Abdominal pain Flashcards
pain symptoms in the area below the stomach duct and above the pubic bone - either in one location or the entire area
abdominal pain
the area above the umbilicus including rib sides and stomach duct area; ascribed to the spleen and stomach
large abdomen
below the umbilicus ascribed to the kidneys, Urinary bladder, uterus, LI and SI
small abdomen
shao fu
two sides of the small abdomen - area ascribed to liver and gallbladder channels
lesser abdomen
xiao fu
external evils invading the channels, viscera and bowels
all sources for development of abdominal pain
general patterns of abdominal pain
cold
heat
deficiency of qi & blood
qi stagnation, stasis, accumulation
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
direct strike of cold (tai yin)
history of abdomen being exposed to cold
(cold pattern of abdominal pain)
acute
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
cold accumulation abdominal pain
(cold pattern of abdominal pain)
chronic
history of intake of cold foods, drinks etc.
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
cold congealing in the liver channel
cold pattern of abdominal pain
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
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.
distention, fullness and pain of the entire abdomen or the area above the umbilicus that refuses pressure
fever
sweating
constipation
Yang Ming Bowel pattern
heat pattern of abdominal pain
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
spleen and stomach damp heat
heat pattern of abdominal pain
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
large Intestine damp heat
heat pattern of abdominal pain
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
urinary bladder damp heat
(heat pattern of abdominal pain)
signs of inhibition of the qi transformation of the urinary bladder
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
intestinal welling abscess
(heat pattern of abdominal pain)
Appendicitis
SI-qi tied pain
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
qi deficiency (vacuity pattern of abdominal pain)
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
blood deficiency (vacuity pattern of abdominal pain)
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
qi stagnation (repletion pattern of abdominal pain)
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
food accumulation (repletion pattern of abdominal pain)
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
blood stasis pattern
repletion pattern of abdominal pain
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
worm accumulation (repletion pattern of abdominal pain)
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
these patterns also have abdominal pain as a primary symptom
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)
stagnation of cold in the Liver channel
cold pattern of abdominal pain
sudden cramping abdominal pain diarrhea with pain feeling cold cold sensation in abdomen tongue: thick white coating pulse: deep tight
cold in the intestines
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
spleen yang deficiency
upper abdominal distention
lower abdominal distention
upper: stomach
lower: intestines
once stomach and intestines lose their functions
abdominal distention and pain, belching, vomiting and etc occur
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
abdominal distention: excess condition
undigested food in stomach gives rise to distention and fullness in epigastrium
abdominal distention relieved by pressure borborygmi loose stool loss of appetite lassitude listlessness clear urine tongue: pale with white coating pulse: forceless
abdominal fullness: deficiency condition
stomach/spleen qi deficiency results in dysfunction of transportation and transformation
failure to create qi & blood
