19. Dysphagia & gagging syndrome (Ye Ge)
• Definition
Ye (Dysphagia) ---Inability to swallow or having difficulty swallowing
Ge (Gagging) ---Involunary resistance to food and water after swallowing
• Relevant diseases of western medicine
1. Stroke
2. Esophageal cancer
3. Esophagitis
4. Dysphagia spastica
5. Dysphagia paralytica
6. Dysphagia lusoria
7. Hiatal hernia
8. Esophageal diverticulosis
9. Spasm of cardiac sphincter
• Etiology & pathogenesis
1. Emotional stress
2. Improper diet
• Differential diagnosis
1. Excess or deficient
2. Gastric reflux
3. plum pit syndrome
• Classification & treatment
1. Constraint of phlegm and qi
Qing Ge San
Dan Shen, Yu Jin, Sha Ren---
Sha Shen, Chuan Bei Mu, Fu Ling---
2. Fluid depletion and heat accumulation
Wu Zhi An Zhong Yin
Li Zhi, Ou Zhi, Niu Ru---
Sheng Jiang Zhi---
Jui Zhi---
3. Internal accumulation of blood
Tong you tang
Sheng Di Huang, Shu Di Huang---
Dang Gui---
Tao Ren, Hong Hua---
4. Qi deficiency and yang devastation
Liu Jun Zi Tang + You Gui Wan
Ren Shen, Bai Zhu, Fu Ling, Zhi Gan Cao---
Chen Pi Ban Xia---
Shu Di Huang, Shan Yao, Shan Zhu Yu---
Gou Qi Zi, Du Zhong---
Dang Gui, Lu Jiao Jiao---
Fu Zi, Rou Gui---
• Acupuncture treatment
RN22, RN17,
Ye (Dysphagia) ---Inability to swallow or having difficulty swallowing
Ge (Gagging) ---Involunary resistance to food and water after swallowing
• Relevant diseases of western medicine
1. Stroke
2. Esophageal cancer
3. Esophagitis
4. Dysphagia spastica
5. Dysphagia paralytica
6. Dysphagia lusoria
7. Hiatal hernia
8. Esophageal diverticulosis
9. Spasm of cardiac sphincter
• Etiology & pathogenesis
1. Emotional stress
2. Improper diet
• Differential diagnosis
1. Excess or deficient
2. Gastric reflux
3. plum pit syndrome
• Classification & treatment
1. Constraint of phlegm and qi
Qing Ge San
Dan Shen, Yu Jin, Sha Ren---
Sha Shen, Chuan Bei Mu, Fu Ling---
2. Fluid depletion and heat accumulation
Wu Zhi An Zhong Yin
Li Zhi, Ou Zhi, Niu Ru---
Sheng Jiang Zhi---
Jui Zhi---
3. Internal accumulation of blood
Tong you tang
Sheng Di Huang, Shu Di Huang---
Dang Gui---
Tao Ren, Hong Hua---
4. Qi deficiency and yang devastation
Liu Jun Zi Tang + You Gui Wan
Ren Shen, Bai Zhu, Fu Ling, Zhi Gan Cao---
Chen Pi Ban Xia---
Shu Di Huang, Shan Yao, Shan Zhu Yu---
Gou Qi Zi, Du Zhong---
Dang Gui, Lu Jiao Jiao---
Fu Zi, Rou Gui---
• Acupuncture treatment
RN22, RN17,