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Properties Source: Essentials from the Golden Cabinet (Jin gui yao lue) Contraindications Contraindicated in patients presenting with a flushed face, a bitter taste in the mouth, and a red tongue with scanty coating. Chinese Symptomology Signs & symptoms of liver depression qi stagnation include:Chest oppression ~Rib-side distention and pain ~A bowstring pulse ~Signs & symptoms of phlegm include:A feeling of a ball of phlegm stuck in the back of the throat which can neither be spit up or swallowed down ~Slimy tongue fur ~Possible cough with profuse phlegm ~Possible vomiting ~A slippery pulse Western Symptomology 1) Psychiatric and neurological disorders marked by an abnormal sensation in the throat, such as globus hystericus, neurogenic vomiting, hysteria, epilepsy, depression, peri- and menopausal syndrome, and Parkinsonís disease. 2) Disorders of the throat and surrounding tissue, including laryngitis, tonsillitis, edema of the vocal cords, goiter, hyperthyroidism, and cervical spine syndrome. 3) Digestive tract disorders, including esophageal stricture, esophageal spasm, gastritis, and irritable bowel syndrome. 4) Respiratory disorders, including bronchitis and emphysema. Actions Moves the qi and disperses glomus, downbears counterflow and transforms phlegm Pattern Phlegm and qi depression and binding (plum pit qi) Tongue Moist or greasy coating Pulse Slow and wiry or slippery and wiry Ingredients Pinellia rhizome, Poria sclerotium fungus, Fresh Ginger rhizome, Magnolia bark, Perilla leaf. In the source text, this formula is recommended for women who feel as if a piece of roasted meat were stuck in their throats. This condition, which of course may also be experienced in men, has come to be called plum-pit qi. The pattern of constrained qi with concurrent phlegm is not the only cause of this condition, but is by far the most common. Other causes include fire from constraint, and qi and blood deficiency. This formula is composed of warm, acrid, and fragrant substances which are drying and dispersing in nature and can therefore easily injure the yin and fluids. Thus, the formula is appropriate only in cases of constrained qi and phlegm. This condition is known as plum-pit qi (mei he qi) and is said to result from emotional upset due to circumstances which the patient figureatively cannot swallow. The qi thereupon becomes constrained and the Lungs and Stomach lose their ability to move the qi downward. This in turn leads to problems with the transportation and transformation of fluids, which leads to the formation of phlegm. The phlegm clashes with the qi and ultimately lodges in the throat. The obstruction of the qi mechanism by phlegm is also manifested in the stifling sensation in the chest and hypochondria. In severe cases, there will also be coughing or vomiting. The moist or greasy tongue coating, and the slow and wiry pulse, are signs of constrained qi and phlegm-dampness. (From Bensky: Chinese Herbal Medicine Formulas and Strategies)*