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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
Q

Stomache ache Deficency Patterns

A

St yin Deficency

Deficency cold

25
Q

Qi Stagnation Symptoms

A

Distending/ wandering pain in epigastric region which refers to hypochondrium, frequent belching, related to emotional changes, hesitant bowel movement

26
Q

Tongue and Pulse for

Qi Stagnation

A

Thin white coating

Wiry

27
Q

POT for Qi Stagnation

A

Soothe liver, regulate Qi and harmonize ST

28
Q

Acupuncture Pt for Qi stagnation

A

Liv 14, liv 3, GB 34

29
Q

Blood stasis Symptoms

A

Fixed stabbing epigastric pain, pain releieved by meal, blood in stool, hematemesis

30
Q

Tongue and Pulse for Blood Stasis

A

Dark purple to gue

Choppy

31
Q

POT for Blood Stasis

A

Move blood to circulate the Collaterals, regu,ate Qi and harmonize ST

32
Q

Acupuncture Pt for Blood Stasis

A

SP 10
BL 17
RN 10

33
Q

ST Yin Deficency Symptoms

A

Dull lingering pain in epigastrium, dry mouth and throat, thirst no desire to drink, dry stool

34
Q

Tongue and Pulse for ST yin Deficency

A

Red tongue no coating

Wiry and thready

35
Q

Acupuncture Pt for ST Yin Deficency

A

Sp 6

BL 21

36
Q

Deficency Cold Symptoms (yang def)

A

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
Q

Tongue and Pulse for Cold (yang def)

A

Pale Tongue

Soft and weak

38
Q

POT For Deficency Cold (yang def)

A

warm middle jiao and strengthen spleen

39
Q

Acupuncture Pt for Deficency Cold (yang def)

A

BL 20, 21

RN 6

40
Q

POT for St Yin Deficency

A

Nourish Stomach Yin

41
Q

Client Education/Prevention

A
  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
Q

Name for stomachache in Western Medicine

A

Gastritis- acute or chronic

43
Q

Causes for Acute Gastritis

A

Very common

  1. Alcohol
  2. Drugs/steroids
  3. Diet (food poisoning)
44
Q

Acute Gastritis Symptoms

A 
Sudden onset
poor appetite
nausea/vomiting
food poisoning
watery diarrhea
fever
dehydration
45
Q

Chronic Gastritis Symptoms

A 
No real symptoms - recurrent mild symptoms
Dull epigastric pain
worse after eating
belching
nausea
acid reflex
poor appetite
anemia
Mouth sores
gallstones
46
Q

Causes for Chronic Gastritis

A

Unknown….Helicobacter Pylori?!

47
Q

Acupuncture Pt for Gastritis

A

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
Q

Acu points for Excess pattern?

A

front MU of ST: CV12
he-sea of ST: St-36

use reducing technique

49
Q

Acu points for deficient pattern?

A

Back SHU of ST: UB-21
Back SHU of SP: UB20

use tonifying technqiue

50
Q

Alternative methods?

A

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
Q

Chief pathology of stomachache?

A

St Qi stagnation

52
Q

Duodenum vs Stomach Ulcer

A

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
Q

POT for Peptic Ulcer

A
  1. Move Qi and Blood
  2. Harmonize Stomach

*stop pain and heal ulcer

54
Q

Modalities for Peptic Ulcer

A
  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
Q

How can you educate patient for ulcers?

A
  1. Regulate Diet

* 2.Regulate Stress

56
Q

Basic stomachache points: (4)

A

1) CV-12
2) PC-6
3) ST-36
4) ST-21

57
Q

What is the basic POT for stomachache?

A
  • reg. QI
  • stop pain
  • harmonize ST
58
Q

General TX for Excess Stomachache patterns?

A
  • points: CV-12 (MU-ST), ST-36 (Heavenly star)
  • use reducing technique
  • if cold combine with moxa
59
Q

What is the basic TX for deficient stomachache patterns?

A
  • 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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