GERD Flashcards
what is the chinese diseases that corresponds to GERD
there is not one disease entity that relates but several
1. gnawing hunger (an uncomfortable senation in the epigastrium that mimics pn and hunger)
2. regurgitation of food
3 dysphagia and blockage
4. hiccup
5 sour regurgitation
6. sour vomiting
what are the possible etiologies of GERD
- emotional stress
- irregular diet
- overwork
what are the possible TCM patterns for GERD
1 qi stagnation with phlegm
- stomach and liver heat
- blood stasis
- stomach yin deficiency with empty heat
- kidney yang deficiency
what are the clnical manifestations Qi stagnation with phlegm
acid regurgitation, difficulty swallowing epigastric distension, a feeling of oppression in the chest nausea diffiness in the diaphragm problem fluctuates with emotional state dry throat T- swollen P- wiry or slipper or both
Treatment principle of qi stagnation with phlegm
move qi, soothe liver, resolve phlegm, restore the descending of sto qi
what are the clnical manifestations of stomach and liver heat
acid regurgitation bitter taste and dry mouth vomiting bitter fluids headache thirst irritability red face foull breath burning epigastric pn feeling of heat T- red tongue yellow coating P- overflowing- rapid or wiry rapid
Treatment principle for stomach and liver heat
clear stomach and liver heat, restore the descending stomach qi
what are the clnnical manifestations of blood stasis
acid regurgitation, difficulty swallowing even liquids epigastric pn bitty stools vomiting dark fluids dark complexion weight loss dry skin T- purple P- wiry, firm or choppy
treatment principle of blood stasis
invigorate (move) blood, eliminate stasis, resotre descending of stomach qi
clinical manifestations of stomach yin deficiency with empty heat
acid regurgitation difficulty swallowing even liquids thin body dry mouth, dry thorat, dry stool feeling of heat in the evening night sweats 5 palm heat T-red without coat, st cracks P- floating and empty or fine and rapid
Treatment principle of stomach yin defieicny with heat
nourish stomach yin, clear empty heat, restore descending of stomach qi
clinical manifestations of kidney yang deficiency
acid reflux difficulty swallowing vomiting clear liwuids ower back pn dizziness tinnitus tiredness feeling cold cold limbs frequent and pale urination T-pale P- deep- weak
treatment principle of kidney yang deficiency
tonify and warm the kidneys, restore the descending of stomach qi
