Abdominal Pain Syndromes
Terms
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Clinical Manifestations:
Intense abdominal pain (aggravated by pressure or cold food or drinks), likes warmth & warm liquids, no thirst, pale urine, loose stools or constipation
Tongue: white-sticky coating
Pulse: Slippery-Full-Tight -
Cold in the Intestines
Warm the Intestines & Spleen,
Scatter Cold, & stop pain -
Acupuncture:
ST-25: moxa, LI mu, scatters cold
SP-15: moxa, scatter cold, descend qi
ST-27: moxa, expel cold from intestines
Ren-10: descend St qi
SP-6: stop abdominal pain
ST-36: regulates intestines & descends qi
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Cold in Intestines
Treatment -
Clinical Manifestations:
Abdominal Pain (dislike pressure, hot food), heaviness & oppression in chest, loose stools with bad smell, mucus &/or blood in stool, burning anus, thirst, slight sweat, dark urine
Tongue: Red Body, thick sticky -
Damp Heat in Intestines
Clear Heat, resolve Damp -
Acupuncture:
ST-25, BL-25: shu, mu LI, resolve Damp
LI-11: resolve damp heat
Ren-10: resolve D, descend intestine qi
SP-9, SP-6: resolve DH
SJ-6: clear heat from intestines
ST-37: lower He of LI, stop diarrhea
Her -
Damp-Heat in Intestines
Treatment -
Clinical Manifestations:
Abd pain (worse: with pressure, postprandial), fullness in abdomen, belching, sour regurgitation, diarrhea (fell better after), constipation
Tongue: thick coat
Pulse: Slippery -
Retention of Food
Dissolve food accumulation,
eliminate stagnation -
Acupuncture:
Ren-10: descend St. Qi
Ren-6: move qi in lower abdomen
SP-15, SP-16: promote transform Sp function. move bowels
ST-27: descend St Qi, stop abd pain
SJ-8: regulates 3 burners, promote BM
ST-36: tonify St & de -
Retention of Food
Treatment -
Clinical Manifestations
Abdominal pain & distention (clearly related to emotions), feel bloated, constipation, irritability, moodiness, belching, borborygmi
Tongue: Normal, perhaps red on sides
Pulse: Wiry or Wiry & Tight -
Stagnation of Qi
Pacify Liver & Move Qi -
Acupuncture:
Ren-6: move qi in abdomen
PC-6:Calm mind, indirect move qi
PC-7: for more severe emotions
SJ-6: move qi in abdomen
GB-34: move liver qi
LV-3, BL-18: move liver qi, stop pain
SP-6: soothe liver, stop abd pa -
Stagnation of Qi
Treatment -
Clinical Manifestations:
Dull abdominal pain (comes & goes, improves: rest, warmth, pressure), tired, feels cold, warm drinks, loose stool, depression, breathless (little)
Tongue: Pale
Pulse: Weak -
Deficiency of Qi & Empty Cold in Abdomen
Tonify Qi, Warm Yang -
Acupuncture:
ST-36, SP-6: tonify St & Sp, promote T&T
ST-37, ST-39: reg LI & SI (lower He Sea)
Ren-6: move qi in abd
Ren-12,BL-20,BL-21: regulate St & intestines
BL-25: LI back shu
Herbal:
Xiao Jia -
Deficiency of Qi & Empty Cold in Abdomen
Treatment