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Jui-Chieh Hsu1Yi-Ying Shen2*
1Department of Integrated Chinese Medicine and Medicine, Chung Shan Medical University
Hospital, Taichung, Taiwan
2Department of Chinese Medicine, Kuanshan Tzu Chi, Taitung, Taiwan
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Our case is a fifty years old male with complaint of globus sensation for 8 months. He was diagnosed to have gastro-esophageal reflux disease and hiatal hernia by physician of Western medicine. Due to persistent symptom despite medical treatment, he visited Chinese medical department for further evaluation. According to the Traditional Chinese Medicin’s syndrome differentiation, the patient is diagnosed with liver Qi stagnation,abnormal ascending and descending function of spleen and stomach and Qi stagnation and phlegm in the throat. Moreover, many scars were noted over the patient’s head and extremities which could influencethe Qi flow of Governing vessel,bladder and large intestine meridians directly.The Wu-Men-Shih-Bian, Zang-Fu-Bie-Tong and Duei-Ying-Luo-Xue theories implied that the scars could also influence the heart, liver and kidney meridians. In addition, these meridians also travel through the throat, neck or brain. The functions of some of those meridians are related to emotional regulation. We hypothesize the formation of globus sensation is due to the existence of scars. The treatment for this patient includes formulas that can relieve stagnant liver qi, transform phlegm and direct Qi downward. While we acknowledge and value the use of acupuncture therapy to relieve the stagnation of meridian qi, our case report offers an additional/alternative method in managing the same condition. By the virtue of this case, we anticipated offering a reference for the medical doctors.With this case report, we would like to share an additional/ alternative management in qi stagnation which is traditionally relieved by acupuncture therapy
【Keywords】Globus sensation,relieve stagnant liver qi,transform phlegm and direct Qi downward,Wu-Men-Shih-Bian, Zang-Fu-Bie-Tong
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232.14 针药并用治疗梅核气之病例报告
