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Phlegm glomus

痰痞 〔痰痞〕 tán pǐ

Glomus (a localized feeling of fullness and blockage) attributed to congealing and binding of phlegm and qì and arising when water-rheum gathers to form phlegm and blocks the pathways of qì. Phlegm glomus is characterized by fullness, oppression, and blockage in the chest, rib-side pain, vomiting, cold sensation below the heart, and the sound of water on application of pressure. In some cases, there may be heat effusion or numbness of the limbs.

Medicinal therapy: Rectify qì and transform phlegm with formulas such as Two Matured Ingredients Decoction (二陈汤 èr chén tāng) with the addition of amomum (Amomi Fructus, 砂仁 shā rén) and bitter orange (Aurantii Fructus, 枳壳 zhǐ ké).

Acumoxatherapy: Base treatment mainly on ST, CV, and PC. Select CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), ST-40 (Bountiful Bulge, 丰隆 fēng lóng), PC-6 (Inner Pass, 内关 nèi guān), CV-17 (Chest Center, 膻中 shān zhōng), and LR-3 (Supreme Surge, 太冲 tài chōng); needle with drainage.

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