Abdominal Pain

Question 1

what are the etiologies of abdominal pn (that is of of intestinal origin not gyn)

Answer 1

external pathogenic cold and damp
emotional stress
improper diet

Question 2

in the nature of pn with regard to abdominal pn, distinguish dull and severe pn, as well as distending pn and stabbing fixed pn

Answer 2

dull pn- empty condition
severe pn - full condition
distending pn- qi stagnation
stabbing pn- blood stasis

Question 3

reaction to pressure- amel or aggravted by pressure means what

Answer 3

amel- empty

aggravated- full

Question 4

reaction to food or drink- amle with warm drink or aggravated by cold means what?
amel by cold means what?

Answer 4

ameliorated by warm drinks, aggravated by cold means a cold condition
amel by cold means a hot condition

Question 5

reaction to bowel movement- amel or aggravated

Answer 5

amel- full

agggravated- empty

Question 6

what are the full patterns for abdominal pain

Answer 6

1. cold in the intestines
2. cold damp in the intestines
3. damp heat in the intestines
4. retention of food
   5 stagnation of qi
5. stagnation fo qi with damp
   7 stagnation of qi and damp with qi deficiency
6. blood stasis

Question 7

what are the empy patterns for abdominal pn

Answer 7

1. spleen qi deficient and sinking
2. spleen yang deficiency with empty cold in the abdomen
3. spleen qi deficiency with damp
4. spleen and kidney yang deficiency

Question 8

clinical manifestations of cold in the intestines

Answer 8

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

Question 9

treatment principle of cold in the intestines

Answer 9

warm the intestines and spleen, scatter cold, and stop pn

Question 10

clinical manifestations of damp in the intestines

Answer 10

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

Question 11

Tx principle of cold damp in the intestines

Answer 11

warm the intestines and spleen, scatter cold, resolve damp and stop pn

Question 12

clinical manifestations of damp heat in the intestines

Answer 12

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

Question 13

tx principle of damp heat in intestines

Answer 13

clear heat, resolve damp

Question 14

rclinical manifestations of retention of food

Answer 14

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

Question 15

tx principle of food retention

Answer 15

dissolve food,accumulation, eliminate stagnation, restore the descednign of st qi

Question 16

clinical manifestation of stagnation of qi

Answer 16

abdominal pn and distension that are related to emotional state
feeling bloated
constipation
irritability
moody
belching
borborygmi
T-normal or red sides

Question 17

tx principle of stagnation of qi

Answer 17

pacify the liver and move the qi

Question 18

clinical manifestations of qi with dampness

Answer 18

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

Question 19

tx principle of stagnation of qi with damp

Answer 19

soothe liver, move qi, resolve damp

Question 20

clinical manifestations of qi stagnation dampness qi deficienccy

Answer 20

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

Question 21

tx principle of qi stagnation , dampness, qi deficiency

Answer 21

soothe liver, move qi, resolve dampness, tonify spleen qi

Question 22

clinical manifestation of blood stasis

Answer 22

severe abd pn, 
masses in abdomen
dark complexion
T- purple
p- deep and choppy  or deep and firm

Question 23

tx principle of blood stasis

Answer 23

invigorate blood and eliminate stasis

Question 24

clinical manifestation of spleen qi deficient and sinking

Answer 24

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

Question 25

tx principle for sp qi deficient and sinking

Answer 25

tonify spleen qi, raise qi

Question 26

clinical manifestations of spleen yang deficiency with empty cold in the abdomen

Answer 26

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

Question 27

tx principle of spleen yang def. with empty cold in abdomen

Answer 27

tonify qi warm yang

Question 28

clinical manifestations of spleen qi deficiency with dampness

Answer 28

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

Question 29

tx pprinciple for spleen qi def. with dampness

Answer 29

tonify sp qi, resolve damp

Question 30

clinical manifestations of spleen and kidney yang def.

Answer 30

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

Question 31

tx principle for spleen and kidney yang def

Answer 31

tonify spleen, and kidney yang, warm yang, expel empty cold