Abdominal Mass Flashcards
(24 cards)
What is the Chinese name for abdominal mass?
Ji Ju
What are 4 key points that differentiate Ji from Ju?
Visible
Fixed locations
Blood phase
Affects Zang organs
What are 4 key points that differentiate Ju from Ji?
Invisible
Wandering locations
Qi phase
Affects Fu organs
What is the difference between Ji + Ju?
Ji- visible, localized, painful in a fixed position, located in blood phase + associated w/ Zang organs
Primary pathogenesis: internal accumulation of Blood Stasis, soft/hard masses
TP: invigorate blood, remove stasis, soften + remove masses
Ju- invisible, intermittent, pain in a wandering place, located in Qi phase + associated w/ Fu organs
Primary pathogenesis: Qi disorders, S/sx may disappear after alleviation
TP: Soothe LR + regulate/move Qi + remove masses
What is the basic cause of masses?
Deficiency of Healthy Qi and Disharmony among Zang-fu Organs
What are the 3 basic pathogens that cause masses?
Qi Stagnation
Blood Stasis
Phlegm-turbidity
The following diseases are under ________ med diagnosis.
Gastroenteropathy, intestinal obstruction, splenohepatomegalia, intesrinal tuberculosis + tumour in abdominal cavity
Western Med
What are the etiologies of Abdominal Masses?
Emotional disturbance
Improper Diet
External Invasion of Cold-Damp
2nd illness as a result of other illness (Jaundice + Malaria)
All of the etiologies have the following pathogenesis.
Damage LR + SP –> disharmony of Zang-Fu organs (LI, BL, ST + uterus)–> create either Qi stagnation, Blood Stasis, Phlegm Retention + Dampness –> all result in Ji Ju
What are the characteristics in the Early Stage?
Excessive Syndromes-
Qi Stagnation
Blood Stasis
Exuberant Evil Qi + still Healthy Qi
What are the characteristics in the Middle Stage?
Mixed Excessive + Deficiency Syndromes-
Chronic Ji Ju may consume + damage Healthy Qi
What are the characteristics in the Late Stage?
Transforms into Deficient Syndromes-
Qi + Blood Xu + weak constitution
What are the 2 patterns of Ju Syndrome?
LR Qi Stagnation
Food Retention + Phlegm Accumulation
What are the 3 patterns of Ji Syndrome?
Stagnant Blood due to Qi Stagnation (early stage)
Internal Accumulation of Blood Stasis (middle stage)
Stasis Retention due to QI & Blood Deficiency (late stage, possible tumour)
The following are S/sx of Ju Syndrome due to _________?
Intermittent soft abd. masses with wandering & distending pain,
distention/discomfort in the hypochondriac region, the masses change with emotional
fluctuations
T: non-specific
P: Wiry
LR Qi Stagnation
What are the points to treat Ju Syndrome due to LR Qi Stagnation?
Soothe the LR + Relieve stagnation + promote Qi flow & remove masses
LI-4 + LR-3
LR-14 + GB-34
The following are S/sx of Ju Syndrome due to _________?
Abd. distention/pain, pain can be aggravated by pressure, occasional projection of cord-like structure, constipation, poor appetite
T: Red w/ greasy coating
P: Wiry + Slippery
Food Retention & Phlegm Accumulation
What are the points to treat Ju Syndrome due to Food Retention & Phlegm Accumulation?
Regulate Qi & remove masses-
LR-3 + LI-4 + LR-14 + GB-34
SP-4 + PC-6
ST-36
Resolve Phlegm-
ST-40
Promote digestion-
REN-12
ST-25
The following are S/sx of Ji Syndrome due to ___________?
Soft abd. masses w/ fixed position, distending pain & discomfort, gastric &
hypochondriac distention
T: Red w/ thin, white/yellow coating
P: Wiry
Stagnant Blood due to Qi Stagnation (early stage)
What are the points of treating Ji Syndrome due to Stagnant Blood + Qi Stagnation?
Regulate Qi-
LI-4 + LR-3 + LR-14
Invigorate Blood-
SP-10 + BL-17
Clear Channel + Remove Stasis-
GB-34
The following are S/sx of Ji Syndrome due to ___________?
Hard fixed abd.masses w/ dull or stabbing pain, emaciation, dark complexion, poor appetite
T: Purple w/ ecchymosis
P: Thready + Choppy
Internal Accumulation of Blood Stasis (middle stage)
What are the points of treating Ji Syndrome due to Internal Accumulation of Blood Stasis?
Tonify SP + ST-
BL-20 + BL-21 + ST-36
Open abdomen-
SP-4 + PC-6
Invigorate Blood-
SP-10 + BL-17
Remove Stasis + soften masses-
LR-3 + LI-4 + LR-14
The following are S/sx of Ji Syndrome due to ___________?
Weakness due to chronic illness, hard masses w/ dull or severe pain, poor appetite, lassitude, emaciated muscles, dark complexion, possible facial puffiness & edema in limbs
T: Pale + purple w/ peeled coating
P: Thready + rapid or Thready + Weak
Stasis Retention due to QI & Blood Deficiency (late stage, possible tumour)
What are the points of treating Ji Syndrome due to Stasis Retention due to QI & Blood Deficiency?
Tonify Qi + Blood + Invigorate Blood-
SP-10 + BL-17 + BL-20 + ST-36 + REN-4 + REN-6 + SP-3
Dispel Phlegm-
ST-40
Remove masses-
LI-4 + LR-3
SP-4 + PC-6
