GERD

Question 0

What are clinical manifestations of GERD?

Answer 0

Clinical Manifestations of GERD:
Heartburn that is often worse at night (increased with bending, stooping, lying down, or eating; relieved by antacids)
Belching
Acid regurgitation
Difficulty in swallowing

Question 1

What does GERD stand for?

Answer 1

Gastro-esophageal Reflux Disease

Question 2

What are the usual medications for GERD?

Answer 2

Usual Medications:
Antacids after meals and at bedtime
Histamine H2 receptor blockers
Pro-motility agents
Proton pump inhibitors

Question 3

Acid regurgitation, bitter taste, dry mouth, vomiting of bitter fluids, h/a, thirst, irritability, red face, foul breath, burning epigastric pain, feeling of heat
T: red with yellow coat
P: overflowing-rapid, or wiry rapid
TX: Clear Stomach and Liver Heat, restore the descending of Stomach Qi
PC 6, CV 13; LI 4; ST 44; LIV 2; BL 17
CV 12, 13, 17; PC 8; ST 44; LIV 2; GB 34; ST 36; LI 11
Hua Gan Jian Transform the Liver Decoction

Answer 3

Stomach and Liver Heat

Question 4

Acid regurgitation, difficulty swallowing, epigastric distention, feeling of chest oppression, nausea, feeling of stuffiness in diaphragm, affected by emotions, dry throat
T: Swollen
P: Wiry or slippery, or both
TX: Move Qi, soothe the Liver, resolve Phlegm, restore the descending of ST Qi
PC 6; LI 4; GB 34; CV 13, 12, 9; ST 40; SP 4; BL 17
CV 12, 13, 17; SP 3, ST 40, PC 5, PC 6; LIV 3, 13

Answer 4

Qi Stagnation with phlegm

Question 5

Acid reflux, difficulty swallowing, vomiting of clear fluids, lower backache, dizziness, tinnitus, tiredness, feeling of cold, cold limbs, frequent and pale urination
T: Pale
P: Deep, weak
TX: Tonify and warm the Kidneys, restore descending of ST Qi
PC 6, CV 10; LI 4; BL 23; KD 3

Answer 5

Kidney Yang Deficiency

Question 6

Acid reflux, heartburn usually after large meal or hard to digest foods; epigastric distention, fullness, discomfort and pain relieved by vomiting and belching, worse with pressure and eating; sour, foul belching; halitosis; nausea and vomiting with undigested food; constipation or diarrhea that relieves pain
T: thick greasy coat
P: slippery and full
TX: Eliminate Stagnant food, regulate digestion; harmonize the ST, direct Qi downward
CV 12, ST 21, PC 6, LI 10, ST 36, 40, 44
Bao He Wan Citrus and Crategus Formula

Answer 6

Food Stagnation

Question 7

Acid regurgitation, difficulty in swallowing, chronic condition, pale complexion, poor appetite, feeling cold, loose stools, depression, vomiting of clear fluids, slight abdominal distention
T: pale
P: Weak, deep
TX: Tonify & Warm ST & SP, restore descending of ST Qi
PC 6; LI 4; CV 10, 12; ST 36; SP 6; BL 20, 21
CV 12, 13, 17; ST 36; SP 6; PC 6; BL 20, 21
Xiang Sha Liu Jun Zi Tang Saussurea and Cardamon Combination

Answer 7

Deficiency of ST and SP Yang

Question 8

Acid regurgitation, difficulty in swallowing even fluids, thin body, dry mouth and throat, dry stools, feeling of heat in evening, night sweating, five palm heat.
T: Red without coating, ST cracks
P: Floating empty or Fine rapid
TX: Nourish ST Yin, clear Empty Heat, restore the descending of ST Qi
PC 6, CV 10, 12; LI 4;ST 36, 44; SP 6;
CV 12; LIV 13; BL 20, 21; ST 36; PC 6; KD 9
Yi Guan Jian Linking Decoction

Answer 8

Stomach Yin Deficiency w/Empty Heat

Question 9

A complex mix of etiological factors that weaken digestion, disrupt Qi mechanism and enable a mix of Heat and Cold to accumulate; common, poor diet, poor eating habits, stress, ‘on the go’ lifestyle
Indigestion: epigastric distention, soft and non-tender upon palpation; mild nausea, dry retching or vomiting in AM; loss of appetite; heartburn, borborygmus; loose stools or constipation.
T: thin, greasy yellow coat or mixed with white
P: soft, slippery, slightly wiry and possibly rapid
TX: Harmonize ST, clear Heat and supplement Qi; Redirect Qi, correct Qi mechanism
CV 12, LIV 13, ST 25, CV 6, ST 36, ST 37, PC 6, LI 11
Ban Xia Xie Xin Tang Pinellia Combination

Answer 9

Mixed Cold, Heat & Deficiencyin the Stomach & Intestines

Question 10

Acid regurgitation, difficulty swallowing even liquids, epigastric pain, bitty stools, vomiting of dark fluids like red bean juice, dark complexion, loss of weight, dry skin.
T: Purple
P: Wiry, firm, or Choppy
TX: Invigorate Blood, eliminate stasis, restore the descending of ST Qi
PC 6; LI 4; CV 13; SP 4; KD 21; BL 17; LIV 3

Answer 10

Blood Stasis