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Internal Medicine B
Constipation
| Condition | Manifestation | Tongue/Pulse | Points | Prescription |
|---|---|---|---|---|
| Heat in liv | dry stool, infq bowel movement, thirst, bitter taste, dark urine, h/a, irri, red face, blood shot eyes | T: Red, red on side, dry yellow t/c P: wiry & rapid | Reducing: LI4, LI11, TB6, LIV2, SP6, SP14, SP15, ST44, ST28, ST29, WAISHUIDAO, WAIGUILAI | -Dang Gui Long Hui wan -Long Dan Qi Gan Tang Var |
| Acute LI & St fire | constip, dry stool, abdm pain, fullness & red face, thirst, dry mouth, profuse sweating, feel of heat, high fever | T: red w/ thick dry, yellow coating P: deep full rapid | Reduce: TB6, SP15, LI11, ST44, LI4, ST28, ST29 | -Da Cheng Qi Tang |
| Stagnation of Liv Qi | constip w/ stool shape like pebble but not dry, desire to open bowel but dif, belching, abdm distension, irri | T: normal, mayb sli red on sides P: wiry, mayb wiry of L | Even: REN10, GB34, REN6, LIV3, TB6, SP15, | -Liu Mo Tang -Shao Yao San Var |
| Qi Def | desire to open bowel but diff, great effort to open bowel, feel exhaustion afterward, thin, long stool w/ not dry, pale complex tiredness | T: Pale P:empty | Reinf: BL21, BL25, SP15, ST36, SP6, REN6, LU7, BL13 | -Huang Qi Tang |
| Yang Def | diff defication, exhaustion & sweating after defecation, stool not dry, sore back & knee, feel cold, freq pale urination | T: pale wet P: deep weak | Reif, moza: ST36, SP6, BL23, KD7, BL25, REN4 | -Ji Chuan Jian -Jin Gui Sheng Qi Wan |
| Blood Def | dry stool, diff defecation, dull-pale complex, dizzy, numbness of limbs, blurred vision | T: pale or normal P: Choppy | Reif: ST36, SP6, REN4, SP15, BL23, BL20, BL25 | -Run Chang Wan Var |
| Yin Def | Dry stool, thirst with desire to sip water, dry mouth & throat espc in evening, sore back & knee, dizzy, tinnitus, night sweating | T: w/o coating P: thready rapid | Reif no moxa: ST36, SP6, REN4, KD3, KD6, BL23, BL25, SP15 | -Zeng Ye Tang -Liu Wei Di Huang Wan |
| Sp & Kd Yang Def with cold | diff defecation, stool not dry, no bowel movement for several day, crampy abdm pain, pale urine, pale face, cold limb, feel cold | T: Pale & Wet, thick white t/c on root P: Deep, slow | Reif, moxa: REN6, REN8, KD18, BL23, BL25, BL26 | -Da Huang Fu Zi Tang |
| Heat in St & LI | dry stool, infq bowel movement, thirst, scanty dark urine, red face, feel of heat, abdm pain, dry mouth, foul breath | T: red w/ yellow coating, red points around center & root P: Rapid | Reduce: LI4, LI11, TB6, SP14, SP15, ST44, ST28, ST29, WAISHUIDAO, WAIGUILAI | -Ma Zi Ren Wan |
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