Difficulty swallowing according to Chinese Medicine
The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
dysphagia, swallow difficulties redirect here
Difficulty swallowing can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like difficulty swallowing here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here difficulty swallowing is often associated with stuffiness of chest and diaphragm, dry cough and irritability in the pattern “Qi-Phlegm”. As you will see below, we have in record two patterns that can cause difficulty swallowing.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of difficulty swallowing we’ve identified three herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat difficulty swallowing.
The two "patterns of disharmony" that can cause difficulty swallowing
In Chinese Medicine difficulty swallowing is a symptom for 2 patterns that we have on record. Below is a small explanation for each of them with links for more details.
Crow-Dipper Rhizomes (Ban Xia) is the king ingredient for Ban Xia Hou Pu Tang, a formula used for Qi-Phlegm
Qi-Phlegm
Pulse type(s): Slippery (Hua), Wiry (Xian)
Tongue coating: Thick white coating
Also often called "plum-stone" or "plum-pit" syndrome, the main characteristic of Qi-Phlegm is a feeling of swelling in the throat and a swallowing difficulty. It typically originates from emotional problems and it appears and disappears according to mood swings.
In addition to difficulty swallowing, other symptoms associated with Qi-Phlegm include stuffiness of chest and diaphragm, dry cough and irritability.
Qi-Phlegm is often treated with Ban Xia Hou Pu Tang, a herbal formula made of 5 herbs (including Crow-Dipper Rhizomes - Ban Xia - as a key herb). Ban Xia Hou Pu Tang belongs to the category of "formulas that promote qi movement", which might be why it is often recommended for this pattern. Its main action as a formula is: "Regulates the flow of Qi, treats esophageal spasm".
The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine
Rebellious Stomach Qi
Pulse type(s): Tight (Jin), Wiry (Xian)
In addition to difficulty swallowing, other symptoms associated with Rebellious Stomach Qi include vomiting, nausea and belching.
Rebellious Stomach Qi is often treated with Ding Xiang Shi Di Tang, a herbal formula made of 4 herbs (including Cloves - Ding Xiang - as a key herb). Ding Xiang Shi Di Tang belongs to the category of "formulas for a rebellious qi", which might be why it is often recommended for this pattern. Its main action as a formula is: "Augments the Qi".
Three herbal formulas that might help with difficulty swallowing
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.
Why might Ban Xia Hou Pu Tang help with difficulty swallowing?
Because it is a formula often recommended to treat the pattern 'Qi-Phlegm' of which difficulty swallowing is a symptom.
Ding Xiang Shi Di Tang
Source date: 1706 AD
Number of ingredients: 4 herbs
Key actions: Augments the Qi. Warms the Middle Burner. Directs Rebellious Qi downward. Stops hiccup.
Why might Ding Xiang Shi Di Tang help with difficulty swallowing?
Because it is a formula often recommended to treat the pattern 'Rebellious Stomach Qi' of which difficulty swallowing is a symptom.
Huo Xiang Zheng Qi San
Source date: 1107 AD
Number of ingredients: 11 herbs
Key actions: Releases the Exterior. Transforms Dampness. Regulates Qi. Harmonizes the Middle Burner.
Why might Huo Xiang Zheng Qi San help with difficulty swallowing?
Because it is a formula often recommended to treat the pattern 'Rebellious Stomach Qi' of which difficulty swallowing is a symptom.
Acupuncture points used for difficulty swallowing
The five Chinese Medicinal herbs most likely to help treat difficulty swallowing
Why might Houpu Magnolia Bark (Hou Pu) help with difficulty swallowing?
Because Houpu Magnolia Bark is an ingredient in several formulas indicated to treat difficulty swallowing as a symptom, like Huo Xiang Zheng Qi San or Ban Xia Hou Pu Tang for instance.
Houpu Magnolia Bark is a Warm herb that tastes Bitter and Pungent. It targets the Lung, the Spleen and the Stomach.
Its main actions are: Moves Rebellious Qi downward, dries Dampness and relieves Food Stagnation. Transforms Phlegm and redirects Rebellious Qi of the Lung.
Why might Unprepared Rehmannia (Di Huang) help with difficulty swallowing?
Because Unprepared Rehmannia is an ingredient in several formulas indicated to treat difficulty swallowing as a symptom, like Xi Jiao Di Huang Tang or Bai He Di Huang Tang for instance.
Unprepared Rehmannia is a Cold herb that tastes Sweet. It targets the Heart, the Kidney and the Liver.
Its main actions are: Expels Heat by Cooling Blood. Tonifies Yin by promoting Fluid production. Soothes the Heart by calming Blazing Fire. Cools and nourishes.
Why might Mudan Peony Bark (Mu Dan Pi) help with difficulty swallowing?
Because Mudan Peony Bark is an ingredient in several formulas indicated to treat difficulty swallowing as a symptom, like Xi Jiao Di Huang Tang or Shi Hui San for instance.
Mudan Peony Bark is a Cool herb that tastes Bitter and Pungent. It targets the Heart, the Kidney and the Liver.
Its main actions are: Cools the Blood, activates Blood circulation and resolves Blood stasis.
Why might Fresh Ginger (Sheng Jiang) help with difficulty swallowing?
Because Fresh Ginger is an ingredient in several formulas indicated to treat difficulty swallowing as a symptom, like Ding Xiang Shi Di Tang or Ban Xia Hou Pu Tang for instance.
Fresh Ginger is a Warm herb that tastes Pungent. It targets the Lung, the Spleen and the Stomach.
Its main actions are: Relieves the Exterior and disperses Cold. Warms and circulates Qi in the Middle Burner. Calms a restless fetus and treats morning sickness. Treats seafood poisoning.
Why might Poria-Cocos Mushroom (Fu Ling) help with difficulty swallowing?
Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat difficulty swallowing as a symptom, like Ban Xia Hou Pu Tang or Huo Xiang Zheng Qi San for instance.
Poria-Cocos Mushrooms is a Neutral herb that tastes Sweet. It targets the Heart, the Kidney, the Lung and the Spleen.
Its main actions are: Encourages urination and drains Dampness. Tonic to the Spleen/Stomach. Assists the Heart and calms the Spirit.
Other symptoms often associated with difficulty swallowing
Vomiting Nausea Stuffiness of chest and diaphragm Dry cough Irritability Mood swings Depression Belching Dysentery Abdominal pain