Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

E&P II from Alexis > Epigastric/Hypochondriac/Abdominal Pain > Flashcards

Epigastric/Hypochondriac/Abdominal Pain Flashcards

1
Q

What are the excess patterns for epigastric pain?

A 
Cold congealing Stomach Qi
Food Stagnation
Liver Qi Stagnation
Stomach Heat
Blood Stasis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the deficient patterns for epigastric pain?

A

Spleen and Stomach Qi (Yang) Deficiency

Spleen and Stomach Yin Deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Sudden, violent, cramping, spasmodic pain, or recurrent colicky pain from foods, better with warmth, worse with pressure; absence of thirst, warm drinks; nausea or vomiting; may be external symptoms.
T: normal or pale, white coat
P: wiry or tight, slow
TX: Warm the middle Jiao, disperse Cold, stop pain
GM: ST 21, 34; SP 4, CV 13, moxa box
McL: CV 12, ST 21, ST 36, ST 34, SP 4, BL 20; PC 6, SP 3

A

Cold Invading Stomach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Distention, fullness, discomfort and pain, relieved by vomiting and belching, worse with pressure or eating; sour, foul belching, indigestion; acid reflux, heartburn; halitosis, flatulence; nausea and vomiting undigested food; constipation, sluggish, foul stools or diarrhea that relieves pain
T: thick, greasy white or yellow coat
P: slippery and full
TX: Eliminate stagnant food, regulate digestion
CV 13, CV 10, ST 21, ST 20, ST 44, ST 45, SP 4, PC 6, ST 25
CV 12, 13; ST 21, 36, 40, 34, 44; LI 10

A

Food stagnation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Spasmodic pain, distention, fullness, discomfort may radiate to hyponchondriac; emotional factor; Hx of knot in ST; worse with pressure, better with exercise, relaxation; frequent sighing, belching, flatulence, indigestion, reflux; tension H/A, dizzy; alternating constipation, diarrhea; fullness in chest; depression, irritability; PMS; poor circulation, cold hands, feet;
T: normal or dark, thin white coat. If heat, red, yellow coat
P: wiry (and rapid)
TX: Soothe Liver, regulate Qi, harmonize LIV/ST, stop pain
LIV 14, PC 6, ST 21, 36; CV 12; GB 34
CV 12, ST 21, LIV 13, 3; PC 6, ST 34, 36; GB 34; BL 18, 20, 21;

A

LV qi invading ST

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Burning pain, worse with pressure and hot foods; distention; thirst for cold drinks; insatiable appetite; sour belching, heartburn, reflux; halitosis, sore or swollen gums, toothache; constipation, may be diarrhea; restlessness, irritability;
T: red, thick, dry, yellow coat; center of tongue peeled or wide shallow central crack
P: slippery, strong rapid
TX: Clear Heat and Fire from the Stomach, Stop Pain
ST 44, 45, 21; SP 6; CV 13; BL 21
CV 12; ST 21, 44, 34, 36, Ah shi, PC 7, 8; LI 4

A

Stomach Heat (Fire)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Fixed, sharp, stabbing, boring pain, worse with pressure, eating and at night; begins as intermittent pain but becomes constant; nausea, belching, reflux, in severe cases vomiting coffee ground like material, stools black and tarry; dark, purplish complexion or pale if def.; spider naevi on cheeks, over epigastrium, inner ankle, knee; poor appetite anorexia; weight loss.
T: dark or purplish, purple or brown stasis spots;
P: wiry or thready and choppy
TX: Transform, eliminate Blood stasis, stop pain; nourish Blood, stop bleeding, soften Liver (if necessary)
CV 10; ST 22, 34; SP 10, 4; PC 6; BL 17, 18
Ah shi; CV 12; ST 21, 34, 36; BL 17, 18, 21; GV 8; SP 10, 6, 4

A

Blood Stagnation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Chronic mild, dull, nagging, continuous pain, relieved by warmth, pressure, eating warm, cooked foods; vomiting thin, watery fluids; poor appetite or anorexia; loose stools or diarrhea; abdominal distention, worse with eating; borborygmus; tired, heavy, lethargic, worse after meals; fluid retention in fingers, eyelids and abdomen; waxy pale or sallow complexion; cold extremities, cold intolerance; weight loss
T: pale, swollen, scalloped, thins to thick greasy
P: moderate, weak, or deep, slow
TX: Warm, strengthen SP/ST, harmonize ST, stop pain, transform Phlegm Damp
CV 12, 6; PC 6; ST 36; BL 20, 21
CV 12, 13; ST 36; SP 6; LI 11; LU 9; BL 20, 21 moxa box

A

SP/ST Qi (Yang) Deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Vague, dull, nagging or burning pain worse when ST is empty, may improve with pressure; pain worse at night, waking with pain in early morning; dry mouth, throat, mucosa, skin; thirst for cool drinks; mild nausea worse in morning and when hungry; poor appetite or indeterminate gnawing hunger with no desire to eat; constipation or dry stool.
T: slightly red, peeled in center, or red, dry, no coat
P: thready, rapid or thready, wiry.
TX: Nourish ST Yin, generate fluids, clear empty Heat
CV 12; ST 36; SP 6
CV 12, 4; SP 6; ST 36; BL 20, 21, 23; KD 6, 3

A

ST yin deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are excess conditions for hypochondriac pain?

A

Liver Qi Stagnation
Liver and Gall Bladder Damp Heat
Blood Stasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are deficiency patterns for hypochondriac pain?

A

Liver Yin (Blood) Deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q 
Hypochondriac pain, ache, fullness or discomfort, usually on right side, clearly related to emotional state; frequent sighing and belching; fullness or tightness in chest; depression, irritability, moody; dizziness; headaches; irregular menses, PMS; shoulder and neck tension; alternating constipation/loose stools, poor appetite
T:  normal or dark		
P:  wiry
TX:  Soothe the Liver and regulate Qi
GM:  GB 34; PC 6; TW 6;
A

LV Qi Stagnation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hyponchondriac pain, fullness and discomfort, usually right sided and worse for pressure; fever, fever and chills; irritability, easily angered; thirst, poor appetite, nausea, vomiting, bitter taste; fullness or stuffiness in chest and abdomen; possible mild jaundice; dark concentrated or painful urination; constipated or loose stools
T: red with thick, greasy yellow coat
P: floating and rapid, wiry and rapid
TX: Clear, drain Dampness and Heat, stop pain
GB 34; BL 19; GB 24; LI 11; SP 9; BL 20; CV 12

A

LV & GB damp-heat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Fixed, stabbing hypochondriac pain, worse at night and with pressure; dark or purplish spider naevi or broken vessels over the ribs, side of face and around inner ankle and knee, SP 9 + KID 3; mild fever at night; pain in iliac fossae with palpation; palpable masses under the ribs; dry mouth and throat, no desire to drink; dry scaly skin; dull sallow or darkish complexion; dark rings under eyes; dark or purplish lips
T: purplish, purple or brown petechial spots, little or no coat
P: thready and choppy
TX: Invigorate Blood, regulate Qi, stop pain
GB 34; BL 19; GB 24; LI 11; SP 9; BL 20; CV 12

A

Blood stasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Mild, dull, right sided hypochondrial pain aggravated or provoked by stress and relieved by pressure; dry mouth and throat, thirst; irritability and restlessness; dizziness; insomnia; blurring vision, dry red, sore eyes; acid reflux
T: red with little or no coat
P: thready, wiry and rapid
TX: Nourish Liver Yin, soothe Liver
ST 36; SP 6; LIV 14, 8, 3; CV 4; GB 34; PC 6; TW 6; GB 41

A

LV yin (blood) deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are GB stones caused by?

A

Stagnation of LV qi and damp-heat in the LV & GB

17
Q

What are the excess patterns seen in abdominal pain?

A 
COLD
HEAT
LIVER QI STAGNATION
BLOOD STAGNATION
FOOD STAGNATION
WORM ACCUMULATION
18
Q

What are the deficiency patterns of abdominal pain?

A

COLD

19
Q

What are common causes of abdominal pain due to excess?

A

Excess Pain
Pathogen present that obstructs Qi and Blood
Cold, Qi and Blood stasis are common causes

20
Q

What are common causes of abdominal pain due to deficiency?

A

Deficient Pain

Insufficient motive force to move Qi and Blood allowing them to accumulate

21
Q

What is the difference between intestinal abscess, lin syndrome, and shan qi?

A

INTESTINAL ABSCESS: focal point of Heat, or Cold when chronic and Blood stasis; right iliac fossa or left; often acute, with fever, bowel disturbance, nausea, vomiting; acute or chronic appendicitis, diverticular disease

PAINFUL URINATION SYNDROME: suprapubic pain with dysuria, discomfort, burning urination; UTI, urinary calculi, pyelonephritis, UG tumors, prostate

SHAN QI: pain, swelling in lower Jiao, groin and external genitals; dysfunction of Liver and Liver channel; hernia, varicocele, hydrocele, orchitis

22
Q

What are some referral signs for abdominal pain?

A
  • Acute severe abdominal pain with rigidity
    - Perforated peptic ulcer, ruptured or dissecting aortic aneurysm, ruptured ectopic pregnancy, twisted ovarian cyst, acute peritonitis
  • Severe, progressive or projectile vomiting, faecal vomitus
  • Progressive abdominal distention
  • Patient is pale, sweating copiously, reluctant to move
23
Q

Acute and severe colicky abdominal pain in umbilical area or lower abdomen; drawing up of legs, flexing at waist to alleviate pain; alleviated with warmth, aggravated by pressure; chilliness, cold extremities; nausea or vomiting; clear urine; no thirst; constipation or diarrhea
T: white coat
P: wiry, tight
TX: Warm, disperse Cold, tonify Yang, stop pain
GM: ST 25, 27, 28, 36, 39; SP 6, 15; CV 9, 10; BL 22
McL: CV 12, 6; ST 34, 36, 37; SP 4, 6

A

COLD Excess Condition

24
Q

Chronic intermittent, spasmodic, dull abdominal pain alleviated by warmth and pressure, eating warming foods; waxy pale or lustreless complexion; aversion to cold; lethargy, fatigue; SOB; poor appetite; depression;
T: pale and possibly swollen, white coat
P: thready, weak
TX: Warm the interior, supplement the Qi and Yang, strengthen Spleen and Stomach, stop pain.
McL: CV 12, 7, 6, 4; ST 25, 30; SP 4, SP 6; KD 3; LI 11

A

COLD Deficiency Condition

25
Q

Abdominal pain, fullness and distention worse with pressure; skin may be warmer to touch; tidal fever; dry mouth, thirst; restlessness, irritability; sweating, whole body or hands and feet; concentrated urine

Heat in Intestines: pain in left or right iliac fossa, constipation/diarrhea; faecal impaction, mass;

Heat in Uterus: pain in lower abdomen, thick yellow malodorous leukorrhea; constipation

T: red, spots, greasy or dry brown or yellow coat
P: strong, bounding, rapid, slippery, deep, strong
TX: Clear Heat, stop pain. Purge Intestine.
ST 25, 37, 39, 44; BL 25; Ah shi
Dry Damp, clear Damp and Toxic Heat from Uterus.
CV 3, GB 26; SP 8; LIV 5; KD 7; Ah shi

A

Heat

26
Q

Abdominal or epigastric distention and pain, related to emotions; intermittent pain, intensity varies, mobile, lateral and lower abdomen, better with relaxation and expulsion of gas; sluggish stools, alternating constipation/diarrhea; flatulence/belching relieves pain; tightness or stuffy chest; difficulty getting full breath; cold hands and feet; moody, irritable
T: normal or dark, red edges
P: wiry
TX: Regulate, soothe Liver Qi, tonify SP, stop pain
CV 6; GB 34; PC 6, 7; TW 6; LIV3; BL 18; SP 6; ST 39
CV 6; ST 21, 25, 36; LIV 13, 3; PC 6; GB 34; TW 6

A

LV qi stagnation

27
Q

Severe, sharp or stabbing pain, fixed, worse with pressure, in lower abdomen and iliac fossa; palpable masses may or may not be painful; dark or purplish spider naevi on trunk, inner ankle and knee; dark, ashen, sallow or purplish complexion; dark or purplish lips and conjuctiva; dark rings around eyes; sallow complexion; dizzy
T: purple or with brown or purple stasis spots
P: thready, choppy or wiry
TX: Invigorate Blood, alleviate pain.
Reproductive organs: ah shi; ST 29; CV 6; SP 10, 8, 6; LI 4, 3; BL 17
Intestines: Ah shi; ST 25; CV 6; BL 25; SP 10, 6, 4; LI 4; LIV 3

A

Blood stagnation

28
Q

Abdominal and epigastric pain, fullness, distention, alleviated by belching, vomiting or BM, worse with pressure and eating; sour foul belching, flatulence; loss of appetite, aversion to food; reflux, heartburn; vomiting of sour, undigested food; constipation, sluggish foul stools or diarrhea
T: thick, greasy coat
P: slippery and strong
TX: Relieve food stagnation, harmonize Stomach, strengthen digestion, alleviate pain
McL: CV 12, 6; ST 25, 36, 40, 44; LI10;
Severe pain: + SP 4, 8; ST 34, 21

A

Food stagnation

29
Q

intermittent abdominal distention, flatulence; ravenous hunger or loss of appetite; itchy anus or nose; tooth grinding at night; dark rings under eyes, blue or purple spots in sclera; scaly white spots on face and neck, small red papules on the inside of the lips and upper surface of the tongue; lethargy; evidence of worms in stools, eggs; chronic cases of Qi and Blood deficiency, emaciation;
T: pale P: weak
TX: Kill worms
Acupuncture is second choice of treatment.

A

TRUE WORMS

30
Q

Chronic infection by fungi, bacteria or viruses; a complex type of systemic infection, a host with deficient constitution with an unwelcomed guest; abdominal pain, cramping, distention; chronic diarrhea or alternating; nausea, vomiting; loss of appetite, ravenous hunger or odd food craving; muscle soreness, heaviness or weakness, wandering pain; physical and mental exhaustion; depression; fluid retention;
T: variable, thick white or yellow coat, dark or pale with toothmarks, or with redder edges P: variable
TX: Tonify SP Qi, Clear Damp and Heat, Regulate Qi, fragrantly disperse Gu parasites
McL: CV 12, 6; ST 25, 36, 40; SP 15, 6, 3; BL 20, 21

A

Gu Syndrome

“worm” accumulation

E&P II from Alexis (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions