wk13 - bowels -diarrhea

Question 1

In terms of diarrhea, what is within range for frequency?

Answer 1

either moving bowels more than 3x daily, or have loose or poorly formed bowel movements, or urgent

Question 2

Vacuity Diarrhea could be what possible pathologies?

Answer 2

· SP Qi Vacuity
· SP Yang Vacuity
· KD Yang Vacuity

Question 3

Is Vacuity Diarrhea a chronic or acute condition? Do these patients have diarrhea once in a while or daily?

Answer 3

· chronic vacuity

· daily diarrhea

Question 4

What is the progression of Vacuity Diarrhea?

Answer 4

1) SP Qi Vacuity Diarrhea - from frequent but solid, to loose, to watery diarrhea
2) SP Yang Vacuity - watery diarrhea
3) KD/SP Yang Vacuity (most serious) - undigested food, significant cold sx, cock’s crow diarrhea in addition to daily diarrhea, no pain

Question 5

Excess Diarrhea could be what possible pathologies?

Answer 5

·  Damp Heat
·  Food Stagnation
·  LV Qi Stagnation
·  LV Invading SP
·  Toxic Heat in Bowels

Question 6

What are the signs & sx of Damp Heat diarrhea?

Answer 6

·  more what we think of classically as diarrhea
·  explosive 
·  foul-smelling odor (heat element)
·  acute 
·  real urgency (half of sudden turmoil)
·  often comes in waves
·  burning sensation around anus
·  unpleasant circumstance
·  if chronic, usu these patients are on medications (chemo or HIV drugs) bc something is literally eating away at intestinal flora & fauna

Question 7

What are signs & sx of Food Stagnation Diarrhea?

Answer 7

·  pain, discomfort, abdominal distress
·  belching, borborygmous
·  rotten smelling (not just foul-smelling, but worse)
·  bright red face
·  can be ugent
·  might be food poisoning

Question 8

What distinguishes between Damp Heat diarrhea and Food Stagnation diarrhea?

Answer 8

· real urgency & explosive - indicates Damp Heat
· rotten smelling (not just foul) - indicates Food Stagnation
· pain, discomfort, abdominal distress, belching, & borborygmous -indicates Food Stagnation

Question 9

What are the signs & sx of LV Qi Stagnation Diarrhea?

Answer 9

· stagnation related to emotional turmoil
· if stressed, no BMs
· once stress is gone, yes BM

Question 10

What are the signs & sx of LV Invading Spleen Diarrhea?

Answer 10

· alternating constipation & diarrhea
· due to underlying LV Qi Stagnation
- LV invades SP, leading to constipation
- when LV Qi Stagnation and emotional disruption ends, SP is tired, so we see diarrhea
· in biomedicine: usually irritable bowel syndrome patients

Question 11

What are the signs & sx of Toxic Heat in Bowels leading to diarrhea?

Answer 11

· parasitic invasion (e. coli)

· possibly blood in stool

Question 12

A patient with undigested food in their stool & early morning diarrhea every day most likely has what?

Answer 12

KD / SP Yang Vacuity

Question 13

A patient with foul-smelling diarrhea that is explosive and acute, and comes in waves likely has what?

Answer 13

Damp Heat

Question 14

A patient with pain who belches, has abdominal discomfort and rotten smelling diarrhea likely has what?

Answer 14

Food Stagnation

Question 15

A patient whose diarrhea is gone once they are no longer stressed likely has what?

Answer 15

LV Qi Stagnation

Question 16

A patient who has alternating constipation & diarrhea likely has what?

Answer 16

LV Invading SP (with underlying LV Qi Stagnation)

Question 17

A patient with blood in their diarrhea likely has what?

Answer 17

Toxic Heat in bowels