梅核气的变异与治疗初探

Preliminary study on variation and treatment of Meiheqi

梅核气多由七情郁结,痰气交阻所致,以咽部异物感为主症。但在临床中,患者描述堵闷的部位在胸中而非咽部的情况亦不在少数。这种"变异"的梅核气与传统的梅核气病因多相同,一般由情志异常引发,但两者发病机制、部位和治疗均有所不同。"变异"梅核气的病机主要是气机郁滞,发病部位在胸部正中,治疗方法以疏肝理气为主,兼清热、活血,笔者予患者针刺治疗时,选"膻中"穴配合其他常规穴位,效果更加显著,附案例。

Meiheqi is always caused by emotional stagnation and the inhibition of phlegm and qi. It manifests as resistance in the throat.However in clinical patients encounter with description of plugging site in the chest, rather than pharynx. This kind of ＂variation＂ is similar to that of traditional Meiheqi, generally caused by the emotional abnormalities. While its pathogenesis, incidence and treatment methods are different. The pathogenesis of ＂variation＂ Meiheqi is mainly qi stagnation, with the location in the center of the chest. The treatment is dominated by relieving the depressed liver qi, combined with clearing heat and activating blood circulation. In the treatment with acupuncture, ＂Danzhong＂ point was chosen as the main point, combined with other common acupoints to get more significant effect,with the case followed.