Stomach Flashcards

0
Q

epigastric think…

A

stomach

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1
Q

key stomach s/s

A

epigastric (pain, discomfort etc)
counterflow

epigastric is the give away for boards/comps

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2
Q
key s/s for what pattern?
**epigastric** - uncomfortable feeling
lack of appetite or taste
loose stools, weak limbs
tired in AM (time of 

T: pale
P: weak

A

stomach qi def

cause diet, chronic illness
rx: si jun zi tang

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3
Q
best points for what pattern:
St 36
Ren 12
Ren 6
Bl 21
A

stomach qi xu

rx: si jun zi tang

St 36 tonify st qi
Ren 12 tonify st/sp
Ren 6 tonify qi
Bl 21 tonify st qi

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4
Q

key s/s for what pattern:

***epigastric discomfort + pain***
better with warmth + pressure + food
no appetite, may not have thirst
want warm drinks and food
**vomiting of clear fluids**
tired, pale (bright white)
cold and weak limbs

T: Pale + Wet (maybe swollen)
P: weak + deep (maybe slow)

A

stomach yang xu (aka stomach def and cold)

for gio - stomach was def, then external cold got in, actually not a yang xu

rx:
huang qi jian zhong tang
xiao jian zhong tang

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5
Q

best points for what pattern:
Ren 6
St 36 - Ren 12
Bl 20, 21

A

Stomach deficient and cold

michelle says li zhong wan ok here

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6
Q

Key s/s for what pattern? (all over michelle’s state board)
hungry, no desire to eat
sometimes no appetite
***epigastric - either burning pain, dull
dry mouth
thirst - small sips of warm water, thirst in afternoon or pm

malar flush, 5 center heat, night sweats, feeling of heat in afternoon/evening

T: red, without coat, especially in middle
P: thready + rapid (also Superficial + Empty)

A

stomach yin xu

rx:
sha shen mai dong tang
shen ling bai zhu san
yi wei san

remember lung yin xu - coughing with small amount of sputum, maybe blood tinged

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7
Q

best points for what pattern?

st 36 - ren 12
sp 3, 6

A

stomach yin xu

st 36 tonify st
ren 12 front mu of st, tonifies st
sp 3 yuan source, tonifies st yin, nourishes fluids
sp 6 (cam uses for yin xu also), nourishes fluids

*michelle would add Ki 6, Ht 6 for def heat

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8
Q

coating on the tongue tells us about the

A

stomach yin fx

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9
Q

pulse thready and rapid means

A

yin xu

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10
Q

pulse superficial and empty means

A

yin xu

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11
Q

ALL gio def stomach patterns what what two points

A

st 36

ren 12

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12
Q
key s/s for what pattern?
**burning epigastric pain***
**Foul breath** (dead river breath)
thirsty for cold drinks
mental  restlessness ~> insomnia 
***bleeding gums (st channel is gums), mouth sores/ulcers***
dry mouth, stools
feeling of heat
counterflow:
regurgitation, burping stinky stuff
might vomit after eating
nausea

T: red, yellow coat (might change to dark yellow, then black)
P: rapid, overflowing

A

stomach fire
(also stomach phlegm fire: + s/s of phlegm: MUCUS heaviness in epigastric, vomit mucus, mucus in stools, mental derangment)
for stomach phlegm fire
T: red, STICKY yellow coat (might change to dark yellow, then black)
P: rapid, SLIPPERY overflowing (aka full)

tp: drain stomach fire, and stimulate the descending of stomach qi

rx:
tiao wei cheng qi tang
qing wei san
liang ge san

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13
Q

black tongue means what?

A

it has been there for a long time, in the interior.

black + dry = heat
black + moist = cold

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14
Q
best points for what pattern?
St 44
St 34
St 21
Ren 11, 12, 13
Li 4, 11
Sp 15
A

stomach fire

St 44 - clears stomach heat
St 34 - accumulation pt of st, for full conditions, stops bleeding (xi cleft - acute)
St 21 - clear st heat, descend st qi (in all excess st patterns)
Ren 11 - clears st heat
Ren 12 - subdue rebellious st qi
Ren 13 - subdue rebellious st qi
Li 4, 11 - clears stomach heat
Sp 15  - stimulates bowels
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15
Q

which cheng qi tang is for heat but not mass

Michelle’s go to rx for stomach fire

A

tiao wei cheng qi tang

16
Q
key s/s of what pattern:
epigastric fullness
sour regurgitation
relieved by vomiting
nausea, vomiting of sour fluids, belching
FOUL breath
INSOMNIA

poor appetite, loose stools or constipation

T: THICK coat (white or yellow)
P: full-SLIPPERY

A

stomach food retention

tp: resolve retention of food and stimulate descending qi of st
rx: bao he wan or zhi shi dao zhi wan

17
Q
best points for what condition:
Ren 10, 12, 13
St 19, 21, 40 44,  45
Sp 4 - P 6
K 21
A

retention of food

Ren 10 stimulates descending St qi
Ren 13 Subdues rebellious St Qi
St 21 stimulates descending St qi + resolves food stag
St 44 resolves stag food + clears heat
St 45 resolves stag food + calms mind
Sp 4 resolves stag food
P 6 stimulates descending St qi
St 40 restores descending St qi
St 19 stimulates descending St qi + resolves stag food
Ki 21 stimulates descending St qi
Ren 12 resolves stag food

rx:
bao he wan
zhi shi dao zhi wan

18
Q

key s/s of what pattern:
epigastric PAIN (severe, boring, stabbing)
dislikes pressure
vomiting food and/or dark blood like coffee grounds
nausea
maybe worse at night
maybe dark blood in stools

A

stomach blood stasis

tp: invig blood, dispel stasis, descend st qi
rx:
shi xiao san (severe pain)
dan shen yin (heat s/s radiating up)
ge xia zhu yu tang (palpable masses)
tong you tang (moisten intestines, unblock bowels)

19
Q

best points for what pattern?
Si 6
GB 34-Ren 12

St 19, 21, 40
Li 4 - Ren 11

Bl 17-Sp 10

Ki 21
P6 - Sp 4

St 34

A

stomach blood stasis

move qi in middle jiao
Si 6
GB 34-Ren 12

descend st qi
St 19, 21, 40
Li 4 - Ren 11

invigorate blood
Bl 17-Sp 10

chong points: descend st qi + invig blood
Ki 21
P6 - Sp 4

xi cleft: moves qi & blood
St 34

20
Q

St 21 is the main gio point for full patterns and is does what to the stomach qi?

A

descends

it also resolves food stag

21
Q
key s/s of what pattern
**hiccups or vomiting**
hard to swallow
belching
nausea
(all of these s/s could also be LQS)

T: no change
P: wiry or tight

A

stomach qi counterflow

causes: eating too fast, eating while working, eating while standing, eating while upset, anger, frustration, resentment
tp: descend st qi

22
Q

points for what pattern?

St 21 (in all excess st patterns)
Sp 4- Ren 6
St 19
Ren 10, 13

A

rebellious st qi

rx:
huo xiang zheng san
ban xia huo po tang
ding xian shi di ttang

23
Q
key s/s
sudden severe pain in epigastrium
vomiting of clear fluids, nausea
worse after swallowing cold fluids, quickly vomited
feeling of cold, preference for warmth
** might have cold limbs

T: thick white coat
P: deep - tight - slow

A

full cold invading the stomach

  • be careful looks like yang xu in the stomach
    KEYS:
    SEVERE SUDDEN PAIN
    VOMITING MAKES PAIN BETTER
24
Q

best points for what pattern:

St 21
St 34
Sp 4
Ren 13

A

full cold in stomach

St 21 all stomach full
St 34 xi cleft acute pain
Sp 4 for all stagnations except heat
Ren 13 stomach full condition

25
Q

key for what pattern:
nasal congestion + facial pain
+
all SP DH s/s

A

stomach DH