Diarrhea

Question 1

Red flags

Diarrhea

Lost of electrolytes, minerals, dehydration

5

Answer 1

Lasting more than 24 hours/ signs of dehydration

Diarreah at night

Blood, pus in stools

Chronic diarrhea

Weight loss

Fever

Question 2

Name 3 causes of diarrhea in western medicine?

Answer 2

•Infection with viruses, bacteria, or parasites (gastroenteritis)

• food poisoning

• drugs side effects

Question 3

Name 4 common western causes of chronic diarrhoea ( lasting for more than 4 weeks) ?

Answer 3

Irritable bowel syndrome (IBS)

Inflammatory bowel disease ( Crohn’s disease, colitis)

Drug side effects

Malabsorption syndrome

Question 4

TCM Etiology

Diarrhoea

5 points

Answer 4

EPI

Improper tired

Emotional stress ( IBS)

SP/ST deficiency ( overwork, chronic illness, over worrying, pure diet)

KD or SP yang xu (elderly, constitutional weakness, chronic illness)

Question 5

Excess patterns of diarrhoea

Name 3 main symptoms

Answer 5

⚡️acute onset and short course

⚡️ABD pain worse w pressure

⚡️Relieve after bowl movement


Question 6

Deficiency patterns of diarrhoea

Name 3 main symptoms

Answer 6

⚡️ chronic onset and prolonged course ( intermittent episodes)

⚡️ Moderate ABD pain better with pressure

⚡️discomfort after bowl movement

Question 7

Diarreah

(4) excess (2) deficiency

What are the 4 excess patters?

Answer 7

Cold damp invading

Damp heat invading

Food stagnation

LR attacking SP

Question 8

Diarreah

(4) excess (2) deficiency

What are the 2 deficiency patters?

Answer 8

SP yang qi xu

KD( and SP) yang xu

Question 9

Symptoms:

Acute onset, then clear or loose watery stools, not foul, often severe ABD pain, feeling of happiness, maybe cold EPI signs

What excess pattern is this ? 

Answer 9

Cold- damp invading 

ST25
ST36 abdomen
ST37 especially good for hot conditions
SP9 SP6
ST40
CV8 moxa
PC6 if vomiting / nausea
LI4, LU7,
TE5

Question 10

Symptoms:

Acute, urgent defecation, sticky, foul smelling stool, hot pain around anus, thirst, dark scanty urine, a BD pain, maybe hot EPI signs

What excess pattern is this ?


Answer 10

Damp- heat invading

ST25
ST36
SP9 ST40
LI11
ST44 drain heat
GV14 if fever
PC6 if nausea
LI4

Question 11

Symptoms:

Acute diarrhoea after heavy meals, And they just said food, foul smell, ABD pain relieved by BM, belching, bad breath, nausea

What excess pattern is this ?

Answer 11

Food retention

CV10
CV12 tonify ST
ST21 good for excess

ST25
ST36
ST44
LI4 TE5
Inner neiting

Question 12

Symptoms:

IBS
Recurrent painful diarrhoea induced by emotional strain
(Alternating constipation /diarrhoea),
For that question, pale , tired

Answer 12

LR attacking SP

ST25
ST36
CV6
CV12
LR3- LI4
BL18 BL20
PC6
LR13

Question 13

Symptoms:

Chronic diarrhea, loose and watery, may contain Undigested food, maybe triggered by cold food, poor appetite, nausea, vomiting, ABD fullness, pale, tire, SOB, emancipated

What deficiency pattern is this ?

Answer 13

SP yang qi xu

Moxa / tonify

Question 14

Symptoms:

Chronic early morning diarrhea, ABD pain, cold intolerance, weakness, for digestion, pale, tired, SOB

What deficiency pattern is this ?

Answer 14

KD (and SP) yang qi xu

Moxa/ tonify

KD yang xu: Crock s diarreha