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Diarrhea Flashcards

1
Q

Definition of Diarrhea

A

Frequent passage of loose or watery stool

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2
Q

Clinical Features

A 
Abdomal cramp
Bloating
Poor Appetite
Nausea 
Vomiting
Chronic- Longer than 2 months
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3
Q

Corresponding western medicine diseases

A 
T.B in Intestines 
I.B.S
Food Posiong
Stomach flu virus
Gastroenteritis 
Laxatives
Antacid 
Sugar Intolerance
Removal of Gallbladder
Bowel Surgery
Crohns Disease
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4
Q

Complications of Diarrhea

A

Dehydration

Acidosis

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5
Q

Chief Pathology

A

Spleen Deficency and Damp Retention

Liver overacting on spleen

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6
Q

Etiology and Pathology

A
  1. Invasion of Spleen by EPF - Cold Damp or Damp Heat
  2. Improper diet - food retention, poor diet, unclean diet
  3. Emotional frustration
  4. Weak Constitution or long term illness
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7
Q

Disease Diagnosis

A

Diarrhea is a symptom not a disease

* more than one a day with loose and watery stool

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8
Q

4 ways to Syndrome Differentiate

A
  1. excess vs Deficency
  2. Stools
  3. Abdominal cramps
  4. Pattern Characteristics
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9
Q

Excess Patterns

A

Cold Damp
Damp Heat
Food Retention

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10
Q

Deficency Patterns

A

Spleen Yang Deficency
Kidney Yang Deficency
Liver Qi Stagnation

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11
Q

Differentiate Syndrome

~ Excess vs. Deficent

A

Excess: acute onset, short duration, increased frequency of bowel movement

Deficency: long duration, chronic onset, intermittent bowel movement

Mild: appetite still good ~ spleen/Stomach Qi still good

Severe: loose weight/emanciation, endless diarrhea, prolapse of anus

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12
Q

Stools

~ clear thin, watery, fish stool

A

Cold Damp

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13
Q

Stools

~ yellow/brown, bad smell, burning anus

A

Damp Heat

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14
Q

Stools

~ rotten egg, bad smell, undigested food

A

Food Retention

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15
Q

Abdominal Cramps

~ borborygmus, cramps, after bowel movement pain doesn’t go away

A

Liver overacting on spleen

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16
Q

Abdominal Cramps

~ cramp is a distending pain, after bowel movement pain goes away but comes back later on

A

Food Retention

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17
Q

Abdominal Cramps

~ diarrhea after abdominal cramp, spouting diarrhea

A

Damp Heat

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18
Q

Abdominal Cramps
~ cold pain in lower abdomen, likes warmth,prefers pressure,
Borborygmus

A

Deficency Cold

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19
Q

Pattern Characteristics

~ chronic diarrhea, fatigue, listlessness, triggered by improper diet

A

Spleen deficency

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20
Q

Pattern Characteristics

~ chronic diarrhea triggered by emotional stress

A

Liver Qi Deficency

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21
Q

Pattern Characteristics

~ early morning diarrhea, intolerance to cold, low back pain, weak knees

A

Kidney Yang Deficency

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22
Q

POT

A

Tonify Spleen

Resolve Dampness

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23
Q

Points

A

ST 36
Ren 12: front mu of St
ST 25: resolve damp heat,front my large intestine
ST 37: lower he-sea Yangming meridian

Acute: 
hand/foot Yangming meridian 
Reducing
Moxa~ cold
Bleeding ~ heat
Chronic: 
back shu
St meridian
Ren points
Tonify
Moxa
24
Q

High fever

A

St 44, LI 4, Sm Int 1

25
Cold Limbs
Ren 8 Moxa with ginger
26
Abdominal Cramps
LI 4
27
Bloating
Sp 4
28
Hypochondriac Pain
GB 34
29
SOB
Ren 6
30
Treatment
1. Moxa (except heat pattern) - St 25, Ren 4, Ren 8 2. Auricular Acup- Lrg int, sm int, sp/st, liver, kidney, sympathetic 3. Bleeding for heat pattern- St 44, St 45, Sp 4, St 36 4. Electro acupuncture- 20 min chronic 30 min acute 5. Hot salt therapy- St 5, Ren 4, Ren 8 6. Needling 7. Crushed garlic to bottom of feet Kid 1 or Ren 8 ( cold type of diarrhea)
31
Education
1. Diet- eat clean food, no alcohol, avoid sweet/greasy food 2. Avoid EPF 3. Regulate emotion If there is already diarrhea go on bed rest, keep warm, eat less, drink salty water *salt goes to kidney/ electrolytes
32
What if patient needs to use washroom with needles in?
With needle in St 25 try stimulating needle and find the qi
33
Cold Damp Symptoms
Clear watery diarrhea, fullness in epigastrium, abdominal pain, borborygmus, poor appetite Chills and fever, nasal congestion, headache, general body ache
34
Cold damp Tongue Pulse
White and greasy coat | Soft and Moderate Pulse
35
POT for Cold Damp
Disperse Cold Damp to releive the exterior, transform the turbid damp to stop diarrhea
36
Cold Damp Points
RN 8 ST 21 ST 22
37
Damp Heat Symptoms
Acute diarrhea with foul yellow, watery stools, burning sensation in anus Abdominal pain followed by diarrhea, restlessness, thirsty, yellow scanty urine
38
Damp Heat Tongue and Pulse
Yellow greasy coat | Slippery and rapid or Soft and Rapid pulse
39
Damp Heat Points
ST 44 | LI 11
40
POT For Damp Heat
Clear damp heat to stop diarrhea
41
Food Retention Symptoms
Acute diarrhea with foul smell, abdominal pain releived by bowel movement,borborygmus, fullness in epigastrium Diarrhea with undigested food, belching, acid regurgitation
42
Food Retention Tongue and Pulse
Turbid thick greasy coating | Slippery Pulse
43
POT for Food Retention
Promote digestion and remove stagnation to stop diarrhea
44
Food Retention Points
RN 12 | LI 4
45
3 Basic Points for Diarrhea
ST 25 ST 27 ST 36
46
Spleen Yang Deficiency Symptoms
Chronic diarrhea with undigested food, aggrevated by greasy meal Fullness and distension in the epigastrium, poor appetite, yellowish and withered complexion, lasstitude
47
Spleen Yang Deficiency Tongue and Pulse
Pale tongue with white coating | Thready and weak pulse
48
POT Spleen Yang Deficiency
Strengthen the spleen and to ify Qi to stop diarrhea
49
Spleen Yang Deficency Points
UB 20 UB 21 RN 12 SP 4
50
Kidney Yang Deficiency Symptoms
Early morning diarrhea, abdominal pain which is releived by bowel movement, borborygmus Intolerance to cold, cold limbs, soreness of the lumbar and knees
51
Kidney Yang Deficiency Tongue and Pulse
Pale Tongue | Deep and Thready Pulse
52
POT Kidney Yang Deficiency
Warm kidney Strengthen Spleen Consolidate the large intestine to stop diarrhe
53
Kidney Yang Deficiency Points
RN 4 DU 4 RN 8 UB 23
54
Liver Qi Stagnation Symptoms
Diarrhea, abdominal pain which is aggrevated by stress, frequent gas, borborygmus Chest tightness, sighing, belching, poor appetite
55
Liver Qi Stagnation Tongue and Pulse
Pale Red Tongue | Wiry Pulse
56
POT Liver Qi Stagnation
Soothe the Liver Regulate Qi Strengthen Spleen to stop diarrhea
57
Liver Qi Stagnation Points
UB 18 LIV 2 GB 34

Internal theraputics 1 (17 decks)

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