Digest Number 1479/new topic-Ye ge vs Plum Pit Qi

[Guest guest]

I put together a powdered formula for a patient. He

complained of digestive difficulties, in particular, a

pressure on the throat, which was suffocating. The patient

thought he might have a hiatal hernia, where the esophagus

bulges out and the sphincter does not close (more or less

my understanding, but feel free to correct me).

 

He is a young man, and although he has not noted this

condition getting worse with stress, he states he has been

under a lot of stress.

 

I thought immediately of Ban Xia Hou Po Tang, for plum pit

qi, but when I looked in the Sionneau series for the

differential diagnosis I found a description of Ye Ge, or

dysphagia occlusion. This can also be caused by qi and

phlegm bu, which I think he has, but the formula quoted is

different.

 

Can anyone enlighten me how I would be able to tell plum

pit qi apart from Ye Ge. I figure is my diagnosis isn't

clear, my prescription choices are apt to be less clear as

well.

 

Thanks, G

 

 

 

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