Vomit Flashcards
The following are __________ dx?
Acute + chronic gastritis, gastric dilation, cardiospasm, pylorospasm, cholecystitis, + gastro neurosis
Western Dx
What is vomiting?
Vomiting is a disorder that results from the stomach-qi’s failing to descend but ascend and force the stomach contents out of the mouth.
What is vomit in TCM?
‘Ou Tu’
Ou- loud, retching sound
Tu- vomiting silently
What are the external pathogenic factors that can affect the stomach?
Wind, cold, summer-heat, dampness, and fire.
How do external pathogenic factors affect the stomach?
They attack the stomach and affect the descending of stomach-qi.
What can damage the spleen and stomach?
Improper diet, including cold, overeating, greasy, or contaminated food.
What effect does food retention have?
It affects the descending of stomach-qi.
What can irregular emotions like anger damage?
Irregular emotions like anger may damage the liver.
How do irregular emotions affect liver function?
They affect the liver’s function in dispersing the free flow of qi.
What is affected by the liver’s function in dispersing qi?
The descending of stomach-qi is affected.
What can damage the spleen?
Overthinking and worry damage the spleen.
How does the spleen affect stomach function?
The function of the spleen affects the descending of stomach-qi.
What is spleen yang deficiency?
A condition characterized by insufficient yang energy in the spleen causing empty cold.
What is stomach yin deficiency?
A condition characterized by insufficient yin energy in the stomach causing deficient heat
How do spleen yang deficiency and stomach yin deficiency affect the body?
They affect the descending of stomach-qi.
Where is vomiting located?
Vomiting is located in the stomach.
Which organs are closely related to vomiting?
Vomiting is closely related to LR + SP
The following are patterns of _________?
Cold in ST
Summer Heat
Phlegm Obstruction
LR Qi Attacking ST
SP + ST Yang Xu
Vomit
How do we differentiate between excess + deficiency patterns of vomiting?
Excess patterns: sudden attack and a short duration (external evils)
Deficiency patterns: a slow attack and a long duration (emotions)
How to diagnose vomit?
Throwing up of either food, sputum or salivation, watery fluids or dry retching.
Accompanied symptoms include abdominal discomfort, nausea, a poor appetite, acid
regurgitation and gastric upset.
How to differentiate vomit, acid reflux + dysphagia
Vomit:
-no difficulty in eating food
-vomit at any time
-Location: ST
-ST Qi failing to decent, ascends instead
Acid Reflux:
-no difficulty in eating food
-eating food in AM, vomit in PM
-eating food in PM, vomit in AM
-Location: ST
-Heat, ST Fire, ST Qi failing to descend, ascends instead
Dysphagia:
-difficulty or failure in eating food
-vomit immediately after eating food
-Location: Esophagus
-Qi, phlegm + blood stasis obstructing esophagus
The following are S/sx of Vomit due to _______?
Eating cold, raw foods, watery or solid vomit, after large meals, loose stools, preference for warmth, aversion to cold
T: white coating
P: Slow + Tight
Cold in Stomach
The following are S/sx of Vomit due to _______?
Eating hot, spicy foods, occurs in Summertime, vomiting w/ acidic, fermented, bitter contents after meal, dry mouth, thirst w/ desire for cold drinks, aversion to warmth, constipation
T: yellow coating
P: Rapid
Summer Heat
The following are S/sx of Vomit due to _______?
Vomit w/ bubbly, mucus content, spitting out phlegm, distension in epigastric region, poor appetite
T: white, greasy coating
P: Slippery
Phlegm Obstruction
The following are S/sx of Vomit due to _______?
Vomit after onset of emotional disturbance, acid reflux, frequent belching/hiccup, irritability w/ oppressed feeling
T: thin, white coating
P: Wiry
LR Qi Attacking ST
The following are S/sx of Vomit due to _______?
Vomit after difficult-to-digest meals (heat/spicy, raw/cold), cold limbs, weakness, loss of appetite, loose stools, pale complexion, lassitude, hypofunction
T: pale w/ thin coating
P: Weak + Forceless
Yang Xu SP + ST + Empty Cold
What are the treatment principles for Excess patterns?
Dispel Evil
Soothe LR
Regulates ST + SP
Promote digestion
Downbear ST Qi
Stop vomiting
What are the treatment principles for Deficient patterns?
Warm the Middle Jiao
Strengthen SP
Downbear ST Qi
What are the treatment points for vomit?
PC-6: Opens chest + Soothe chest Qi + directs Qi downwards + Soothe ST Qi
(sometimes combine w/ SP-4 to strengthen action of rebellion Qi)
ST-36: Commander point of Abdomen
REN-12: Front-mu of ST + Harmonizes ST Qi
What are the supplementary points for vomit?
Cold-
REN-13: Harmonises ST + regulates Qi
Descends rebellion + alleviates vomiting
BL-21: Back-shu of ST
Warm w/ moxa
ST pain-
REN-8: Moxa
Summer Heat-
ST-44
Jinjin + Yuye: Bloodletting
Phlegm-
ST-40: Dissolve phelgm
REN-17: Releases Qi stagnation due to phelgm
LR + ST Disharmony-
GB-34: Spreads LR Qi + Benefits lateral costal region + Clears LR + GB damp-heat
LR-3: Spreads LR Qi
SP/ST Yang Xu-
BL-20: Back-shu of SP
BL-21: Back-shu of ST
DU-4: Moxa warm Yang Qi
Food Retention-
ST-21: Empiric pt
ST-25: Promotes BM
Abdominal distension-
ST-25: Promotes BM + Regulates LI
Borborygmus-
BL-25: Back-shu of LI
BL-20: Back-shu of SP
Acid Reflux + Dry Vomit-
SP-4: Direct rebellious Qi downwards
Nausea-
PC-6
Differences in using REN-13, REN-12 + REN-10 for Stomach disorders?
Divided into the location of the Stomach
Upper: REN-13 (near HT)
Middle: REN-12
Lower: REN-10 (closer to intestines)
