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