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Internal theraputics 1 > Stomachache > Flashcards

Stomachache Flashcards

0
Q

Etiology/Pathology

A
  1. Invasion of cold = Qi stag. Or blood stasis
  2. Emotional frustration = LiverQi stag. Creating fire
  3. Irregular diet = spleen yang Deficency or stomach yin Deficency creating cold
  4. Elderly/Long term illness = spleen Deficency
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1
Q

definition of stomachache

A

pain in the epigastric region

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2
Q

Digestive Signs and Symptoms

A 
Heartburn
Acid Reflux
Nausea/Vomiting
Belching
Poor Appetite
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4
Q

3 Ways to remove evil Qi

A

Vomiting
Sweating
Diarrhea

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4
Q

Differentiate between Excess or Deficency Patterns

A
  1. Better or worse after eating
  2. Acute vs. Chronic onset
  3. Cold vs. Heat
  4. Nature of Pain
  5. Palpate better or worse on palpation
  6. Qi Stag vs Blood Stasis
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5
Q

What are the 3 types of pain to differentiate from stomachache pain?

A
  1. Cardiac Pain
  2. Hypochondriac Pain ( referring from Liver/GB, usually on the right)
  3. Abdominal Pain ( Referring from Spleen)
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6
Q

How to differentiate between Qi stagnation or blood stasis

A

Qi Stagnation = relieved after gas and pain moves

Blood Stasis= fixed pain

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7
Q

Tongue and Pulse for Cold in ST

A

Thin and white coating

Wiry and tight

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8
Q

Acupuncture points for Cold in Stomach

A

ST34

SP 4

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9
Q

Cold in Stomach Symptoms

A

Sudden epigastric Pain which is releived by warmth and aggrevated by cold, chills, no thirst and prefer warm drink

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10
Q

POT for Cold in ST

A

Warm middle Jiao to dispel cold

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11
Q

Food Retention Symptoms

A

Fullness and distending pain in epigastric region, which is relieved by vomiting, belching, acid regurgitation, vomit with undigested food, hesitant food retention

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12
Q

Tongue and Pulse for Food Retention

A

Thick greasy coating

Slippery

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13
Q

Acupuncture Pt for Food Retention

A

RN11

InnerNeiting (St-44)

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14
Q

POT of Food Retention

A

Promote digestion and harmonize the stomach

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15
Q

HEAT IN STOMACH

Heat in Liver & Stomach Symptoms

A

Acute epigastric pain, irritability, anger, bitter taste in the mouth, dry mouth, belching, acid regurgitation

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16
Q

Tongue and Pulse for HEAT IN STOMACH

Heat in Liver & Stomach

A

Red tongue with yellow coat

Wiry and Rapid

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17
Q

Acupuncture Pt for
HEAT IN STOMACH
Heat in Liver & Stomach

A

ST 44

Liv 2

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18
Q

POT of
HEAT IN STOMACH
Heat in Liver & Stomach

A

Soothe Liver and clear heat

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19
Q

HEAT IN STOMACH:
Damp Heat in MJ
symptoms?

A

Epigastric burning pain, thirst with no desire to drink, belching, dry mouth, bitter taste, yellow scanty urine, hesitant bowel movement

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20
Q

Tongue and Pulse for
HEAT IN STOMACH
Damp Heat in MJ

A

Yellow and greasy coating

Slippery and Rapid

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21
Q

POT for
HEAT IN STOMACH
Damp Heat in MJ

A

Clear damp heat, regulate Qi to harmonize middle jiao

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22
Q

Acupuncture PT for
HEAT IN STOMACH
Damp Heat in MJ

A

RN 9

SP 9

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23
Q

Stomache Ache excess patterns

A 
Qi Stag
Blood Stasis
Cold in St
Food Retention
Heat in St
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24
Stomache ache Deficency Patterns
St yin Deficency | Deficency cold
25
Qi Stagnation Symptoms
Distending/ wandering pain in epigastric region which refers to hypochondrium, frequent belching, related to emotional changes, hesitant bowel movement
26
Tongue and Pulse for | Qi Stagnation
Thin white coating | Wiry
27
POT for Qi Stagnation
Soothe liver, regulate Qi and harmonize ST
28
Acupuncture Pt for Qi stagnation
Liv 14, liv 3, GB 34
29
Blood stasis Symptoms
Fixed stabbing epigastric pain, pain releieved by meal, blood in stool, hematemesis
30
Tongue and Pulse for Blood Stasis
Dark purple to gue | Choppy
31
POT for Blood Stasis
Move blood to circulate the Collaterals, regu,ate Qi and harmonize ST
32
Acupuncture Pt for Blood Stasis
SP 10 BL 17 RN 10
33
ST Yin Deficency Symptoms
Dull lingering pain in epigastrium, dry mouth and throat, thirst no desire to drink, dry stool
34
Tongue and Pulse for ST yin Deficency
Red tongue no coating | Wiry and thready
35
Acupuncture Pt for ST Yin Deficency
Sp 6 | BL 21
36
Deficency Cold Symptoms (yang def)
Dull lingering pain in the epigastrium which is releieved by warmth/pressure/meal, loose stool, vomiting clear water, poor appetite, listlessness, fatigue, cold limbs
37
Tongue and Pulse for Cold (yang def)
Pale Tongue | Soft and weak
38
POT For Deficency Cold (yang def)
warm middle jiao and strengthen spleen
39
Acupuncture Pt for Deficency Cold (yang def)
BL 20, 21 | RN 6
40
POT for St Yin Deficency
Nourish Stomach Yin
41
Client Education/Prevention
1. Diet- don't over eat 2. Avoid smoking/alcohol 3. Regulate Emotions 4. Avoid eating excess meat 5. Watch vomit and stool for blood
42
Name for stomachache in Western Medicine
Gastritis- acute or chronic
43
Causes for Acute Gastritis
Very common 1. Alcohol 2. Drugs/steroids 3. Diet (food poisoning)
44
Acute Gastritis Symptoms
``` Sudden onset poor appetite nausea/vomiting food poisoning watery diarrhea fever dehydration ```
45
Chronic Gastritis Symptoms
``` No real symptoms - recurrent mild symptoms Dull epigastric pain worse after eating belching nausea acid reflex poor appetite anemia Mouth sores gallstones ```
46
Causes for Chronic Gastritis
Unknown....Helicobacter Pylori?!
47
Acupuncture Pt for Gastritis
Use a distal point first: St 36 then move to local points. ~ask if Qi sensation to stomach and pain will decrease within 3minutes
48
Acu points for Excess pattern?
front MU of ST: CV12 he-sea of ST: St-36 use reducing technique
49
Acu points for deficient pattern?
Back SHU of ST: UB-21 Back SHU of SP: UB20 use tonifying technqiue
50
Alternative methods?
Moxa: (CV-4/6/12, ST-36/25, PC-5) with ginger for yang def auricular: (ST, SP, Shenmen, sympathetic, endocrine) scalp acu: (DU-9) herbal remedy lifestyle: dont overeat, quit smoking, limit alcohol, re. emotions, rest, watch for blood in stool/vomit
51
Chief pathology of stomachache?
St Qi stagnation
52
Duodenum vs Stomach Ulcer
1) Pain Location - Duodenum epigastric pain on the right - Stomach epigastric pain on the left 2) Pain Pattern - Duodenum when stomach is empty (2-3 hours after eating, before eating, middle of night) - Stomache pain occurs half an hour to one hour after eating * If ulcer on posterior wall of stomach patient may have back pain around T4-T7.. Rule out musculoskeletal vs ulcer by signs and symptoms * Duodenum usually has more acid reflux
53
POT for Peptic Ulcer
1. Move Qi and Blood 2. Harmonize Stomach *stop pain and heal ulcer
54
Modalities for Peptic Ulcer
1. Moxa (Warming needle, moxa box, Back shu/. Alarm pts use Moxa coins) *esp. good for duodenum ulcer 2. Flash Cupping (around st and lung meridian and navel region) 3. Auricular on sp, st, liver, duodenum, brain pts
55
How can you educate patient for ulcers?
1. Regulate Diet | * 2.Regulate Stress
56
Basic stomachache points: (4)
1) CV-12 2) PC-6 3) ST-36 4) ST-21
57
What is the basic POT for stomachache?
- reg. QI - stop pain - harmonize ST
58
General TX for Excess Stomachache patterns?
- points: CV-12 (MU-ST), ST-36 (Heavenly star) - use reducing technique - if cold combine with moxa
59
What is the basic TX for deficient stomachache patterns?
- Points: UB-21 (SHU ST), UB-20 (SHU SP) - use tonifying technique - if cold pattern combine with moxa

Internal theraputics 1 (17 decks)

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