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Diarrhea

Terms

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Aetiology & Pathology of Diarrhea
| External: |
| Cold, Dampness, Summer Heat |
| Diet: |
| Acute: too hot, too cold, |
| spoiled foods |
| Chronic: over-eating, |
| cold, greasy food, sweet |
| foods |
| Emotional Stress: Worry, |
| Pensiveness, brooding, |
| Excessive Mental Work |
| Overwork, Chronic Illness |
| Overwork, Excess Sex |
Acute diarrhea with exterior symptoms.
Invasion of Damp-Cold or Damp-Heat
Foul smelling diarrhea with abdominal pain and borborygmi.
Retention of Food
Chronic diarrhea with abdominal distention, belching, flatulence, fluctuating with the emotional state.
Liver Qi invading the Spleen
Diarrhea with frequent bowel movement & stools sometimes like water.
long-term Stomach & Spleen Xu
Early-morning diarrhea with abdominal pain & borborygmi during the bowel movement with a feeling of cold.
Kidney Yang Xu
Pale-yellow stools
Liver & Gall-Bladder Damp-Heat
Very dark stools, foul-smelling, burning sensation in the anus during bowel movement all indicate?
Heat
Very watery stools & absence of smell (may also indicate normal) both indicate?
Cold
Abdominal pain which becomes worse after diarrhea indicates?
Xu Condition
Abdominal pain which lessens after diarrhea indicates?
Shi Condition
MEL M. DWARF

Moderate with sweet herbs: acute diarrhea with increased frequency & abdominal pain

Expelling Cold: : acute diarrhea from Cold

Lightly Draining Dampness: invasion of external dampness in the beginning sta
The 9 methods for treating
Diarrhea
Clinical Manifestations:
Diarrhea ~like water, abdominal pain, borborygmi, oppression in chest, no appetite, ~fever, ~aversion to cold, ~nasal obstruction, ~headache, ~heaviness

TC: Thick, sticky, white
Pulse: Slippery-Slow
Diarrhea from
Retention of Cold-Dampness

Scatter Cold,
Fragrantly resolve Dampness
Acupuncture:
CV-12: tonify spleen to resolve damp
BL-22, SP-9, SP-6: resolve damp in Lower Burner
CV-6: moxa on gan jiang expels Cold from the Intestines
ST-25: LI front mu - stops diarrhea (reduce)

Herbal:
Huo Xiang Z
Treatment for
Retention of Cold-Damp
Clinical Manifestations:
Foul-smelling yellowish loose stools, abdominal pain, increased frequency of BM, burning sensation in anus, feel heat, thirst, scanty-dark urine, ~pus or blood in stool
TC: thick, sticky, yellow
Pulse: Slippery, Ra
Retention of Damp-Heat

Clear Heat, Resolve Dampness
Acupuncture:
CV-12: tonify spleen to resolve damp
BL-22, SP-9, SP-6: resolve damp in Lower Burner
ST-25: LI front mu - stops diarrhea (reduce)
LI-11: resolve Damp-heat & stop diarrhea from heat. Sea point treats Yang organs and di
Treatment for
Retention of Damp-Heat
Clinical Manifestations:
Rotten-smelling loose stools, abdominal pain relieved by bowel movement, borborygmi, bad digestion, fullness, belching, sour regurgitation, foul breath, no appetite
TC: thick coating
Pulse: Slippery
Diarrhea from
Retention of Food

Dissolve food,
Eliminate Stagnation
Acupuncture:
CV-10: descend St Qi
ST-21: resolve food retention
ST-44: retention of food with heat
ST-25: stop diarrhea
SP-4: resolve food retention
CV-12: tonify Sp to resolve food retention

Herbal:
Bao He
Treatment for
Retention of Food
Clinical Manifestations:
Diarrhea often alternating with constipation, abdominal distention, belching, poor appetite, mental depression, moodiness, nervous tension, irritability, pain is reduced after BM but not completely gone
TB: ~sides red
Diarrhea from
Liver-Qi Stagnation

Pacify the Liver, Move Qi,
Strengthen the Spleen
Acupuncture:
CV-12, BL-20, ST-36: tonify Sp
LV-13: harmonize Lv & Sp
GB-34: move qi & pacify Lv
SP-6: tonify Sp & relieve lower abdominal pain
ST-39: stops abdominal pain (SI lower He)

Herbal:
Tong Xie
Treatment for
Diarrhea from
Liver Qi Stagnation
Clinical Manifestations:
Loose stools ~like water, thin stools ~with mucus, increased frequency of BM, poor appetite, slight abdominal distention, oppression in chest, sallow complexion, tiredness.
TB: pale, teeth marks
Pulse: Weak
Diarrhea from
Chronic Sp & St Xu

Strengthen Sp & benefit St
Acupuncture:
CV-12, BL-20, BL-21, ST-36, SP-6: tonify St & Sp
CV-6: tonify qi. Moxa on ginger
ST-25 & ST-37: stops diarrhea
GV-20: raise Spleen Qi, help stop diarrhea

Herbal:
Shen Ling Bai Zhu San
Shen Lin
Treatment for
Diarrhea from
Chronic Sp & St Xu
Clinical Manifestations:
Early-morning diarrhea, abdominal pain, borborygmi (stops after BM), weak back & knees
TB: Pale, teeth marks
Pulse: Weak & Deep
Diarrhea from
Kidney-Yang Xu

Warm the Kidneys,
Strengthen Spleen,
Stop diarrhea, &
fill-up emptiness
Acupuncture:
CV-12, BL-20, ST-36, SP-6: tonify Sp
BL-23: tonify Kidney Yang
BL-25, ST-25: LI shu/mu chronic diarrhea
ST-37: LI lower he, chronic diarrhea
CV-6: moxa + ginger, tonify qi & stop diarrhea
Du-20: raises sinki
Treatment for
Diarrhea from
Kidney-Yang Xu

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