Esophageal Constriction Ye Ge

Question 1

Sensation of obstruction in the throat when swallowing, fullness and oppression in the chest and diaphragm, minor relief of symptoms when in a favorable emotional state.
Tongue: thin slimy coating
Pulse: wiry, slippery

Answer 1

Congestion of Qi and phlegm
Qi Ge San
(Diaphragm-Arousing Powder)
Ren22, Ren17, Ren13, ST36, PC6, UB21

Question 2

Difficulty swallowing accompanied by sensation of obstruction and pain, liquids ingest easily but solids with difficulty, emaciation, dry mouth and throat, constipation, vexing Heat in the five hearts.
Tongue: dry, red, sometimes presenting a cracked heat.
Pulse: thready, rapid

Answer 2

Depletion of fluids with accumulation of Heat.
Sha Shen Mai dong tang
(Adenophora-Glehnia and Ophiopogon Decoction)
Ren22, Ren17, Ren13, ST36, PC6, SP6

Question 3

Spasmodic pain of fixed location in the chest, inability to swallow solid foods and difficulty in swallowing liquids, hard stools in the form of small balls, vomiting of dark red liquids in some cases, dull, grayish complexion, emaciation, dry skin.
Tongue: dry, dark purplish
Pulse: Rough, thready

Answer 3

Accumulation of blood stasis
Qi Ge San
(Diaphragm-Arousing Powder)
UB17, Ren22, Ren17, PC6, Ren13, ST36

Question 4

Prolonged cases of inability to swallow food or liquids, with emaciation, pale complexion, listlessness, physical cold, shortness of breath, regurgitation of clear fluids, edema of the face and limbs.
Tongue: pale with white coating
Pulse: weak, thready

Answer 4

Vacuity of Qi and devitalization of Yang
Bu Qi Yun Pi tang
(Qi supplementing Spleen-Moving Decoction)
UB23, UB20, UB21, UB17, Ren22, Ren17, PC6, Ren13, ST36