Hypochondriac pain

Question 0

Deficiency patterns for hypochondriac pain

Answer 0

Liver yin deficiency

Question 1

3 excess patterns for hypochondriac pain

Answer 1

Liver qi stag
Blood stasis
Damp heat in liver and gallbladder

Question 2

Liver Qi Stagnation signs and symptoms

Answer 2

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

Question 3

Liver Qi Stagnation Tongue and Pulse

Answer 3

T: Thin coating
P: wiry

Question 4

POT for Liver Qi Stagnation

Answer 4

Soothe the liver and regulate Qi

Question 5

Liver Qi Stagnation Points

Answer 5

Liv 14
Pc 6
Liv 3
Gb 34

Question 6

Blood Stasis Signs and Symtpoms

Answer 6

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

Question 7

Blood Stasis Tongue and Pulse

Answer 7

T: dark purple tongue
P: deep and choppy

Question 8

POT for Blood Stasis

Answer 8

Remove blood stasis and circulate the collaterals

Question 9

Blood Stasis Points

Answer 9

SP 21
SJ 6 
Liv 3
UB 17
SP 6

Question 10

Damp Heat in the liver and gallbladder signs and symptoms

Answer 10

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

Question 11

Damp Heat in the liver and gallbladder Tongue and Pulse

Answer 11

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

Question 12

POT for Damp Heat in the liver and gallbladder

Answer 12

Clear damp heat from liver and gallbladder

Question 13

Damp Heat in the liver and gallbladder Points

Answer 13

Liv 14
GB 24
SJ 6
GB 34
SP 9

Question 14

Liver yin deficiency Signs and symptoms

Answer 14

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

Question 15

Liver yin deficiency Tongue and Pulse

Answer 15

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

Question 16

Liver yi deficiency points

Answer 16

UB 18
UB 23
Liv 14
SP 6
ST 36

Question 17

Hypochondriac Pain Basic Points

Answer 17

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

Question 18

Etiology

Answer 18

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

Question 19

Western Diseases

Answer 19

Hepatitis
Cirrhosis
Intercostal Neuralgia
Shingles

Question 20

Chief Pathology

Answer 20

Liver Qi Stagnation blocking the meridian

Question 21

Organs Involved

Answer 21

Liver
GB
Spleen
Stomach
Kidney

• starts off excess then become deficient

Question 22

Definition

Answer 22

Pain in side of chest, rib age area.

• Can be one side or both sides

Question 23

Disease Differentiation

Answer 23

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

Question 24

Pattern Differentiation

Answer 24

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

Question 25

POT

Answer 25

Resolve blockage

Question 26

Treatment

Answer 26

``` 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

Question 27

Patient Education

Answer 27

Regular exercise Regulate emotions/stress Regulate diet: sweet, greasy, spicy, alcohol

Question 28

compare blood stg and Qi stg:

Answer 28

blood: sharp, fixed, constant, worse at night Qi: distending, wandering, intermittent, aggravated by emotions