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Internal theraputics 1 > Diarrhea > Flashcards

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
Q

Cold Limbs

A

Ren 8 Moxa with ginger

26
Q

Abdominal Cramps

A

LI 4

27
Q

Bloating

A

Sp 4

28
Q

Hypochondriac Pain

A

GB 34

29
Q

SOB

A

Ren 6

30
Q

Treatment

A
  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
Q

Education

A
  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
Q

What if patient needs to use washroom with needles in?

A

With needle in St 25 try stimulating needle and find the qi

33
Q

Cold Damp Symptoms

A

Clear watery diarrhea, fullness in epigastrium, abdominal pain, borborygmus, poor appetite
Chills and fever, nasal congestion, headache, general body ache

34
Q

Cold damp Tongue Pulse

A

White and greasy coat

Soft and Moderate Pulse

35
Q

POT for Cold Damp

A

Disperse Cold Damp to releive the exterior, transform the turbid damp to stop diarrhea

36
Q

Cold Damp Points

A

RN 8
ST 21
ST 22

37
Q

Damp Heat Symptoms

A

Acute diarrhea with foul yellow, watery stools, burning sensation in anus
Abdominal pain followed by diarrhea, restlessness, thirsty, yellow scanty urine

38
Q

Damp Heat Tongue and Pulse

A

Yellow greasy coat

Slippery and rapid or Soft and Rapid pulse

39
Q

Damp Heat Points

A

ST 44

LI 11

40
Q

POT For Damp Heat

A

Clear damp heat to stop diarrhea

41
Q

Food Retention Symptoms

A

Acute diarrhea with foul smell, abdominal pain releived by bowel movement,borborygmus, fullness in epigastrium
Diarrhea with undigested food, belching, acid regurgitation

42
Q

Food Retention Tongue and Pulse

A

Turbid thick greasy coating

Slippery Pulse

43
Q

POT for Food Retention

A

Promote digestion and remove stagnation to stop diarrhea

44
Q

Food Retention Points

A

RN 12

LI 4

45
Q

3 Basic Points for Diarrhea

A

ST 25
ST 27
ST 36

46
Q

Spleen Yang Deficiency Symptoms

A

Chronic diarrhea with undigested food, aggrevated by greasy meal
Fullness and distension in the epigastrium, poor appetite, yellowish and withered complexion, lasstitude

47
Q

Spleen Yang Deficiency Tongue and Pulse

A

Pale tongue with white coating

Thready and weak pulse

48
Q

POT Spleen Yang Deficiency

A

Strengthen the spleen and to ify Qi to stop diarrhea

49
Q

Spleen Yang Deficency Points

A

UB 20
UB 21
RN 12
SP 4

50
Q

Kidney Yang Deficiency Symptoms

A

Early morning diarrhea, abdominal pain which is releived by bowel movement, borborygmus
Intolerance to cold, cold limbs, soreness of the lumbar and knees

51
Q

Kidney Yang Deficiency Tongue and Pulse

A

Pale Tongue

Deep and Thready Pulse

52
Q

POT Kidney Yang Deficiency

A

Warm kidney
Strengthen Spleen
Consolidate the large intestine to stop diarrhe

53
Q

Kidney Yang Deficiency Points

A

RN 4
DU 4
RN 8
UB 23

54
Q

Liver Qi Stagnation Symptoms

A

Diarrhea, abdominal pain which is aggrevated by stress, frequent gas, borborygmus
Chest tightness, sighing, belching, poor appetite

55
Q

Liver Qi Stagnation Tongue and Pulse

A

Pale Red Tongue

Wiry Pulse

56
Q

POT Liver Qi Stagnation

A

Soothe the Liver
Regulate Qi
Strengthen Spleen to stop diarrhea

57
Q

Liver Qi Stagnation Points

A

UB 18
LIV 2
GB 34

Internal theraputics 1 (17 decks)

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