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Diaphragmatic spasm

Source: Time: 2020-01-28 19:24:12

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1 Pinyin
gé jī jìng luán
2 English reference
diaphragmatic spasm
3 Traditional Chinese Medicine
Diaphragm spasm (hiccough [1] [2]) is the symptom name [3]. See Volume Three in "All Diseases Rejuvenate". Yisaku
Inverse, inverse [3], and inverse [4]. "Nei Jing" is called 哕 [3]. Jin and Yuan are called cough inverse [3]. Also known as eating inverse and eating 忒 [3]. Commonly known as snoring [3]. Diaphragmatic spasm is characterized by qi upswing, continuous humming between the throat, short and frequent sound, which makes people unable to control themselves as the main evidence [4]. It is mostly induced by cold stimulus, overeating, fullness, emotional excitement, fatigue, and deep breathing [5].
A syndrome of diaphragmatic spasm, the difference in severity is very obvious [4]. Such as accidents, most of them are light, often free, and disappear. [4] Either pungent sneezing, sudden panic or breathlessness can be effective [4]. If it continues, the syndrome needs to be differentiated according to cold and heat, and appropriate medication should be given in time to gradually level off [4]. If it appears in the severe stages of other acute and chronic diseases, and it is a symptom of the disease turning into critical condition, it is called "suffering the stomach and the stomach", and the prognosis is not good, so it should be paid more attention [4].
Acupuncture has a good effect on the short-course disease, and the deficiency of the long-course disease is poor [6].
This disease can be seen in the stomach, hiccups and neuromuscular spasm, as well as in critical illness [3]. Gastrointestinal neurosis, gastritis, gastric dilatation, advanced liver cirrhosis, cerebrovascular disease, uremia and other diseases of the stomach, intestine, peritoneum, mediastinum, and esophagus that cause hiccups of diaphragmatic spasm in modern medicine can be treated with reference to syndrome differentiation. [6].
3.1 Definition of diaphragmatic spasm
"Traditional Chinese Medicine Nomenclature" (2004): Diaphragmatic spasm is an idiopathic disease mainly characterized by er, er, vocal, short voice, and continuous inability to control itself [2].
"Traditional Chinese Medicine Nomenclature" (2010): Diaphragmatic spasm is a disease mainly manifested by gastrointestinal dysfunction, er, vocal sound, short voice, and continuous inability to control itself [1].
3.2 Ancients Discourse
The Neijing was first proposed as the middle and upper scorch disease. For example, the "Huang Di Nei Jing Su Wen Xuan Ming Wu Qi Pian" said: "Stomach is Qi inverse as 哕 ..." The "Huang Di Nei Jing Ling Shu · Oral Question" said "The valley is in the stomach, the stomach qi is injected into the lungs, so For some reason, the cold air and the new valley air both entered the stomach, the new air was chaotic, the true evil and the evil attacked each other, and the Qi and the opposite were reverted from the stomach, so it was cricket. In terms of treatment, the Neijing also recorded simple methods such as sneezing and diverting the patient's attention to achieve er, such as "Huangdi Neijing Lingshu · Miscellaneous Diseases", which said: "Well, sneeze with grass, sneeze; There is no interest, but the disease is ushered in, and it has already been established; it can be astonished. "So far, it is still of practical value to those with mild diaphragmatic spasm. "Golden Slips and Vomiting" is divided into three types: those who are cold, such as "dry vomiting, if the hands and feet are jujube, the owner of the orange peel soup." Belong to the virtual fever, such as "哕The inverse person is the owner of the orange peel and bamboo soup soup. "Those who are really hot, such as" when they are full and full, depending on the front and back, you know what is bad and the better. "This classification and rule of law distinguish the cold and heat from the later. Governance laid the foundation. [4]
Since the end of the Tang Dynasty, there are those who use cough as a concubine, such as Sun Siyi, and those who have vomit, such as Haizang, Hejian, and others. Benefit from diaphragmatic spasm (哕 癔, or 噫). All of the above is not correct. It was not until Jing Yue did a clear analysis. The "Jing Yue Quan Shu diaphragmatic spasm" said: "The sacrifice of the diaphragmatic muscle also affects the non-cough, and the cough of the cough is worse. Also, non-diaphragm spasm; vomiting is vomiting without vomiting, and non-stinging; suffocating is full of breath and non-cough. Later generations can use this as a guide for doubts Explain it. "[4]
3.3 The etiology and pathogenesis of diaphragmatic spasm
Diaphragm spasm is mainly related to the upsurge of gastric qi caused by food product, stomach cold, stomach heat, liver qi and stomach, etc., which disturbs the diaphragm [7].
3.3.1 Inadequate diet
If you eat cold or cold medicine, the cold air is stored in the stomach, and it will swell and attack the lungs along the veins of the Taiyin, and the gas will be lost and lowered. And frequency, can not be self-made. If you have eaten hot and fried products, or have used warming tonics, dry and hot inside, Yangming Zhishi, Qi is not straight, can also cause diaphragmatic spasm with movement, "Like a living card, ask cough" "Inverse" said: "every cough has heat first and eat cold, or cold medicine, caused by irritation." "Jingyue Quan · diaphragmatic spasm" also pointed out: "It is because there is fire in the stomach, so the upper punch is Uh. "Including the cold and heat mentioned above. [4]
3.3.2 emotional discord
Annoyed, depressed, and unfavorable air-conditioning, the fluid is lost and the phlegm becomes turbid. If the liver-qi is reversed by the lungs and stomach, it leads to gastric-qi sputum upturned and sputum. "Ancient and Modern Medical System Daquan Gate" said: "Anyone who has patience, stagnation and accumulation of anger, and is not allowed to do it, has more evidence of cough." "Syndrome Rule · Diaphragm Spasm" also has a cause " Records of violent anger against phlegm and eruption have pointed out to be related to emotions. [4]
3.3.3 deficiency of righteousness
After a serious illness or a long illness, or due to sickness, misuse of vomiting and lowering agents, exhaustion of the air, or damage to the stomach yin, can cause stomach loss and lowering and diaphragmatic spasm. If the disease is deep and the kidneys, diaphragmatic spasm is mostly caused by the loss of kidney qi, which induces high impulse, and causes gastric dysfunction. "The Yellow Emperor's Neijing Suwen · Baoming Full Form Theory" said: "People who are deeply ill will be snoring." The "Syndrome of Cure and Tonic · Sacral Spasm" states more specifically: There are many cases of hiccups in women after giving birth, and they will all be sick. "[4]
3.3.4 Modern Medical Explanation
Modern medicine believes that intermittent cramps of the diaphragm are often caused by certain central nervous system disorders and irritation of the diaphragm, which is caused by the sudden inhalation of air into the respiratory tract and simultaneous vocal cord closure [7].
3.4 Pathological changes of diaphragm spasm
Diaphragmatic spasms are always caused by the reaction of gas on the stomach. The pathological factors that cause stomach loss and fall include cold accumulate, dryness, internal heat, Qi stagnation, qi and blood deficiency. In addition, the loss of lung qi in Xuantong also played a role in the pathogenesis. Because the veins of the hand yin and lungs, they also follow the appetite, the palate, and belong to the lungs; the Qi of the lungs and stomachs is also the same as the main and descending, so the two internal organs promote each other in function and affect each other during pathological changes. And between the lungs and stomachs, when various pathogenic factors multiply the lungs and stomachs, the gas in the gastrointestinal tract is not smooth. Therefore, when the gas is reversed, it often bursts out of the throat, causing diaphragmatic spasm. Evidence. The "Nei Jing" sneezing dredges the air between the lungs and the iliac crests, so as to help the stomach qi to fall back, the treatment method is of certain help to understand the pathogenesis of diaphragmatic spasm. [4]
3.5 Classification of diaphragmatic spasm
Diaphragmatic spasms include cold er, hot er, qi er, phlegm er, stasis er, er, etc. [3]. There are also divided into exogenous diaphragmatic spasm, internal injury diaphragmatic spasm, or Yang syndrome cough, Yin syndrome cough. [3]
3.6 Clinical manifestations of diaphragmatic spasm
"Medical Clinic" Volume 2: "The diaphragmatic muscle spasm, the so-called crickets of the internal meridian, qi rushes from the bottom and er, er, also makes a noise." The sound is short, unlike the snoring sound long [3].
Clinically, the patient consciously reversed his chest belching and rushed up, his throat was choking and his noise was frequent, short and continuous [7]. The lighter can heal without cure, while the more serious can last more than [7].
3.7 Identification
[4]
Diaphragmatic spasm Distinguish from retching and belching:
The evidence of vomiting is vomiting without sound and vomiting. The article "Golden Chronicles · Vomiting and His Majesty's Disease" states: "The vomiting is inverse, the vomiting is the main cause of Pinellia dry ginger." For those who have headaches, Wu Zhuyu is the owner. "
噫 is the evidence that the stomach qi rises due to depression, "Huang Di Nei Jing Ling Shu · Interrogation" chapter: "The cold qi is on the stomach, Juei is scattered from the bottom to the top, and it is back from the stomach, so it is 噫." "Distinguishing the Sun Disease": "Symptoms of typhoid fever, if you vomit, if you spit it, after the solution, the heart will be hard, and the suffocation will not be removed.
The above two symptoms of the disease can be made or stopped, and the rest is safe and sound, and the prognosis is generally good. It is continuous, short, and frequent with the disease, making people different from those who cannot control themselves. If this card appears in the severe stage of acute and chronic diseases, it is mostly refractory. Diaphragm spasm, retching, and belching are all lesions caused by upturn of gastric qi, but their characteristics are different, and it is not difficult to distinguish and distinguish them clinically.
3.8 Dialectical treatment of diaphragm spasm
The diaphragmatic spasm is reversed by qi, and the larynx is a continuous, intermittent, intermittent or intermittent attack, which makes people unable to control themselves. First, we must master the reality and distinguish the cold and heat in the differentiation of syndromes. Generally, those who are loud and powerful are empirical evidence; those who are quiet and weak and weak and weak are false evidence. In terms of treatment, Hewei Jiangqi level is the main factor. In practice, those who belong to the stomach family are cold, and should be cured by warming the body to relieve the cold; In the deficiency syndrome, those who belong to the deficiency of the spleen and the stomach should be treated with tonifying qi, reducing insufficiency and relieving the stomach; those who belong to the deficiency of the stomach and yin should be treated with nourishment and nourish the stomach. "The Book of Jingyue · Diaphragm Spasm" states: "Every miscellaneous evidence, er, is reversed by Qi, but there are those who have both cold and heat, those who have reversal due to food stagnation, and those who have reversed qi stagnation. There are those who are reversing due to deficiency of qi, and those who are reversing due to yin qi exhaustion, but they have been cured by the investigation of qi, and they are never healed ... but it is not difficult to treat, and those who are exhausted are the most dangerous. . "[7] [4]
3.8.1 Evidence
Diaphragm spasm · experimental (excessive hiccough [1]) refers to diaphragmatic spasm caused by cold, fire, stagnation of stagnation, phlegm, and food accumulation [8].
3.8.1.1 Cold in the stomach
Diaphragm spasm · Stomach cold syndrome [1], also known as gastric cold diaphragmatic spasm, refers to the cold stomach, cold and strong with a hiccup sound, the more severe the cold, the heat is reduced, often chest Stomach and stomach dysfunction, like hot drinks, reduced appetite, thirst, cold limbs, white fur, and slow pulse are common symptoms of diaphragmatic spasm [8].
3.8.1.1.1 Symptoms
Uh, the sound is soothing and strong, and the palpitations and stomach palpitations are uncomfortable. The heat is reduced, the cold is getting worse, the appetite is reduced, the mouth is neutral but not thirsty, the tongue is white and moist, and the pulse is slow.
3.8.1.1.2 Syndrome analysis
The cold evil suppresses, and the gas in the lungs and stomachs is reduced. Stomach gas rushed into the throat, so the hum was slow and strong. Cold air is easy to circulate when it is hot, and it will increase evil when it is cold, so it will decrease when it gets hot. Less food, mouth and thirst, white tongue coating, slow pulse, all have cold in the stomach. [4]
3.8.1.1.3 Governing Law
Dispel cold in the middle and stop the err [4].
3.8.1.1.4 Recipes for treating cold diaphragmatic spasm in the stomach
Dingxiang San [Remarks] Dingxiang San ("Ancient and Modern Medical Encyclopedia"): Clove, persimmon, ginger, moxibustion and licorice are the main prescriptions. Fang Zhongli, Shi Di dropped back and stop er; good ginger scattered in the cold. You can also add Sword Beans to stop the er, such as those who are severely cold, add Wu Yan, Neigui to dispel the cold with Wenyang. If the cold stagnation does not change, suffocate suffocation, can be added. Magnolia officinalis, Zhishi, Chenpi, Pinellia ternata, Poria, etc. are used to reduce stagnation with qi and phlegm. [4]
3.8.1.1.5 Acupuncture treatment of cold diaphragmatic spasm in the stomach
Party one:
Empirical observations included Tiantu, Juyu, Yuyu, Fenglong, and Xingjian (all diarrhea), and those with cold stomachs added Liangmen [7].
Party two:
[6]
Acupuncture points selection: The main points of the stomach meridian of the foot-yangming and the pericardial meridians of the hand-jue. Take Tiantu, Qiyu, Neiguan, Zusanli, Zhongli, Guanyuan, Weishu, Zhangmen, and Pishu.
Acupuncture points with the card: those who vomit acid water or water, plus beam door.
Acupuncture and moxibustion methods: acupuncture and diarrhea, plus moxibustion.
Fang Yi: Tiantu is the meeting of Renmai and Yinweimai, which can retreat with the middle and lower. Neiguan passes through Yin and Wei, and can widen chest and sharpen. Yu Yu benefited the town's inverse. Zusanli is the lower acupuncture point of the stomach, which can be inverse to Jiangwei. Zhongli is the acupoint for the stomach, Zhangmen is the acupoint for the spleen, which is matched with Weishu and Pishu respectively. Guan Yuan replenishes vitality to help disperse the cold.
Party three:
Prescription: Tiantu Neizuan Zusanli Zhongli
Fang Yi: Tiantu is the meeting of Renmai and Yinweimai, which can retreat with the middle; Neiguan is the acupuncture point of the yin and pericardium of the hand, widening the chest and qi, and descending and retreating; Zusanli is the foot-yangming stomach meridian Acupuncture points, rectifying the gastrointestinal qi machine, and lowering the qi in the stomach; Zhongyao is a point for the qi of the stomach, and qi in the stomach.
Acupuncture points with the card: Han-Yu.
Operation: Needle acupuncture, detoxification, moxibustion, practical diarrhea, once a day, 30 minutes acupuncture, 10 times as a course of treatment.
3.8.1.2 Stomach inversion
Diaphragm spasm · Stomach fire syndrome (hiccough with stomach fire syndrome [1]), also known as stomach fire spasm muscle spasm, refers to the stomach fire on the inverse, with a loud and powerful hum, burst out, bad breath, thirst, more like cold drinks, abdominal cramps Mania, constipation, short urination, yellow dryness, and slippery pulses are common symptoms of diaphragmatic spasm [8].
3.8.1.2.1 Symptoms
Uh, the sound is loud and loud, bad breath and thirst, cold drinks, short urination, constipation, yellow tongue coating, slippery pulse [4].
3.8.1.2.2 Syndrome analysis
Mostly because of spicy food and alcoholic beverages, or excessive warming, the gastrointestinal tract has accumulated heat. The stomach rushed, so the sound was loud. Stomach heat injury, intestinal dryness, bad breath, thirst, and cold drinks, will become red urine. Yellow tongue coating and slippery pulses are all signs of stomach heat. [4]
3.8.1.2.3 Governing Law
Qingjiang relieves heat and stops er [4].
3.8.1.2.4 Prescription for treating inverse diaphragmatic spasm on stomach fire
Use Bamboo Leaf Gypsum Soup [Remarks] Bamboo Leaf Gypsum Soup ("Treatise on Febrile Diseases"): bamboo leaves, gypsum, Ophiopogon, ginseng, pinellia, japonica, licorice plus persimmon, bamboo rut with the fire to reduce inversion. The ginseng in the recipe can be changed to ginseng, with gypsum, bamboo leaves, and Ophiopogon to Qingyangming stomach fire; Pinellia ternata and Diospyros phlegm to reduce phlegm. If the constipation is full and the abdomen is full, you can use Xiao Chengqi Decoction [Remarks] Xiao Chengqi Decoction ("Treatise on Febrile Diseases"): Rhubarb, Magnolia, and Fructus are used to relieve heat, and Qi to relieve stomach Qi The diaphragmatic spasm ceased. [4]
3.8.1.2.5 Acupuncture treatment of inverse diaphragmatic spasm on stomach fire
Party one:
Empirical observations include Tiantu, Juyu, Tongyu, Fenglong, and Xingjian (all diarrhea), and those with stomach fever add valleys and valleys [7].
Party two:
[6]
Acupuncture points selection: The main points of the stomach meridian of the foot-yangming and the pericardial meridians of the hand-jue. Take Tiantu, Qiyu, Neiguan, Zusanli, Tianshu, Hegu, Inner Court, Gongsun.
Acupuncture points with the certificate: those who have dry mouth and bitter mouth, add valleys.
Method of acupuncture and moxibustion: acupuncture method.
Fang Yi: Tiantu is the meeting of Renmai and Yinweimai, which can retreat with the middle and lower. Neiguan passes through Yin and Wei, and can widen chest and sharpen. Yu Yu benefited the town's inverse. Zusanli is the lower acupuncture point of the stomach, which can be inverse to Jiangwei. Hand Yangming Meridian Acupuncture Hegu is in harmony with Foot Yangming Meridian Acupoint, the large intestine recruiting acupuncture Tianshu, and Xieyangming stomach fire. Gongsun belongs to the spleen meridian of the foot taiyin, which is connected to the red pulse and matches Neiguan, which can reduce stomach qi.
Party three:
Prescription: Tiantu Neizuan Zusanli Zhongli
Fang Yi: Tiantu is the meeting of Renmai and Yinweimai, which can retreat with the middle; Neiguan is the acupuncture point of the yin and pericardium of the hand, widening the chest and qi, and descending and retreating; Zusanli is the foot-yangming stomach meridian Acupuncture points, rectifying the gastrointestinal qi machine, and lowering the qi in the stomach; Zhongyao is a point for the qi of the stomach, and qi in the stomach.
Acupoints with the card: Reh-Gongsun, Inner Court.
Operation: Needle acupuncture, detoxification, moxibustion, practical diarrhea, once a day, 30 minutes acupuncture, 10 times as a course of treatment.
3.8.1.3 Stomach full food stagnation
Those who change the diaphragmatic spasm due to drinking and eating are identified as having stomach fullness and food stasis, caused by accumulated heat.
Recipe treatment: Tiaowei Chengqi Decoction with Xiere laxative for healing. Some people also use Baohe Pill, Lingguizhugan Decoction, Huangqi Jianzhong Decoction and so on.
Acupuncture treatment: empirical evidences of Tiantu, Juyu, Yuyu, Fenglong, Xingjian (all diarrhea), and those with food accumulation add Jianli and Liner court [7].
3.8.1.4 Qi stagnation
Diaphragm spasm and qi stagnation syndrome [1], also known as qi stagnation spasm, refers to liver stagnation and qi stagnation, stomach qi stagnation, humming, chest and abdomen fullness, upset and irritability, pulse strings Symptoms of diaphragmatic spasm are common symptoms [8].
3.8.1.4.1 Symptoms
Diaphragm convulsions, often induced or exacerbated by poor mood, are accompanied by chest tightness, appetite, bulging and bloating, intestinal irritation, thin white tongue coating, and pulse strings [4].
3.8.1.4.2 Syndrome analysis
Depression, liver qi is superior to lung and stomach, stomach qi is rushing, so diaphragmatic spasm continues. The illness is caused by emotion, so it is often induced or exacerbated by poor mood. Qi against the chest, chest tightness. Mu Yu Ke soil, spleen is lost, so appetite is reduced. Xun is the part of the stomach, and the threat is the liver's dividing field. The gas flowed more, and the intestine was lowered. The tongue coating is thin and white, and the pulse-like strings are signs of qi stagnation. [4]
3.8.1.4.3 Governing Law
Downward and downward [4].
3.8.1.4.4 Prescriptions for treating qi-stagnation diaphragmatic spasm
Wumo Yinzi [Remarks] Wumo Yinzi ("Medicine Collection"): Wuyao, agarwood, betel nut, accumulated fruit, woody incense. Fangzhong Muxiang and Wuyao are smooth; Qionghu and Agarwood are wide and lowering. You can add cloves, substitute ocher to drop back and stop er; Chuanxiongzi, Yu Jinshu liver and relieve depression. Such as qi stagnation and fire, upset, bowel, bitter mouth, red tongue, pulse like string number, can add mandarin duck, Coptis chinensis, etc., to relieve liver and stomach. If Qi is against phlegm resistance, you may have dizzy heads or nausea, thin tongue coating, slippery pulses, and you can combine Xuanfu Daizitang [Remark] Xuanfu Daizitang ("Treatise on Fever"): Vermiculite, Ginseng, Pinellia, Zhigancao, Ginger, Jujube, Erchen Tang [Remark] Erchen Tang ("Taiping Huimin and Hui Bureau"): Pinellia, Chenpi, Poria, Zhigancao, Yishun Qi drop inverse, phlegm and stomach. [4]
3.8.1.4.5 Acupuncture treatment of qi-stagnation diaphragmatic spasm
Party one:
Empirical observations include Tiantu, Juyu, Yuyu, Fenglong, and Xingjian (all diarrhea); those with liver-qi transversal and Jiachong [7].
Party two:
Prescription: Tiantu Neizuan Zusanli Zhongli
Fang Yi: Tiantu is the meeting of Renmai and Yinweimai, which can retreat with the middle; Neiguan is the acupuncture point of the yin and pericardium of the hand, widening the chest and qi, and descending and stopping; Acupuncture points, rectifying the gastrointestinal qi machine, and lowering the qi in the stomach; Zhongyao is a point for the qi of the stomach, and qi in the stomach.
Acupoints with the card: Liver Qi Stagnation-Taichong.
Operation: Needle acupuncture, detoxification, moxibustion, practical diarrhea, once a day, 30 minutes acupuncture, 10 times as a course of treatment.
3.8.1.5 Qi stagnation
Diaphragm spasm and Qi stagnation block syndrome (hiccough with syndrome of qi stagnation and phlegm blockade [1]) refers to qi stagnation and phlegm blockade, and the stomach gas is reversed, with diaphragmatic spasm continuous sound, chest fullness, suffocation, less nausea, nausea Stomach qi, or bowel qi and qi, or uncomfortable breathing, dizziness, usually sputum, thin fur, slippery pulse strings, etc. are common symptoms of diaphragmatic spasm [8].
3.8.1.5.1 Acupuncture treatment of diaphragmatic spasm of Qi-stagnation type
Party one:
[6]
Governing Law: Regulating Qi and Resolving Phlegm, and Weizhi.
Acupoint selection: the main points of the stomach meridian of the foot Yangming and the liver meridian of the foot jue yin. Take Tiantu, Tongyu, Neiguan, Zusanli, Xiaxi, Qimen, Taichong
Acupuncture points with the certificate: vertigo, plus a pool, Baihui.
Method of acupuncture and moxibustion: acupuncture method.
Fang Yi: The first four points in Fang Zhong are as described above. With the foot Jueyin Meridian Yuan Chong and the acupoint-recruitment stage gate to regulate the Qi of the liver; the foot Shaoyang gallbladder meridian point Xiaxi to help the Qi to relieve depression.
Party two:
Prescription: Tiantu Neizuan Zusanli Zhongli
Fang Yi: Tiantu is the meeting of Renmai and Yinweimai, which can retreat with the middle; Neiguan is the acupuncture point of the yin and pericardium of the hand, widening the chest and qi, and descending and stopping; Acupuncture points, rectifying the gastrointestinal qi machine, and lowering the qi in the stomach; Zhongyao is a point for the qi of the stomach, and qi in the stomach.
Acupuncture points with the card: Phlegm Drink-Fenglong.
Operation: Needle acupuncture, detoxification, moxibustion, practical diarrhea, once a day, 30 minutes acupuncture, 10 times as a course of treatment.

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