Epigastric Pain Orig Flashcards
Symptom signs of Blood Stagnation Epigastric Pain
ST pain, Sharp stabbing pain Fixed pain Pain worse after meals (possible tumor) Pain worse at night Vomiting blood Black tarry stool Purple tongue Dark distended SLV Choppy pulse (thin)
Representative formula for blood stasis with epigastric pain
Shi Xiao San
List ingredients of Shi Xiao San
Wu Ling Zhi - move blood
Pu Huang - move blood
Differentiate types of Pu Huang
Chao Pu Huang - move blood
Sheng Pu Huang - stop bleeding
Adjunct formula for blood stasis epigastric pain and ingredients
Dan Shen Yin
Dan Shen - move blood, mildly tonify blood - 30g
Tan Xiang - substitute w/ Bing Pian - open orifices - 3-4.5g
Sha Ren - move qi, transform phlegm - 3-4.5g
Epigastric pain due to ST Yin deficiency - symptoms signs
Dull pain Dry signs - dry mouth, tongue, stool Hot flashes Five palm heat Night sweat
Representative formula for ST Yin deficiency
Yi Wei Tang
Sha Shen - Mai Men Dong Sheng Di Huang - clear deficiency heat, nourish blood, moisten dry Yu Zhu - Bing Tang -
Adjunct formula for ST Yin Deficiency. How does it differ from Yi Wei Tang?
Sha Shen Mai Men Dong Tang
Sha Shen
Mai Men Dong
Yu Zhu
Bai Bian Dou
For LU Yin / ST Yin deficiency w/ no heat signs
Mildly address Qi deficiency. Doesn’t clear heat like Yi Wei Tang
Rx for LU Yin Deficiency with Heat sign
Bai He Gu Jin Tang
Signs and symptoms of epigastric pain due to SP and ST deficiency
Stomach pain comes and goes Fatigue Poor appetite Loose stool ST pain better with warmth Pain better after warm meal Cold hands and feet
Can develop from cold congealing ST qi
Rx for SP ST deficiency epigastric pain
Huang Qi Jian Zhong Tang
Xiao Jian Zhong Tang + Huang Qi
Yi Tang 30g - slightly warm, tonify Qi, ST pain
Gui Zhi 9g - warming
Bai Shao 18g - Dui Yao with Gan Cao
Zhi Gan Cao 6g - soothe spasm, benefit ST pain
Sheng Jiang 9g
Da Zao 4 pc
Huang Qi 12g - tonify Qi
Abdominal Pain in Chinese is known as ______ and it refers to what location?
腹痛
Lower abdomen
Abdominal Pain involve what organs?
LV, SP, LI, SI, KD
Abdominal Pain due to Excess Cold etiology and pathology include ______________
Cold congealing
Poor diet
LV Qi Stagnation
ST Deficiency
Abdominal pain due to Excess Cold affects what channels?
Shao Yin Deficiency
KD Yang Deficiency
Signs and symptoms of Excess Cold Abdominal Cold
Tight pulse
Representative Rx for Abdominal Pain due to Excess Cold
Si Ni Tang
Fu Zi - 6-9g - warm all 12 channels
Gan Jiang - 4.5g - warm interior - guides to middle and upper jiao
Zhi Gan Cao - 6g - tonify qi, harmonize middle jiao
Add Mu Xiang 6-9g
Abdominal pain due to Excess Heat sign and symptoms
Tidal fever, severe thirst, dry stool or incomplete BM
Severe sweat
Heat in lower jiao
Pulse is slippery and rapid
Representative Rx for Abdominal Pain due to Excess Heat
Da Cheng QI Tang
Yang Ming Bowel Syndrome
Da Huang 12g -
Mang Xiao 24g
Hou Po 24g - transform damp, move qi
Zhi Shi 12-15g - move qi downward, break accumulation, target lower abdomen
Hou Po stronger than Chen Pi
Abdominal Pain due to Deficiency Cold
Dull Pain comes and goes SP Qi Deficiency Aversion to cold Cold hands and feet Better with warm meal Worse with exhaustion
Representative Rx for Abdominal Pain due to Deficiency Cold
Xiao Jian Zhong Tang
Yi Tang 30g Gui Zhi Bai Shao Zhi Gan Cao Sheng Jiang Da Zao
Rx for Abdominal cold due to SP Yang Deficiency or KD Yang Deficiency
Fu Zi Li Zhong Wan
Fu Zi - 9g Gan Jiang - 9g Ren Shen - 9g Bai Zhu - 9g Zhi Gan Zao - 9g
Rx for Abdominal Pain due to Food Stagnation
Bao He Wan
Rx for Abdominal Pain with food stagnation and severe damp heat
Zhi Shi Dao Zhi Wan
Draining Damp and Clear Heat Stronger than Bao He Wan
Da Huang - 30g Ze Xie - 6g Fu Ling - 9g Chao Shen Qu - 15g Bai Zhu 9g Chao Zhi Shi - 15g Huang Qin - 9g Huang Lian - 9g
Da Huang + Zhi Shi = half of Da Cheng Qi Tang
