Globus Hystericus

General

Clinical Manifestations	Globus hystericus is defined as the sensation of having a lump in the throat when there is nothing there. Sometimes simply called globus. Globus hystericus is a symptom of some physical disorders such as reflux laryngitis as well as a classic sign of hysterical neurosis, a psychosomatic disorder characterized by a change or loss of physical function (such as blurred vision or paralysis of the legs) that suggests a physical disorder but instead is an expression of a psychological conflict or need.
Treatment Principle
Herb Formulas
Points

Stomach Qi Deficiency With Turbid Phlegm Retention

Clinical Manifestations	Unremitting belching Unremitting Hiccup Unremitting regurgitation Unremitting nausea and vomiting of saliva and Phlegm Vomiting soon after eating Hard epigastric distention Abdominal firmness and distention Frequent salivation Frequent urination T: Normal C: White and Slippery or White and smooth P: Wiry and deficient or Wiry, taut and feeble
Treatment Principle	Descend Qi Transform Phlegm Augment Qi Harmonize the Stomach
Herb Formulas	Xuan Fu Dai Zhe Tang
Points

Heart Blood Deficiency With Liver Qi Stagnation

Clinical Manifestations	Absent-mindedness Frequent feelings of extreme sadness with an urge to cry Inability to control one's emotions Depression Restless sleep May be night sweats Lack of mental focus Tight abdominal muscles Irritability Abnormal speech or behavior Disorientation Frequent yawning Sadness Overly sensitive or self-conscious Insomnia T: Red or pale red C: Scanty P: Thready and rapid
Treatment Principle	Nourish the Heart Calm the Shen Harmonize the Middle Jiao Relieve acute conditions Relax tension Tonify Spleen Qi
Herb Formulas	Gan Mai Da Zao Tang
Points

Liver Qi Stagnation: Phlegm And Qi Stagnant And Blocked

Clinical Manifestations	Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed Swallowing and vomiting are difficult Distention and pain in the sides or flanks Suffocating sensation in the chest Nausea/vomiting A lack of facial luster Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle	Spread Qi Resolve Phlegm
Herb Formulas	Ban Xia Hou Po Tang
Points	LI-18, LIV-3, PC-5, SI-17, SJ-6 LIV-3, PC-6, REN-12, SP-17, ST-36 HT-5, LIV-3, REN-12, REN-14, SP-17

Liver Qi Stagnation: Phlegm And Qi Stagnant And Blocked With Heat

Clinical Manifestations	Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed Swallowing and vomiting are difficult Distention and pain in the sides or flanks Suffocating sensation in the chest Nausea/vomiting A lack of facial luster Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses Thirst A bitter taste in the mouth Heartburn A dry feeling T: Pink C: Thin and white or yellow P: Slippery, wiry and rapid
Treatment Principle	Spread Qi Resolve Phlegm Clear Heat
Herb Formulas	Jia Wei Xiao Yao San With Yin Deficiency Heat: Mei He Qi Yan Fang
Points	HT-5, LU-5, REN-14, ST-36, ST-44

Phlegm Retention With Qi Stagnation

Clinical Manifestations	Cough Wheezing Copious sputum Chest distention Anorexia Indigestion Hiccup Shortness of breath T: Normal C: Greasy, white P: Slippery
Treatment Principle	Descend Qi Relax the diaphragm Reduce Food Stagnation Resolve Phlegm
Herb Formulas	San Zi Yang Qin Tang
Points

Phlegm-Damp

Clinical Manifestations	Upper abdominal pain Discomfort in the upper abdomen Anorexia Nausea Vomiting Sticky sputum Weight loss Melaena Edema Abdominal distention Chest and hypochondriac distention Dizziness Nausea Vomiting Vertigo Ascites Anemia Difficulty swallowing food Hepatomegaly Abdominal tumor The tumor is firm and irregular Thirst with no desire to drink Maybe no thirst Palpitations Shortness of Breath T: Normal C: Thick and slippery P: Slippery, full and maybe wiry
Treatment Principle	Dry Dampness Transform Phlegm Warm the channels Descend Rebellious Qi Harmonize the Stomach Reduce Stagnation
Herb Formulas	Li Ge Tang
Points

Phlegm-Damp With Qi Deficiency

Clinical Manifestations	Cough with copious, dilute, white frothy or lumpy sputum Chest and epigastric congestion Palpitations Headache Pain and full feeling in chest Dyspnea - worse lying down Asthma Throat rattle Maybe anorexia Lassitude Nausea/vomiting Dizziness/vertigo Shortness of breath Wheezing Acute attack of panting with high pitched sound and rapid exhalation Facial edema Weak extremities T: Pale C: Thick, white and greasy or sticky P: Slippery or Soft
Treatment Principle	Dry Dampness Transform Phlegm Regulate Qi Harmonize the Middle Jiao
Herb Formulas	Er Chen Tang
Points

Cold Phlegm-Damp Retention (Excess Above) With Kidney Yang Deficiency (Deficiency Below)

Clinical Manifestations	Coughing and wheezing with copious, dilute, white, frothy or lumpy sputum Chest and epigastric congestion Cold legs Pain and full feeling in the chest Dizziness Vertigo Palpitations Dyspnea - worse lying down Sometimes asthma Throat rattle Nausea Vomiting Shortness of breath with labored inhalation and smooth exhalation Acute attack of panting with a high pitched wheezing sound and rapid exhalation Leg Qi Acute cramping Muscle wasting Diarrhea in response to cold or hot weather Maybe anorexia Insensitivity in the lower abdomen Headache Facial edema Lumbar pain Weakness in the body and feet Numbness, weakness and aching of the feet and legs Edema of the extremities Fever Dysuria Weakness below the umbilicus Fatigue with a desire to curl up Epigastric distention Disorientation Disordered speech Tinnitus T: Pale C: Thick, white and greasy or sticky P: Slippery or Soft
Treatment Principle	Disperse and Descend Lung Qi Stop wheezing Stop coughing Warm and transform s Phlegm-Cold Strengthen the Stomach
Herb Formulas	Su Zi Jiang Qi Tang
Points

Upper Jiao Qi Stagnation With Clumping In The Chest And Rebellous Qi

Clinical Manifestations	An irritable, stifling sensation in the chest and diaphragm Labored breathing Wheezing Epigastric distention and fullness Anorexia Hurried breathing T: Normal C: White P: Wiry
Treatment Principle	Promote the movement of Qi Descend Rebellious Qi Expand the chest Disperse Stagnation
Herb Formulas	Si Mo Tang
Points

Middle Jiao Qi Stagnation

Clinical Manifestations	Chest and abdominal distention A stifling sensation in the chest and abdomen Fixed pain in the hypochondria Belching with a fetid odor Nausea Vomiting Epigastric and abdominal fullness and pain Acid reflux Mild coughing with copious sputum Reduced appetite Indigestion T: Normal C: Thin and white or Greasy or Slippery, P: Wiry and taut or Running
Treatment Principle	Regulate Qi Release all types of Stagnation (Qi, Blood, Phlegm, Fire, Food and Dampness)
Herb Formulas	Yue Ju Wan  modified
Points