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Internal theraputics 1 > Hypochondriac pain > Flashcards

Hypochondriac pain Flashcards

0
Q

Deficiency patterns for hypochondriac pain

A

Liver yin deficiency

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1
Q

3 excess patterns for hypochondriac pain

A

Liver qi stag
Blood stasis
Damp heat in liver and gallbladder

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2
Q

Liver Qi Stagnation signs and symptoms

A

Wandering distending pain aggravated by stress, chest tightness, poor appetite, belching

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3
Q

Liver Qi Stagnation Tongue and Pulse

A

T: Thin coating
P: wiry

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4
Q

POT for Liver Qi Stagnation

A

Soothe the liver and regulate Qi

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5
Q

Liver Qi Stagnation Points

A

Liv 14
Pc 6
Liv 3
Gb 34

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6
Q

Blood Stasis Signs and Symtpoms

A

Fixed stabbing pain which is worse at night, may be a mass in the hypochondriac region

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7
Q

Blood Stasis Tongue and Pulse

A

T: dark purple tongue
P: deep and choppy

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8
Q

POT for Blood Stasis

A

Remove blood stasis and circulate the collaterals

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9
Q

Blood Stasis Points

A 
SP 21
SJ 6 
Liv 3
UB 17
SP 6
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10
Q

Damp Heat in the liver and gallbladder signs and symptoms

A

Hypochondriac pain, red or yellow eyes, icteric skin and urine, bitter taste in mouth, chest tightness, poor appetite, nausea, vomiting

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11
Q

Damp Heat in the liver and gallbladder Tongue and Pulse

A

T: yellow greasy coating
P: wiry, slippery, rapid

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12
Q

POT for Damp Heat in the liver and gallbladder

A

Clear damp heat from liver and gallbladder

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13
Q

Damp Heat in the liver and gallbladder Points

A 
Liv 14
GB 24
SJ 6
GB 34
SP 9
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14
Q

Liver yin deficiency Signs and symptoms

A

Lingering hypochondriac pain, aggravated by work, dry mouth and throat, restlessness, dizziness, blurred vision

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15
Q

Liver yin deficiency Tongue and Pulse

A

T: red tongue with little coating
P: threads, wiry, rapid

16
Q

Liver yi deficiency points

A 
UB 18
UB 23
Liv 14
SP 6
ST 36
17
Q

Hypochondriac Pain Basic Points

A 
Liv 14
GB 24
GB 34
SJ 6
UB 18
UB 19
18
Q

Etiology

A
  1. Emotional Frustration - Qi Stag = blood stasis
  2. External Trauma- damage collaterals
  3. Irregular diet - retention damp heat
  4. Invasion of damp
  5. Long term illness/weak constitution/ overstrain -
    Damage Jing and blood = liver yin deficiency
    = failing to nourish liver meridian
19
Q

Western Diseases

A

Hepatitis
Cirrhosis
Intercostal Neuralgia
Shingles

20
Q

Chief Pathology

A

Liver Qi Stagnation blocking the meridian

21
Q

Organs Involved

A 
Liver
GB
Spleen
Stomach
Kidney
  • starts off excess then become deficient
22
Q

Definition

A

Pain in side of chest, rib age area.

  • Can be one side or both sides
23
Q

Disease Differentiation

A
  1. Chief complaint
  2. Location of pain
  3. Medical history

~ Chest pain: wandering, chest tightness, palpitation, insomnia = Liver and Heart

~Stomachache: epigastric area, belching, hiccup, nausea, vomit, acid reflux = Stomach

~Hypochondriac Pain: bitter taste, blurred vision, wandering pain, related to emotions = Liver/GB

24
Q

Pattern Differentiation

A

Blood stagnation vs. Qi Stagnation

Sharp Distending
Fixed. Wandering
Constant Intermittent
Worse at night Aggravated by emotion

Excess vs Deficiency

Severe pain Dull lingering
Acute Chronic
Doesn’t like pressure Likes pressure
Strong body constitution Weak constitution
P: strong, wiry, superficial P: thin, weak, deep

25
Q

POT

A

Resolve blockage

26
Q

Treatment

A 
Points: 
Liv 14
GB 34, SJ 6 ~ Constipation, hypochondriac pain
UB 18, 19
GB 24

Auricular: liver, GB, shenmen, chest, brain

Plum blossom needling: Ashi, back shu, jiaji

Scalp Acu: Needle opposite side of pain, chest
Line, sensory line

Electro Acu: 4 Hz for 20 min

Herbs

27
Q

Patient Education

A

Regular exercise

Regulate emotions/stress

Regulate diet: sweet, greasy, spicy, alcohol

28
Q

compare blood stg and Qi stg:

A

blood: sharp, fixed, constant, worse at night

Qi: distending, wandering, intermittent, aggravated by emotions

Internal theraputics 1 (17 decks)

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