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29 Cards in this Set

  • Front
  • Back
Diet:
Hot foods dry fluids
Cold foods block Sp function
Insufficient Fiber

Emotional Stress:
Liver: anger resentment or frustration
Spleen: Excessive mental work, worry,
brooding

Lack of Exercise: weakens Sp Qi

Overwork & Childbirth

Febrile Disease:
Aetiology for
Constipation
Stool shape: round & small like pebbles
Very Dry: Heat
Not Dry: Liver Qi Stagnation
Stool Shape: Long & Thin like pencils
Spleen Qi Xu
Could indicate
carcinoma of bowel
Stool shape: long and flat
Could indicate
prostate or
bladder cancer
Dry stool with intense thirst with desire to drink large amounts of cold water
Constipation from Heat
Dry stool with dryness of mouth and desire to sip water
Yin Xu
Loose stools hesitant & difficult to come out.
Spleen Qi Xu
with
Liver Qi Stagnation
Watery, explosive stools splashing in all directions
Damp Heat
(stools yellow and frothy)

Damp-Cold
Constipation with Pale Stools indicate?
Dampness, usually damp-heat in GB
Constipation with dark stools?
Heat
Constipation with green stools in children?
Cold
Clinical Manifestations:
Dry stools, infrequent bowel movements, thirst, scanty-dark urine, red face, feel hot, abdominal pain, dry mouth, foul breath.
TB: Red with red points around center & root
TC: yellow
Pulse: Rapid & Slippery
Constipation from
Heat in Stomach & LI

Clear Heat, drain Fire of LI,
moisten intestines
Clinical Manifestations:
Dry stools, infrequent bowel movements, thirst, bitter taste, dark urine, headache, irritability, red face, blood-shot eyes
TB: Red, redder on sides
TC: dry-yellow
Pulse: Wiry & Rapid
Constipation from
Heat in Liver

Clear Heat, Drain Fire of Liver,
Moisten Intestines
Acupuncture:
LI-4: clears heat in LI & move stools
LI-11: clear heat in LI
TB-6: clear heat, open SJ, promote BM
SP-14, SP-15: move downwards
ST-44: clear stomach heat
ST-28, ST-29: clear heat, promote BM (left side only)
Waishuidao & Waiguilai: promote BM (left side only)

Herbal:
Ma Zi Ren Wan
Treatment for
Constipation from
Heat in St & LI
Acupuncture:
LI-4: clears heat in LI & move stools
LI-11: clear heat in LI
TB-6: clear heat, open SJ, promote BM
SP-14, SP-15: move downwards
ST-44: clear stomach heat
ST-28, ST-29: clear heat, promote BM (left side only)
Waishuidao & Waiguilai: promote BM (left side only)
LV-2: for Liver fire

Herbal:
Dang Gui Long Hui Wan
Treatment for
Constipation from
Heat in Liver
Clinical Manifestations:
Constipation, dry stools, abdominal pain & fullness, red face, thirst, dry mouth, profuse sweating, feeling of heat, high fever
TB: red
TC: dry yellow
Pulse: Overflowing & Rapid
Constipation from
Acute Heat in
Febrile Disease

Drain Fire & move downwards
Acupuncture:
SJ-6: drain fire from SJ, move downwards
SP-15: moves downwards
LI-11: clear heat in intestines
ST-44: clears Stomach heat
LI-4: clears heat in intestines & moves downwards
ST-28, ST-29: clear Heat & promote BM

Herbal:
Da Cheng Qi Tang
Treatment for
Constipation from
Acute heat in febrile disease
Clinical Manifestations:
Constipation, with stools shaped like pebbles but not dry, desire to open bowels but difficulty in doing so, belching, abdominal distention, irritability
TB: normal or slightly red sides
Pulse: Wiry, ~ on left side only
Constipation from
Liver Qi Stagnation

Pacify Liver, Regulate Qi,
Descend Qi, Eliminate Stagnation
Acupuncture:
CV-10: descend qi
GB-34, CV-6: move Lv qi in lower abdomen
LV-3: move qi, pacify Lv
SP-15: move downwards

Herbal:
Liu Mo Tang
Treatment for
Constipation from
Liver Qi Stagnation
Clinical Manifestations:
Desire to open bowels but difficulty in so doing, great effort to open bowels, feeling of exhaustion afterwards, thin & long stools which are NOT dry, pale complexion, tiredness
TB: Pale
Pulse: Empty
Constipation from
Spleen or Lung Qi Xu

Tonify Qi & Moisten Intestines
Acupuncture:
BL-21: tonify St qi & thus descend St qi
BL-25: LI back shu, stimulate BM
SP-15: stimulate BM
ST-36, SP-6: tonify qi & promote BM
CV-6: tonify qi in lower jiao
BL-13, LU-7: tonify Lu qi
BL-20: tonify Sp qi

Herbal:
Huang Qi Tang
Treatment for
Constipation from
Spleen or Lung Qi Xu
Clinical Manifestations:
Dry stools, difficulty of defecation, dull-pale complexion, dizziness, numbness of the limbs, blurred vision

TB: pale or normal
Pulse: empty
Constipation from
Blood Deficiency

Nourish Blood &
Moisten Intestines
Acupuncture:
ST-36, SP-6: nourish blood
ST-36 promotes BM
CV-4: Nourish Blood
SP-15: promote BM
BL-23, BL-20: KI/SP shu nourish blood
BL-25: LI shu, promote BM for chronic

Herbal:
Run Chung Wan
Treatment for
Constipation from
Blood Deficiency
Clinical Manifestations:
Difficult defecation, exhaustion & sweating after defecation, stools NOT dry, sore back & knees, feeling cold, frequent & pale urination

TB: pale & wet
Pulse: deep & weak
Constipation from
Yang Xu
(usually Kidney)

Tonify Kidneys,
warm the lower jiao,
& moisten the Intestines
Acupuncture:
ST-36, SP-6: moxa needle, tonify yang,
(ST-36 promotes BM)
BL-23, KI-7: tonify Ki-Yang, direct moxa on BL-23
BL-25: stimulate intestines, promote BM
CV-4: direct moxa, tonify Ki-Yang and Original qi

Herbal:
Ji Chuan Jian
Treatment for
Constipation from
Yang Xu
(usually Kidney)
Clinical Manifestations:
Dry stools, thirst with desire to sip water, dry mouth & throat (especially evening), sore back & knees, dizziness, tinnitus, night sweats

TB: Red, cracks
TC: none
Pulse: floating-empty
Constipation from
Yin Xu
(usually Kidney)

Nourish Yin,
Tonify Kidneys,
& moisten Intestines
Acupuncture:
ST-36, SP-6: nourish St yin. ST-36 also promotes BM
CV-4, *KI-3, *KI-6: nourish Ki-yin, KI-6 also promotes BM
BL-23: tonify Kidneys
BL-25, SP-15: promote BM

Herbal:
Zeng Ye Tang (chronic)
Tong You Tang (yin xu & xue xu)
Treatment for
Constipation from
Yin Xu
(usually Kidney)
Clinical Manifestations:
Difficult defecation, stools not dry, no bowel movement for several days, spastic abdominal pain, pale urine, pale face, cold limbs, feeling cold

TB: pale & wet
TC: thick, white
Pale: deep, slow, full, tight
~deep, slow, fine & slightly tight
Constipation from
Cold

Warm the Yang,
Scatter Cold,
promote BM
Acupuncture:
CV-6: moxa, moves qi & expel cold from lower jiao
CV-8: moxa (salt) scatters cold from intestines
KI-18: expels cold from abdomen & promote BM
BL-23: moxa, tonify Ki-Yang
BL-25: moxa, LI back shu, expels cold from intestines & promotes BM
BL-26: moxa, expel cold from intestines & promote BM

Herbal:
Da Huang Fu Zi Tang
(excess cold)

Wen Pi Tang
(excess cold & Spleen Xu)

Ji Chuan Jian
(excess cold & Ki-Yang Xu)
Treatment for
Constipation from
Cold