Hypochondriac Pain

Question 1

What are the four patterns of hypochondriac pain?

Answer 1

LV qi stagnation, damp-heat, blood stasis, and LV yin deficiency.

Question 2

Which pattern includes distending pain in the hypochondriac region is moving and is related to emotion, with chest stuffiness, poor appetite, belching, thin coating and wiry pulse?

Answer 2

LV qi stagnation.

Question 3

What is the tx principle for LV qi stagnation?

Answer 3

Sooth LV qi and relieve stagnation.

Question 4

What is the formula for LV qi stagnation?

Answer 4

Chai hu shu gan san.

Question 5

What are the points for LV qi stagnation?

Answer 5

LV-14, SJ-6, GB-34, LV-3, GB-40.

Question 6

Which pattern includes burning pain in the hypochondriac region, bitter taste in the mouth, thirst but don’t like to drink, chest stuffiness, poor appetite, nausea, vomiting, jaundice in the eyes and body, dark urine, yellow greasy tongue coating, red tongue, wiry rapid pulse? Often seen in the acute stage of hepatitis, cholecystitis, gallstone and herpes zoster.

Answer 6

Damp-heat.

Question 7

What is the tx principle for damp-heat?

Answer 7

Clear heat and eliminate dampness, sooth LV qi and stop pain.

Question 8

What is the formula damp-heat?

Answer 8

Long dan xie gan tang.

Question 9

Which pattern includes stabbing pain in the hypochondriac region, the pain is fixed and worse at night, sometimes a mass can be palpated in the hypochondrium, dark purple tongue, deep and chopping pulse? Often seen in cirrhosis, hepatic cancer, and late-stage hepatitis with enlargement of the spleen and liver.

Answer 9

Blood stasis.

Question 10

What is the tx principle for blood stasis?

Answer 10

Promote blood circulation and remove blood stasis.

Question 11

What is the formula for blood stasis?

Answer 11

Xue fu zhu yu tang.

Question 12

What points are indicated for blood stasis?

Answer 12

LV14, SJ6, GB34, UB17, 18.

Question 13

Which pattern includes dull pain in the hypochondrium, consistent, worse after overwork, dry mouth and throat, irritability hot sensation in the five centers, dizziness, blurred vision, red tongue, less coating, thready, wiry and rapid pulse?

Answer 13

LV yin deficiency.

Question 14

What is the tx principle for LV yin deficiency?

Answer 14

Nourish LV yin, soften the LV, nourish blood and clear the collaterals.

Question 15

What is the formula for LV yin deficiency?

Answer 15

Yi guan jian.

Question 16

What are some points for LV yin deficiency?

Answer 16

LV14, 3, SP6, ST36, UB18, 23.