Abdominal masses Flashcards
Clinical Feature
Poor appetite
Fatigue
Nausea
Differentiate Ji and ju
JI: Blood stagnation
Fixed, real masses
Fu organs
JU: Qi Stagnation
Moving, comes and goes
Zang organs
Corresponding western diagnosis
Kidney cysts Cirrhosis Malaria Jaundice Tumor
Etiology
Emotional frustration
Diet -phlegm
EPF
Long term illness
Chief Pathology
Qi and Blood Stasis
Stagnation damages Zheng Qi and turns to deficiency
Main organs
Liver
Spleen
Complications
1) Edema
2) skin infections
Basic Points
St 36
SP 6
Ren 4
POT for Ji
Early: Remove Xie Qi
Mid: remove xie Qi and tonify Zheng Qi
Late: Tonify Zheng Qi
Basic POT
JU—> soothe liver, regulate Qi, promote BM
JI—> Remove blood stagnation (early,mid,late)
- must determine what stage*
Late stage patient too weak to remove stagnation and surgery required so only tonify patient first
Differentiation JI
Early—> small, soft, Zheng Qi not damaged (excess)
Mid—> Harder, Zheng Qi slightly damaged
(Mixed pattern of excess and deficiency)
Late—> large, hardest, Zheng damaged
( Deficency)
Alternative Tx
Herbs –> bitter, strengthen SP/ST
Integrate western and Chinese medicine for best results
Acup tx for Tumor –> Improve/prolong life quality
Cancer–> Treat pain, side effects
Points: Life Quality: St36, SP 6, Ren 4 ( tonify Zheng Qi) Lu cancer: Lu 5, Pc 6, Lu 10 Stomach Intestinal: LI11, LI 10, SJ 5 Liver: Liv 6, Dannanxue Breast: St 16/18, HT 1 Esophagus: Ren 14/15/17/23 SP/Kid yang Deficency: UB 20/23, Ren 6, du 4 (warming needle)
PAIN: Jiaji, ashi, LI 4, ST 36 Liv: GB 34, Liv 13/14, GB 24 Lung: Lu 6, Lu 5, Lu 9 Breast: Ren 18/19 Brain: Liv 2, DU 1, yin tang, du 21
Moderate electro stimulation (distal points)
SIDE EFFECTS: St 36, Sp 6 Decreased WBC: UB 17/20/23 Improve immune system: Pc 6, Ren 4 Gastrointestinal: Pc 6, Ren 12, Sp 10 Mouth sores/dry mouth: Kid 6, Lu 7, Ren 23 Diarrhea/constipation: St 25, SJ 6, ST 21, UB 25 ( warming needle)
Auricular:
Occipital, brain, kidney, corresponding organ
Abdominal Moxa
Education
Qi gong
Reg stress
Excess Patterns
Liver Qi stag
Retention food and phlegm
Qi stag with blood stasis
Accumulation of Qi and blood
Deficiency Patterns
deficiency with Blood stasis
Moveable abdominal masses which come and go, abdominal distension and abdominal pain that come and go with the mass
Liver Qi stag
Hard, immovable mass and painful in the abdomen
Accumulation of Qi and blood
Soft abdominal mass the might be strip-like, Abdominal distension or pain, aggravated by pressure
Retention of food and phlegm
Soft but moveable mass
Qi stag with blood stasis
Hard and painful abdominal masses
Deficiency with blood stasis
Liver Qi stag points
Liv 3
Liv 14
Liver Qi stag POT
Soothe the liver
Eliminate stagnation
Move Qi
Dissolve mass
Liver Qi stag T and P
T: thin coating
P: wiry
Retention food and phlegm points
St 40
Ren 12
Retention food and phlegm T and P
T: greasy tongue coat
P: wiry and slippery
Retention food and phlegm POT
Resolve food retention
Promote BM
Regulate Qi
Resolve phlegm
Qi stag with Blood Stasis T and P
T: purple
P: wiry
Qi stag with Blood Stasis Points
UB 17
SP 10
Qi stag with Blood Stasis POT
Move blood and Qi
Circulate collaterals
Dissolve masses
Accumulation of Qi and blood T and P
T: purple
P: thready and choppy
Accumulation of Qi and blood POT
Break blood Eliminate stasis Soften hardness Dissolve masses Regulate spleen and stomach
Accumulation of Qi and blood Points
Sp 10
UB 17
Ashi
Deficiency with Blood stasis T and P
T: pale and purple tongue with out coating
P: thready rapid or wiry thready
Deficiency with Blood stasis POT
Strongly tonify Qi and blood
Move blood to eliminate stasis
Deficiency with Blood stasis Points
UB 17
UB 20/23