Hiccup

Question 1

Definition of Hiccup

Answer 1

Involuntary contraction/spasm of the diaphragm that may repeat several times
TCM: Rebellious Stomach qi

Question 2

Etiology:

Answer 2

1. Diet
2. Emotion
3. Illness

Question 3

DIAGNOSIS DIFFERENTIATION

Excess

Answer 3

Acute
Loud
Constant
Pulse: Wiry, Slippery

Question 4

DIAGNOSIS DIFFERENTIATION

Deficient

Answer 4

Low sound
Irregular
Yin= hunger with no desire to eat
Yang = cold signs

Question 5

DIAGNOSIS DIFFERENTIATION

Heat

Answer 5

Loud Hiccup
Red face
Halitosis
Thirst
Contipation

Question 6

DIAGNOSIS DIFFERENTIATION

Cold

Answer 6

Prefer warm
Aversion to cold
Pain epigastric
White moist tongue coat

Question 7

POT

Answer 7

Harmonize ST, regulate Qi

Question 8

Points for Hiccup?

Answer 8

Basic Points: Pc 6, UB 17 (SHU diaphragm)
Cold: Ren 12
Heat: ST 44
Phlegm: Liv 3, ST 36, ST 40
Spleen yang Deficency: UB 20/21/23, Ren 6/12, Moxa
Spleen Yin Deficiency: UB 20/21, Sp 6, ST 36

Question 9

Treatment for hiccup

Answer 9

1. Needling - severe hiccup LI 17 and LI 18
2. Moxa for cold deficiency Ren 6/12/17
3. Auricular: St, esophagus, Shen men, occipital, sub cortex, sympathetic
4. Herbology
5. Acupressure- Pc 6 for 5 min (acute)

Question 10

Patient Education for hiccup

Answer 10

1. Decrease emotions/Stress
2. Regulate diet - overset, raw/cold food/cold drugs or herbal
3. Alcohol, spicy food, meat, fried food

Question 11

What are the TCM syndromes for Hiccup?

Answer 11

same as vomiting:

1) invasion of ST by EPFs
2) food retention
3) phlegm and fluid retention
4) LV overacting on ST
5) SP/ST Qi deficiency
6) SP/ST yang deficiency
7) ST yin deficiency