OMND Pathology Spleen & Stomach
Terms
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What does Spleen Qi Xu
Tongue and pulse look like? -
Tongue= pale w/ white coating
Pulse= feeble and moderate - Spleen Yang Xu Spleen Dysfunction is expressed by:
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Poor appetite or anorexia
abdominal fullness or distension
watery diarrhea and undigested food - Spleen Qi Xu Yang deficiency with cold and damp is expressed by:
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1.Abdominal pain w/ preference for warmth and pressure.
intolerance of cold & cold 2.extremeites
3.bland taste in mouth
4.no thirst
5.heaviness of body and limbs
6.edema and dysuria
7. profuse white leukorrhea - How does the tongue and pulse look qith spleen Yang XU?
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Tongue= pale, swollen tongue body/ white slippery coating
Pulse= deep, slow, & weak - Spleen Yang Xu Accupuncture treatment
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Ren 4, 6, 8,(moxa), 12- front mu pt of st.
Sp 3- yuan source' - Spleen Yang Xu Diarrhea
- Sp15, St25, st37
- Spleen Yang Xu edema
- Sp 9, Sp6
- Name 4 Common Key Symptoms of the Spleen
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1. abdominal distension or pain
2. poor appetite or anorexia
3. loose stool or diarrhea
4. edema or hemorrhage -
Spleen Qi sinking has 2 mainifestationsub headings,
What are they? -
1. Dysfunction of Qi ascending
2. Spleen Qi deficiency - Dysfunction of Spleen Qi in ascending is expressed in the patient by:
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1.Prolapse of Anus &/or uterus
2.gastroptosis or nephroptosis
3.vertigo & blurred vision
4.continuous diarrhea & dysentary
5.cloudy urine
bearing down sensation & 6.distention in epigastrium & abdomen - 3 SPleen Qi deficiency Symptoms of Spleen Qi Sinking are:
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1. fatigue
2. SOB
3.dislike of speach - What do the tongue and pulse of spleen Qi sinking look like?
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Tongue= pale tongue body, white coating
Pulse= feeble - Spleen Qi Sinking Treatment points are:
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St 36- tonify spl/st; he sea pt of stomach
Ren 6, Sea of QI
Ren 12- front mu pt of stomach
Du 20- elevate Qi/Yang - What points does one use for a prolapsed rectum or uterus?
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Du 1= prolapsed rectum
Ren 1= prolapsed uterus - What point do you use for cloudy urine?
- Ren 3- front mu pt of the bladder
- What points do you use for lingering diarrea for a long time?
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St 25, front mu pt of the LI
sp 15 front mu pt of SI - What must be present to have the diagnosis of Spleen failing to control blood?
- bleeding
- What 5 Symptoms can the pt express if they have the Diagnosis: Spleen failing to control blood?
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1.hemafecia
2.hematauria
3.subcutaneous hemorrhage
4.metrostaxis
5.epistaxis - How are spleen deficiency Symptoms expressed in Spleen failing to control blood?
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1.poor appetite
2.loose stool
3.fatigue
4.SOB & fatigue
5.dislike of speach
6.pale complexion - What qualities does the tongue and pulse have in Spleen failing to controll blood?
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Tongue= pale tongue body, white coating
Pulse= thready and feeble - Accupuncture points to treat Spleen failing to control blood would include:
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St 36- tonify Sp Qi
Ren 4,6,12 tonify sp qi
UB 10- regulate blood, stop bleeding
UB 17- infl.pt of blood reg. blood & stops bleeding
UB 21- tonify sp qi - What does Spleen 1 do?
- SP 1= MAIN HEMOSTATIC POINT
- What point treats hemoptysis (coughing blood)?
- Lu 6
- What point treats vomiting blood?
- P6
- What point treats epistaxis?
- Du 23, YinTang
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What point treats bloody urine
(hematuria) - Ren 3
- Bloody Stool can be treated with which points?
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St 25- front mu pt of LI
UB 25- back shu pt of the LI - Disturbance of Spleen by Cold Damp can be treated with which points?
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Sp 4, 6, 9- clear dampness
St 36 tonifies sp/st
St 40 clears phlegm
Ren 12 front mu pt of stomach - Retention of cold damp in the middle jiao (in the diagnosis of spleen by cold damp)is expressed with the following symptoms:
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1. heaviness of head & body
2. laziness
3. dark yellow complexion
4. yellow tint of the skin
5. edema and dysuria
6. bland taste in the mouth
7. no thirst -
The Symptoms: Loose stool, poor appetite, epigastric and abdominal distention/ pain, N/V
are seen in what chinwese Diagnosis? - It is seen in the Dysfunction of spleen and stomach transportation/ transformation, ascending and descending in the diagnosis of Spleen by Zcold Damp.
- N/V (nausea and vomiting) are treated with which point?
- P6
- Diarrhea can be trated by which pt?
- St 25
- Diarrhea can be treated with which point?
- St 28 "water gate"
- Jaundice can be treated with which points?
- GB 34, Danang Xue
- Retention of Damp Heat in the Spleen involves what to general dysfunctions?
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1.Retention of damp heat in the middle jiao
2. Dysfunction of the spleen and stomach in transportation, transformation, ascending and descending. - SYMPTOMS OF Dysfunction of the spleen and stomach in transportation, transformation, ascending and descending
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1.fullness & distention in epigastrium/ abdomen
2. anorexia
3. loose stool
4. Nausea & Vomiting - SYMPTOMS OF Retention of damp heat in the middle jiao
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1. heaviness of limbs and body
2. bright yellow complexion
3. yellow-brown tint of the skin and sclera
4. itching of the skin
5. unsmooth discharge of the stool
6. hectic fever not relieved after sweating
7. bitter & sticky mouth
8. yellow urine - The tongue and pulse look___ with Retention of Damp Heat in Spleen
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Tongue= red tongue body, yellow greasy coating
Pulse= thin and rapid pulse - The following accupuncture points treat Retention of Damp Heat in Spleen:
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St 36- tonify sp
UB20- tonify sp
UB21- back shu of st
Ren 12- front Mu St
GB 34- Jaundice
Sp 9- clears dampness - In th diagnosis of Stomach Yin Xu th tongue and Pulse are expressed in the following way:
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Tongue: red tongue body with little fur, dry, shrinks, cracks
Pulse= thrady and rapid - Is it true the patient lacks appetite with deficient fire?
- no- deficient fire can cause pt to feel hungry, but stomach can not receive food, so they belch and hiccup.
- How does the Stomach Yin manifest in the dysfunction of stomach Qi in descending
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1.dull stomach ache/ gastric discomfort
2. fullness in epigastrium
3. hunger w/o desire to eat
4. retching
5. hiccup
6. dry vomit
7. heart burn - Yin fluid deficiency with the diagnosis of Stomach Yin Deficiency manifests in the following ways:
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1. Dry mouth and throat
2. Dry stool or constipation
3. scanty yellow urine - How are the Tingue and Pulse are expressed with Stomach Yin Deficiency
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Tongue= red tongue body with little fur, dry, shrinks, cracks, no coating
Pulse= thready and rapid pulse - What accupuncture pts do you use to treat Stomach Yin Deficiency?
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Ren 12- front mu pt of stomach
St 36 He sea pt of st
UB 21= Back shu pt of st
UB 20= Back shu pt of sp
Sp 6-toniify yin (Sp, K,Liv X)
K3- tonify yin bring moisure to def. heat - What point will eliminate dry heat and nausea if pt has stomach yin deficiency?
- Pc 6
- If pt. has stomach yin deficiency what will eliminate stomach pain?
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St 21 (lateral to ren 12)
St 25 & St 37 to increase water for constipation from yin deficiency which can also be seen in DM, atrophy... - chronci atrophy gastritis can be seen in
- DM, febrile Disease, casues food stagnation,
- When pt has gas/ farting with Stomach yin deficency the use of which pts are indicated?
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Ren 10- because st qi will move downwards and come out) major pt
Ren 12
UB 21
St 21 (for stomach ache) -
What do the these 4 points:
Ren 10, 12, UB 21, St 12
DO? - They regulate St qi and improve digestion
- What point will treat smelly belching?
- Pc 6
- Hiccups are trated with which point?
- UB 17- the diaphragm back shu pt
- Constipation and abdominal pain in stomach yin deficency can be treated with
- St 25, 37
- Food retention in the stomachis expressed with what 2 manifestations?
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1. Disorder of St qi descending
2. Stagnation of undigested food - Distending pain in the epigastrium, anorexia, and distending pain relieved after vomiting are Symptoms of:
- Food retention in the stomach- specifically the manifestation of of stomach qi descending dysfunction.
- Stagnation of undigested food is expressed in the following Sx:
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1. smelly belching
2. acid regurgitation
3. vomiting fetid food
4. loose stool with foul odor - The tongue and pulse of Food retention in the stomach will have what characteristics?
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Tongue= thick greasy coating
Pulse= slippery - What points treat for Food retention in Stomach?
- Ren 10, 12, St36, UB21, St21
- Stomach Fire involves the disorder of stomach qi in descending. How is it expressed in the pts?
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1.Burning epigastric area aggrevated by pressure
2. gastric discomfort and acid regurgitation
3.vomiting immediately after eating - Extessive internal fire heat of Stomach Fire shows the following Symptoms:
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1. thirst with the desire for cold drinking
2. polyphagia and being liable to feel hungry
3. swelling, ulceration & bleeding of the gums
4. foul breath
5. constipation
6. Scanty, yellow urine - The tongue and pulse of Deficent Stomach Cold are:
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Tongue: pale delicate tongue body
Pulse= feeble - The accupuncture points for Stomach cold are:
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St 36, UB 21, Ren 4, 6, 12
Pc- for severe stomach ache... - Excess Stomach Cold is caused by
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1.overeating raw, cold food
2.external cold directly attacking atomach -
True or false:
Deficient Stomach cold is a chronic condition... - True
- The Tongue and Pulse of Excess Stomach Cold are:
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Tongue= pale/purple tongue body with white, slippery, coating
Pulse= wiry or deep, tense OR
slow or forceful pulse - Regurgitation of clear fluid and rumbling sound of water in the epigastrium are from:
- The retention of cold inside that occurs with the condition of excess stomach cold
- Disorder of Stomach QI in Descending is expressed by what Symptoms:
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Sudden onset of severe cold in the epigastrium
worse cold, better warmth
nausea, vomiting
pain relieved after vomiting - Imapirment of stomach yang occurs in which condition fo the stomach?
- Defient Stomach cold
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Irregular diet
spleen deficiency
and excessive vomitting or diarrhea cause______ - impairment of stomach yang found in the condition of Deficient stomach cold
- Chronic gastritis, ulcer and gastrneirosis are expressions of
- impairment of stomach yang in the condition of Deficient Stomach cold
- The tongue and pulse of deficient stomach cold are
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Tongue= pale, delicate tongue body could be puffy, white coating, moist
Pulse= feeble, slow and weak - Deficient Stomach cold manifest in which 2 ways?
- with Yang deficiency and Disorder of stomach Qi
- Disorder of stomach Qi Symptoms are:
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1.dull, cold pain in epigastrium
2.warmth and pressure makes it better, massage feels good
3.vomiting clear fluid with undigested food - Name Yang Deficiency Cold of the Stomach Symptoms
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1. intolerance of cold; cold limbs
2. fatigue
3. bland taste in mouth- poor appetite
4. no thirst - Name the points to treat Stoamch cold
- St 36, UB 21, Ren 12, Ren 4, Ren 6, Pc 6
- WHere is spleen located?
- Spleen is located in upper, middle and lower jiao
- What happens when the spleen becomes sick and cannot transform/ transport food and fluids
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poor:
1. digestion & diarrhea
2. food distension, very bloated
3. Water retention- edema-scanty urine-phlegm fluid retention- - What is the source of phlegm?
- Spleen
- Where is phlegm stored?
- Lungs
- Water retention casues ___ (stool)
- diarrhea
- What happens when spleen Qi descends rather than ascends?
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vertigo, blurry vision
SOB
Prolapsed organs
cloudy urine
constant diarrhea - Spleen does _____ with blood?
- keeps blood within vessel to stop bleeding.
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Spleen is associated with_____
(has to do with bleeding) - clotting factors
- Spleen Qi Xu causes what bleeding disorder Symptoms?
- pupura, ulcer, hematauria, uterus bleeding, hypermenorrhea