Introduction
Globus hystericus refers to abnormal sensation in the throat as if a plum pit or sputum stuck in the throat. However, examination of the throat finds no abnormal changes. It is similar to pharyngeal neurosis or globus hystericus in modern medicine. This problem is usually caused by mental depression, failure of the liver qi to disperse and convey, unsmooth flow of qi and abnormal distribution of body fluid turning into phlegm that stucks in the throat.

Syndrome Differentiation
It is marked by obstructive sensation in the throat, difficulty to spit and swallow, no pain, normal intake of food, aggravation or alleviation with the changes of emotions, accompanied by mental depression, excessive anxiety, suspicion, migratory pain in the chest, frequent belching, or anorexia, unsmooth defecation, bulgy tongue, thin, white and greasy tongue fur, taut and slippery pulse.

Treatment
1. Body Acupuncture
Prescription:
Neiguan (PC 6), Tanzhong (CV 17), Fenglong (ST 40) and Sanyinjiao (SP 6).

Performance:
For evident abnormal sensation in the throat, Tiantu (CV 22) is added; for mental depression and migratory pain in the chest and rib-side, Shenmen (HT 7) and Taichong (LR 3) are added; for anorexia and unsmooth defecation, Zusanli (ST 36) is added.

Performance:
Mild reinforcing and reducing needling techniques are used. Tiantu (CV 22) is needled 0.2 cun vertically first, then the point of the needle is turned downward and slowly inserted 0.5 - 1 cun along the posterior border of the sternum. Tanzhong (CV 17) is needled horizontally 0.5 cun downward.

2. Ear Acupuncture
Prescription:
Ear Shenmen (TF4), Subcortex (AT4), Heart (CO15).

Performance:
Wangbuliuxingzi (Semen Vaccariae) is used for ear pressure. The acupoints is pressed twice or 3 times a day.