Dtd 1 Sp/st: Epigastric Pain

Front 1

SP/ST
Epigastric Pain
wei wan tong:

Cold Invading Stomach

Back 1

Etio: Usually acute, d/t cold foods

Features:
-cold s/sx
-sudden violeng cramps, spasmodic pain
-hypersalivation
-externally contracted s/sx
-T: normal or pale w/ white coat
-P: wiry or tight or slow

Formula:
LIANG FU WAN (gao liang jiang, xiang fu)

Acupuncture:
R 12 M
ST 21 M lateral to pain, warm ST, dispel cold
ST 36 M he-sea
ST 34 xi-cleft, stop pain
SP 4 luo of SP, master of chong, regulate SP/ST, stop pain
UB 21 M ST shu, warm ST, disperse cold

Front 2

SP/ST
Epigastric Pain
wei wan tong:

Food Stagnation

Back 2

Etio: Dietary irregularities, mixed excess/deficiency. Complicated by LV qi, phlegm or PH

Features:
-epigastric pain, distention, relieved by vomit, belching
-sour, foul belching, halitosis, smelly flatulence
-reflux, heartburn
-foul smelling constipation, diarrhea
-T: thick, greasy, yellow or white
-P: slippery, full

Formula:
BAO HE WAN

Acupuncture:
R 12, 13, ST 21 - regulate ST, alleviate stagnation, pain, N/V
ST 36 - he sea of ST
ST 40 - transform phlegm, clear stagnant food, PH
ST 34 -
LI 10 - benefit digestion, regulate GI
ST 44 - clear ST heat, alleviate FS

Front 3

SP/ST
Epigastric Pain
wei wan tong:

Liver Qi Stagnation

Back 3

Etio: Stress, anger

Features:
-LV qi s/sx
-variable appetite, bloat, reflux, HT burn
-alt. constipation & diarrhea
-poor circulation
-could also have Heat s/sx
-T: normal/dark with thin, white coat OR heat s/sx
-P: wiry, rapid

Formula:
CHAI HU SHU GAN SAN

Acupuncture:
R 12, ST 21
LV 13
PC 6,LV 3 calm, regulate LV qi, harmonize ST, nourish LV blood, settle shen
ST 34
GB 34 he-sea, harmonize LV & ST, stop spasm
ST 36
UB 18
UB 20
UB 21

Front 4

SP/ST
Epigastric Pain
wei wan tong:

Stomach Heat/Fire

Back 4

Features:
-heat s/sx
-excess epigastric pain
-rapid hungering
-reflux, sour belching, halitosis
-constipation, maybe diarrhea
-T: red, thick, yellow, dry/peeled, crack (wide, shallow, central)
-P: slippery, strong, rapid

Formula:
QING WEI SAN

Acupuncture:
R 12, ST 21
ST 34
ST 36
ST 44
PC 8 heat/fire from ST channel, cool blood & HT fire
PC 7 harmonize ST, clear heat, calm shen
LI 4 clear Yang Ming heat, stop pain

Front 5

SP/ST
Epigastric Pain
wei wan tong:

Blood Stagnation

Back 5

Features:
-stasis s/sx
-N/V, melena, vomit blood
-poor appetite, anorexia, weight loss
- T: dark purple w/ macules, dark, distended SLV
- P: wiry, thready, choppy

Formula:
SHI XIAO SAN, DAN SHEN YIN

Acupuncture:
R 12, 13, ST 21, ST 34, ST 36
UB 21
UB 17 transform stasis
UB 18 invigorate LV qi & xue
DU 8 spasm & pain
SP 10 reg. & invig. blood
SP 6 str. SP, reg. LV qi, IB
SP 4 Regulate SP/ST, stop pain

Front 6

SP/ST
Epigastric Pain
wei wan tong:

SP/ST Qi(Yang) Deficiency

Back 6

Features:
-mixed pattern, complicated by PD
-qi xu s/sx
-thin, watery vomit
-weight loss
-T: pale, swollen, scalloped; coat thin->thick, greasy

Formula:
HUANG QI JIAN ZHONG TANG

Acupuncture (Moxa all):
R 12, 13, ST 36, SP 6
LI 11 warm YM, stimulate yang
UB 20
UB 21

Front 7

SP/ST
Epigastric Pain
wei wan tong:

Stomach Yin Deficiency

Back 7

Features:
-vague, dull, burning, epigastric pain, worse when ST is empty and at night, early AM pain
-yin xu s/sx
-mild nausea in AM and with hunger
-poor appetite, gnawing hunger, desire for cold, bland
-T: Sl. red, center peeled; red, mirror tongue, cracks
-P: rapid, wiry, (thready)

Formula:
YI GUAN JIAN,
SHAO YAO GAN CAO

Acupuncture:
R 12, 13, ST 36, UB 20/21
UB 23 strengthen "the source of all"
R 4 yin meeting pt, nourishes yin w/ SP 6
SP 6 str. SP, Kd, nourish qi & yin, regulate qi
Kd 6 & 3 release yin, support ST yin