Abdominal Mass { Ji Ju } Flashcards
Abdominal Masses
↙️ ↘️
Ju Ji
⚪️ 🟣
What is the main difference in these two syndromes?
Ju syndrome are soft masses and masses that come and go. (insubstantial)
Ji syndromes are fixed, firm, hard and painful.(substantial)
‘Geeeee this is painful’ 🥴
3 points
What patterns can cause a
Ju ⚪️
syndrome?
JU = Qi Masses
- Liver Qi stagnation
- Food Retention
- Phlegm obstruction
3 points
What patterns can cause a
Ji 🟣
syndrome?
JI = Blood Masses
- Qi and Blood Stagnation
- Blood Stasis
- Deficiency of upright or rightous Qi + stasis of blood
3 points
What are Key signs of
JU ⚪️
syndrome?
⚡️Masses that come and go
⚡️Soft masses
⚡️Distending pain
4 points
What are Key signs of
JI 🟣
Syndrome?
⚡️PAIN
⚡️Fixed mass
⚡️Firm mass
⚡️Hard mass
Points to treat JU Syndrome:
Liver Qi Stagnation
Moveable masses that come and go, distending pain, emotional stress
7 Points
BL 18 - Back Shu LR
PC 6 - Masses on trunk, also Jue Yin pair
GB 34 + CV 6 - Move Ab Masses
CV 12 - Mu of ST
LR 3 + TE 5 - Qi Stag
Abdominal Mass
General Red Flags
3 points
- Painful, hard, immovable, not improving
- Jaundice or intestinal bleeding
- severe abdominal pain
Abdominal Masses
**Western Medical Diseases
4 points
- various benign or malignant tumors
- enlarged liver, spleen
- bowel obstruction (fecal masses)
- cysts
Etiology of Ab Mass
Emotional Stress
How does stress lead to Ab Mass?
- Stress constrains Liver
- Liver is in charge of smoothe Qi flow
- Stress disrupts SP function
- Blood circulation is impaired and T & T will fail
- Blockage of Blood and Phlegm occurs
Etiology of Ab Mass
Improper Diet
How does improper diet lead to Ab Mass?
- greasy, sweet, fried food and alcohol create damp environment in body
- Damp disrupts the SP fx
- Phlegm will form
- Phlegm blocks Qi and Blood
- COLD and RAW food can cause contraction restricting Qi and Blood, causing blood stasis
Etiology of Ab Mass
EPI Invasion
cold and damp
How does EPI lead to Ab Mass?
- Cold-Damp and Damp - Heat can invade and linger in body
- phlegm can accumulate and form JU or over long period of time JI mass.
Etiology of Ab Masses
Liver Pathologies
How do LR Pathologies create Ab Mass?
- Turbid Damp accumulation due to dysfunction of LR
- Turbid Damp blocks Qi / Blood and phlegm accumulates.
WMD: Jaundice, Malaria, Hypochondriac Pain
Points to treat JU Syndrome:
Food Retention / Phlegm Obstruction
soft mass, pain with pressure, poor appetite, constipation or diarrhea
LU 5 + ST 40 - Phlegm
Li Nei Ting - Food Retention
ST 25 - Regulate Bowels
CV 12 - Mu ST
LI 4 + LR 3 - Move Qi
Points to treat JI Syndrome:
Stagnation of Qi and Blood
Hard and immovable (blood), Ab distension and pain (qi)
CV 12 -
PC 6 - Yin Linking, pain on chest/trunk
BL 18 -
CV6 + GB 34 - Move Ab Masses
BL 17 - Blood stagnation
SP 10 - Sea of blood
LR 3 + TE 5 - Move Qi
Points to treat JI syndrome:
Blood Stasis
substantial mass, immovable, painful, dry flaky skin, emaciation
BL 17 + SP 10 - Blood pathology
LR3 + LI4 - Move Qi
PC 6 - Pain in abdominal or trunk of body
SP 4 (Chong) Remove blood stasis
If this were gynocology this could be endometriosis
