Abdominal pain Flashcards

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1
Q

pain symptoms in the area below the stomach duct and above the pubic bone - either in one location or the entire area

A

abdominal pain

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2
Q

the area above the umbilicus including rib sides and stomach duct area; ascribed to the spleen and stomach

A

large abdomen

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3
Q

below the umbilicus ascribed to the kidneys, Urinary bladder, uterus, LI and SI

A

small abdomen

shao fu

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4
Q

two sides of the small abdomen - area ascribed to liver and gallbladder channels

A

lesser abdomen

xiao fu

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5
Q

external evils invading the channels, viscera and bowels

A

all sources for development of abdominal pain

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6
Q

general patterns of abdominal pain

A

cold
heat
deficiency of qi & blood
qi stagnation, stasis, accumulation

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7
Q
acute and sudden abdominal pain above the umbilics or surrounding the umbilics
pain refuses pressure
reduced with warmth and more severe with cold
vomiting and diarrhea
bland taste in the mouth
lack of thirst
aversion to cold
cold limbs
tongue: white fur
A

direct strike of cold (tai yin)

history of abdomen being exposed to cold
(cold pattern of abdominal pain)

acute

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8
Q
severe episodic pain in or above the umbilicus that refuses pressure
course of illness is long and episodic
occurs more frequently during the cold seasons
green-blue pale complexion
fear of cold
cold limbs
lack of thirst
clear and copious urination
sloppy stool or bound stool
tongue: thick, white, slimy
pulse; deep, tight
A

cold accumulation abdominal pain
(cold pattern of abdominal pain)

chronic
history of intake of cold foods, drinks etc.

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9
Q
acute contracting cold pain of the lesser abdomen that refuses pressure
distending pain that radiates to the testicles
sever cases: cold contracture of testicles which relaxes with heat
aversion to cold
fear of cold, cold limbs
irregular menstruation
menstrual pain
vertex headache
dry throat
frothy drool
tongue: white fur
pulse: string like slow
A

cold congealing in the liver channel

cold pattern of abdominal pain

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10
Q
mild pain or cold pain in the umbilicus or the small abdomen that is more severe when there is hunger or fatigue and taxation
prefers warmth and pressure and comes and goes and has an enduring course
fear of cold
cold limbs
withered essence spirit
bright white or dusky complexion
torpid intake
sloppy stools
possibly untransformed food, 
cold soreness of the lumbus knees etc.
tongue: pale or dark purple and tender 
pulse: deep, slow, fine or forceless
A

vacuity cold abdominal pain
(cold pattern of abdominal pain)

yang def:
ear of cold
cold limbs
withered essence spirit
bright white or dusky complexion
unsettled spleen and yang qi:
torpid intake
sloppy stools
possibly untransformed food, 
cold soreness of the lumbus knees etc.
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11
Q

distention, fullness and pain of the entire abdomen or the area above the umbilicus that refuses pressure
fever
sweating
constipation

A

Yang Ming Bowel pattern

heat pattern of abdominal pain

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12
Q
distention and pain above the umbilicus that refuses pressure and comes and goes
fever
torpid intake
vomiting
sloppy stools
glomus oppression of the stomach duct and abdomen
thirst with no desire to drink
reddish urine
tongue: red with yellow slimy coat
pulse: slippery and rapid
A

spleen and stomach damp heat

heat pattern of abdominal pain

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13
Q
acute abdominal pain that refuses pressure
fever
heavy body and limbs
bitter and slimy taste in the mouth
short, reddish urine
violent downpour of diarrhea
burning pain of the anus
rectal heaviness
possibly blood or pus in the urine 
abdominal urgency
tongue: red with yellow, slimy fur
pulse: slippery and rapid
A

large Intestine damp heat

heat pattern of abdominal pain

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14
Q
contracture and pain of the small abdomen or lesser abdomen that refuses pressure
frequent urination
urgent urination
rough, scanty and painful urination
yellow, reddish, cloudy and turbid urine
possibly: blood or sand or stones in urine
fever
lumbus pain
tongue; yellow, slimy fur
A

urinary bladder damp heat
(heat pattern of abdominal pain)

signs of inhibition of the qi transformation of the urinary bladder

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15
Q

sudden abdominal pain that first occurs around the umbilicus or in the upper abdomen
then transmitted to the right side of the lower abdomen
pain refuses pressure
abdominal skin is slightly tense
right foot predilection for flexion but pain more severe when foot is stretched
fever
nausea, vomiting
constipation
tongue: red with white, yellow or slimy fur

A

intestinal welling abscess
(heat pattern of abdominal pain)

Appendicitis
SI-qi tied pain

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16
Q
dull or mild abdominal pain that likes pressure
pain more severe with hunger or taxation fatigue
pain somewhat reduced by resting or eating
pale complexion
fatigue of the limbs
scanty qi
spontaneous sweating
reduced intake
sloppy stools
maybe: rectal or uterine prolapse
tongue: pale with white fur 
pulse: empty, vacuous
A
qi deficiency
(vacuity pattern of abdominal pain)
17
Q

dull abdominal pain that likes pressure
sometimes dull pain below the heart in the stomach duct
pale complexion without luster or withered yellow complexion
dizziness
heart palpitations
insomnia
numbness of the limbs
pale white lips and nails
tongue: pale with thin, dry and white fur
pulse: fine

A
blood deficiency
(vacuity pattern of abdominal pain)
18
Q
distention and pain of the large abdomen that often radiates to the rib side and in severe conditions to the stomach duct or lesser abdomen
pain is unfixed
refuses pressure
reduced by belching or sighing
aggravated by anger
conglomeration lumps
emotional depression
impatience
rashness
tendency to be easily angered
sighing
painful menstruation or irregular menstruation
pulse: string like
A
qi stagnation
(repletion pattern of abdominal pain)
19
Q
distention and pain of the large abdomen that refuses pressure and often radiates to the stomach duct
vomiting, diarrhea
flatulence that relieves pain
aversion to food
belching or vomiting or sour putrid food
irregular bowels
sloppy or bound stools
history of irregular dietary habits
A
food accumulation
(repletion pattern of abdominal pain)
20
Q

fixed pain in the abdominal area
pain is relatively severe- piercing or cutting
refuses pressure
often: concretion or accumulation lumps in area of pain
mottled black complexion
dusky purple skin, nails, lips, stasis macules on the tongue
tarry black stool or blood in stool
stasis macules on the skin
impediment of the joints

A

blood stasis pattern

repletion pattern of abdominal pain

21
Q

pain around the umbilicus that comes and goes
with a cord like feeling when pressed, pain refuses pressure
yellow complexion
emaciated muscles
grinding the teeth during sleep
torpid intake or predilection for abnormal foods
serious cases: gripping pain in the abdomen
wriggling agitation of the limbs
green-blue complexion
reverting cold of the 4 limbs
nausea and vomiting
after pain stops: diet and movement revert to normal

A
worm accumulation
(repletion pattern of abdominal pain)
22
Q
cholera
dry cholera
sudden abdominal pain
intestinal qi
painful menstruation
abdominal pain of pregnancy
stirring fetus
retention of placenta
abdominal pain after delivery
retention of lochia
persistent flow of lochia
A

these patterns also have abdominal pain as a primary symptom

23
Q

Fullness and distention of the hypogastrium with pain which refers downward to the scrotum and testis and upwards to the hypochondrium
pain alleviated by warmth
straining of the testis or contraction of the scrotum
vertical headache
feeling cold
cold hands and feet
vomiting of clear watery fluid or dry vomiting
(shrinking or the vagina in women)

A

stagnation of cold in the Liver channel

cold pattern of abdominal pain

24
Q
sudden cramping abdominal pain
diarrhea with pain
feeling cold
cold sensation in abdomen
tongue: thick white coating
pulse: deep tight
A

cold in the intestines

25
Q
intermittent dull pain which may be relieved by warmth or by pressure and aggravated by cold or hunger and fatigue
lassitude
loose stool
aversion to cold
tongue: thin white coating
pulse: deep, thredy
A

spleen yang deficiency

26
Q

upper abdominal distention

lower abdominal distention

A

upper: stomach
lower: intestines

27
Q

once stomach and intestines lose their functions

A

abdominal distention and pain, belching, vomiting and etc occur

28
Q
persistence of distention and fullness in the abdomen
aggravated by pressure
abdominal pain
belching
foul breath
dark yellow urine
constipation
sometimes: fever, vomiting
tongue: yellow, thick coat
pulse: rolling, rapid, forceful
A

abdominal distention: excess condition

undigested food in stomach gives rise to distention and fullness in epigastrium

29
Q
abdominal distention relieved by pressure
borborygmi
loose stool
loss of appetite
lassitude
listlessness
clear urine
tongue: pale with white coating
pulse: forceless
A

abdominal fullness: deficiency condition

stomach/spleen qi deficiency results in dysfunction of transportation and transformation
failure to create qi & blood