Epigastric Pain Flashcards
What is Epigastric Pain also called?
Stomachache
Epigastric pain is a typical ______ organ syndrome.
Fu Organ
Functions of ST?
Container to receive foodstuff
1st stage Digestion of foodstuff ‘Fu Shu’
The diseased location is in the ______ not the Spleen
Stomach Fu
How is Epigastric pain characterized?
Repeated recurrence of pain in the upper abdominal region and usually
What can be some accompanying S/sx with Epigastric pain?
Accompanied with symptoms such as gastric fullness or discomfort, belching and
acid regurgitation or even hematemesis and hemachonzia
What is Epigastric pain referred to in Western Med?
Acute or chronic gastritis
Peptic ulcers
Gastric-intestinal neurosis
Prolapsed gastric mucosa.
The stomach is very sensitive to ______ Evil
Cold
The following are _________patterns of Epigastric Pain
Cold Retention or Cold Invasion
Qi Stagnation
Heat Accumulation
Blood Stasis
Stomach Heat
Excessive
Where there is a blockage, there is ________?
Pain
Eating too little causes _______
Overeating causes __________
Hangry
Food Retention
In all cases, the Qi is disturbed
The stomach needs ________ to function properly.
Yin-Fluid
The invasion of cold in the stomach causes _________ and severe, cramping pain
Constriction
Irregular food intake injures the stomach and causes food ______
Retention
A deficiency of SP + ST causes Deficiency Cold which fails to warm
Yang Xu
A deficiency of ST Yin causes a lack of ______ and causes dryness.
Yin Fluids causing dryness
Persistent gastric pain may affect the blood collaterals and cause _________.
Bleeding
Gastric Pain mostly involves the ST however which 2 other Zang are affected?
Spleen + Liver
Phlegm or Dampness directly affects ______ more than the Stomach
Spleen
The following are ________ patterns of Epigastric Pain
Qi Xu
Yang Xu
Yin Xu
Deficient
Obstruction causes pain (excessive
patterns) and malnourishment of the stomach (Xu patterns) are the _______ pathogenesis
Key
The following are S/sx of Epigastric pain due to ____________?
Main S/sx of abrupt onset w/ history, severe pain in epigastric area, aggravated by pressure after meals w/
pain alleviated by warmth, aggravated by cold, no thirst w/ preference for warm drink
T: Pink + Thin + white coating
P: Wiry (Qi stagnation) + Tight (cold)
Cold Invasion
(Due to environment, raw + cold foods)
The following are S/sx of Epigastric pain due to ____________?
Main S/sx of abrupt onset w/ history, severe pain in epigastric area, aggravated by pressure after meals w/ sensation of fullness, distending pain, belching w/ four odor, acid reflux, vomiting, pain relieved by passing gas or BM, difficult pooping
T: Thick + greasy coating
P: Slippery
Food Retention
The following are S/sx of Epigastric pain due to ____________?
Main S/sx of abrupt onset w/ history, severe pain in epigastric area, aggravated by pressure after meals w/ distending pain radiating to the hypochondriac area, belching, acid reflux, signing, mood changes
T: Thin, white coating w/ red edges
P: Wiry
Liver Qi Stagnation Attacking Stomach
The following are S/sx of Epigastric pain due to ____________?
Main S/sx of abrupt onset, w/ history severe pain in epigastric area, aggravated by pressure after meals w/ constant, local epigastric pain, aggravated by pressure, local lump or mass
T: Dark purple w/ petechiae
P: Thready + Choppy
Qi Stagnation + Blood Stasis
The following are S/sx of Epigastric pain due to ____________?
Burning pain sensation, great hunger, foul smell in mouth, ulcer in mouth, toothache w/ maybe bleeding, after eating spicy or greasy foods or alcohol, thirsty w/ desire for cold drink
T: Red w/ yellow coating
P: Rapid
Stomach Heat
The following are S/sx of Epigastric pain due to ____________?
Chief S/sx of dull epigastric pain, alleviated by pressure + pain relieved after eating w/ water regurgitation (cold), loose stools, listlessness, lassitude, cold hands/feet, chills, aversion to cold
T: Pale w/ thin white coating
P: Weak + Slow or Moderate (related to cold- congeals Qi)
SP + SP Yang Xu (Empty Cold)
The following are S/sx of Epigastric pain due to ____________?
Chief S/sx of chronic, dull epigastric pain, alleviated by pressure + pain relieved after eating w/ dull pain w/ burning sensation in the epigastric region, with hunger but no desire to eat (not enough liquid to digest), dry mouth, dry throat, constipation, yellow + scanty urine
(Can have different levels
ST Yin Xu w/ Empty Heat- leads to blood in stool or vomit blood)
T: Red w/ scanty coating
P: Rapid + Thready or Thready + Wiry
ST Yin Xu
Main treatment points for Epigastric Pain
ST-36: Lower He-sea of ST + Regulates ST + SP Qi + Commander pt for ST/abdomen
REN-12: Hui-meeting of Fu
PC-6: Confluent pt of Yin LV + Harmonizes ST + relieves nausea + vomiting + calms Shen
SP-4: Pacifies ST Qi rebellion + Running Pig’s Qi
Accompanying S/Sx points
Invasion of Cold-
(warm MJ + stop pain)
BL-21: Back-shu of ST + stops pain
Moxa on REN-8 + REN-12 + ST-25
Food Retention-
(promote digestion and clear the obstruction)
ST-21 + REN-10 + Nei Li Ting
Liver Qi Attacking Stomach-
(soothe LR + Regulate Qi +
harmonize ST)
LR-3 + LR-14 (local + distal point combo)
Qi Stagnation + Blood Stasis-
(Clear stasis + collaterals + Regulate Qi + Harmonize ST)
BL-17 + REN-17
ST Heat-
(Clear heat + harmonize ST)
ST-44 + LI-11
SP + ST Yang Xu-
(Warm MJ + Tonify SP+ST)
REN-4 + REN-6 + BL-20 + BL-21 + DU-4 moxa (if cold is severe)
ST Yin Xu-
(Nourish Yin + Clear Heat + Tonify ST)
SP-6 + ST-44
Stop Bleeding-
SP-1
