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Epigastric Pain

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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   show Reduce: REN13, REN10, ST21, ST20, ST25, ST44, ST45, SP4+PC6   -Bao He Wan  
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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   show -CHAI HU SHU GAN TANG-XIAO YAN SAN = underlying def Qi & bl  
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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   show -Bai Hu Tang  
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show 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)  
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show 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  
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show 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  
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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   show Reduce excp REN12, BL20: REN10, REN9, REN12, ST21, ST8, SP9, SP6, BL20, BL21, LI4   -Lian Po Yin  
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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   show
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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   show Reduce: REN10, ST22, ST34, SP10, SP4, BL17, BL18   -Hou Luo Xiao Ling Dan-Ge Xia Zhu Yu Tang (below diaphragm)  
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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:   show
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show 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  
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Empty: St Yin Def   show 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  
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show 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  
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