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Internal Medicine B
Epigastric Pain
Pattern | manifestation | Tongue/Pulse | Tx Points | Herbal Prescription |
---|---|---|---|---|
Full: Retention of Food | dull epig pain worse in pressure, feel distend & full, belching, sour regurg, foul breath, vomit undig food, epig pain releive by vomit, loose stool or const | T: Thick-sticky coating in the center & root, which could be white or yellowP: Slippery | Reduce: REN13, REN10, ST21, ST20, ST25, ST44, ST45, SP4+PC6 | -Bao He Wan |
Full: Liver Qi invading St | epig distend & pain radiating toward right & left hypoch, belching, sighing, irri, uncomf feel of hunger, pain come in bouts clear relate to emotion tense | T: normal body color or sli red sides P: wiry, might be wiry on the left side | Reduce: LIV14, PC6, ST21, REN12, ST36, GB34 W/ REN12 = effect epig | -CHAI HU SHU GAN TANG-XIAO YAN SAN = underlying def Qi & bl |
Full: St-Heat | Burning epig pain, thirst, irrit, sour regurg | T: dry yellow t/c, body is red if heat or canb normal P: Sli rapid, sli overflow in R.M. position | Reduce: ST21, ST44 | -Bai Hu Tang |
Full: St-Fire | burning epig pain, thirst w/ desire to drink cold water, dry mouth, severe irrit, bleeding gums, vomit blood ,red face, constip | T: red or dark red body, yellow dry t/c P: Rapid, deep full | Reduce: ST44, 45, 21, BL21, SP6, REN13 | -Xie Xin Tang (no bleeding) -Qing Wei San (bleeding) |
Full: St-Phlegm Fire | burning epig pain, thirst w/ desire to drink cold water, dry mouth, severe irrit, bleeding gums, vomit, oppres in epig, dry mouth no desire to drink, mucus in stool, nausea, vomiting, mental restless, maniac | T: red w/ very sticky or yellow P: Slippery, Rapid, overflow | Reduce except Ren12: ST21, ST40, ST44, REN12, REN13, PC5, PC7, DU24, GB13 | -Wen Dan Tang |
Full: Dampness In St-Sp | feel oppres in chest, dull epig pain, dry mouth no desire to drink, sticky taste nausea, vomit, mayb front H/A | T: sticky t/cP: Slippery | Reduce excp REN12, BL12: REN10, REN9, REN12, ST21, SP9, SP6. BL20 BL21 | -Ping wei San Var-Xiang Sha Ping Wei San |
Full: Damp heat in the St & Sp | feel oppres in chest, dull epig pain, dry mouth no desire to drink, bitter taste, sticky taste, nuasea vomitting, mayb front H/A | T: red w/ sticky yellow t/cP: slippery, rapid | Reduce excp REN12, BL20: REN10, REN9, REN12, ST21, ST8, SP9, SP6, BL20, BL21, LI4 | -Lian Po Yin |
Full: St & LIV heat | burn epig pain, irri, propen to outburst of anger, sour regurg, dry mouth thirst, biiter taste | T: red, redder on side, yellow t/cP: wiry, rapid | Reduce: LIV14, LIV2, ST21, ST44, GB34, GB13, DU24 | -Hoa Gan Jian & Zuo Jin Wan |
Full: Stasis of Bl in St | stab epig pain worse w/ pressuer & after eating, palpable masses in epig, vomit dark bl sometime like coffee, dark complex, pain worse at night, blood in stool | T: Purple, possible only in Center: Choppy, wiry or Firm | Reduce: REN10, ST22, ST34, SP10, SP4, BL17, BL18 | -Hou Luo Xiao Ling Dan-Ge Xia Zhu Yu Tang (below diaphragm) |
Full: Phlegm Fluid in St | epig fullness, disten, nausea, vomit of watery & frothy fluid, dry tongue & mouth w/o desire to drink, splashing sound in st. feel full of chest, loose stool, loss weight, lethargy, dizzy, dull front h/a | T: swollen w/ sticky coatP: deep slippery | EVEN excp REN12, ST36, BL20: | -Ling Gui Zhu Gan Tang |
Empty: St & Sp def & Cold | Dull epig pain w/ improve w/ pressure after eating & w/ the application of heat, vomiting of thin fluid, tiredness & poor appetite, chill, loose stool, pale complex | T: pale, white t/c P: deep, weak | Moxa, REIF: REN12, REN6, ST36, BL20, BL21 | -Huang Qi Jian Zhon Tang |
Empty: St Yin Def | dull, epig pain, dry mouth desire to sip liquid, dry throat, dry stool, sli nausea, feel heat, night sweating | T: normal color, dry no coating, scatter crack at center, wide st-type crack P: thready rapid in R.M. position | Reif: REN12, ST36, SP6 | -Yi Wei Tang |
Full: Cold invade St | acute, severe epig pain w/ sudden onset, chill, desire for warmth on st area, no thirst, want warm drink, pain not good for pressure, nausea, vomiting | T: thick white coating, P: Full, tight, slow | Moxa: ST21, ST34SP4, REN13 | -SHENG JIANG HONG TANG TANG -Hou Xiang Zheng Qi San: for dampness, nausea, vomiting |