Epigastric Pain Flashcards

(30 cards)

1
Q

What is Epigastric Pain also called?

A

Stomachache

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2
Q

Epigastric pain is a typical ______ organ syndrome.

A

Fu Organ

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3
Q

Functions of ST?

A

Container to receive foodstuff
1st stage Digestion of foodstuff ‘Fu Shu’

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4
Q

The diseased location is in the ______ not the Spleen

A

Stomach Fu

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5
Q

How is Epigastric pain characterized?

A

Repeated recurrence of pain in the upper abdominal region and usually

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6
Q

What can be some accompanying S/sx with Epigastric pain?

A

Accompanied with symptoms such as gastric fullness or discomfort, belching and
acid regurgitation or even hematemesis and hemachonzia

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7
Q

What is Epigastric pain referred to in Western Med?

A

Acute or chronic gastritis
Peptic ulcers
Gastric-intestinal neurosis
Prolapsed gastric mucosa.

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8
Q

The stomach is very sensitive to ______ Evil

A

Cold

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9
Q

The following are _________patterns of Epigastric Pain

Cold Retention or Cold Invasion
Qi Stagnation
Heat Accumulation
Blood Stasis
Stomach Heat

A

Excessive

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10
Q

Where there is a blockage, there is ________?

A

Pain

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11
Q

Eating too little causes _______
Overeating causes __________

A

Hangry
Food Retention

In all cases, the Qi is disturbed

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12
Q

The stomach needs ________ to function properly.

A

Yin-Fluid

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13
Q

The invasion of cold in the stomach causes _________ and severe, cramping pain

A

Constriction

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14
Q

Irregular food intake injures the stomach and causes food ______

A

Retention

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15
Q

A deficiency of SP + ST causes Deficiency Cold which fails to warm

A

Yang Xu

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16
Q

A deficiency of ST Yin causes a lack of ______ and causes dryness.

A

Yin Fluids causing dryness

17
Q

Persistent gastric pain may affect the blood collaterals and cause _________.

18
Q

Gastric Pain mostly involves the ST however which 2 other Zang are affected?

A

Spleen + Liver

19
Q

Phlegm or Dampness directly affects ______ more than the Stomach

20
Q

The following are ________ patterns of Epigastric Pain

Qi Xu
Yang Xu
Yin Xu

21
Q

Obstruction causes pain (excessive
patterns) and malnourishment of the stomach (Xu patterns) are the _______ pathogenesis

22
Q

The following are S/sx of Epigastric pain due to ____________?

Main S/sx of abrupt onset w/ history, severe pain in epigastric area, aggravated by pressure after meals w/
pain alleviated by warmth, aggravated by cold, no thirst w/ preference for warm drink
T: Pink + Thin + white coating
P: Wiry (Qi stagnation) + Tight (cold)

A

Cold Invasion

(Due to environment, raw + cold foods)

23
Q

The following are S/sx of Epigastric pain due to ____________?

Main S/sx of abrupt onset w/ history, severe pain in epigastric area, aggravated by pressure after meals w/ sensation of fullness, distending pain, belching w/ four odor, acid reflux, vomiting, pain relieved by passing gas or BM, difficult pooping
T: Thick + greasy coating
P: Slippery

A

Food Retention

24
Q

The following are S/sx of Epigastric pain due to ____________?

Main S/sx of abrupt onset w/ history, severe pain in epigastric area, aggravated by pressure after meals w/ distending pain radiating to the hypochondriac area, belching, acid reflux, signing, mood changes
T: Thin, white coating w/ red edges
P: Wiry

A

Liver Qi Stagnation Attacking Stomach

25
The following are S/sx of Epigastric pain due to ____________? Main S/sx of abrupt onset, w/ history severe pain in epigastric area, aggravated by pressure after meals w/ constant, local epigastric pain, aggravated by pressure, local lump or mass T: Dark purple w/ petechiae P: Thready + Choppy
Qi Stagnation + Blood Stasis
26
The following are S/sx of Epigastric pain due to ____________? Burning pain sensation, great hunger, foul smell in mouth, ulcer in mouth, toothache w/ maybe bleeding, after eating spicy or greasy foods or alcohol, thirsty w/ desire for cold drink T: Red w/ yellow coating P: Rapid
Stomach Heat
27
The following are S/sx of Epigastric pain due to ____________? Chief S/sx of dull epigastric pain, alleviated by pressure + pain relieved after eating w/ water regurgitation (cold), loose stools, listlessness, lassitude, cold hands/feet, chills, aversion to cold T: Pale w/ thin white coating P: Weak + Slow or Moderate (related to cold- congeals Qi)
SP + SP Yang Xu (Empty Cold)
28
The following are S/sx of Epigastric pain due to ____________? Chief S/sx of chronic, dull epigastric pain, alleviated by pressure + pain relieved after eating w/ dull pain w/ burning sensation in the epigastric region, with hunger but no desire to eat (not enough liquid to digest), dry mouth, dry throat, constipation, yellow + scanty urine (Can have different levels ST Yin Xu w/ Empty Heat- leads to blood in stool or vomit blood) T: Red w/ scanty coating P: Rapid + Thready or Thready + Wiry
ST Yin Xu
29
Main treatment points for Epigastric Pain
ST-36: Lower He-sea of ST + Regulates ST + SP Qi + Commander pt for ST/abdomen REN-12: Hui-meeting of Fu PC-6: Confluent pt of Yin LV + Harmonizes ST + relieves nausea + vomiting + calms Shen SP-4: Pacifies ST Qi rebellion + Running Pig's Qi
30
Accompanying S/Sx points
Invasion of Cold- (warm MJ + stop pain) BL-21: Back-shu of ST + stops pain Moxa on REN-8 + REN-12 + ST-25 Food Retention- (promote digestion and clear the obstruction) ST-21 + REN-10 + Nei Li Ting Liver Qi Attacking Stomach- (soothe LR + Regulate Qi + harmonize ST) LR-3 + LR-14 (local + distal point combo) Qi Stagnation + Blood Stasis- (Clear stasis + collaterals + Regulate Qi + Harmonize ST) BL-17 + REN-17 ST Heat- (Clear heat + harmonize ST) ST-44 + LI-11 SP + ST Yang Xu- (Warm MJ + Tonify SP+ST) REN-4 + REN-6 + BL-20 + BL-21 + DU-4 moxa (if cold is severe) ST Yin Xu- (Nourish Yin + Clear Heat + Tonify ST) SP-6 + ST-44 Stop Bleeding- SP-1