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Throat Tightness

How Chinese medicine differentiates throat tightness into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's Globus Sensation and Sore Throat pages. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Sudden throat tightness with difficulty breathing or swallowing, drooling, or swelling of the face or lips is an emergency — call for urgent care. This page covers the ordinary, gradual "lump in the throat" sensation, not acute airway obstruction.
General Acupuncture Points

Acupuncture points traditionally used for throat tightness — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
P-6Opens the chest and moves Qi and Blood. Calms the Mind. Moves Liver-Qi.
LIV-3Subdues Liver-Yang. Extinguishes interior Wind. Promotes the smooth flow of Liver-Qi.
REN-22Stimulates the descending of Lung-Qi. Resolves Phlegm. Benefits the throat and voice.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver Qi Stagnation View full pattern →

Clinical manifestations: A lump-in-the-throat (plum-pit) sensation; distension and pain along the ribs; frequent sighing; irritability; chest tightness. Worse with stress, greasy food and a sedentary lifestyle; better with deep breathing and gentle exercise.
Tongue: Normal to slightly dark with red sides, thin white coat. Pulse: Wiry, taut like a guitar string.
Treatment principle: Courses the Liver, resolves constraint and moves Qi.
Note: no moxa.

2. Qi-Phlegm

Clinical manifestations: A lump sensation that cannot be swallowed or coughed up; oppression in the chest and upper abdomen; a white greasy tongue coating; frequent sighing; nausea. Worse with stress and greasy or dairy foods.
Tongue: Normal or possibly swollen, white greasy slippery coat. Pulse: Wiry and slippery.
Treatment principle: Moves Qi, dissipates nodules, descends Qi and resolves Phlegm.
Note: Mixed Deficiency/Excess. This site's decks have no Qi-Phlegm slide — no pattern link is given here.

3. Liver Qi Stagnation Invading the Stomach View full pattern →

Clinical manifestations: A throat lump or constriction relieved by belching; distending upper-abdominal pain radiating to the ribs; frequent belching or acid reflux; irritability. Worse with stress, spicy or greasy food and overeating.
Tongue: Normal to slightly red with redder sides, thin white coat. Pulse: Wiry, especially at the left middle position.
Treatment principle: Descends rebellious Stomach Qi, soothes the Liver and harmonizes Liver and Spleen.
Note: no moxa.

4. Qi and Blood Stagnation

Clinical manifestations: A fixed, constricting sensation that does not shift; stabbing, sharp throat pain; dark or purplish lips or complexion; pain worse with pressure.
Tongue: Purple or dark, stasis spots, distended sublingual veins, thin white coat. Pulse: Wiry and choppy.
Treatment principle: Invigorates Blood, dispels stasis, moves Qi and opens the chest.
Note: no moxa. No combined Qi-and-Blood-stagnation slide exists on this site's decks — no pattern link is given here.

5. Heart and Spleen Deficiency View full pattern →

Clinical manifestations: Throat tightness that fluctuates with energy levels; palpitations; anxiety; poor appetite with bloating; fatigue; dizziness; pale complexion; insomnia with vivid dreams.
Tongue: Pale, tender, tooth-marked, thin white coat. Pulse: Fine and weak; the left front and right middle positions especially weak.
Treatment principle: Tonifies Qi, nourishes Blood, strengthens the Spleen and calms the Spirit.
Note: moxa is appropriate. Linked to the closest slide (Spleen- and Heart-Blood deficiency); it names Blood only, so treat as a partial match.
Related conditions

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