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Glomus in the chest

胸痞 〔胸痞〕xiōng pǐ

A localized feeling of fullness in the chest, often associated with oppression. Glomus in the chest is observed in pulmonary welling-abscess fèi yōng, external contraction, heart impediment, and liver qì depression. In pulmonary welling-abscess, it is a manifestation of lung qì congestion and is associated with dull pain and ejection of turbid, fishy-smelling phlegm or pus and blood. In externally contracted wind-cold or wind-heat that has entered the interior before the exterior pattern of heat effusion and aversion to cold has been resolved it also indicates lung qì congestion. In heart impediment, characterized by dull pain radiating into the shoulder and arm and attacks of gripping heart pain (angina pectoris), glomus in the chest is caused by blood stasis, which can further be observed from stasis speckles on the tongue and interrupted (结代 jié dài) pulses. Finally, glomus in the chest can be a manifestation of liver qì depression, always readily identifiable by its classic signs—sighing, rib-side distension, menstrual irregularities, and irascibility.

Acumoxatherapy: CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), and PC-6 (Inner Pass, 内关 nèi guān), can be selected to treat glomus in the chest. Points may be added on the basis of pattern identification.

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