Abdominal pain, Stomachache Flashcards
Definition of abdominal pain
- Pain that happens below the sternocostal angle and pubic bone
- Could be around umbilicus
- Split into lower vs upper
Common causes of abdominal pain, Western reasons?
- Appendicitis
- Constipation
- IBS
- Indigestion
- Infection or stomach bug
- Pancreatitis
- Stress or anxiety
Organ locations for abdominal pain?
Stomach
Spleen
MJ
If there is fever or signs of external invasion plus abdominal pain what to do?
Send to ER. Do not treat.
Pathogeny (Etiology) for abdominal pain in TCM terms
- SP and ST Xu
- Food/Milk Stagnation
- Qi and Blood Stagnation
- Cold in Zang Fu
- Cold Pathogen Invasion
- Empty Cold in ST/SP
- Emotions
Follow the protocol page
- Pain that has rapid onset, is not prolonged and is relieved by itself
- Pain around umbilicus, dull or strong, but no changes in abdominal area
- No pain related with other structures of the body (radiating) and no vomit, fever, diarrhea, cough or urinary pain
- Recurrent similarity
Differentiate stomach pain from what other body systems?
- Cardiovascular
- Circulatory
- Endocrine
- Neurological
- Respiratory
Primary Tx principle for abdominal pain?
Regulate the flow of Qi and clear the meridians
What are the 7 syndromes for abdominal pain that we learned?
- Cold Stagnation
- Food Stagnation
- Heat Accumulating in Stomach/Intestines
- Liver Qi Invading (Stomach)
- Blood Stagnation
- SP/ST Yang Deficiency
- ST Yin Deficiency
Cold Stagnation S/S, TXP, Formula
S/S:
- Aversion to cold
- Epigastric pain sudden and severe, colic
- No thirst
- Pain relieved by warmth, worse with cold
- Preference for warmth and warm drinks
- Tongue: pale with white coat
- Pulse: wiry and tight or slow and tight
- Finger: light red finger venules
TXP:
- Warm the middle
- Dissipate Cold
- Regulate Qi and stop pain
Formula: Yang Zang Tang
Yang Zang Tang ingredients
- Mu Xiang (Auklandia) Regulate Qi
- Ding Xiang (Clove) Warm interior, Expel cold
- Xiang Fu (Nut Grass Rhizome) Spread and regulate Liver Qi
- Dang Gui (Angelica sinensis root) Tonify blood
- Chuan Xiong (Lovage) Invigorate blood
- Wu Zhu Yu (Evodia fruit) Warm interior, Expel cold
- Rou gui (Cinnamon bark) Warm interior, Expel cold
Food Stagnation S/S, TXP, Formula
S/S:
- Stomach pain distending and worse with pressure
- Acid regurgitation
- Belch with foul odour
- Incomplete bowel mvmt feeling
- Loss of appetite
- Pain relief after vomiting
- Vomit undigested food
- Tongue: red with thick greasy coat
- Pulse: slippery
- Finger venules: purple and stagnant
TXP:
- Move Qi
- Promote digestion
- Resolve stagnation
- Relieve pain
Formula: Xiang Sha Ping Wei San
Xiang Sha Ping Wei San ingredients
- Chao Cang Zhu (dry fried atractylode) Dispel LJ damp, Strengthen SP
- Jiang Chao Hou Po (Ginger fried Magnolia bark) Circulate Qi, Dispel damp, Disperse fullness, Warm SP
- Chen Pi (Tangerine peel) Regulate Qi, Transform damp, Descend Qi
- Sha Ren (Cardomom seed) Transform dampness, Strengthen SP
- Xiang Fu (Nut Grass rhizome) Regulate Qi
- Zhi He (Lychee pip) Disperse cold stagnation, Stop pain
- Shan Zha (Craetageus, Hawthorn berry)* Guide out food stagnation, Transform blood stasis *
- Shen Qu (Massa fermentata) Reduce food stagnation, Harmonize ST
- Mai Ya (Barley sprouts, Malt) Reduce food stagnation, Improve digestion, Smooth flow LR Qi
- Bai Shao (White peony) Nourish Blood, Calm Liver Yang and wind
Heat Accumulating in Stomach and Intestines S/S, TXP, Formula
S/S:
- Abdominal distention and pain
- Acute pain worse with pressure
- Bitter taste
- Constipation
- Epigastric burning pain
- Five palm heat??
- Incomplete defecation
- Irritability
- Red face
- Thirst without desire to drink?
- Yellow urine
- Tongue: red w/ yellow greasy coat
- Pulse: rapid and slippery
- Finger venule: purple stagnated
TXP:
- Clear heat
- Harmonize stomach
- Resolve damp
- Regulate Qi
Formula: Da Cheng Qi Tang
Da Cheng Qi Tang ingredients
Major Order the Qi Decoction
- Da Huang (Rhubarb) Drains heat/fire, Purge accumulation, Transform damp/phlegm
- Huang Lian (Coptis) Clean heat, drain fire
- Hou Po (Magnolia Bark) Drain Dampness, Mvmt Qi MJ,
- Mang Xiao (Glauber’s salt) Downward draining purgative, eliminate stagnation, Clear Heat
- Mu Xiang (Aucklandia) Regulate Qi
- Sheng Ma (Black Cohosh) Release ext. W-H
- Zhi Shi (unripe Bitter Orange) Regulate Qi, Break up stagnant Qi, Unblock bowels
