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CHIM 1 > Epigastric Pain Orig > Flashcards

Epigastric Pain Orig Flashcards

1
Q

Symptom signs of Blood Stagnation Epigastric Pain

A 
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)
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2
Q

Representative formula for blood stasis with epigastric pain

A

Shi Xiao San

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3
Q

List ingredients of Shi Xiao San

A

Wu Ling Zhi - move blood

Pu Huang - move blood

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4
Q

Differentiate types of Pu Huang

A

Chao Pu Huang - move blood

Sheng Pu Huang - stop bleeding

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5
Q

Adjunct formula for blood stasis epigastric pain and ingredients

A

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

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6
Q

Epigastric pain due to ST Yin deficiency - symptoms signs

A 
Dull pain
Dry signs - dry mouth, tongue, stool
Hot flashes
Five palm heat
Night sweat
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7
Q

Representative formula for ST Yin deficiency

A

Yi Wei Tang

Sha Shen - 
Mai Men Dong
Sheng Di Huang - clear deficiency heat, nourish blood, moisten dry
Yu Zhu -
Bing Tang -
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8
Q

Adjunct formula for ST Yin Deficiency. How does it differ from Yi Wei Tang?

A

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

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9
Q

Rx for LU Yin Deficiency with Heat sign

A

Bai He Gu Jin Tang

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10
Q

Signs and symptoms of epigastric pain due to SP and ST deficiency

A 
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

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11
Q

Rx for SP ST deficiency epigastric pain

A

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

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12
Q

Abdominal Pain in Chinese is known as ______ and it refers to what location?

A

腹痛

Lower abdomen

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13
Q

Abdominal Pain involve what organs?

A

LV, SP, LI, SI, KD

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14
Q

Abdominal Pain due to Excess Cold etiology and pathology include ______________

A

Cold congealing
Poor diet
LV Qi Stagnation
ST Deficiency

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15
Q

Abdominal pain due to Excess Cold affects what channels?

A

Shao Yin Deficiency

KD Yang Deficiency

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16
Q

Signs and symptoms of Excess Cold Abdominal Cold

A

Tight pulse

17
Q

Representative Rx for Abdominal Pain due to Excess Cold

A

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

18
Q

Abdominal pain due to Excess Heat sign and symptoms

A

Tidal fever, severe thirst, dry stool or incomplete BM
Severe sweat
Heat in lower jiao
Pulse is slippery and rapid

19
Q

Representative Rx for Abdominal Pain due to Excess Heat

A

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

20
Q

Abdominal Pain due to Deficiency Cold

A 
Dull Pain comes and goes
SP Qi Deficiency
Aversion to cold
Cold hands and feet
Better with warm meal
Worse with exhaustion
21
Q

Representative Rx for Abdominal Pain due to Deficiency Cold

A

Xiao Jian Zhong Tang

Yi Tang 30g
Gui Zhi
Bai Shao
Zhi Gan Cao
Sheng Jiang
Da Zao
22
Q

Rx for Abdominal cold due to SP Yang Deficiency or KD Yang Deficiency

A

Fu Zi Li Zhong Wan

Fu Zi - 9g
Gan Jiang - 9g
Ren Shen - 9g
Bai Zhu - 9g
Zhi Gan Zao - 9g
23
Q

Rx for Abdominal Pain due to Food Stagnation

A

Bao He Wan

24
Q

Rx for Abdominal Pain with food stagnation and severe damp heat

A

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

25
Q

Signs of food stagnation with severe damp heat

A

Incomplete BM
Very strong smell
Soy bean paste color

26
Q

Rx for Abdominal Pain due to Blood stasis

A

Shao Fu Zhu Yu Tang

Dang Gui -9g - 
Chuan Xiong - 6g
Chi Shao - 
Wu Ling Zhi - 6g
Pu Huang - 9g
Yan Hu Suo -6g
Mo Yao - 6g 
Gan Jiang - 3g
Xiao Hui Xiang - 1.5g
Rou Gui - 9g - use 3g to guide to lower jiao and w/ no heat signs

CHIM 1 (16 decks)

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