Abnormal pharyngeal sensation Abnormal pharyngeal sensation is a common disease in otorhinolaryngology, and I have encountered such patients for a long time since I started working, and I hope that my seniors and colleagues will give me more advice on the rough understanding of this kind of disease. Overview Abnormal pharyngeal sensation means that there is no localized organic lesion in the pharynx, but there is abnormal sensation and foreign body sensation in the pharynx. It is related to pharyngeal phytoneurosis, endocrine disorders, hyperthyroidism, anemia, vitamin deficiency, cervical spondylosis, gastric disease, esophagitis, diabetes mellitus, etc. Most cases of pharyngeal anosmia are caused by mental illness. Most of the pharyngeal allodynia is caused by mental factors. Clinical symptoms: 1, the pharynx often have a foreign body sensation, obstruction, itching, burning sensation, leaf paste sensation, insect crawling sensation, phlegm clogging sensation, globular sensation, want to spit out, want to swallow, or up and down to move or fixed immobility, and other than pain in addition to a variety of sensations, the site of the oral pharynx and the upper fossa of the sternum between the pharyngeal, pharyngeal pain, empty swallowing, the sense of a foreign body is particularly pronounced, but disappeared when eating, no dietary impediments. 2, preferred in middle-aged Female. 3, more than a history of mental debility, emotional disorders, fear of cancer. 4, examination, nasopharyngeal, laryngopharyngeal without organic lesions, routine blood, x-ray chest radiography, esophageal barium X-ray or esophagoscopy without abnormalities, X-ray examination of the penumbra or cervical vertebrae patches are normal. There is no inflammation of neighboring organs, swelling, etc. 5. Most of them are accompanied by facial depression, chest tightness, burning sensation in the pharynx, regurgitation and belching. Pathology 1, non-organic etiology, such as pharyngeal neurosis, hysteria, suspected cancer, anxiety, schizophrenia and so on. 2, organic etiology (1) chronic inflammation of the upper respiratory tract: rhinitis, pharyngitis, laryngitis, etc. can make the pharyngeal peripheral circulation pathological changes, resulting in neurological dysfunction and causing sensory abnormalities. (2) Neuromuscular spasm disease (pharyngeal muscle spasm, esophageal muscle spasm) can induce pharyngeal hypersensitivity symptoms. (3) Cervical diseases: such as excessive length of the stalk, cervical vertebral osteophytes or deformity, and so on. (4) Reflux esophageal fire and gastric diseases can produce a reflex blockage or urgency in the pharynx. (5) Patients with anemia sometimes complain of pharyngeal blockage and difficulty in swallowing. (6) In the early stage of carcinoma of pharynx, larynx, esophagus and cardia, it may only have the symptom of abnormal pharyngeal sensation. Clinical manifestations Abnormal pharyngeal sensation is a frequently encountered clinical symptom, which may be caused by some organic lesions, but most of them are non-organic lesions, and are more common in women aged 30-40. It often refers to various abnormal sensations in the pharynx other than pain. Traditional Chinese medicine describes this syndrome. It is like a plum nucleus stalking in the throat, which cannot be swallowed or spit out, and is called plum nucleus qi. The cause of the disease is due to the seven feelings of depression, so that phlegm and saliva cohesion, gas obstruction of the throat. The patient can often specify the pharyngeal abnormal sensation site between the oropharynx and the upper fossa of the sternum to the throat and pharynx more. Feeling of blockage when swallowing saliva, and there is no obstruction to eating, the symptoms reappear after meals. Sometimes it is characterized by a feeling of sticking leaves in the pharynx, crawling insects, scratching, phlegm sticking, or something moving up and down in the throat. There is usually no pain, or only mild sore throat. Diagnosis 1. Carefully examine nasopharynx, oropharynx and laryngopharynx for mucosal congestion, swelling, lymphoid hyperplasia, dryness, atrophy, scarring or tumors, etc. 2. Examine the neck for deformities, scars, lumps and enlarged lymph nodes. If necessary, X-ray film can be used to check the condition of stem or cervical vertebrae.3. Barium X-ray examination of esophagus or esophagoscopy. Treatment 1.It is most important to find out the cause of the disease and treat it. (2) Symptomatic therapy (1) Abstain from smoking and alcohol and take sedatives. (2) Superior cervical ganglion closure therapy. (3) Traditional Chinese medicine: (1) Traditional Chinese medicine treatment of plum nucleus qi has many methods, the following two methods are more commonly used: (1) Shu liver and lungs, open depression and resolve phlegm method, choose the three flowers Tang plus reduction. (2) the method of promoting qi, open depression, reduce reverse phlegm, choose half Xia Houjian Tang plus subtractions. (2) Acupuncture therapy: Lianquan, Tiantu, Renying, Ah Yes and other points can be taken. Or find out the sensitive points in the middle line of the front of the neck or along the posterior edge of the thyroid cartilage on both sides, and carry out acupuncture.