GLOBUS HYSTERICUS(PLUM-PIT QI STAGNATION)

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
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
Points
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
Points
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
Points
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
Points
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
Points
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
Points
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
Points
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
Points
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
Points
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
Points