Choking and dysphagia:introduction of pathological reasons,syndrome differentiation and common syndromes.
✵Choking and dysphagia syndrome:Dysphagia is a syndrome in which one has difficulty in swallowing, and it is caused by narrowing or obstruction of the esophagus, it is also known as yē gé.
Choking and dysphagia.
✵Dysphagia is a syndrome in which one has difficulty in swallowing, and it is caused by narrowing or obstruction of the esophagus, it is also known as yē gé.
Ancient classical works Nei Jing (the Inner Canon) explained: "the accumulation of pathogens in three Yang is known as gé."
If the food and drink are into the esophagus, can not pass the esophagus, then spit out, from the esophagus and turn, so it is called choking.
Diet and drink are swallowed and pass the esophagus, and arrive at the diaphragm, cannot pass the diaphragm and are spit out slowly and gradually, from the diaphragm and turns, so it is called dysphagia.
Internal reasons: the main reasons for dysphagia are from melancholy and depression, greasy and surfeit flavour, ripe wine drinking, exhaustion of blood, dryness in the gastric cavity, Qi and blood deficiency of spleen, dryness of blood, Qi stagnation generates fire, body fluid condense to phlegm, binding of phlegm and fire, obstruction is formed, and difficulty in taking diet and drink.
Symptoms: for the choking syndrome, dryness in the upper, obstruction in the throat (laryngopharynx), drink can pass, but diet or food cannot pass; for the dysphagia syndrome, dryness in the lower, stuffiness in the chest, although food can pass, but it comes out when entering the stomach. Or when the diet passes down, but breath turns not smooth; or when the diet passes down and stabbing pain in the chest, vomit out soon, pain stops when the food is out.
(1).Swallowing obstruction, diaphragm oppression and dull pain, difficulty in defecation (constipation), dry mouth and dry throat, body gradually thin and emaciated, red tongue, tongue coating white and greasy, pulse string-like and fine, is choking due to Qi and phlegm accumulation blocking. Liver Qi depression, phlegm and dampness blocking internally, Qi stagnation and not free, phlegm and Qi accumulated and blocking at the chest and diaphragm, result in choking.
(2).Pain in the chest and diaphragm, food can not go down and spit out again, even difficulty in drinking water, defecation is hard as sheep feces, or vomit out brown coffee color liquid, thin body and emaciated, dry skin, red tongue and less body fluid or saliva, or petechiae is observed, the pulse is fine and uneven, and it is the choking of the stagnant blood stasis internally type. Blood stasis is blocking in the esophagus, Qi flowing dysfunction, leads to choking.
(3).Pain in the chest and diaphragm, food could not be swallowed, complexion pale white, cold body and short of breath, spit green saliva, edema face, the foot is swollen, pale tongue and lack of saliva, pulse is sinking fine and weak, is choking of Yang deficiency and Qi collapse type.
Etiology: the occurrence of this disease, mostly it is due to worry and anger, drinking much alcohol and taking too much spicy food, excessive fatigue injury, which leads to liver depression, spleen deficiency, kidney injury, obstruction of Qi circulation, blood stasis, phlegm accumulation, excess fire, and exhaustion of body fluid, caused by a series of pathological changes. Its pathological site, although it is mainly in the esophagus and stomach, has close relationships with the dysfunction of the liver, spleen, kidney and other viscera.
The excess or deficiency of dysphagia: the syndromes of dysphagia have excess type or deficiency type. The excess type of dysphagia has phlegm, or blood, attach to the gastric cavity. The deficiency type is lacking body fluid, insufficiency of Qi, the gastric cavity turns dry and wizened, and food is obstructed and could not flow down.
The differences between choking and dysphagia: choking syndrome is mainly due to Yin Qi cannot flow downward, generates from six Fu-viscera, belongs to Yin and Qi; the dysphagia syndrome is mainly due to Yang cannot flow upward, generates from five Zang-viscera, belongs to Yin and blood.
Different types of shoking and dysphagia: various syndromes of choking and various syndromes of dysphagia. These various types of choking and dysphagia syndromes are introduced.
Various types of choking syndrome.
The different types of choking syndrome are introduced:
In general, choking syndromes can be classified into five types, known as choking syndrome from stagnant Qi, of blood stasis, of fire and heat, of phlegm-coagulation, and of dyspepsia (indigestion). These choking syndromes are due to changes in seven emotions, and develop from Qi stagnation to fire, excess fire leads to blood exhaustion, body fluid turns to phlegm, obstruction of phlegm leads to indigestion.
Choking of phlegm-coagulation and blood stasis: swallow the diet but obstruction, neck and back could not turn around or stretch, cannot take diet and drink, pain in the stomach and heart.
Choking of seven emotions: pathogenic phlegm forms a core in the throat, cannot spit out, and cannot take diet and drink, it is due to seven emotions. One has anger, Qi flows in the wrong direction after taking diet; One has laboring, panting and obstruction in the throat; One thinks much, obstruction in three energizers, obstruction in the throat and choking.
Choking of excessive indulgence: one has excessive indulgence in sexual activity, the Yin fire flows upward, and develops to choking.
One is worrying and depressed, Qi binding in the chest and generating phlegm, phlegm forms mass and sticks to the upper part, water can pass, but food cannot pass.
The spleen Qi is insufficient, both exhaustion of Qi and blood, dryness in the gastric cavity, anuria (difficult urination), and the shape of the stool looks like sheep manure.
There is choking syndrome due to the circulation of Qi in the wrong direction;
There is choking syndrome due to obstruction and retardarce from phlegm and retained fluid;
There is choking syndrome due to seven modes of emotion stagnation;
There is choking syndrome due to blood stasis retention in the stomach, transformation is stopped, but flows upward;
One has choking syndrome and loss of voice due to choking;
One has choking syndrome with pathogenic cold;
One has choking syndrome with pathogenic heat;
One takes diet and drink, obstructed by phlegm and saliva and cannot pass down, or pass down but later vomit out with saliva;
One has constipation, the stool is similar to chestnut kernel;
The common types of choking syndromes are:
(1).Phlegm and Qi alternating stasis type choking: obstruction of swallowing, fullness in the chest and above diaphragm, pain, belching, hiccup or vomiting sputum, dry mouth and throat, thin emaciation and exhaustion, hard stool or defecation is similar to sheep manure, red tongue, tongue coating is thin greasy or thin yellow, pulse manifestation is wiry (string-like), fine and slippery.
(2).Blood stasis accumulation internally type choking: pain in chest and diaphragm, cannot swallow down food and vomit out again, even difficulty in drinking water, stool is as hard as sheep manure, or spit out fluid which is similar to red bean juice, thin body and emaciation, skin is withered, red or blue-purple tongue, pulse is wiry (string-like), fine and uneven.
(3).Body fluid deficit and heat accumulation type choking: Swallowing with difficulty and painful, but could intake a liquid diet, solid diet is difficult to swallow; the body gradually thins and emaciated, dry mouth and pharynx (dry mouth, dry throat), constipation (difficulty in defecation), five upset heats (vexation and heat in five Zang-viscera), tongue is red and dry with cracks, pulse manifestation is wiry (string-like), fine and rapid.
(4).Qi deficiency and Yang weak type choking: no appetite (could not take food) for long days, or vomiting after eating, exhalation of clear saliva, pale white complexion, mental fatigue, cold body and short of breath, abdominal distension and edema, feet are swollen, tasteless and tongue coating is white, pulse manifestation is fine and weak.
Various syndromes of dysphagia.
Various syndromes of dysphagia: there are various dysphagia syndromes due to different pathogenic factors, these syndromes are introduced.
Dysphagia of phlegm: the dysphagia of phlegm, mainly due to spleen and stomach hurt from seven emotions, stagnation and generates phlegm, combating of phlegm and Qi, flows upward but not flows downward, and gradually develops to choking and dysphagia. Its symptoms are stuffiness in the chest and diaphragm, choking of diet and drink, cannot flow down to the stomach, but flows upward and vomits, and comes out with phlegm.
Dysphagia of blood: the syndrome dysphagia of blood, not in the spleen and stomach, but around the diaphragm, mainly due to rage (great angry) is not stopped, take wheat flour food (noodles, etc.) suddenly.
Dysphagia of Qi: the syndrome dysphagia of Qi, noyance and cannot take food, often vomit saliva.
Incurable syndrome of choking and dysphagia.
There are several syndromes of choking and syndromes of dysphagia, they are obstinate or incurable.
References:
1.Choking and dysphagia:introduction of pathological reasons,syndrome differentiation and common syndromes.
2.Nei Jing (the Inner Canon).By 黄帝(the Yellow Emperor).
✵Choking and dysphagia syndrome:Dysphagia is a syndrome in which one has difficulty in swallowing, and it is caused by narrowing or obstruction of the esophagus, it is also known as yē gé.
