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DIARRHEA
NESA Int Med DIARRHEA
| Question | Answer |
|---|---|
| What is diarrhea? | The passage of loose or watery stools. |
| What are the major etiologies related to diarrhea? | Invasion of external pathogens; improper diet; emotional stress; factors leading to Spleen xu; Kidney yang xu |
| Describe the pathology of diarrhea. | It mainly involves excess dampness, Spleen and Stomach dysfunction, impairment of the LI's transporting function and failure to separate clear and turbid substances. |
| What are the crucial points in diagnosing diarrhea? | Determine whether the condition is mild or severe, acute or chronic; differentiate between cold/heat and xu/shi conditions; identify other types of conditions |
| What is the basic treament strategy for treating diarrhea? | Strengthen the Spleen and transform dampness |
| What should be avoided in acute diarrhea due to external invasion of pathogens? | Tonics and astringents in order to prevent evil qi from penetrating more deeply into the body |
| What should be used cautiously in chronic diarrhea? | Substances that promote urination to eliminate dampness in order to avoid injury to yin or fluids |
| What are the three patterns associated with acute diarrhea? | External damp-cold diarrhea; external damp-heat diarrhea; retention of food diarrhea |
| Which is the most common form of acute diarrhea? | External damp-cold diarrhea |
| What are the s/s, treatment principle and formula for external damp-cold diarrhea? | Acute onset, watery stool, abd pain, boborygmus, aversion to cold, h/a, heavy body, low appetite, nausea, fatigue, foggy head, T:twc, P:slow,soft; Transform dampness, dispel cold, release the exterior and harmonize the middle jiao w/Huo Xiang Zheng Qi San |
| What are the s/s, treatment principle and formula for external damp-heat diarrhea? | Acute onset, urgency, abd pain/cramps, sticky stool w/foul odor, burning anus, irritability, thirst, dark scanty urine, T:greasy ytc, P:soft rapid or slippery rapid; Clear heat, eliminate dampness and relieve diarrhea w/Ge Gen Huang Qin Huang Lian Tang |
| What are the s/s, treatment principle and formula for retention of food diarrhea? | Improper eating causing frequent loose stools w/foul odor and undigested food, abd pain relieved by BM, belching w/foul odor, low appetite, T:thick turbid greasy tc, P:slippery; Disperse food, eliminate stagnation and relieve diarrhea w/Bao He Wan |
| What are the three patterns associated with chronic diarrhea? | Spleen xu diarrhea; Kidney and Spleen yang xu diarrhea; Disharmony of Liver and Spleen |
| What are the s/s, treatment principle and formula for Spleen xu diarrhea? | Loose stool w/undigested food, increased frequency, worse w/poor diet or exertion, pale face, fatigue, low appetite, abd distension, T:pale w/twc, P:weak,thin; Strengthen the Spleen, augment qi, leach out dampness and stop diarrhea w/Shen Ling Bai Zhu San |
| What are the s/s, treatment principle and formula for Kidney and Spleen yang xu diarrhea? | A.m. diarrhea, worse w/cold food or weather, poor appetite, fatigue, cold intolerance, sore low back and knees, T:pale w/wtc, P:deep,thin; Warm and tonify the SP and KD, bind up the intestine and stop diarrhea w/ Si Shen Wan |
| What are the s/s, treatment principle and formula for disharmony of Liver and Spleen? | Diarrhea worse w/emotional strain, hypochondriac distension, belching, poor appetite, T:pale or red, P:thin, wiry or weak; Soothe the Liver, support the Spleen and relieve diarrhea w/ Tong Xie Yao Fang |
Created by:
rswain
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