Abdominal Pain Flashcards
what are the etiologies of abdominal pn (that is of of intestinal origin not gyn)
external pathogenic cold and damp
emotional stress
improper diet
in the nature of pn with regard to abdominal pn, distinguish dull and severe pn, as well as distending pn and stabbing fixed pn
dull pn- empty condition
severe pn - full condition
distending pn- qi stagnation
stabbing pn- blood stasis
reaction to pressure- amel or aggravted by pressure means what
amel- empty
aggravated- full
reaction to food or drink- amle with warm drink or aggravated by cold means what?
amel by cold means what?
ameliorated by warm drinks, aggravated by cold means a cold condition
amel by cold means a hot condition
reaction to bowel movement- amel or aggravated
amel- full
agggravated- empty
what are the full patterns for abdominal pain
- cold in the intestines
- cold damp in the intestines
- damp heat in the intestines
- retention of food
5 stagnation of qi - stagnation fo qi with damp
7 stagnation of qi and damp with qi deficiency - blood stasis
what are the empy patterns for abdominal pn
- spleen qi deficient and sinking
- spleen yang deficiency with empty cold in the abdomen
- spleen qi deficiency with damp
- spleen and kidney yang deficiency
clinical manifestations of cold in the intestines
intense abdominal pn that is aggravated by pressure and by consuming cold foods and drinks.
alleviated by application of warms and drinking warm liquids.
no thirst
pale urine
loose stool or constipation
T- thick white coat
P-full- tight
treatment principle of cold in the intestines
warm the intestines and spleen, scatter cold, and stop pn
clinical manifestations of damp in the intestines
abdominal pn aggravated by pressure and consuming cold foods and drinks. amel by warm applications no thirst sticky taste loose stool or constipation feeling of fullness and heaviness in the abdomen T-white sticky coat P- slippery and slow
Tx principle of cold damp in the intestines
warm the intestines and spleen, scatter cold, resolve damp and stop pn
clinical manifestations of damp heat in the intestines
abdominal pn worse with pressure and hot food loose stool with foul smell mucus and or blood in the stool burning sensation of anus thirst slight sweat dark urine feelng of fullness and heaviness in abdomen T-red body, thick sticky coating P- slippery and rapid
tx principle of damp heat in intestines
clear heat, resolve damp
rclinical manifestations of retention of food
abdominal pn, worse with pressure and after eating feeling of fullness in abdomen belching sour regurgitation diarrhea which relieves pn constipation T- thick coat p- slippery
tx principle of food retention
dissolve food,accumulation, eliminate stagnation, restore the descednign of st qi
clinical manifestation of stagnation of qi
abdominal pn and distension that are related to emotional state feeling bloated constipation irritability moody belching borborygmi T-normal or red sides
tx principle of stagnation of qi
pacify the liver and move the qi
clinical manifestations of qi with dampness
abd. pn, distension that is clearly related to emotional state feeling bloated constipation irritability and moodiness belching borborygmi feeling of fullness and heaviness in abd. t- no change or red sides, sticky coat p- slippery and wiry
tx principle of stagnation of qi with damp
soothe liver, move qi, resolve damp
clinical manifestations of qi stagnation dampness qi deficienccy
abd. pn and distension that comes and goes and is worse when tired or when under emotional stress
feeling bloated
constipation or loose stool
irritability and mooodiness
belching
borboygmi
feelng of fullness and heaviness in the abdomen
fatigue
poor appetite
T-no change or red sides- sticky coatingP-soggy slightly wiry
tx principle of qi stagnation , dampness, qi deficiency
soothe liver, move qi, resolve dampness, tonify spleen qi
clinical manifestation of blood stasis
severe abd pn, masses in abdomen dark complexion T- purple p- deep and choppy or deep and firm
tx principle of blood stasis
invigorate blood and eliminate stasis
clinical manifestation of spleen qi deficient and sinking
dull central abdominal pn that comes and goes and is worse when tired better with pressure bearing down feeling fatigue loose stool poor appetite weak mm depression t- pale p- weak
tx principle for sp qi deficient and sinking
tonify spleen qi, raise qi
clinical manifestations of spleen yang deficiency with empty cold in the abdomen
dull abdominal pn which comes in bouts and improves after rest improves with application of warmth and pressure fatigue feeling cold desire for warm drinks loose stools depression slight breathlessness t- pale pulse- weak
tx principle of spleen yang def. with empty cold in abdomen
tonify qi warm yang
clinical manifestations of spleen qi deficiency with dampness
dull central abdominal pn that comes and goes, worse when tired, better with pressure
fatigue
loose stool
poor appetite
slight feeling of fullness and heaviness of the abdomen
t- pale sticky coat
p- soggy
tx pprinciple for spleen qi def. with dampness
tonify sp qi, resolve damp
clinical manifestations of spleen and kidney yang def.
dull abdominal pn, comes and goes, worse when tired. better with pressure, and with warm applications better warm drinks feeling cold fatigue loose stool desire to lie down cold limbs low back pn dizziy tinnitus frequen pale urination t-pale and wet p- deep and weak
tx principle for spleen and kidney yang def
tonify spleen, and kidney yang, warm yang, expel empty cold
