Vomit Flashcards

(31 cards)

1
Q

The following are __________ dx?

Acute + chronic gastritis, gastric dilation, cardiospasm, pylorospasm, cholecystitis, + gastro neurosis

A

Western Dx

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2
Q

What is vomiting?

A

Vomiting is a disorder that results from the stomach-qi’s failing to descend but ascend and force the stomach contents out of the mouth.

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3
Q

What is vomit in TCM?

A

‘Ou Tu’

Ou- loud, retching sound
Tu- vomiting silently

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4
Q

What are the external pathogenic factors that can affect the stomach?

A

Wind, cold, summer-heat, dampness, and fire.

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5
Q

How do external pathogenic factors affect the stomach?

A

They attack the stomach and affect the descending of stomach-qi.

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6
Q

What can damage the spleen and stomach?

A

Improper diet, including cold, overeating, greasy, or contaminated food.

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7
Q

What effect does food retention have?

A

Blockage of ST Yang Qi affecting the descending of stomach-qi.

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8
Q

What can irregular emotions like anger damage?

A

Irregular emotions like anger may damage the liver.

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9
Q

How do irregular emotions affect liver function?

A

They affect the liver’s function in dispersing the free flow of qi.

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10
Q

What is affected by the liver’s function in dispersing qi?

A

The descending of stomach-qi is affected.

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11
Q

What can damage the spleen?

A

Overthinking and worry damage the spleen.

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12
Q

How does the spleen affect stomach function?

A

The function of the spleen affects the descending of stomach-qi.

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13
Q

What is spleen yang deficiency?

A

A condition characterized by insufficient yang energy in the spleen causing empty cold.

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14
Q

What is stomach yin deficiency?

A

A condition characterized by insufficient yin liquid in the stomach causing deficient heat

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15
Q

How do spleen yang deficiency and stomach yin deficiency affect the body?

A

They affect the descending of stomach-qi.

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16
Q

Where is vomiting located?

A

Vomiting is located in the stomach.

17
Q

Which organs are closely related to vomiting?

A

Vomiting is closely related to LR + SP

18
Q

The following are patterns of _________?

Cold in ST
Summer Heat
Phlegm Obstruction
LR Qi Attacking ST
SP + ST Yang Xu

19
Q

How do we differentiate between excess + deficiency patterns of vomiting?

A

Excess patterns: sudden attack and a short duration (external evils)

Deficiency patterns: a slow attack and a long duration (emotions)

20
Q

How to diagnose vomit?

A

Throwing up of either food, sputum or salivation, watery fluids or dry retching.

Accompanied symptoms include abdominal discomfort, nausea, a poor appetite, acid
regurgitation and gastric upset.

21
Q

How to differentiate vomit, acid reflux + dysphagia

A

Vomit:
-no difficulty in eating food
-vomit at any time
-Location: ST
-ST Qi failing to decent, ascends instead

Acid Reflux:
-no difficulty in eating food
-eating food in AM, vomit in PM
-eating food in PM, vomit in AM
-Location: ST
-Heat, ST Fire, ST Qi failing to descend, ascends instead

Dysphagia:
-difficulty or failure in eating food
-vomit immediately after eating food
-Location: Esophagus
-Qi, phlegm + blood stasis obstructing esophagus

22
Q

The following are S/sx of Vomit due to _______?

Eating cold, raw foods, watery or solid vomit, after large meals, loose stools, preference for warmth, aversion to cold
T: white coating
P: Slow + Tight

A

Cold in Stomach

23
Q

The following are S/sx of Vomit due to _______?

Eating hot, spicy foods, occurs in Summertime, vomiting w/ acidic, fermented, bitter contents after meal, dry mouth, thirst w/ desire for cold drinks, aversion to warmth, constipation
T: yellow coating
P: Rapid

24
Q

The following are S/sx of Vomit due to _______?

Vomit w/ bubbly, mucus content, spitting out phlegm, distension in epigastric region, poor appetite
T: white, greasy coating
P: Slippery

A

Phlegm Obstruction

25
The following are S/sx of Vomit due to _______? Vomit after onset of emotional disturbance, acid reflux, frequent belching/hiccup, irritability w/ oppressed feeling T: thin, white coating P: Wiry
LR Qi Attacking ST
26
The following are S/sx of Vomit due to _______? Vomit after difficult-to-digest meals (heat/spicy, raw/cold), cold limbs, weakness, loss of appetite, loose stools, pale complexion, lassitude, hypofunction T: pale w/ thin coating P: Weak + Forceless
Yang Xu SP + ST + Empty Cold
27
What are the treatment principles for Excess patterns?
Dispel Evil Soothe LR Regulates ST + SP Promote digestion Downbear ST Qi Stop vomiting
28
What are the treatment principles for Deficient patterns?
Warm the Middle Jiao Strengthen SP Downbear ST Qi
29
What are the treatment points for vomit?
PC-6: Opens chest + Soothe chest Qi + directs Qi downwards + Soothe ST Qi (sometimes combine w/ SP-4 to strengthen action of rebellion Qi) ST-36: Commander point of Abdomen REN-12: Front-mu of ST + Harmonizes ST Qi
30
What are the supplementary points for vomit?
Cold- REN-13: Harmonises ST + regulates Qi Descends rebellion + alleviates vomiting BL-21: Back-shu of ST Warm w/ moxa ST pain- REN-8: Moxa Summer Heat- ST-44 Jinjin + Yuye: Bloodletting Phlegm- ST-40: Dissolve phelgm REN-17: Releases Qi stagnation due to phelgm LR + ST Disharmony- GB-34: Spreads LR Qi + Benefits lateral costal region + Clears LR + GB damp-heat LR-3: Spreads LR Qi SP/ST Yang Xu- BL-20: Back-shu of SP BL-21: Back-shu of ST DU-4: Moxa warm Yang Qi Food Retention- ST-21: Empiric pt ST-25: Promotes BM Abdominal distension- ST-25: Promotes BM + Regulates LI Borborygmus- BL-25: Back-shu of LI BL-20: Back-shu of SP Acid Reflux + Dry Vomit- SP-4: Direct rebellious Qi downwards Nausea- PC-6
31
Differences in using REN-13, REN-12 + REN-10 for Stomach disorders?
Divided into the location of the Stomach Upper: REN-13 (near HT) Middle: REN-12 Lower: REN-10 (closer to intestines)