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Etiology And pathology II > GERD > Flashcards

Flashcards in GERD Deck (13):
1

what is the chinese diseases that corresponds to GERD

there is not one disease entity that relates but several
1. gnawing hunger (an uncomfortable senation in the epigastrium that mimics pn and hunger)
2. regurgitation of food
3 dysphagia and blockage
4. hiccup
5 sour regurgitation
6. sour vomiting

2

what are the possible etiologies of GERD

1. emotional stress
2. irregular diet
3. overwork

3

what are the possible TCM patterns for GERD

1 qi stagnation with phlegm
2. stomach and liver heat
3. blood stasis
4. stomach yin deficiency with empty heat
5. kidney yang deficiency

4

what are the clnical manifestations Qi stagnation with phlegm

acid regurgitation,
difficulty swallowing
epigastric distension, a feeling of oppression in the chest
nausea
diffiness in the diaphragm
problem fluctuates with emotional state
dry throat
T- swollen
P- wiry or slipper or both

5

Treatment principle of qi stagnation with phlegm

move qi, soothe liver, resolve phlegm, restore the descending of sto qi

6

what are the clnical manifestations of stomach and liver heat

acid regurgitation
bitter taste and dry mouth
vomiting bitter fluids
headache
thirst
irritability
red face
foull breath
burning epigastric pn
feeling of heat
T- red tongue yellow coating
P- overflowing- rapid or wiry rapid

7

Treatment principle for stomach and liver heat

clear stomach and liver heat, restore the descending stomach qi

8

what are the clnnical manifestations of blood stasis

acid regurgitation,
difficulty swallowing even liquids
epigastric pn
bitty stools
vomiting dark fluids
dark complexion
weight loss
dry skin
T- purple
P- wiry, firm or choppy

9

treatment principle of blood stasis

invigorate (move) blood, eliminate stasis, resotre descending of stomach qi

10

clinical manifestations of stomach yin deficiency with empty heat

acid regurgitation
difficulty swallowing even liquids
thin body
dry mouth, dry thorat, dry stool
feeling of heat in the evening
night sweats
5 palm heat
T-red without coat, st cracks
P- floating and empty or fine and rapid

11

Treatment principle of stomach yin defieicny with heat

nourish stomach yin, clear empty heat, restore descending of stomach qi

12

clinical manifestations of kidney yang deficiency

acid reflux
difficulty swallowing
vomiting clear liwuids
ower back pn
dizziness
tinnitus
tiredness
feeling cold
cold limbs
frequent and pale urination
T-pale
P- deep- weak

13

treatment principle of kidney yang deficiency

tonify and warm the kidneys, restore the descending of stomach qi