Dysphagia Occlusion Syndrome/ Ye Ge Flashcards
What is Dysphagia known as in Chinese?
Dysphagia is known as Ye Ge.
What does the word ‘Ye’ refer to?
‘Ye’ refers to difficulty in swallowing food.
What does the word ‘Ge’ refer to?
‘Ge’ refers to an involuntary resistance to swallowing food or drink, or vomiting immediately after the intake of food or drink.
How can Ye patterns occur?
Ye patterns may occur in isolation or indicate the development of Ge patterns.
What is the compound word for difficulty in swallowing and involuntary resistance?
The compound word is Ye Ge.
What disorders does Western medicine label as spasms of the cardiac sphincter?
Conditions such as hiatal hernia, esophagitis, esophageal diverticulosis, esophageal cancer, and other functional disorders of the esophagus.
What should be considered during diagnosis in middle-aged or older patients?
The possibility of cancer.
The pathogenesis of Ye Ge is ___________ = _________ causing Qi Stagnation _____ + Blood Stasis obstructing the ___________
Anxiety + Anger
Improper Diet
Phlegm
Esophagus
The following are patterns of ______?
Obstruction of Qi + Phlegm
Body Fluid Xu w/ Heat
Blood Stasis
Qi + Yang Xu
Ye Ge
The following are S/sx of Ye Ge due to ______?
Sensation of obstruction in the esophagus when swallowing, fullness + oppression in chest and diaphragm, minor relief of symptoms when in a good mood
T: thin, greasy coating
P: Slippery + Wiry
Obstruction of Qi + Phlegm
(similar to Plum-pit Qi, however with Ye Ge, it’s only when eating or drinking)
How is Plum-pit Qi different from Ge Ye?
Plum-pit Qi will only affect the throat and is highly associated with Emotions.
Ye Ge only occurs when eating or drinking.
The following are S/sx of Ye Ge due to ______?
Difficulty swallowing accompanied by sensations of obstructions and pain, liquids are easily ingested, solids are more difficult, emaciation, dry mouth and throat, constipation, 5 Center heat
T: Red w/ dry coating
P: Rapid + Thready
Body Fluid Xu w/ Heat
The following are S/sx of Ye Ge due to ______?
Tumor, spasmodic pain of fixed location in chest, inability to swallow solid foods + liquids, constipation (dry pellets) vomiting of dark red blood, dull, dark complexion, emaciation, dry skin + scaly skin
T: Dark, purple
P: Thready + Choppy
Blood Stasis
The following are S/sx of Ye Ge due to ______?
Chronic, inability to swallow foods + liquids, emaciation, pale complexion, listlessness, fatigue, cold body/limbs, SOB, acid reflux of clear fluids, edema of face/limbs (KI Yang Xu)
T: Pale w/ white coating
P: Thready + Weak + Slippery (if water retention)
Qi + Yang Xu
(always means late stage)
What is pathogenesis concerning the liver and spleen?
It refers to the internal disruption of the liver and spleen caused by anxiety, depression, worry, or anger.
What are the consequences of this internal disruption?
It results in phlegm stagnation, stagnation of qi, and blood stasis.
What is pathogenesis related to lifestyle choices?
Pathogenesis is related to indulgence in smoking, alcohol, rich and sweet foods, or hot and spicy foods.
What can these indulgent habits lead to?
These habits can foster the transformation of dampness into heat and injure yin.
What are the consequences of these habits?
The consequences include a depletion of fluids and blood.
Ye Ge is highly related to ____ + _______?
Emotions + Improper Diet
How is KI Yin Xu a pathogenesis of Ge Ye
Aging or over-sexual indulgence may consume Yin-fluids causing Empty heat and causing dryness affecting the esophagus
How to diagnose Ge Ye?
Foreign body sensation in the throat, difficulty swallowing food, or vomiting after eating food
Associated S/sx:
gastric discomfort, pain in chest + diaphragm during swallowing, mental fatigue, and scaly skin
What causes scaly skin?
Blood Xu or Blood Stasis
How to differentiate between Ye Ge, acid reflux or vomiting?
Vomit:
-no difficulty in eating food
-vomit at any time
-Location: ST
-ST Qi failing to decent, ascends instead
Acid Reflux:
-no difficulty in eating food
-eating food in AM, vomit in PM
-eating food in PM, vomit in AM
-Location: ST
-Heat, ST Fire, ST Qi failing to descend, ascends instead
Dysphagia:
-difficulty or failure in eating food
-vomit immediately after eating food
-Location: Esophagus
-Qi, phlegm + blood stasis obstructing esophagus
What is the branch of Ge Ye?
Qi Stagnation
What is the root of Ge Ye?
Depletion of Fluids –> consumption of Blood –> Yin Xu injuring to Yang
What are the main points for treating Ge Ye due to the obstruction of Qi + Phlegm?
REN-17: Unbinds chest
REN-22: Decends Qi + benefits throat
PC-6: opens chest
ST-40: Dispels phlegm
REN-12: Front-mu of Fu + Harmonises the middle jiao + descends rebellion
What are the main points of treating Ye Ge due to Fluid Xu w/ Heat
REN-17: Unbinds chest
REN-22: Decends Qi + benefits throat
PC-6: opens chest
Nourish Yin-
KI-3:
KI-3:
SP-6:
What are the main points of treating Ye Ge due to Blood Stasis?
REN-17: Unbinds chest
REN-22: Decends Qi + benefits throat
PC-6: opens chest
Nourish Blood + Remove Stasis-
SP-6
SP-10
BL-17
What are the main points of treating Ye Ge due to Qi + Yang Xu?
REN-17: Unbinds chest
REN-22: Decends Qi + benefits throat
PC-6: Opens chest
BL-21: Back-shu of ST
BL-23: Back-shu of KI
REN-4: Warms Qi + promotes Pre-Heaven Qi
DU-4: Moxa to
REN-8: Moxa
Main points to remember Ye Ge!
Qi stagnation, blood stasis + phlegm
Yin liquid Xu causing internal dryness + heat
Highly related to LR, SP + KI
Upper Jiao –> esophagus
