pathomechanisms of fu organs Flashcards
The stomach has an interior-exterior relationship with which organ
the spleen
what organ governs the reception of food and therefore is responsible for appetite
the stomach
what organ governs the downbearing of turbid
the stomach
why is the stomach an organ susceptible to counterflow?
because the action of the stomach is downward
what are the two possible vacuity patterns we can see with the stomach
stomach vacuity cold and stomach yin xu
what are the four possible repletion patters we can see with the stomach
stomach repletion cold, food stagnation, stomach heat, and stomach qi ascending (counterflow)
how can one get excess cold in the stomach
by excess consumption of cold, raw foods
what is an example of excess cold in the stomach
wind-cold
the liver invading the stomach could lead to_
stomach qi xu
vacuity cold in the stomach is characterized by_
gradual onset, pronounced vacuity signs, fewer cold signs, longer duration
excess cold in the stomach is characterized by_
sudden onset, pronounced cold signs, fewer vacuity signs, shorter duration
what are some of the signs and symptoms of vacuity cold in the stomach
stomach pain, vomiting (clear, cold, sour fluid), belching, acid upflow
general: aversion to cold, lack of warmth in the extremities, pale, enlarged tongue, soggy pulse
what are some signs and symptoms of excess cold in the stomach
acute cold pain (ex: cramping), glomus and distention, nausea and vomiting, cold limbs and body (more cold), pale tongue with white fur, sunken tight pulse
in what instance would one feel better or worse when/after vomiting?
with vacuity cold in the stomach, one would feel worse when vomiting
with excess cold in the stomach, one would feel better when vomiting
symptoms are worsened by exposure to cold, and relieved by eating or applying heat or pressure in what circumstance?
vacuity cold
syptoms are worsened with pressure, exposure to cold, and relieved by exposure to warmth in what circumstance?
excess cold
what is stomach yin vacuity
insufficiency of the yin humor of the stomach
what are some of the causes of stomach yin vacuity
- intense stomach heat (ie: overconsumption of greasy, spicy foods, liver fire)
- damp-heat injuring the stomach/spleen
- damage to liquid due to externally contracted febrile disease
what are some of the signs and symptoms of stomach yin xu
dry lips and mouth, strong thirst, reduced food intake, dry/crimson area in center of tongue (may be peeled), rapid/fine pulse
*we do not see general yin deficiency signs here
what are some signs and symptoms of food stagnation
aversion to food, nausea, vomiting (putrid smelling), belching, foul smelling stool and flatus, relief of discomfort with passing stool or flatus
what are some causes of stomach heat
evil heat entering the interior, overindulgence of hot, spicy, greasy foods or alchohol, liver fire invading the stomach
*also can be generated during pregnancy
what are some signs and symptoms of stomach heat
- heat affecting the functino of intake/receiving (ie: rapid metabolism, rapid digestion and hungering)
- heat affecting the stomach downbearing (ie: pain, burning sensation in the stomach, vomiting, insatiable hunger, hard stool)
- stomach heat results in upper body signs (ie: bad breath, painful, swollen, bleeding gums)
- general signs of stomach heat (ie: bitter taste in mouth, dry mouth, red tongue with yellow dry coat, rapid, slippery pulse)
a chief sign of impaired harmonious downbearing of the stomach is_
stomach qi ascending counterflow (ie: nausea, vomiting, belching, hiccough)
what causes stomach qi counterflow?
anything that impairs harmonious downbearing of stomach qi (ie: cold, heat, phlegm, food stagnation, damp-turbidity)
what are the three patterns of the small intestine
- small intestine qi pain (replete cold) (mounting-repleted cold in SI)
- small intestine replete heat
- small intestine vacuity cold
what are the causes of repletion heat in the small intestine
- a pathology of the SP or ST passing to SI via hot, spicy, greasy foods
- heart-fire draining to SI (ex: emotional excess)