phlegm knits up and forms the phlegm with the throat. Qi and phlegm are intertwined with the pharynx, forming prune-core qi.

(c) The main clinical symptoms of prunella:Foreign body sensation in the pharynx, feel phlegm, sometimes can cough out, when coughing out, sometimes the pharynx itch like ants crawling sensation, sometimes the pharynx dry pharynx burning, sometimes feel there is a thing blocked in the pharynx, can't swallow, and so on.

Fourthly, according to the symptoms, there are the following identification and typing of plum nucleus qi:

1. Liver depression and Qi stagnation:

• The main symptom:The pharynx is obstructed by such things as obstruction, and swallowing is unfavorable, temper is irritable, the chest and hypochondrium are distended, the breast is distended and painful, belching is frequent, sighing is comfortable, dizziness and brain distension, stormy fiery eyes, stormy deafness and tinnitus, or depression, depression, neck gall tumors (goiter), women's menstruation before and after the uncertainty, or disintegration, or amenorrhea, the tongue is pale red moss is thinly white or thinly yellow, and the pulse is stringy.

• Rule of Therapeutics:Relieving the liver and relieving depression, dispersing knots and promoting circulation of Qi

• Prescription:Add and Subtract Easy San

2. Phlegm and qi are intertwined:

• The main symptom:Foreign body sensation in the pharynx, or phlegm, sometimes coughed up, when coughing out, up and down wandering, or in a place fixed immobile, eating and swallowing is normal, if you are busy with work or study, the foreign body sensation is significantly reduced, or disappeared, mostly in ladies, the more you care about the more serious. Personality suspicious, suspicious of the disease, many places to seek medical treatment, the symptoms are also changeable, tongue light red, moss thin or yellow greasy, pulse string slippery.

• Rule of Therapeutics:Relieving liver and depression, regulating qi and resolving phlegm

• Prescription:Semixia and Houpu Tang

3. Liver depression and loss of voice:

• The main symptom:Sudden hoarseness after emotional excitement, or can not speak, some dozens of minutes, some up to a few days, but crying or coughing pronunciation is normal, suspicious and fickle, depression, pharyngeal foreign body sensation, chest tightness and dystocia, insomnia and palpitations, menstrual disorders, etc., laryngoscopy, are abnormal, the tongue is pale red moss thin white or thin yellow, the pulse is stringy.

• Rule of Therapeutics:Relieve the liver and depression, and clear the pharynx to open the voice

• Prescription:Addition and subtraction of Chebulin Qingyin Tang (诃子清音汤)

Fifth, plum nucleus gas health precautions:

1,Keep a good mood, less anger, less work and life stress, family members give understanding and help.

2,Psychological counseling can be done to relieve psychological concerns and not be too concerned about self-perceived symptoms.

3,It is possible to get a trusted person to give psychosuggestion therapy to ease psychological concerns, which can mostly yield good results.

4,Actively participating in work or study to divert attention and interfere with disorganized suspicious thoughts.

5,Be physically active, take care to get a good night's sleep, and be physically strong to minimize suspicion of ill health.

6,If you continue to see no improvement, you can seek counseling from a psychiatrist or traditional Chinese medicine for active treatment.

The above discusses the etiology and pathogenesis of plum nucleus qi, as well as the identification and treatment of the disease, and the precautions for health care, and I hope it can help friends.

(Friendly reminder: the text of the prescription is only for learning and communication, do not self-medication, responsibility, if you like Chinese medicine science and health, please pay attention to this number!)

Use Hanxia Houpu Tang. Indications: The symptoms of prune nucleus qi are as follows Indications of plum nucleus qi: obstruction in the pharynx, inability to vomit or swallow, or fullness and pain in the chest and hypochondrium, or cough with damp phlegm, with white or slippery tongue coating and slippery or stringy pulse. This formula is designed to treat plum nucleus qi. Sorrow and anxiety, emotional upset, qi stagnation, phlegm and saliva cohesion, phase bo in the pharynx, so the pharynx consciously have something blocked, clucked and vomited, swallowed, "Jin Gui Yao Liao" than the "pharynx, such as there is a sizzling sliced meat," as for the fullness of the chest gasping or coughing with phlegm, the moss is white or slippery, slippery or stringy pulse, are for the signs of qi phlegm and dampness. The treatment is to move the qi to open up the depression, lower the reversal and resolve the phlegm. In the formula, Semixia is pungent and warm to resolve phlegm and open the knot, harmonize the stomach and lower the rebelliousness; Houpu is hard and warm to lower the qi and drain the fullness, and the two flavors are the same as the main medicine. Su leaf enters the lung, light and pungent, warm, aromatic and evacuating, to eliminate phlegm in the throat and help Hou Pu to move Qi; Poria helps Semixia, seeps dampness and strengthens the spleen in order to eliminate the root of dampness and phlegm; Ginger lowers the rebelliousness and stops vomiting, and helps Semixia to dispel phlegm. The combination of all the drugs, Xin disperses gas stagnation, declared through the knot, bitter can dry dampness and reduce the reversal of warm can pass the qi to resolve phlegm, a total of Xin open down, phlegm and reduce the reversal of the work, and all the symptoms of self-resolution.

Feeling something stuck in the throat, can not cough up, but also swallow can not go down, sometimes with, sometimes without, feel very uncomfortable, ask me what is going on, Chinese medicine can be cured? This situation is very common in my daily clinic, it is mostly due to emotional upset, stagnation of liver qi, phlegm and qi stagnation, stopping in the pharynx due to the patient always feel like the pharynx will be like plum kernel obstruction, clucking out, swallowing the no, when the hair stop, so Chinese medicine called it plum kernel gas, this disease is mostly seen in middle-aged women.

A month ago, I had received a patient in Henan, 53-year-old woman, she said she had a foreign body sensation in the throat for more than half a year, accompanied by belching, stools are not shaped, day to day very distressing, always feel that they have what is not a good cure for the disease, go to a lot of places to see a doctor, Western medicine can not be found out what the cause of the local Chinese medicine hospitals have also eaten dozens of traditional Chinese medicine, or do not see any improvement.

Analysis: Let's analyze her condition, Chinese medicine believes that the liver is the main regulator of emotions and feelings, liver qi stagnation, unfavorable qi drainage, resulting in qi congestion in the pharynx, at the same time, liver depression multiplies the spleen, when the spleen is weak, there is a lack of transportation and transformation, and water and dampness are not transformed, and they gather into phlegm, and finally, phlegm and qi intertwine with each other in the pharynx, and then it becomes prune nucleus qi, because of the stagnation of liver qi, the unfavorable drainage of qi, and the patient has a pick-up breath manifestation. Because of Liver-Qi stagnation and unfavorable Qi drainage, the patient has frequent picking up of Qi, and because of Liver-Depression multiplying the Spleen and the Spleen not transforming Dampness, the patient has symptoms of unshaped stools.

Treatment: dredge the liver to relieve depression, strengthen the spleen to resolve phlegm, and move Qi to disperse lumps.

Prescription: Chai Hu Shuo Liver San combined with Han Xia Hou Pu Tang plus subtractions

Radix Bupleurum Chinense, Radix Paeoniae Alba, Citrus Aurantium, Pericarpium Citri Reticulatae, Radix et Rhizoma Glycyrrhizae

Semen xia, Houpu, Poria, Ginger, Su Ye

Codonopsis, Atractylodis Macrocephalae, Mucuna pruriens, Semen Armeniacae

Conclusion: After using this formula for one month, not only the foreign body sensation in the throat disappeared, the pick-up chi seldom came back, and the stools are basically shaped now.

In addition, like this kind of patients in addition to the use of traditional Chinese medicine, but also pay attention to the regulation of emotions, do not take the bull by the horns, this is very important, and do not have to worry too much, if you always think that they have what can not be cured, then most of the last need anti-anxiety treatment.

Plum nucleus qi is the name of the Chinese medicine disease, the symptoms of the pharynx seems to have something obstructed, spit out of the not, swallowed the not, on and off, easy to recur, sometimes accompanied by pharyngeal itching, pharyngeal burning sensation, but does not affect the general eating. The main causes of this syndrome are emotional depression and phlegm-qi obstruction.

Depending on the cause of the formation, the treatment of prune gas is broadly categorized as follows:

1, emotional depression caused by plum nucleus qi is usually used to detoxify the liver, the method of qi dispersal, commonly used formula is Chai Hu Shuo Liver San plus subtractions, the formula has the effect of detoxifying the liver and regulating qi and blood and regulating the spleen, the use of the general can be added to half-summers, thick park, perilla.

2, phlegm and qi obstruction caused by plum nucleus qi is usually used to ease the liver and relieve depression, qi and phlegm, commonly used formula is half Xia Houpu Tang, the formula has to move qi and open the depression, reduce the effectiveness of the reverse phlegm, is the treatment of plum nucleus qi of the main formula, the stagnation of qi can be added to Xiangshu, Hovenia citta; phlegm can be added to the Sichuan shells, piperidium gua vulgaris; dry pharynx is obvious can be added to the salvia, maitong.

3, gastrointestinal food stagnation stomach loss and descending vomiting acid caused by plum nucleus qi can be added on the basis of half Xia Houpu Tang eliminating stagnation of drugs such as sand nuts, Shenqu, malt and so on.

In addition to medication, patients with syphilis should pay attention to the following points in their daily lives: 1, maintain a relaxed mood, live a full life, avoid anger. Many patients with plum nuclear gas in the work and study busy time or playing cards, play games when the concentration of symptoms will be reduced or disappear, idle symptoms will be aggravated, so usually pay attention to shift the patient's attention, free time can do sports. 2, long-term smoking and drinking easy to lead to the plum nuclear gas, this kind of people should avoid smoking and drinking, eat a light diet, eat less or do not eat spicy and stimulating food. 3, do a good job of daily protection The most important thing is to keep the living environment clean and ventilated, and avoid contact with dust and chemical gases.

Plum nucleus gas is a description of the clinical symptoms of traditional Chinese medicine, Zhang Zhongjing in the "Golden Chamber Essentials" in a paragraph: "women in the throat, such as a sizzling sliced meat," the throat always feel a piece of roasted meat, this meat is invisible, the appearance of the appearance of a little bit of abnormality. But the patient always feels discomfort in the throat, swelling without pain, can not spit, can not swallow, honestly stuck in the throat. Plum nucleus qi is to say that this symptom is like plum nucleus, but like a gas, invisible, untouchable, invisible, the two described things are the same.

Why Chinese medicine named "woman", because girls are meticulous, usually think a lot of problems, annoyance is also a lot, often cause liver qi depression. And the ancient women, more at home, usually not much time to go out, even less exercise, eat greasy things to hinder the digestion of the spleen and stomach, the gradual formation of phlegm, which gradually formed plum nucleus qi.

Since the symptoms were described and there was a mechanism behind the formation, there was naturally a way to treat it. Zhang Zhongjing issued a formula, Half-summer and Houpu Tang, which has been a specialized formula for the treatment of plum nucleus qi. Hanxia Houpu Tang consists of Hanxia, Poria, Poria, Perilla, Perilla and Ginger, which can move qi, resolve phlegm, lower the rebelliousness and stop vomiting, and Hanxia is a specialized medicine for treating throat disorders. If phlegm and turbidity are stagnant and cause discomfort in the throat, Hanxia can be used to treat it. If the throat discomfort is caused by other reasons, it can be treated by combining half-summer with other medicines. Half-summer and Tang, Xiao Chaihu Tang, Maimendong Tang, etc. can all treat throat diseases.

Although Half-summer and Thick-stemmed Park Soup is a specialized formula for the treatment of Prune Tuberculosis, it is not necessary to use Half-summer and Thick-stemmed Park Soup for Prune Tuberculosis. The liver and gallbladder meridians circulate through the throat, so when the liver and qi are not in good health, it will cause the throat to become full and uncomfortable, which is the so-called "plum core qi", and if there is phlegm stagnation, the phlegm and qi stagnation will intertwine together, which will make the knot heavier and heavier.

Therefore, by regulating your emotions, eating less stimulating things and using medication, prune gas is not a difficult disease to treat.

Common foreign body sensations in the throat can be categorized into 4 conditions:

1, localized lesions of the throat. Mainly all kinds of pharyngitis. If there is dysphagia, it is necessary to exclude local tumors and other diseases.

2, nasal lesions. Mainly sinusitis, posterior nasal tract rhinitis. Nasal secretions on the throat stimulation and caused.

3. Stomach lesions. Such as chronic gastritis, especially reflux esophagitis.

4. Hysterical globular disorder. Mainly systemic diseases involved, especially bad mood, mainly spleen depression rather than liver depression, manifested as hyperthinking, suspicious and anxious. There is no obvious localized lesion in the throat, but it is caused by spasm of the smooth muscle of the pharynx.

Treatment:

1, avoid too sweet, cold, salty, spicy food and smoke, alcohol;

2, regular detachment from the stressful working life environment. Before a patient is hysterical balloon, laryngoscopy, gastroscopy are done, no problem at all, in Beijing for a long time on the offense frequently, a return to the old home immediately on the good.

3、Wear a mask when going out

4, long-term talk a lot of people are recommended to learn to use Dantian Qi, not just shouting with the voice. Like singers, comedians, a whole is a few hours, but seldom because of the pharyngeal discomfort.

5, must actively search for the cause of the disease, to thus not just symptomatic treatment.

How to cure Plum Blossom Gas

The overall prognosis of Meibei Qi is good, and its treatment principle in Chinese medicine is to dredge the liver and strengthen the spleen, and resolve phlegm and depression.

Plum nucleus qi is a Chinese medical condition characterized by the sensation of foreign body obstruction in the pharynx, mostly seen in middle-aged women. The disease is usually characterized by liver depression and qi stagnation in those with a short course of the disease, and liver and spleen disharmony, phlegm and qi interconnection, or even phlegm and stasis interconnection in those with a long duration of the disease or recurrent episodes. In terms of treatment, on the basis of identification of symptoms and medication, family members should also pay attention to the patient's mental comfort. Specific treatments need to be categorized by the doctor. For example, for liver depression and qi stagnation type, it is advisable to dredge the liver and regulate the qi, disperse the knot and resolve the depression, and the prescription is often used with the addition and subtraction of Free San. Phlegm-qi interlinked type, it is appropriate to move the qi stagnation, dispersal of knots to remove phlegm, the prescription is mostly used half Xia Houpu Tang plus reduction. At the same time, it can also be combined with medication pharyngeal injection, acupuncture therapy, integrated treatment.

The overall prognosis of this disease is good, usually need to pay attention to quit smoking and alcohol, prohibit eating fat, sweet, thick and greasy products, maintain a happy mood, reduce the psychological burden.

Reviewed by Fan Maorong, Chief Physician, Department of Respiratory Medicine, Xiyuan Hospital, China Academy of Traditional Chinese Medicine, China

Click here for details of the doctor's answer

LifeWay Public Health believes that plum nucleus gas is generally a feeling of phlegm and gas intermingling in the throat, spitting out and swallowing. The ancients said it is the feeling of feeling as if there are more pieces of meat at the throat. The formula Half-summer and Thick-set Park Soup is used to remove phlegm and allow qi to descend, while Perilla promotes the lungs and loosens the liver, ginger disperses knots and harmonizes the stomach, and Poria seeps away dampness and strengthens the spleen, which work together to move qi and disperse knots and subdue rebelliousness and resolve phlegm. Generally, Plum nucleus qi mostly occurs in young women. It is mainly caused by emotional disorders and phlegm-qi interlocks.