Qi-Phlegm

At a glance

Key attributes

Chinese name: 气痰      Pinyin name: Qì Tán

Pattern nature: Full

Diagnosis

Common symptoms: Depression Mood swings Irritability Difficulty swallowing A feeling of oppression in chest and epigastrium and one other symptoms

Pulse type(s): Slippery (Hua), Wiry (Xian)

Tongue coating: Thick white coating

Treatment

Common formulas: Ban Xia Hou Pu Tang

Pathology

Also often called "plum-stone" or "plum-pit" (梅核, Méi Hé) syndrome or "globus hystericus" in modern medicine, the main characteristic of Qi-Phlegm is a feeling of something caught in the throat that can neither be swallowed nor ejected.

It is the result of a situation that affects the patient emotionally so much that they figuratively and physiologically cannot swallow it.

As a result the Lungs and Stomach lose their ability to move Qi downward. This, in turn, leads to problems with the transportation and transformation of Body Fluids, which leads to the formation of Phlegm. The Phlegm clashes with the Qi and ultimately lodges itself in the throat.

The obstruction of the Qi mechanism by Phlegm is also manifested in the stifling sensation in the chest. In severe cases, there will also be coughing or vomiting.

Diagnosing Qi-Phlegm

Pulse type(s): Slippery (Hua) or wiry (Xian)

Tongue coating: Thick white coating

Main symptoms: Depression Mood swings Irritability Difficulty swallowing A feeling of oppression in chest and epigastrium Feeling of a lump in the throat which comes and goes

Diagnosis commentary: Key characteristic symptoms of this pattern are the chest and diaphragm oppression and the feeling of swelling in the throat but not necessary an actual swelling.

Treating Qi-Phlegm

Herbal formulas used to treat Qi-Phlegm

Ban Xia Hou Pu Tang

Source date: 220 AD

Number of ingredients: 5 herbs

Key actions: Regulates the flow of Qi, treats esophageal spasm. Clears Phlegm.

Formula summary

Ban Xia Hou Pu Tang is a 5-ingredient Chinese Medicine formula. Invented in 220 AD, it belongs to the category of formulas that promote Qi movement.

Besides Qi-Phlegm, Ban Xia Hou Pu Tang is also used to treat Stomach Qi Stagnation or Heart Qi Stagnation.

Read more about Ban Xia Hou Pu Tang

Related conditions

Irritable bowel syndrome Hyperthyroid Goiter Psychosis Globus hystericus Tonsillitis Neurosis Neurogenic vomiting Hysteria Laryngitis Edema of the vocal cords Esophageal strictures Esophageal spasms