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Internal Medicine > Epigastric Pain > Flashcards

Epigastric Pain Flashcards

1
Q

What are the eight patterns of epigastric pain?

A

Cold invading into ST, retention of food, LV-qi overacting on ST, fire in the LV and ST, blood stasis, retention of damp-heat in the middle jiao, stomach yin def., deficient cold in the SP and ST.

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2
Q

Which pattern includes sudden onset of stomach pain, preference for warmth and aversion to cold, the pain can be relieved by warmth and aggravated by cold, no thirst, prefers to drink hot water, thin white coating, wiry and tight pulse?

A

Cold invading into ST.

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3
Q

What is the tx principle for cold invading the ST?

A

Warm the ST, disperse cold, regulate qi, and stop pain.

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4
Q

What is the herbal prescription for cold invading the ST?

A

Liang fu wan.

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5
Q

What are some points for cold invading the ST?

A

Ren 12, 6, P-6, Sp-4, UB-20.

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6
Q

Which pattern includes pain in the stomach with distention, belching and acid regurgitation, pain and distension can be relived by vomiting and winds, difficult defecation, thick and greasy tongue coating, slippery pulse?

A

Retention of food.

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7
Q

What is the tx principle for retention of food?

A

Eliminate food retention, regulate ST qi and stop pain.

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8
Q

What is the herbal prescription for retention of food?

A

Bao he wan.

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9
Q

What are some points for retention of food?

A

REN12, 10, P6, SP4.

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10
Q

Which pattern includes distension and stuffiness in the epigastrium, the pain is migrating, with distension in the hypochondrium, frequent belching, difficult defecation, the pain is related to emotional distress, thin white coating, deep and wiry pulse?

A

LV qi overacting on the ST.

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11
Q

What is the tx principle for LV-qi overacting on the ST?

A

Sooth LV qi, regulate ST qi, and stop pain.

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12
Q

What is the herbal prescription for LV qi overacting on the ST?

A

Chai hu shu gan san.

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13
Q

What are some points for LV qi overacting on the ST?

A

REN12, P6, SP4, LV14, 3.

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14
Q

Which pattern includes burning pain in the stomach, urgent and severe pain, irritability, acid regurgitation, burning sensation in the stomach, dryness and bitter taste in the mouth, red tongue and yellow coating, wiry and rapid pulse?

A

Fire in the LV and ST.

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15
Q

What is the tx principle for fire in the LV and ST?

A

Sooth LV qi, to clear heat and regulate the ST.

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16
Q

What is the herbal prescription for fire in the LV and ST?

A

Dan zhi Xiao yao san.

17
Q

What are some points for fire in the LV and ST?

A

LV-14, 3, Ren-12, P-6, Sp-4.

18
Q

Which pattern includes pain in the stomach, pricking and fixed, severe after food intake, sometimes bloody vomiting and hematochezia, dark and purple tongue, and uneven pulse?

A

Blood stasis.

19
Q

What is the tx principle for blood stasis?

A

Promote blood circulation, remove blood stasis, regulate ST and stop pain.

20
Q

What is the herbal prescription for blood stasis?

A

Shi xiao san and dan shen yin.

21
Q

Which pattern includes epigastric burning pain, dryness and bitter taste in the mouth, thirsty without the desire to drink, heaviness in the head, seems like the head is wrapped, heaviness in the body, lethargy, poor appetite, nausea, dark urine, difficult defecation, yellow greasy tongue coating, slippery and rapid pulse?

A

Retention of damp-heat in the middle jiao.

22
Q

What is the tx principle for retention of damp-heat in the middle jiao?

A

Clear heat, eliminate dampness and regulate ST qi.

23
Q

What is the herbal prescription for retention of damp-heat in the middle jiao?

A

Huang lian wen dan tang.

24
Q

Which pattern includes dull pain, dryness in the mouth and throat, dry stools and constipation, red tongue less luster, rapid and thready pulse?

A

ST yin def.

25
Q

What is the tx principle for ST yin deficiency?

A

Nourish ST yin and regulate ST qi.

26
Q

What is the herbal prescription for ST yin deficiency?

A

Yi guan jian and shao yao gan cao tang.

27
Q

Which pattern includes dull pain in the stomach, likes to be pressed and warmth, the pain is more severe when the stomach is empty, and it can be relieved by taking some food, vomiting of watery fluid, poor appetite, fatigue, cold limbs, loose stools, pale tongue and white coating, weak and slow pulse?

A

Deficient cold in the SP and ST.

28
Q

What is the tx principle for deficient cold in the SP and ST?

A

Warm the middle jiao, invigorate SP, regulate ST and stop pain.

29
Q

What is the herbal prescription for deficient cold in the SP and ST?

A

Huan qi Jian zhong tang.

Internal Medicine (21 decks)

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