Based on the concept of "regulating the five

zang

organs and harmonizing the spleen and stomach"， globus hystericus is believed to originate from dysfunction of the five

zang

organs and disharmony of the spleen and stomach. Treatment primarily focuses on regulating the spleen and stomach while also considering other affected organs， with a self-prescribed

Anpiwei Jingyan Formula

（安脾胃经验方） for harmonizing the spleen and stomach as the foundational treatment. Additionally， syndrome-based modifications are applied according to imbalances in the heart， lung， kidney， or liver. For heart-

yang

deficiency， modified

Linggui Zhugan Decoction

（苓桂术甘汤） could be combined； for heart-

yin

deficiency， modified

Tianwang Buxin Pill

（天王补心丹） could be combined. For lung failing to disperse and descend and fluid retention， modified

Sanao Decoction

（三拗汤） could be combined； for lung and stomach

yin

deficiency， modified

Shashen Maidong Decoction

（沙参麦冬汤） could be combined. For kidney-

yang

deficiency with ascending counterflow of cold water， modified

Jingui Shensi Pill

（金匮肾气丸） could be combined； for kidney-

yin

deficiency， modified

Liuwei Dihuang

Pill

（六味地黄丸） could be combined. For liver constraint and spleen deficiency， modified

Sini Powder

（四逆散） could be combined； for liver-

yin

deficiency or liver stagnation transforming into fire and attacking the stomach， modified

Yiguan Decoction

（一贯煎） could be combined.