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T1 Lumiere Ab Pain

Theurapeutics 1, Abdominal Pain, Lumiere, Bastyr

QuestionAnswer
Describe the DDx of Abdominal Pain: Cold obstruction Damp heat Food stagnation Qi stagnation Blood stagnation Qi and/or yang deficiency Parasites
Diverse causes of Abdominal Pain: Gastrointestinal Reproductive Genitourinary Musculoskeletal Vascular Drug use Toxin exposure
Red flags for Abdominal pain: Sudden and severe abdominal pain Signs of hypovolemic shock Tachycardia Hypotension Mottled skin below the waist Pulsating epigastric mass Rebound tenderness and rigidity
Describe the relationship of obstruction and pain: Where there is obstruction there is pain, where there is no obstruction, there is no pain.
Describe Two types of pain: Excess, caused by a pathogen which obstructs qi and blood. Deficiency, caused by insufficient qi and blood flow, resulting in stagnation.
Main Sx of cold obstruction: Sudden onset Lower abdominal pain, diarrhea Cold sensation, chills
Tongue and pulse of cold obstruction: Tongue: white coat Pulse: deep, tight, slow (more rapid w/ dehydration)
Tx principles of cold obstruction: Warm lower jiao Clear obstruction Tonify stomach and spleen
Main points and methods of cold obstruction: Ren 6, Ren 8 (salt moxa), Ren 10, ST 36, ST 37, ST 25, ST 27, SP 15, SP 4, SP 6, moxa and more moxa
Main causes and Sx of Food Stagnation Acute or chronic: the former from contaminated food, the latter from dietary habits such as overeating Pain worse with pressure, no appetite Epigastric discomfort, nausea, belching Constipation, gas
Tongue and pulse of Food Stagnation Tongue:  thick, greasy coat Pulse: slippery, full
Tx principles of Food Stagnation Relieve stagnation Descend stomach qi Move bowels
Main points and methods of Food Stagnation Ren 10, Ren 13, ST 36, ST 44 (bleeding), LI 10, ST 21, ST 20, ST 25, SP 4, PC 6
Liver qi Shi, Main causes and Sx Epigastric or abdominal pain, radiating to the hypochondriac area Nausea, belching, acid reflux Abdominal distention, anorexia Often stress related
Liver qi Shi, Tongue and pulse Tongue:  thin coat, red body Pulse: wiry
Liver qi Shi, Tx principles: Move liver qi Relieve pain
Liver qi Shi, Main points and methods: Ren 17, LIV 3, LIV 13, PC 6, GB 34, cupping
Damp Heat Main causes and Sx: Crohn's disease, IBS Lower abdominal pain Urgent, loose, and malodorous bowel movements, possibly w/ blood or mucus Stress, irritability
Damp Heat Tongue and pulse: Tongue:  greasy, yellow coat Pulse:  slippery, fast
Damp Heat Tx principles: Clear heat Clear damp from intestines
Damp Heat Main points and methods: ST 25, ST 37, UB 25, SP 6, SP9, SJ 6, LI 11, Ren 6, Ren 10
Intestinal abscess Main Sx: Lower right abdominal quadrant sore and painful Touch makes it worse Sometimes accompanied by fever, nausea, vomiting, and diarrhea
Intestinal abscess Tongue and pulse: Tongue:  thick, yellow coat Pulse:  rapid, slippery
Damp heat in the urinary bladder Main Sx: Urgent pain in lower abdomen, sometimes linked to low back pain and burning urination Rough flow of urine, may contain blood or particulate matter
Damp heat in the urinary bladder Main Sx: Tongue and pulse Tongue:  yellow coat Pulse:  rapid, wiry pulse
Damp heat in the urinary bladder Tx principles: Clear damp heat Regulate urination
Damp heat in the urinary bladder Main points and methods: UB 28, Ren 3, SP 9, SP 6
Main Sx Spleen yang deficiency cold: Dull pain, better with warmth and touch Loose stools Fatigue
Tongue and pulse Spleen yang deficiency cold: Tongue: pale, with a white coat Pulse: deep, weak, thready
Tx principles Spleen yang deficiency cold: Warm the interior Tonify spleen yang
Main points and methods Spleen yang deficiency cold: UB 20, UB 21, UB 23, ST 36, SP 6, Ren 4, Ren 6, Ren 8, Ren 12, LIV 13, moxa
Main Sx of Blood Stagnation: Sharp and stabbing abdominal pain Fixed location, possibly a palpable mass Darkened complexion Dark stools, possibly w/ blood
Tongue and pulse of Blood Stagnation: Tongue: purple, dusky Pulse: deep, choppy, full, or leathery
Tx principles of Blood Stagnation: Invigorate blood Eliminate stagnation
Main points and methods of Blood Stagnation: LIV 3, GB 34, SJ 6, SP 6, UB 17, SP 10, KI 6, LU 7, Ren 4, SP 10, SP 8
Main Sx of Parasitic Infection: Intermittent abdominal pain centered on naval Can be severe Emaciation, odd food preferences Vomiting worms Small white dots on inner lips and cheeks
Tongue and pulse of Parasitic Infection: Tongue: pale tongue body, thick coat Pulse: slippery
Tx principles of Parasitic Infection: Eliminate parasites Tonify stomach and spleen
Main points and methods of Parasitic Infection: Bai chong wo, ST 36
Created by: bastyr41
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