TCM Internal Medicine Test #3 Flashcards
1
Q
Ischemic Stroke
A
TIA is a temporary interruption of the blood flow to an area of the brain - a warning that a stroke may follow. A clot in an artery, a drop in blood pressure, or a change in heart rhythm or rate may all reduce blood flow to the brain and result in a TIA. Symptoms include vision problems, difficulty understanding words, difficulty speaking, unusual behaviors and thought processes,
loss of conciousness, seizures, dizziness, vertigo, trouble walking, weakness or numbness on one side of the body. Symptoms will go away after 10-20 min or beocme a full stroke.
MERIDIAN STROKE IN TCM
2
Q
Hemorrhagic Stroke
A
Hemorrhagic stroke: intracerebral hemorrhage, SAH (subarachnoid hemorrhage). An artery in the brain leaks or bursts.Due to abnormalities of the blood vessels, high blood pressure, protein deposits along the blood vessels, traumatic brain injury. Blood irritates the brain tissues calling swelling which will destroy brain tissue. Subarachnoid hemorrhage is bleeding in the area between the brain. Caused by bleeding from an arteriovenous malformation, bleeding disorder, bleeding from a cerebral aneurysm, head injury, unknown cause, use of blood thinners, injury/trauma.
ZANG FU STROKE IN TCM
3
Q
Two types of strokes in TCM
A
Closure and Collapse
4
Q
Two types of closure strokes in TCM
A
Yin and Yang
5
Q
Two types of meridian stroke in TCM
A
Excessive and deficient
6
Q
Types of excessive stroke in TCM
A
- Liver yang
- Phlegm fire
- Wind phlegm
7
Q
Stroke Location
A
Location: Brain (related to HT, LV, SP, KD)
8
Q
Stroke Nature
A
Nature: excessive in symptoms, deficiency in root, upper excess and lower deficient.
9
Q
Stroke pathological factors
A
Pathological factors: WIND, FIRE, PHLEGM
10
Q
Stroke duration
A
Duration: acute stage (2 weeks to 1 month), recovery stage (2 weeks/1 momth to 6 months), sequela (more than 6 months)
11
Q
Stroke key point of pathogenesis
A
Key point of pathogenesis: disorder of qi and blood, rebelling upward to attack the brain. Deficiency (qi), fire (liver and heart), phlegm (wind phlegm and phlegm damp), wind (liver wind), qi (rebellious qi), blood (blood stagnation).
12
Q
Stroke Root
A
Root: liver, kidney yin deficiency or blood deiciency
13
Q
Stroke symptoms
A
Main symptoms: sudden collapse, loss of consciousness, hemiplegia, slurred speech or speechless, deviation of the tongue and mouth (facial paralysis), numbness in half side of the body.
Other symptoms: headache, dizziness, vomiting, urinary and fecal incontinence, or urinary and fecal obstruction, irritability, cramping, profuse phlegm, hiccup.
14
Q
Meridian stroke
A
Meridian stroke: 4 major symptoms: hemiplegia, deviation of the tongue and mouth (facial paralysis), slurred speech, numbness in half side of the body
15
Q
Zang Fu Stroke
A
Zang Fu stroke: 5 major symptoms: loss of consciousness, hemiplegia, deviation of the tongue and mouth (facial paralysis), speechless, numbness in half side of the body
16
Q
Difference between Meridian stroke and Facial Paralysis
A
MERIDIAN STROKE
1. Decreased consciousness or alertness, hemiplegia
2. Still able to close the eye on the affected side, wrinkle in the forehead
Blood clot blocks a blood vessel in the brain
Meridian stroke: no loss of consciousness
FACIAL PARALYSIS
1. NO decreased consciousness/alertness, hemiplegia
2. NOT able to close the eye on the affected side, as well as wrinkle in the forehead
Facial nerve becomes inflamed (peripheral facial paralysis, bell’s palsy)
Zang Fu stroke: sudden coma
17
Q
Stroke pathomechanism
A
REBELLIOUS QI AND BLOOD OBSTRUCTION OF WIND, FIRE PHLEGM, STASIS \+ TRIGGER FACTOR CAUSES OBSTRUCTION OF BRAIN VESSEL OR BLOOD LEAKING OUT OF VESSEL
18
Q
Symptoms: 4 major symptoms (hemiplegia, deviation of the tongue and mouth, slurred speech, numbness in half side of the body), dizziness, distention headache, eyes and face red, irritability, easy to get angry, bitter taste in the mouth, dry throat, constipation, yellow urine, red or crimson tongue, yellow or dry yellow coating, wiry or rapid pulse.
A
SUDDEN HYPERACTIITY OF LIVER YANG - MERIDIAN STROKE
19
Q
SUDDEN HYPERACTIVITY OF LIVER YANG - MERIDIAN STROKE TP
A
TP: calm liver, extinguish the wind, subdue the yang
20
Q
SUDDEN HYPERACTIITY OF LIVER YANG - MERIDIAN STROKE formulaFormula
A
Formula *Tian Ma Gou Teng Yin
21
Q
Symptoms: 4 major symptoms (hemiplegia, deviation of the tongue and mouth, slurred speech, numbness in half side of the body), dizziness, headache, chest stuffiness, epigastria fullness, nausea, vomiting phlegm, dark red greasy white coating, wiry slippery pulse
A
WIND PHLEGM OBSTRUCTING THE MERIDIANS - MERIDIAN STROKE
22
Q
WIND PHLEGM OBSTRUCTING THE MERIDIANS - MERIDIAN STROKE TP
A
TP: resolve phlegm, extinguish wind, dredge collaterals
23
Q
WIND PHLEGM OBSTRUCTING THE MERIDIANS - MERIDIAN STROKE formula
A
Formula: Hua Tan Tong Luo Tang (modified Ban Xia Bai Zhu Tian Ma Tang)
24
Q
Symptoms: 4 major symptoms (hemiplegia, deviation of the tongue and mouth, slurred speech, numbness in half side of the body), abdominal bloating, constipation, dizziness, blurred vision, sticky taste in the mouth, profuse sputum, red face, irritability in the afternoon, red yellow greasy coating or dry yellow coating, slippery big pulse
A
PHLEGM HEAT IN THE FU ORGANS - MERIDIAN STROKE
25
PHLEGM HEAT IN THE FU ORGANS - MERIDIAN STROKE TP
TP: clear fu organ, purge heat, transform phlegm
26
PHLEGM HEAT IN THE FU ORGANS - MERIDIAN STROKE formula
Formula: Xing Lou Cheng Qi Tang
27
PHLEGM HEAT IN THE FU ORGANS - MERIDIAN STROKE pathogenesis
Pathogenesis: phlegm stasis transform into heat, binds with wind and phlegm, goes upward to disturb the meridians
28
Symptoms: 4 major symptoms (hemiplegia, deviation of the tongue and mouth, slurred speech, numbness in half side of the body), pale white face, shortness of breath, weakness, palpitation, spontaneous sweating, pale dark tongue with purplish spots, thin white or greasy coating, pulse is weak, moderate or thready and choppy
QI DEFICIENCY AND BLOOD STASIS - MERIDIAN STROKE
29
QI DEFICIENCY AND BLOOD STASIS - MERIDIAN STROKE TP
TP: tonify qi, invigorate blood, dredge channels
30
QI DEFICIENCY AND BLOOD STASIS - MERIDIAN STROKE formula
Formula: Bu Yang Huan Wu Tang (IMPORTANT FORMULA)
CONTAINS TAO HONG SI WU TANG
31
Symptoms: 4 major symptoms (hemiplegia, deviation of the tongue and mouth, slurred speech, numbness in half side of the body), palm/sole heat, irritability, insomnia, dizziness, ear ringing, red or dark red tongue with no coating, weak and wiry pulse
WIND STIRRING DUE TO YIN DEFICIENCY - MERIDIAN STROKE
32
WIND STIRRING DUE TO YIN DEFICIENCY - MERIDIAN STROKE TP
TP: nourish yin, subdue yang, calm down liver, extinguish wind
33
WIND STIRRING DUE TO YIN DEFICIENCY - MERIDIAN STROKE formula
Formula: *Zhen Gan Xi Feng Tang
34
Symptoms: 5 major symptoms (loss of consciousness, hemiplegia, deviation of the tongue, numbness in half side of the body), stiffness and spasm in the affected limb, squint or orthophoria of eyes, red face and eyes, red face and eyes, trismus, stiff neck, clenched fist, convulsions, red or crimson tongue with dry yellow or dark dry coating, wiry and rapid pulse
WIND FIRE OBSTRUCTING THE BRAIN ORIFICE - ZANG FU STROKE
35
Symptoms: 5 major symptoms (loss of consciousness, hemiplegia, deviation of the tongue, numbness in half side of the body), nasal sores, phlegm rattling sounds in the throat, stiffness and spasm in the affecting limb, squit or orthophoria of eyes, red face and eyes, heat in the neck and back, restlessness, constipation, red crimson tongue with dry yellow or greasy yellow coating, rapid slippery powerful pulse
PHLEGM FIRE OBSTRUCTING THE BRAIN'S ORIFICES - ZANG FU STROKE
36
Symptoms: 5 major symptoms (loss of consciousness, hemiplegia, deviation of the tongue, numbness in half side of the body), profuse phlegm and salivation, pale face, dark lips, cold limbs, dark pale tongue with white greasy coating, dee, slippery, moderate pulse
PHLEGM DAMPNESS MISTING THE BRAIN ORIFICE - ZANG FU STROKE
37
Symptoms: 5 major symptoms (loss of consciousness, hemiplegia, deviation of the tongue, numbness in half side of the body), closed eyes with open mouth, loose hands, nasal snore with faint breath, sweat, cold limbs, incontinence of urine and stool, pale purple tongue with curl, white greasy coating, faint pulse
COLLAPSE SYNDROME (Tuo Syndrome)
38
COLLAPSE SYNDROME (Tuo Syndrome) TP
TP: tonify qi, restore yang for resuscitation
39
COLLAPSE SYNDROME (Tuo Syndrome) formula
Formula: Shen Fu Tang
40
HEMIPLEGIA TP
TP: tonify qi, invigorate blood, dredge collaterals
41
HEMIPLEGIA formula
Formula: Bu Yang Huan Wu Tang
42
SLURRED SPEECH symptoms
Symptoms: slurred speech or speechless, stiffness of the tongue, deviation of tongue and mouth, angular salivation, half side of the body numbness, hemiplegia, dull tongue with greasy coating, slippery pulse
43
SLURRED SPEECH TP
TP: dispel wind, resolve phlegm, open the orifice, dredge collaterals
44
SLURRED SPEECH formula
Formula: Jie Yu Dan
45
DEVIATION OF EYES AND MOUTH symptoms
Symptoms: deviation of eyes and mouth, angular salivation, stiffness of the tongue, hemiplegia, slippery pulse
46
DEVIATION OF EYES AND MOUTH TP
TP: dispel wind, resolve phlegm, open the orifice, dredge collaterals
47
DEVIATION OF EYES AND MOUTH formula
Formula: Qian Zheng San`
48
Depressive syndrome clinical manifestations
Main clinical manifestations: emotional depression, mood swings, chest fullness and stuffiness, distending pain in the hypochondriac area, irritability with easy tears, foreign body sensation in the throat
49
Bipolar
Bipolar disorder (manic-depressive illness): cycling mood changes from extreme high sto extreme lows
50
Psychotic depression
Psychotic dperession: accompanied by some forms of psychosis, such as a break with reality, hallucinations, and delusions
51
Depression location
Location: Brain/spirit (related to LV, SP, HT)
52
Formula for stagnation causing depression
Yue Ju Wan
53
Depression basic principle
Basic principle: regulate qi to alleviate mental depression, cheer up, change to positive thinking
54
Symptoms: mental depression, frequent sighing, distending pain in the hypochondriac area, gastric fullness, belching, poor appetite, abdominal bloating, loose stool, irregular menstruation, pink tongue
LIVER QI STAGNATION depression
55
LIVER QI STAGNATION depression TP
TP: soothe liver to alleviate mental depression, regulate qi to have pleasent middle jiao (liver)
56
LIVER QI STAGNATION depression formula
Formula: Chai Hu Shu Gan San
57
Symptoms: restlessness, irritability, distention and fullness in the hypochodriac area, dry mouth with bitter taste, headache, red eyes, gastric discomfort with acid reflux, constipation, red tongue with thin
QI STAGNATION TRANSFORMING INTO FIRE depression
58
QI STAGNATION TRANSFORMING INTO FIRE depression TP
TP: clear liver, purge heat to alleviate mental depression, harmonize stomach
59
QI STAGNATION TRANSFORMING INTO FIRE depression formula
Formula: Dan Zhi Xiao Yao San
60
Symptoms: mental depression, foreign body sensation in the throat that cannot be swallowed or expectorated, chest stuffiness, distention and fullness in the hypochondriac region, pale red tongue with white greasy coating, wiry and slippery pulse
PHLEGM QI STAGNATION/PLUM PIT QI depression
61
PHLEGM QI STAGNATION/PLUM PIT QI depression TP
TP: move qi to alleviate mental depression, remove phlegm, dissipate accumulation
62
PHLEGM QI STAGNATION/PLUM PIT QI depression formula
Formula: Ban Xia Hou Po Tang
63
Symptoms: mental wandering, restlessness, skeptical and susceptible to fright, grief, moody, crying, frequent yawning and stretching, scolding, yelling, mostly female patients, being attacked by extreme emotional stimulation, pink tongue with wiry pulse
HEART MIND CONFUSION/ZANG ZAO DISORDER depression
64
HEART MIND CONFUSION/ZANG ZAO DISORDER depression TP
TP: use sweet moistening herbs to nourish the heart and calm the mind
65
HEART MIND CONFUSION/ZANG ZAO DISORDER depression formula
Formula: Gan Mai Da Zao Tang
66
Symptoms: too much thinking, skeptical, palpitations, timidity, dizziness, lassitude, insomnia, poor memory, poor appetite, shortness of breath, reluctance to talk, lusterless complexion, pale tongue with a thin white coating, thready and weak pulse
HEART AND SPLEEN DEFICIENCY depression
67
HEART AND SPLEEN DEFICIENCY depression formula
Formula: Gui Pi Tang
68
Symptoms: mood swings, dry eyes with photophobia, restlessness, irritability, hypochondriac distention, vertigo, tinnitus, blurred vision, headache with distention of eyes, red face and eyes, dry tongue with scanty coating, thready and rapid pulse
HYPERACTIVITY OF FIRE DUE TO YIN DEFICIENCY
69
HYPERACTIVITY OF FIRE DUE TO YIN DEFICIENCY depression TP
TP: nourish yin, clear heat, tonify liver and kidney
70
HYPERACTIVITY OF FIRE DUE TO YIN DEFICIENCY deprresion formula
Formula: Zi Shui Qing Gan Tang
Heart and kidney yin deficiency: Liu Wei Di Huang Wan + Tian Wang Bu Xin Dan
71
Depressive psychosis definition
Depressive psychosis: quiet, is characterized by mental depression, indifferent expression, dislike of talking or incoherent speech, mumbling to oneself, slow movement
72
Manic psychosis
Manic psychosis: excited, characterized by high mental exciteation, restlessness, wild, frenzied movement and speech, continuous talking, destroying things, hallucinations, violent behavior, mobilizing state
73
Location of psychosis
Location: Brain (spirit), related to LV, GB, SP, HT
74
Psychosis key of pathogenesis
Key point of pathogenesis: disturbance of the heart mind
75
Symptoms: mental depression, indifferent expression, dislike of talking, slow movements, upset, insomnia, suspiciousness, mumbling to oneself, incoherent speech, lazy talking, no care of daily routine, doesn't clean oneself o rhome, dirty, poor appetite, loose stool
T: white greasy/yellow greasy/turbid greasy
P: wiry slippery/rapid slippery/soggy slippery
PHLEGM-QI STAGNATION psychosis
76
PHLEGM-QI STAGNATION psychosis TP
TP: soothe the liver to alleviate mental depression, remove phlegm to open the orifice
77
PHLEGM-QI STAGNATION psychosis formula
Formula: Shun Qi Dao Tan Tang + Yu Jin, Shi Chang Pu
78
Symptoms: mental fuzziness, disorientation, failure to tell the difference between dreams and realities, easily sad and crying, illogical speech, palpitations, easy to be frightened, pale face, lazy limbs, lassitude, reduced food intake
T: pale, puffy, teethmarks, thin white coating
P: weak thready
HEART AND SPLEEN DEFICIENCY psychosis
79
HEART AND SPLEEN DEFICIENCY psychosis TP
TP: tonify qi, boost spleen, nourish blood, calm the spirit
80
HEART AND SPLEEN DEFICIENCY psychosis formula
Formula: Yan Xin Tang or Dan Xi Xin Fa
81
Symptoms: sudden onset of agitation, frenzy, angry eyes, red eyes and face, continuous shouting and scolding, incoherence speaking, failure to recognize relatives, irritability, restlessness, destroying things, fighting people, weeping and laughing together, headache, insomnia, likes cold drinks, constipation, yellow urine
T: red, crimson, yellow greasy coating
P: slippery, wiry
UPWARD DISTURBANCE OF PHLEGM FIRE DISTURBS THE HEART MIND psychosis
82
UPWARD DISTURBANCE OF PHLEGM FIRE DISTURBS THE HEART MIND psychosis TP
TP: tranquilize the heart, remove phlegm, purge liver, clear heat
83
UPWARD DISTURBANCE OF PHLEGM FIRE DISTURBS THE HEART MIND psychosis formula
Formula: Sheng Tie Luo Yin or Yi Xue Xin Wu
84
Symptoms: anxiety, stress, restlessness, sometimes mania, irritability, insomnia, emaciation with red face, palpitation, forgetfulness, five center heat
T: mirror tongue
P: thready rapid
EXUBERANT FIRE DAMAGING YIN psychosis
85
EXUBERANT FIRE DAMAGING YIN psychosis TP
TP: nourish yin, subdue fire, tranquilize the spirit, anchor soul
86
EXUBERANT FIRE DAMAGING YIN psychosis formula
Formula: Er Yin Jian or An Shen Ding Zhi Wan
87
Symptoms: agitation, restlessness, anger, talkativeness, dark face without luster, chest/hypochondria fullness and pain, headache, palpitations, sluggishness, reluctance to talk, crazy delusion, painful period, dark purple period blood
T: dark, purplish tongue, purple spots
P: thready wiry, deep wiry
QI AND BLOOD STAGNATION psychosis
88
QI AND BLOOD STAGNATION psychosis TP
TP: transform the stasis, open the orifices, regulate qi and blood, remove phlegm
89
QI AND BLOOD STAGNATION psychosis formula
Formula: Dian Kuang Meng Xing Tang + Da Huang Zhe Chong Wan
90
Epilepsy location
Location: Brain (spirit), related to LV, SP, KD
91
Epilepsy key of pathogenesis
Key of pathogenesis: wind-phlegm-fire-blood stasis obstructing the heart mind orifice, chaotically flowing inside the meridians and collaterals
92
Symptoms: sudden collapse, unconsciousness, drooling, staring, convulsion of the four limbs, generally no weird shouting or weak, little sound, with or without consciousness, mental dizziness, dull-witted, not seeing, not hearing, not able to move and speak, could be more han 10 times per day, dull yellow face, cold limbs, half open eyes, profuse phlegm rattling sound in the throat. After attack: fatigue, weak and limp, recovery after a few days, general poor appetite, fatigue, nausea, chest oppression, spit out sputum, loose stool
Tongue: pale, white greasy coating
Pulse: deep, weak, thready
LIVER WIND WIHTH PHLEGM TURBIDITY OBSTRUCTING THE HEART MIND (YIN TYPE EPILEPSY)
93
LIVER WIND WIHTH PHLEGM TURBIDITY OBSTRUCTING THE HEART MIND (YIN TYPE EPILEPSY) TP
TP: Urgency-open the orifice awaken the spirit. 2nd step-warm the yang, dispel phlegm, extinguish wind, downbear qi
94
LIVER WIND WIHTH PHLEGM TURBIDITY OBSTRUCTING THE HEART MIND (YIN TYPE EPILEPSY) formula
Formula: Urgency-acupuncture and nasal insufflation (Chu Bi San, Tong Guan San), nasal feeding (Su He Xiang Wan).
2nd step-Ding Xian Wan/ Yi Xue Xin Wu
95
Symptoms: sudden collapse, unconsciousness, drooling, staring, convulsion of the four limbs, weird shouting, heavy rattling sound in the throat, red face, purplish red, then chagne to green purplish or pale purple lips. After attack: foul mouth smell, heavy breathing, irritability, constipation, yellow urine, generally bad temper, insomnia, bitter taste in the mouth, dry mouth. Premonitory symptoms: dizziness, distention headache, chest oppression, fatigue, yawning and stretching
Tongue: red, yellow greasy coating
Pulse: wiry, rapid slippery
LIVER FIRE WITH PHLEGM HEAT OBSTRUCTING THE HEART MIND (YANG TYPE EPILEPSY)
96
LIVER FIRE WITH PHLEGM HEAT OBSTRUCTING THE HEART MIND (YANG TYPE EPILEPSY) TP
TP: Urgency-open the orifice, awaken the spirit. 2nd step-clear liver, purge fire, dispel phlegm, extinguish wind
97
LIVER FIRE WITH PHLEGM HEAT OBSTRUCTING THE HEART MIND (YANG TYPE EPILEPSY) formula
Formula: Urgency-Acupuncture and nasal insufflation (Chu Bi San, Tong Guan San), nasal feeding (An Gong Niu Huang Wan).
2nd step-Long Dan Xie Gan Tang + Di Tan Tang
98
Symptoms: recurrent attack, fatigue, dizziness, pale face, poor appetite, loose stool. During attack: dull face, bright white face, cold limbs, vomiting saliva, low, weak sound.
Tongue: pale, white greasy coating
Pulse: soggy, slippery, or wiry, thready, slippery
EXUBERANT PHLEGM DUE TO SPLEEN DEFICIENCY remission stage epilepsy
99
EXUBERANT PHLEGM DUE TO SPLEEN DEFICIENCY remission stage epilepsy TP
TP: boost spleen, benefit qi, harmonize stomach, transform turbidity, regulate qi and blood
100
EXUBERANT PHLEGM DUE TO SPLEEN DEFICIENCY remission stage epilepsy formula
Formula: Liu Jun Zi Tang (Si Jun Zi Tang + Chen Pi, Ban Xia)
101
Symptoms: after attack: absent minded, dull face, dizziness, blurred vision. Other symptoms: dry eyes, dry dull ear, lower back soreness, forgetfulness, insomnia with dreams, dry stool
Tongue: red, no coating
Pulse: thready
LIVER AND KIDNEY DEFICIENCY remission stage epilepsy
102
LIVER AND KIDNEY DEFICIENCY remission stage epilepsy TP
TP: nourish liver and kidney, subdue yang, tranquilize the mind
103
LIVER AND KIDNEY DEFICIENCY remission stage epilepsy formula
Formula: Da Bu Yuan Jian
104
Stomachache location
Location: Stomach, closely related to liver and spleen
105
Stomachache key point of etiology
Key point of etiology: disharmony of stomach qi, obstruction causes pain, harmonize the stomach, stomach qi is not able to descend, stomach qi obstruction
106
Symptoms: history of catching cold, eating cold food, sudden onset of gastric pain, aversion to cold, preference for warmth, pain is alleviated by warmth but is aggravated by cold, absence of thirst, preference for warm drinks, pale tongue with thin white coating, wiry and tight pulse
PATHOGENIC COLD ATTACKING THE STOMACH stomachache
107
PATHOGENIC COLD ATTACKING THE STOMACH stomachache TP
TP: warm the stomach, dissipate cold, move qi, relieve pain
108
PATHOGENIC COLD ATTACKING THE STOMACH stomachache formula
Formula: Liang Fu Wan
109
Symptoms: history of overeating or over drinking, epigastric fullness and abdominal distention, unpressable, belching with acid regurgitation, vomiting with undigested food, putrefactive odor, pain that is relieved after vomiting, poor appetite, difficulty bowel movements, feel better after gas or bowel movement, thick greasy tongue coating, slippery pulse
FOOD STAGNATION stomachache
110
FOOD STAGNATION stomachache TP
TP: promote digestion, clear the obstruction
111
FOOD STAGNATION stomachache formula
Formula: Bao He Wan
112
Symptoms: gastric fullness and distention, the pain radiates to bilateral hypochondria, chest oppression, the pain is always triggered or getting worse by emotional factors, belching, feel better after gas or belching, sighing, difficulty bowel movements, thin tongue coating and wiry pulse
LIVER QI AFFECTING THE STOMACH stomachache
113
LIVER QI AFFECTING THE STOMACH stomachache TP
TP: soothe the liver, regulate the qi, harmonize the stomach
114
LIVER QI AFFECTING THE STOMACH stomachache formula
Formula: Chai Hu Shu Gan San
115
Symptoms: burning pain in the gastric area, severe pain with a sudden onset, acid regurgitation, restlessness, irritability, dry bitter taste in the mouth, red tongue with yellow coating, wiry or rapid pulse
STAGNANT HEAT IN THE LIVER AND STOMACH stomachache
116
STAGNANT HEAT IN THE LIVER AND STOMACH stomachache TP
TP: soothe the liver, clear heat, harmonize the stomach, relieve pain
117
STAGNANT HEAT IN THE LIVER AND STOMACH stomachache formula
Formula: Hua Gan Jian JIng Yue Quan Shu (or Dan Zhi Xiao Yao San)
118
Symptoms: gastric pain with a fixed position, tenderness, stabbing pain, needle pricking sensation, the pain is exacerbated by eating, pressing, pain is lasting for a long time, gets worse at night, or even hematemesis or melena, dark purple tongue with purple spots, choppy pulse
INTERNAL RETENTION OF STAGNANT BLOOD stomachache
119
INTERNAL RETENTION OF STAGNANT BLOOD stomachache TP
TP: resolve stasis, clear collaterals, regulate qi, harmonize the stomach
120
INTERNAL RETENTION OF STAGNANT BLOOD stomachache formula
Formula: *Shi Xiao San + Dan Shen Yin
121
Symptoms: gastric dull burning pain, hunger with no desire to eat, dry throat and mouth, five center heat, fatigue, thirst, dry stool, red tongue with dry coating, thready and rapid pulse
STOMACH YIN DEFICIENCY stomachache
122
STOMACH YIN DEFICIENCY stomachache TP
TP: nourish yin, reinforce the stomach, reelive pain
123
STOMACH YIN DEFICIENCY stomachache formula
Formula: Yi Guan Jian + Shao Yao Gan Cao Tang
124
Symptoms: gastric dull, non stop pain, a preference for warmth and pressure, pain gets worse on empty stomach, gets better after eating, the pain is exacerbated or triggered by over strain, catching cold, vomiting watery fluid, fatigue, poor appetite, lassitude of limbs, cold limbs, loose stool, pale tongue with white coating, weak or slow pulse
SPLEEN STOMACH DEFICIENCY COLD stomachache
125
SPLEEN STOMACH DEFICIENCY COLD stomachache TP
TP: warm the middle jiao, strengthen the spleen
126
SPLEEN STOMACH DEFICIENCY COLD stomachache formula
Formula: *Huang Qi Jian Zhong Tang
127
Dysphagia location
Location: Esophagus, stomach. Closely related to liver, spleen, and kidney.
128
Symptoms: discomfort in the throat, mild difficulty swallowing, chest-diaphragm distention or pain that gets worse with a depressed mood, or symptoms get better with a happy mood, belching, hiccup, vomit phlegm saliva, dry mouth and throat, red tongue with thin greasy tongue coating, wiry and slippery pulse
PHLEGM-QI STAGNATION dysphagia
129
PHLEGM-QI STAGNATION dysphagia TP
TP: promote qi flow, resolve phlegm, moisten dryness, descend qi
130
PHLEGM-QI STAGNATION dysphagia formula
Formula: Qi Ge San (Yi Xue Xin Wu)
131
Symptoms: choking and pain during swallowing food, inability to swallow solid food, vomiting immediately after eating food, chest and upper back burning pain, emaciation, dry skin, five center heat, dry mouth and throat, likes to drink cold drinks, dry stool, red tongue with dry cracks, thready and rapid pulse
HEAT ACCUMULATION DUE TO FLUIDS CONSUMPTION dysphagia
132
HEAT ACCUMULATION DUE TO FLUIDS CONSUMPTION dysphagia TP
TP: nourish yin fluids, clear heat
133
HEAT ACCUMULATION DUE TO FLUIDS CONSUMPTION dysphagia formula
Formula: Wu Zhi An Zhong Yin (five juice)
134
Symptoms: difficulty in swallowing food, pain in the chest and diaphragm, inability to swallow food or water, vomiting immediately after eating food, dark complexion, dry skin, severe emaciation, hard stool, red bean like vomitus, bloody stool, dark purplish tongue or red and dry tongue, thready and choppy pulse
INTERNAL ACCUMULATION OF STAGNANT BLOOD dysphagia
135
INTERNAL ACCUMULATION OF STAGNANT BLOOD dysphagia TP
TP: resolve blood stasis, nourish yin and blood
136
INTERNAL ACCUMULATION OF STAGNANT BLOOD dysphagia formula
Formula: Tong You Tang (Lan Shi Mi Chang)
137
Symptoms: chronic dysphagia, bright pale complexion, fatigue, cold limbs, shortness of breath, edema of the face and feet, vomiting clear salivation, abdominal bloating, loose stool, pale tongue with white coating, weak pulse
QI DEFICIENCY AND YANG FAILURE dysphagia
138
QI DEFICIENCY AND YANG FAILURE dysphagia TP
TP: warm and supplement the spleen and kidney, supplement qi and resuscitate yang
139
QI DEFICIENCY AND YANG FAILURE dysphagia formula
Formula: Bu Qi Yun Pi Tang (warm the spleen) + You Gui Wan (warm the kidney)
140
Vomiting location
Location: stomach, closely related to the liver, spleen
141
Vomiting key point of etiology
Key point of etiology: stomach qi failing to descend, rebellious stomach qi
142
Vomiting immediately after eating:
due to esophagus problem or emotional problem
143
Vomiting 2-3 hours after eating:
chronic gastric disease
144
Vomiting at longer time after eating:
vomit undigested food from yesterday is mostly due to avid regurgitation
145
Projectile vomiting:
mostly related to the brain, central nervous disease, or infectious disease
146
Non stop vomiting with emaciation:
could be stomach tumor
147
Sour/putrefactive odor:
food retention
148
Saliva/sputum:
phlegm obstruction
149
Sour/green water:
liver qi attacking the stomach
150
Yellow water, bitter taste:
gallbladder heat attacking the stomach
151
Clear water:
stomach deficiency cold
152
Little amount of sticky saliva:
stomach yin deficiency
153
Symptoms: sudden vomiting, fever, aversion to cold, headache, general pain, chest tightness, gastric fullness, no desire to eat, white greasy tongue coating, soggy and slow pulse
PATHOGENIC FACTORS ATTACKING THE STOMACH vomiting
* Cold damp attack
* Turbidity qi attacking stomach causing rebellious stomach qi
154
PATHOGENIC FACTORS ATTACKING THE STOMACH vomiting TP
TP: remove pathogenic factors to releive the superficies, resolve turbidity with aromatic herbs, downbear the rebellious qi, stop vomiting
155
PATHOGENIC FACTORS ATTACKING THE STOMACH vomiting formula
Formula: Huo Xiang Zheng Qi San
156
Symptoms: vomiting sour/putrefactive odor stuff, with acid reflux, gastric and abdominal distention and fullness, belching, no appetite, the symptoms become worse after eating food and become better after vomiting, loose stool, constipation, foul smelling stools, thick greasy tongue coating, slippery and excessive pulse
FOOD RETENTION vomiting
157
FOOD RETENTION vomiting TP
TP: promote digestion and downbear stomach rebellious qi, stop vomiting
158
FOOD RETENTION vomiting formula
Formula: Bao He Wan
159
Symptoms: vomiting watery fluids, sputum and saliva, dizziness, palpitations, gastric fullness, poor appetite, or vomiting with borborygmi, white greasy tongue coating, slippery pulse
INTERNAL OBSTRUCTION OF PHLEGM FLUIDS vomiting
160
INTERNAL OBSTRUCTION OF PHLEGM FLUIDS vomiting TP
TP: warm and resolve phlegm fluids and downbear stomach rebellious qi, stop vomiting
161
INTERNAL OBSTRUCTION OF PHLEGM FLUIDS vomiting formula
Formula: Xiao Ban Xia Tang (harmonize stomach, downbear rebellious stomach qi) + Ling Gui Zhu Gan Tang (warm the spleen, resolve phlegm fluids)
162
Symptoms: vomiting with acid reflux, frequent belching, chest and hypochondriac oppression and distention pain, discomfort, upset, symptoms become worse when upset (more acid reflux), red tongue edges with a thin greasy coating, wiry pulse
LIVER QI AFFECTING THE STOMACH vomiting
163
LIVER QI AFFECTING THE STOMACH vomiting TP
TP: soothe the liver, regulate the stomach, downbear stomach rebellious qi, stop vomiting
164
LIVER QI AFFECTING THE STOMACH vomiting formula
Formula: Ban Xia Hou Pou Tang + Zuo Jin Wan
165
Symptoms: vomiting can be easily triggered by improper diet, loose stools, poor appetite, indigestion, abdominal stuffiness, tasteless in the mouth, no desire to drink, pale complexion, fatigue, pale tngue with thin white coating, soggy and weak pulse
DEFICIENCY COLD IN THE SPLEEN AND STOMACH vomiting
166
DEFICIENCY COLD IN THE SPLEEN AND STOMACH vomiting TP
TP: warm the middle jiao, strengthen the spleen, downbear stomach rebellious qi, stop vomiting
167
DEFICIENCY COLD IN THE SPLEEN AND STOMACH vomiting formula
Formula: Xiang Sha Liu Jun Zi Tang
168
Symptoms: reuccrent vomiting, occasional dry retching, small amount of vomitus, or only vomit saliva, dry mouth and throat, upset stomach, hungry but no desire to eat, red dry tongue, thready rapid pulse
STOMACH YIN DEFICIENCY vomiting
169
STOMACH YIN DEFICIENCY vomiting TP
TP: nourish stomach yin, downbear stomach rebellious qi, stop vomiting
170
STOMACH YIN DEFICIENCY vomiting formula
Formula: Mai Men Dong Tang
171
Diarrhea location
Location: Intestine, closely related to spleen, liver kidney
172
Diarrhea key of etiology
Key point of etiology: excessive dampness due to dysfunction of the spleen
173
Acute diarrhea
Acute: acute onset, urgent, short duration, frequent diarrhea
174
Chronic diarrhea
Chronic: chronic onset, long duration, intermittent diarrhea
175
Excessive type diarrhea
Excessive syndrome: acute onset, with severe abdominal pain that refuses to be pressed, pain is relieved after diarrhea
176
Deficiency type diarrhea
Deficiency: chronic, recurrent diarrhea, mild abdominal pain, prefer warm and pressed, fatigue, cold limbs (defiicency in spleen and kidney)
177
Cold type diarrhea
Cold: clear, watery stools with undigested food, abdomen prefer to be warm, aversion to cold, cold limbs
178
Heat type diarrhea
Heat: yellow, brown sticky stools, foul smelling urgent purgation, burning sensation around the anus, yellow scanty urine
179
Mild case diarrhea
Mild case, good prognosis: no frequent diarrhea, normal appetite, good energy
180
Severe case diarrhea
Severe case, bad prognosis: frequent diarrhea, poor appetite, low energy, lose weight
181
Symptoms: diarrhea with thin, clear, or watery stools, abdominal pain, bowel sounds, epigastric fullness, poor appetite, aversion to cold, fever, nasal stuffiness, headache, aching limbs, thin white or greasy white tongue coating, soggy and slow pulse
DIARRHEA DUE TO COLD AND DAMPNESS
182
DIARRHEA DUE TO COLD AND DAMPNESS TP
TP: dissipate cold, relieve the superficies, resolve dampness with aromatic herbs, stop diarrhea
183
DIARRHEA DUE TO COLD AND DAMPNESS formula
Formula: Huo Xiang Zheng Qi San
184
Symptoms: diarrhea with abdominal pain, urgent or unsmooth bowel movement, yellow, brown, and foul smelling stools, burning sensation in the anus, thirsty, scanty yellow urine, red tongue with yellow greasy tongue coating, soggy rapid or slippery rapid pulse
DIARRHEA DUE TO DAMP HEAT
185
DIARRHEA DUE TO DAMP HEAT TP
TP: clear heat, excrete dampness, stop diarrhea
186
DIARRHEA DUE TO DAMP HEAT formula
Formula: Ge Gen Qin Lian Tang (clear heat, excrete dampness)
187
Symptoms: abdominal pain, bowel sounds, foul smelling stools, pain is relieved after diarrhea, undigested food in stools, abdominal fullness, fetid eructation, poor appetite, dirty and thick greasy coating, slippery and big pulse
DIARRHEA DUE TO FOOD RETENTION
188
DIARRHEA DUE TO FOOD RETENTION TP
TP: promote digestion, remove retention, stop diarrhea
189
DIARRHEA DUE TO FOOD RETENTION formula
Formula: Bao He Wan
190
Symptoms: abdominal pain with borborygmi, diarrhea when feeling pain, pain is relieved after diarrhea, diarrhea is always induced by depression, anger, or stress, fullness and distention in the chest and hypochondrium, bleching, poor appetite, frequent gas, thin and white or thin greasy tongue coating, thready and wiry pulse
LIVER QI AFFECTING THE SPLEEN diarrhea
191
LIVER QI AFFECTING THE SPLEEN diarrhea TP
TP: soothe the liver, strengthen the spleen
192
LIVER QI AFFECTING THE SPLEEN diarrhea formula
Formula: Tong Xie Yao Fang + Zhi Qiao, Wu Yao, Xu Xing Hua
193
Symptoms: recurrent alternating loose stools and diarrhea, an increase of bowel movements, or diarrhea with undigested food whenever after eating improper food, poor appetite, abdominal fullness, pale complexion, fatigue, weak limbs, pale tongue white coating, thready and weak pulse
DEFICIENCY OF THE SPLEEN AND STOMACH diarrhea
194
DEFICIENCY OF THE SPLEEN AND STOMACH diarrhea TP
TP: strengthen the spleen, benefit qi
195
DEFICIENCY OF THE SPLEEN AND STOMACH diarrhea formula
Formula: Shen Ling Bai Zhu San
196
Symptoms: diarrhea usually occurs at dawn upon abdominal pain, pain around the naval and lower abdomen, diarrhea with undigested food, bowel sounds, the patients may feel better after the diarrhea, abdomen prefer to be warm, cold limbs, soreness and weakness in the lumbar region and knee joints, pale tongue with white coating, deep and thready pulse
KIDNEY YANG DEFICIENCY diarrhea
197
KIDNEY YANG DEFICIENCY diarrhea TP
TP: warm the kidney, strengthen the spleen, stop diarrhea
198
KIDNEY YANG DEFICIENCY diarrhea formula
Formula: Si Shen Wan
199
Dysentery location
Location: large intestine (closely related to spleen, liver, kidney).
200
Dysentery key point of etiology
Key point of etiology: damp heat, epidemic toxin, cold damp accumulating in the intestine, causing qi and blood stagnation, mixing with toxin, and transforming into bloody pus
201
Yin deficiency dysentery
Yin deficiency: sit on toilet but nothing coming out
202
Qi deficiency dysentery
Qi defiicency: incontinence
203
Damp more than heat dysentery
Damp more than heat: more white than red, qi level, better prognosis
204
Heat more than damp dysentery
Heat more than damp: red more than white, blood level, worse prognosis
205
Cold damp dysentery
Cold damp: pus is like nasal discharge, white
206
Toxic heat dysentery
Toxic heat: fresh red blood color, green color
207
Blood stagnation dysentery
Blood stagnation: purple/black blood and pus
208
Symptoms: abdominal pain, tenesmus, stools containing bloody pus, more red than white, burning sensation in the anus, scanty/dark yellow urine, fever, aversion to cold, head and body pain, thirsty, red tongue with thin yellow greasy coating, floating big or rapid pulse
DAMP HEAT DYSENTERY
209
DAMP HEAT DYSENTERY pathogenesis
Pathogenesis: damp heat accumulation in the intestine may cause impairment of collaterals, qi and blood stagnation and abnormal function of the intestine
210
DAMP HEAT DYSENTERY TP
TP: clear heat, remove toxic substances, regulate qi, move blood (moving blood to get rid of bloody pus, regulating qi to relieve tenesmus)
211
DAMP HEAT DYSENTERY formula
Formula: Shao Yao Tang
212
Symptoms: sudden onset, bright purple bloody stools, severe abdominal pain, more severe tenesmus than damp heat dysentery, headache, restlessness, high fever, thrist, possibly coma, convulsions, dark red tongue with dry yellow coating, slippery rapid pulse
FULMINANT DYSENTERY amebic dysentery
213
FULMINANT DYSENTERY pathogenesis
Pathogenesis: epidemic toxin may burn the intestine, consume qi and blood, mist the heart mind
214
FULMINANT DYSENTERY TP
TP: clear heat, remove toxic substances, cool the blood, stop dysentery
215
FULMINANT DYSENTERY formula
Formula: Bai Tou Weng Tang
216
Symptoms: abdominal pain, tenesmus, stools containing more pus (white more than red), gastric fullness, heavy sensation in the head and body, pale tongue with white greasy coating, soggy and slow pulse
COLD DAMPNESS DYSENTERY
217
COLD DAMPNESS DYSENTERY TP
TP: warm the middle jiao, dissipate cold, resolve dampness, promote digestion
218
COLD DAMPNESS DYSENTERY formula
Formula: Wei Ling Tang (Ping Wei San + Wu Ling San)
219
Symptoms: abdominal pain, tenesmus, stools containing bloody pus or sticky blood that is fresh red in color, burning pain around the navel or cramping pain below the navel, irritability, dry mouth, thirst, tongue is red and dry with no coating, pulse is thready and rapid
YIN DEFICIENCY DYSENTERY
220
YIN DEFICIENCY DYSENTERY TP
TP: nourish yin and harmonize ying level, clear the intestine, stop dysentery
221
YIN DEFICIENCY DYSENTERY formula
Formula: Zhu Che Wan
222
Symptoms: dull abdominal pain, tenesmus, thin and clear stools containing pus, possibly fecal incontinence, poor appetite, fatigue, cold limbs, sore lower back, aversion to cold, rectal prolapse, pale tongue with white watery coating, deep and weak pulse
DEFICIENCY COLD DYSENTERY
223
DEFICIENCY COLD DYSENTERY TP
TP: warm and tonify the kidney and spleen to strengthen functions in holding the bowel movement
224
DEFICIENCY COLD DYSENTERY formula
Formula: Tao Hua Tang + Zhen Ren Yang Zang Tang
225
Symptoms: intermittent and persistent dysentery, a reduced food intake, fatigue, aversion to cold, lassitude, prefer to lie down, pale tongue with greasy tongue coating, soggy and weak pulse
RECURRENT DYSENTERY
226
RECURRENT DYSENTERY TP
TP: warm the middle jiao, clear the intestine, regulate qi and remove stagnation
227
RECURRENT DYSENTERY formula
Formula: Lian Li Tang (Li Zhong Tang + Huang Lian)
228
Abdominal pain location
Location: Abdomen (closely related to liver, gallbladder, spleen, kidney, pancreas, large intestine, small intestine, bladder)
229
Abdominal pain key point of etiology
Key point of etiology: Obstruction of qi flow, obstruction causes pain, deficiency and cold of zang fu organs, malnutrition causes pain
230
Symptoms: sudden onset of abdominal pain, relieved by warmth and exacerbated by cold, pain can be severe, non stop with mild tension of abdominal muscle, cold intolerance, prefer huddles up cold limbs, tastelessness in the mouth with no desire to drink, profuse and clear urination, bowel movements okay, white greasy tongue coating, deep and tight pulse
INTERNAL COLD RETENTION abdominal pain
231
INTERNAL COLD RETENTION abdominal pain TP
TP: warm the middle jiao, dissipate cold, promote qi flow and stop pain
232
INTERNAL COLD RETENTION abdominal pain formula
Formula: Liang Fu Wan (pungent hot and warm, dissipate cold in middle jiao) + Zheng Qi Tian Xiang San (regulate qi, stop pain)
233
Symptoms: abdominal pain with tenderness, fullness, refuse to be pressed, pain is burning, gets better with cold, prefer cold drink, chest oppression, constipation, thirst, fever, sweat, yellow urine, yellow and dry tongue coating or yellow and greasy coating, slippery and rapid pulse
ACCUMULATION OF DAMP HEAT abdominal pain
234
ACCUMULATION OF DAMP HEAT abdominal pain TP
TP: clear heat, purge the fu organ, promote qi and stop pain
235
ACCUMULATION OF DAMP HEAT abdominal pain formula
Formula: Da Cheng Qi Tang
236
Symptoms: abdominal distention, fullness and pain, tenderness, refuse to be pressed, fetid eructation, acid regurgitation, anorexia, diarrhea after abdominal pain, pain can be relieved by diarrhea or constipation, vomit undigested food, thick greasy tongue coating, slippery pulse
FOOD RETENTION abdominal pain
237
FOOD RETENTION abdominal pain TP
TP: clear heat, purge the fu organ, promote qi and stop pain
238
FOOD RETENTION abdominal pain formula
Formula: Zhi Shi Dao Zhi Wan
239
Symptoms: abdominal distention, fullness and pain, pain without a fixed position, bloating, pain radiating to the costal regions, sometimes better, sometimes worse, feels better after gas or belching, feels worse during worrying, anger, or stress, thin white coating, wiry pulse
LIVER QI STAGNATION abdominal pain
240
LIVER QI STAGNATION abdominal pain TP
TP: clear heat, purge the fu organ, promote qi and stop pain
241
LIVER QI STAGNATION abdominal pain formula
Formula: Chai Hu Su Gan San
242
Symptoms: severe and persistent needle pricking abdominal pain with a fixed position, refused to be pressed, lump in the abdomen, long duration, gets worse at night, dark purple tongue, thready and choppy pulse
INTERNAL RETENTION OF STAGNANT BLOOD abdominal pain
243
INTERNAL RETENTION OF STAGNANT BLOOD abdominal pain TP
TP: clear heat, purge the fu organ, promote qi and stop pain
244
INTERNAL RETENTION OF STAGNANT BLOOD abdominal pain formula
Formula: Shao Fu Zhu Yu Tang
245
Symptoms: abdominal dull pain, on and off, prefer heat, dislike cold, prefer to be pressed, gets worse after hungry, overstrain, gets better after rest, fatigue, shortness of breath, cold limbs, cold intolerance, poor appetite, pale face, loose stools, pale tongue, thready and deep pulse
DEFICIENCY COLD IN THE MIDDLE JIAO abdominal pain
246
DEFICIENCY COLD IN THE MIDDLE JIAO abdominal pain TP
TP: clear heat, purge the fu-organ, promote qi and stop pain
247
DEFICIENCY COLD IN THE MIDDLE JIAO abdominal pain formula
Formula: Xiao Jian Zhong Tang
248
Constipation location
Location: large intestine (closely related to lung, liver, spleen, and kidney)
249
Constipation key point of etiology
Key point of etiology: dysfunction of the large intestine due to heat accumulation, qi stagnation, qi-blood-yin-yang deficiency, cold coagulation
250
Symptoms: dry and hard stools, abdominal distention, bloating, dry mouth with foul breath, red face, general heat sensation, irritability, sweating, prefer cold drink, scanty yellow urine, red tongue with dry and yellow coating, slippery rapid pulse
HEAT CONSTIPATION
251
HEAT CONSTIPATION TP
TP: clear heat, moisten the intestine
252
HEAT CONSTIPATION formula
Formula: Ma Zi Ren Wan (purging but does not injure the healthy qi)
253
Symptoms: dry and hard stools, difficult or unsmooth bowel movements, abdominal distention and pain, fullness and tightness in the chest and hypochondrium, frequent belching, or hiccup and gas, thin and white coating or thin and yellow coating, wiry or wiry and tight pulse
QI CONSTIPATION
254
QI CONSTIPATION TP
TP: regulate qi and clear the obstruction
255
QI CONSTIPATION formula
Formula: Liu Mo Tang
256
Symptoms: difficult bowel movements, try hard but feels difficulty during bowel movements, fatigue after bowel movements, shortness of breath, sweating, pale face, lassitude, reluctance to talk, pale and puffy tongue, teeth marks, thin white coating, weak and thready pulse
QI DEFICIENCY constipation
257
QI DEFICIENCY constipation TP
TP: supplement qi and moisten the intestines
258
QI DEFICIENCY constipation formula
Formula: Huang Qi Tang
259
Symptoms: dry and hard stool, difficulty bowel movement, pale face, dizziness, blurred vision, palpitations, shortness of breath, dry mouth, irritability, hot flash, night sweats, ear ringing, lower back and knee soreness, pale tongue or red with little coating, thready rapid pulse
BLOOD DEFICIENCY constipation
260
BLOOD DEFICIENCY constipation TP
TP: nourish blood and moisten intestines
261
BLOOD DEFICIENCY constipation formula
Formula: Run Chang Wan
262
Symptoms: dry and hard stools like granules, dizziness, tinnitus, restlessness, insomnia, tidal fever, night sweat, lower back and knee sore, red tongue with no coating, thready and rapid pulse
YIN DEFICIENCY constipation
263
YIN DEFICIENCY constipation TP
TP: nourish yin and promote bowel movements
264
YIN DEFICIENCY constipation formula
Formula: Zeng Ye Tang
265
Symptoms: difficult bowel movement, abdominal pain with a cold sensation, bright pale complexion, cold limbs, lower back and knee sore, prefer warm, dislike cold, profuse urine, pale tongue with white coating, deep and slow pulse
YANG DEFICIENCY constipation
266
YANG DEFICIENCY constipation TP
TP: nourish blood and moisten the intestine
267
YANG DEFICIENCY constipation formula
Formula: Ji Chuan Jian
268
Hypochondriac pain location
Location: Liver, closely related to SP, ST, KD
269
Hypochondriac pain key point of etiology
Key point of etiology: liver/gallbladder meridians have obstruction, obstruction causes pain or malnutrition causes pain
270
Hypochondriac pain key point of pathogenesis
Key point of pathogenesis: emotional injuries (depression and anger), improper diet, external contraction of damp heat, chronic diseases or overexertion (liver yin deficiency), injuries
271
Hypochondriac pain qi stagnation
Qi stagnation: mainly distending pain, wandering, not fixed, sometimes mild, sometimes severe, related to emotional changes
272
Hypochondriac pain blood stagnation
Blood stagnation: stabbing, fixed persistent pain, refuses to be pressed, gets worse at night
273
Hypochondriac pain damp heat
Damp heat: heavy pain, fixed region, persistent pain, sometimes gets severe, together with abdominal bloating, poor appetite, nausea, hates greasy food or jaundice, red tongue, greasy coating
274
Hypochondriac pain yin deficiency
Yin deficiency: dull pain, persistent, prefer to be pressed, gets worse after overstrain, gets worse at night/when tired
275
Symptoms: wandering distending pain in the hypochondriac region, or even the pain radiates to the chest, shoulder, upper back, the pain becomes worse when the patient is unhappy, chest oppression,
sighing, feels better after belching, poor appetite, abdominal fullness, bloating
Tongue: thin white coating
Pulse: wiry
LIVER QI STAGNATION hypochondriac pain
276
LIVER QI STAGNATION hypochondriac pain TP
TP: soothe liver, regulate qi
277
LIVER QI STAGNATION hypochondriac pain Formula
Formula: Chai Hu Shu Gan San
278
Symptoms: obvious burning pain in the hypochondriac region, obvious tenderness (while being pressed), refused to be pressed or even the pain radiates to the shoulder and upper back
Other symptoms: poor appetite, nausea, dislike greasy food, bitter-dry mouth, abdominal bloating, scanty urine, jaundice
Tongue: yellow greasy coating
Pulse: wiry and slippery
DAMP HEAT IN THE LIVER/GALLBLADDER hypochondriac pain
279
DAMP HEAT IN THE LIVER/GALLBLADDER hypochondriac pain TP
TP: clear heat and remove dampness, regulate qi, open collaterals
280
DAMP HEAT IN THE LIVER/GALLBLADDER hypochondriac pain formula
Formula: Long Dan Xie Gan Tang
281
Symptoms: stabbing pain in the hypochondriac region with a fixed position, tenderness, pain gets worse at night, dark dull facial complexion, possible masses in the costal space
Tongue: purple dark body
Pulse: wiry and deep
STAGNANT BLOOD OBSTRUCTING THE MERIDIANS hypochondriac pain
282
STAGNANT BLOOD OBSTRUCTING THE MERIDIANS hypochondriac pain TP
TP: resolve stasis, clear the obstructed meridian
283
STAGNANT BLOOD OBSTRUCTING THE MERIDIANS hypochondriac pain formula
Formula: Xue Fu Zhu Yu Tang
284
Symptoms: dull and lingering pain in the hypochondriac region, pain gets worse with fatigue, restlessness, dry mouth and throat, irritability with hot sensation in the chest, dry eyes, dizziness, blurred vision
Tongue: red, little coating
Pulse: wiry, rapid, thready
MALNUTRITION OF THE LIVER MERIDIAN (LIVER YIN DEFICIENCY) hypochondriac pain
285
MALNUTRITION OF THE LIVER MERIDIAN (LIVER YIN DEFICIENCY) hypochondriac pain TP
TP: nourish yin and liver, nourish blood, open the collaterals
286
MALNUTRITION OF THE LIVER MERIDIAN (LIVER YIN DEFICIENCY) hypochondriac pain formula
Formula: Yi Guan Jian
287
Jaundice location
Location: Liver and gallbladder, closely related to the spleen
288
Jaundice key point of etiology
Key point of etiology: dampness and turbidity obstructing middle jiao, out spreading of bile
289
Yang Jaundice
```
Etiology: Conversion of dampness into heat, heat and damp combine together
Nature: Excessive, heat
Condition: Acute, short duration
Fever: Maybe
Color: Bright yellow, fresh orange
Other symptoms: Dry mouth, thirst, irritability, easily hungry, yellow scanty urine, constipation
T + P: Red, yellow greasy; Wiry, rapid
Prognosis: Good
```
290
Yin Jaundice
Etiology: Conversion of dampness into old, cold and damp coagulating together
Nature: deficiency cold
Condition: chronic, long duration
Fever: no
Color: smokey yellow
Other symptoms: Epigastric, abdominal bloating, fear of cold, fatigue, tasteless, not thirsty
T + P: Pale, white greasy; Soggy, slow/ deep, slow
Prognosis: Takes a long time to recover
291
Jaundice treatment principle
remove damp and promote diuresis
292
Symptoms: orange like bright yellowness of the body skin and eyes, fever, thirst, restlessness, hypochondriac pain, dry and bitter taste in the mouth, nausea, vomiting, scanty dark yellow urine, constipation
Tongue: red, yellow greasy coating
Pulse: wiry and rapid
YANG JAUNDICE (MORE HEAT THAN DAMP)
293
YANG JAUNDICE (MORE HEAT THAN DAMP) TP
TP: clear heat, relieve constipation, resolve dampness, withdraw jaundice
294
YANG JAUNDICE (MORE HEAT THAN DAMP) formula
Formula: *Yin Chen Hao Tang (Yin Chen Hao 30g, Zhi Zi 15g, Da Huang 9g)
295
Symptoms: yellow (not as bright as the heat type) of the body skin and yees, heaviness of the head, drowsiness, chest and gastric fullness, reduced appetite, nausea, loose stool
Tongue: red, thick greasy, mild yellow coating
Pulse: wiry and slippery
YANG JAUNDICE (MORE DAMP THAN HEAT)
296
YANG JAUNDICE (MORE DAMP THAN HEAT) TP
TP: resolve turbid dampness, clear heat, withdraw jaundice
297
YANG JAUNDICE (MORE DAMP THAN HEAT) formula
Formula: *Yin Chen Wu Ling San + Gan Lu Xiao Du Dan
298
Symptoms: gray dark, smoky yellow body skin and eyes, gastric fullness, abdominal bloating, reduced appetite, fatigue, fear of cold, cold limbs, loose stool
Tongue: puffy tongue, white greasy coating
Pulse: soggy, slow
YIN JAUNDICE (COLD DAMPNESS OBSTRUCTING THE MIDDLE JIAO)
299
YIN JAUNDICE (COLD DAMPNESS OBSTRUCTING THE MIDDLE JIAO) TP
TP: warm middle jiao, resolve dampness, strengthen the spleen, harmonize the stomach
300
YIN JAUNDICE (COLD DAMPNESS OBSTRUCTING THE MIDDLE JIAO) formula
Formula: Yin Chen Zhu Fu Tang
301
Symptoms: dull yellow body skin and eyes, dark complexion, hypochondriac stabbing/dull/lingering pain or mass, subcutaneous lines around the chest or abdomen, red palm in the liver area
Tongue: dark purple, purple spots on the tongue, white coating or no coating
Pulse: wiry, choppy, or thready, choppy
LIVER BLOOD STAGNATION JAUNDICE
302
LIVER BLOOD STAGNATION JAUNDICE TP
TP: warm middle jiao, resolve dampness, strengthen the spleen, harmonize the stomach
303
LIVER BLOOD STAGNATION JAUNDICE formula
Formula: Bie Jia Jian Wan
304
Jaundice maintenance formulas
Maintenance after yellow withdrawing: liver depressed/qi stagnation: Xiao Yao San, Chai Hu Shu Gan San
Spleen deficiency: Xiang Sha Liu Jun Zi Tang
305
Drum like distention etiology
Etiology: emotional disturbance, improper diet and over drinking, overstrain, infection of insect poison, secondary to other diseases such as liver function problems (jaundice etc)
306
Drum like distention 3 major symptoms
3 major symptoms: 1) enlarged abdomen like a drum. 2) a sallow skin color. 3) exposure of bluish veins
307
Drum like distention early stage
Early stage: enlarged abdomen like a drum, exposure of bluish vessels, abdomen fullness while percussion, water sounds or abdominal fullness while turning the body over; then the abdomen continues to get larger, soft while palpation, worse after eating, tympany sounds or shifting dullness sounds while percussion.
308
Drum like distention further development stage
Further development stage: abdominal bulging, higher than the chest, more gulging at the sides of the abdomen in the supine position, feels like a water bag when palpation
309
Drum like distention end stage
End stage: enlarged abdomen like a huge jar, bulging umbilicus, slim four limbs, squamous and dry sink, limb edema, sallow yellow skin, exposure of bluish veins on the abdomen, exposure of capillary veins on the neck and chest, liver palm.
310
Drum like distention danger stage
Danger stage: enlarged and hard abdomen, dark black face, constipation or loose stool, scanty urine, anuria, vomiting blood, bloody stool, coma, death, convulsions.
311
Which vein does drum like distention involve?
portal vein
312
Which two syndromes does drum like distention involve in western terms?
portal vein hypertension, esophageal varicies
313
Drum like distention location
LV, SP, KD
314
Edema location
LU, SP, KD
315
Sequence of edema for drum like distention
Ascites to lower limbs edema to whole body edema
316
Sequence of edema for edema
Face to four limb edema to whole body edema to ascites
317
Symptoms: drum like distention, sallow complexion, bluish veins, abdominal distention without palpable hardness, distention and pain below the hypochondriac region, poor appetite, bloating after eating, better after belching, mild lower limb edema
Tongue: white greasy coating
Pulse: wiry, thready
QI STAGNATION - DAMPNESS RETENTION drum like distention
318
QI STAGNATION - DAMPNESS RETENTION drum like distention TP
TP: regulate liver qi, strengthen the spleen, remove dampness
319
QI STAGNATION - DAMPNESS RETENTION drum like distention Formula
Formula: Chai Hu Su Gan San (liver qi attacking spleen) + Wei Ling Tang (remove dampness from spleen - Ping Wei San + Wu Ling Tang)
320
Symptoms: drum like distention, sallow complexion, bluish veins, enlarged abdomen with fullness and distention, spleen yang deficiency symptoms, feeling of water sack upon palpation, epigastric and
abdominal stuffiness, feels better after warmth, fatigue, fear of cold, dislike to talk, scanty urine, loose stool
Tongue: white greasy coating
Pulse: slow
WATER DAMPNESS OBSTRUCTING THE SPLEEN drum like distention
321
WATER DAMPNESS OBSTRUCTING THE SPLEEN drum like distention TP
TP: warm the middle jiao, strengthen the spleen, promote qi flow, induce diuresis
322
WATER DAMPNESS OBSTRUCTING THE SPLEEN drum like distention formula
Formula: Shi Pi Yin
323
Symptoms: drum like distention, sallow complexion, bluish veins, enlarged abdomen with fullness and hardness, epigastric and abdominal stuffiness, feverish sensation, bitter taste in the mouth, thirst without
desire to drink, jaundice, difficulty in urination, constipation or loose stool
Tongue: red tongue tip, yellow greasy coating, or grey/black moist coating
Pulse: wiry, rapid
DAMP HEAT ACCUMULATION drum like distention
324
DAMP HEAT ACCUMULATION drum like distention TP
TP: clear heat, resolve dampness, induce diuresis, remove water retention
325
DAMP HEAT ACCUMULATION drum like distention formula
Formula: Zhong Man Fen Xiao Wan + Yin Chen Hao Tang
326
Symptoms: drum like distention, sallow complexion, bluish veins, gastric abdominal fullness and hardness, masses below the hypochondriac area with stabbing pain, dull and dark facial complexion, or
exposure of capilary nevus on the neck and chest, black stool, purple brown lips, squamous and dry skin, drinks water but does not want to swallow
Tongue: purple, dark, purple spots
Pulse: thready, choppy
LIVER/SPLEEN BLOOD STASIS drum like distention
327
LIVER/SPLEEN BLOOD STASIS drum like distention TP
TP: circulate blood, resolve stasis, promote qi flow and induce diuresis
328
LIVER/SPLEEN BLOOD STASIS drum like distention formula
Formula: Tiao Yang Yin
329
Symptoms: drum like distention, sallow complexion, bluish veins, enlarged abdomen with fullness and distention, better in the morning but becomes worse in the afternoon, sallow and lusterless complexion,
spleen and kidney yang deficiency sympotms
Tongue: pale, puffy, teethmarks; thick greasy water coating
Pulse: deep, slow, wiry
SPLEEN/KIDNEY YANG DEFICIENCY drum like distention
330
SPLEEN/KIDNEY YANG DEFICIENCY drum like distention TP
TP: warm and supplement the spleen and kidney, transform qi and induce diuresis
331
SPLEEN/KIDNEY YANG DEFICIENCY drum like distention formula
Formula: Fu Zi Li Zhong Wan + Wu Ling San (for more spleen yang deficiency) or Ji Sheng Shen QI Wan + Niu Xi, Che Qian Zi (for more kidney yang deficiency)
332
Symptoms: drum like distention, sallow complexion, bluish veins, enlarged abdomen with fullness and distention, or exposure of bluish veins on the abdomen, dark complexion, scanty urine, dry mouth and
throat, irritability, insomnia, teeth and nose bleeding
Tongue: crimson red, dry, no coating
Pulse: thready, rapid, wiry
LIVER/KIDNEY YIN DEFICIENCY drum like distention
333
LIVER/KIDNEY YIN DEFICIENCY drum like distention TP
TP: nourish liver and kidney yin, cool the blood, remove stasis
334
LIVER/KIDNEY YIN DEFICIENCY drum like distention formula
Formula: Be Xia Zhu Yu Tang + Yi Guan Jian
