II - Class 1 Epi/Hypo/Abd Pain

Question 1

Where is Abdominal Pain

Answer 1

l..

Question 2

Where is hypochondriac pain

Answer 2

…

Question 3

What does acute and severe Epigastric Pain refer?

Answer 3

Possible surgical emergencies such as peptic ulcer and appropriately REFERRED

Question 4

What are Epigastric patterns?
Excess
Deficient

Answer 4

Xs - Cold congealing ST Qi, Food Stag, LV qi stag, ST heat, Blo stasis

Xu - SP and ST Qi (yang) Deficiency, SP and ST Yin Xu

Question 5

What is Physiology of Epi Pain?

Exess

Answer 5

Xs - pathogen - het or cold
- Stag of Qi, Blo, or Food
- Internal - LV invading ST, Phlegm Damp, Damp Heat, Blo Stasis
Strong, Spasmodic Pain - stagn and release of Qi and Blo
Acute or Chronic patterns - Xs conditions may develop Xu
- Manifestation of multiple patterns

Question 6

What is Physiology of Epi Pain

XU

Answer 6

Qi and Yang Xu - Fxn weakness of epi organs, SP and ST
- weak circulation and accumulation of Qi and Blo
Yin Xu - Atrophy of organ structure
Mild pain, yet constant
Some degree of Xs - Xu Qi and Yang allow stagn

Question 7

What is Etiology of Epi Pain

Answer 7

Cold - Ext, and Internal (Diet)
Heat - Ext, and Internal (Diet)
Drugs - NSAIDs, Purgatives, antibiotics, corticosteroids
Emotion - affect LV leading to Stag, HT Qi
SP and ST Xu - diet or meds
Blo Stag - actue from trauma or surgery, chronic from ST path, LV Qi, Yin Xu

Question 8

What are the Epi Pain Pattern combinations Dx?

Answer 8

LV Qi invading St
LV Qi stag 
SP Qi
External Heat
External Cold
Food Stag

Question 9

Epi Pain ...
Better after eating 
Worse with pressure
Better with pressure
Better with Rest
Better with sl. exercise
Better after vomiting
Better with heat or after drinking hot beveragges

Answer 9

…

Question 10

Differentiate btw
Distention
Oppression
Stuffiness
Fullness
Actual Mass

Answer 10

Distention - Qi Stag
Oppression - Phlegm or Qi Stag, emotional component
Stuffiness - subjective feeling of discomfort, with soft abdomen
Fullness - Stagnation of Food and Damp
Mass - Blood Stasis

Question 11

Palpation of Epi

What does HARD indicate?

Answer 11

Xs ST, Qi or Blood stasis; Damp or retention of food

Question 12

What are Xs conditions of Hypochondriac pain

Answer 12

LV qi

Question 13

What is etiology of Hypoch pain?

Answer 13

LV Qi Stag

..

Question 14

What does intermittent aching or distending pain refer?

Answer 14

LV Qi Stag

Question 15

What does fixed, stabbing pain, easy to localize, worse with pressure at night?

Answer 15

Blood Stasis

Question 16

What does Dull ache, relieved by pressure and worse when stressed or fatigued refer?

Answer 16

LV Yi Xu

Question 17

What does continuous severe pain and fullness, worse with pressure refer?

Answer 17

Damp Heat

Question 18

What does pain aggravated by emotions and stress refer?

With palpitations?

Answer 18

LV Qi Stag, Yin dev

Blo Stasis

Question 19

What creates GB stones? How do they present? (2)

Answer 19

Stag of LV Qi - Hypoch distention and pain, depression, moddiness, belching, freq sighing and a Wiry pulse

Damp Heat in LV and GB - Pain and fullness of hypochon
..

Question 20

What is Abdominal Pain

Answer 20

Involves

Question 21

What are Xs patterns of Abdominal pain

Answer 21

..

Question 22

What are Xu patterns of Abdominal pain

Answer 22

..

Question 23

Where is Epigastric Pain

Answer 23

Medial btw umbilicus and ribs, commonly a fist sized area beneath notch of ribs, may radiate to hypochondriac