Internal Medicine: Diarrhea & Dysentery

Front 1

increased frequency of __X or more for diagnosis of diarrhea

Back 1

3 X

Front 2

most common evils to cause diarrhea (3)

Back 2

-summer heat
-damp
-cold

Front 3

Sx:cold/flu type symptoms, "stomach flu", sudden severe diarrhea, abdominal pain, gurgling, reduced appetite, nausea, vomiting, chills, fever, head/bodyache, sneezing, not much cough
T: white greasy coat
P: soggy, superficial, leisurely

Back 3

External Pathogens

Front 4

formulas used to TX diarrhea caused by external pathogens (2)

Back 4

1. Huo Xiang Zheng Qi San (external)
2. Curing Pills (internal)

Front 5

Sx: acute intense diarrhea or after diarrhea the patient doesn't feel release, abdominal pain, stool is runny/strong/smelly yellow/brown, burning anus, dark scanty urine
T: red, greasy, yellow coat
P: slippery, rapid

Back 5

Damp Heat Diarrhea

Front 6

formula used to TX damp heat diarrhea

Back 6

Ge Gen Huang Lian Huang Qin Tang

Front 7

Sx: acute diarrhea with foul smell, abdominal bloating/pain, gas, after diarrhea patient feels better (released), belching, sour regurgitation
T: turbid, gross, thick, greasy coat
P: slippery

Back 7

Food Retention Diarrhea

Front 8

formula used to TX food retention diarrhea

Back 8

Bao He Wan

Front 9

Sx: abdominal cramps with diarrhea, borborygmus (wind), diarrhea triggered by emotional stress, belching, sighs a lot, chest congestion
T: non-specific
P: wiry

Back 9

LV Qi attacking the SP causing diarrhea

Front 10

formula used to TX diarrhea caused by LV Qi attacking the SP

Back 10

Tong Xie Yao Fang

Front 11

Sx: more chronic, comes and goes, loose stools (sometimes diarrhea), abdominal bloating, poor appetite, yellow/sallow complexion, weak muscles, fatigue
T: pale, white coat
P: weak, thready

Back 11

SP/ST Qi xu type diarrhea

Front 12

Sx: more chronic, comes and goes, loose stools (sometimes diarrhea), abdominal bloating, poor appetite, yellow/sallow complexion, weak muscles, fatigue
T: pale, white coat
P: weak, thready

Back 12

SP/ST Qi xu type diarrhea

Front 13

formula used to TX diarrhea caused by SP/ST Qi xu

Back 13

Shen Ling Bai Zhu San

Front 14

Sx: more chronic, comes and goes, loose stools (sometimes diarrhea), abdominal bloating, poor appetite, yellow/sallow complexion, weak muscles, fatigue
T: pale, white coat
P: weak, thready

Back 14

SP/ST Qi xu type diarrhea

Front 15

formula used to TX diarrhea caused by SP/ST Qi xu

Back 15

Shen Ling Bai Zhu San

Front 16

Sx: early morning diarrhea, intestinal gurgling, abdominal pain/cramps, cold body temperature, pale complexion, tired, weak/sore low back
T: puffy, pale, white coat
P: deep, thready, forceless

Back 16

KD Yang XU

Front 17

formula used to TX diarrhea caused by KD Yang XU

Back 17

Si Shen Wan

Front 18

___ diarrhea is acute, sudden with abdominal pain, dislikes pressure, more intense, more frequent, burning diarrhea with foul smell, more heat signs

Back 18

XS

Front 19

____ diarrhea is chronic, less severe, comes on slowly, 2-3X per day, watery, not so urgent, less pain, not burning, not smelly, prefers warmth/pressure

Back 19

XU

Front 20

___ is the main evil to disturb SP and a major cause of diarrhea

Back 20

Damp

Front 21

a key symptom which distinguishes dysentery from diarrhea

Back 21

the stool is white and red (pus and blood)(1 or both)

Front 22

blood in the stool, severe tenesmus, and urgency with cramps is typical with _____

Back 22

dysentery

Front 23

____ is more Toxic Heat

Back 23

dysentery

Front 24

____ is more Toxic Heat

Back 24

dysentery

Front 25

____ involves the blood level

Back 25

dysentery

Front 26

Sx: acute/sudden/severe diarrhea, abdominal cramps, tenesmus, stool (white and red), burning pain in anus, urine very dark and scanty, dehydrates, T/P more severe than diarrhea
T: red, greasy yellow coat
P: slippery

Back 26

Damp Heat Dysentery

Front 27

formula used to TX damp heat dysentery

Back 27

Shao Yao Tang

Front 28

Sx: more severe, sudden/acute/severe diarrhea with piercing/excruciating pain, stool has bright or purple blood with pus (more blood), severe tenesmus, high fever (infection), head/bodyaches, thirsty, restless, irritable
T: red or purple-yellow or dry yellow coat
P: slippery, rapid

Back 28

Epidemic Toxic Dysentery (Plague or Cholera)

Front 29

formula used to TX Epidemic Toxic Dysentery

Back 29

Bai Tou Weng Tang

Front 30

formula used to TX Cold Damp Dysentery

Back 30

Wei Ling Tang

Front 31

formula used to TX Cold Damp Dysentery

Back 31

Wei Ling Tang

Front 32

Sx: symptoms not as severe, white or red (mucous or blood) at times, tenesmus (urge to go without ability to move bowels), dull abdominal pain, reducesd appetite, thirsty, irritable
T: red or purple-peeled coat or less shiny
P: thready, rapid

Back 32

Yin XU dysentery

Front 33

formula used to TX yin xu dysentery

Back 33

Zhu Che Wan

Front 34

formula used to TX yin xu dysentery

Back 34

Zhu Che Wan

Front 35

Sx: comes and goes, tired, poor appetite, abdominal cramps/pain, stool with mucous and sometimes blood, energy never comes back, chronic
T: pale, maybe greasy, yellow coat
P: soggy, weak

Back 35

intermittent diarrhea

Front 36

formula used to TX intermittent diarrhea

Back 36

Lian Li Tang

Front 37

the worse type of dysentery

Back 37

dysentery with vomiting

Front 38

intermittent chronic dysentery is ___

Back 38

amoebic

Front 39

diarrhea VS. dysentery
-emphasize the damp, use drain damp diuretic herbs

Back 39

diarrhea

Front 40

diarrhea VS. dysentery
-dont use drain damp, this is a C/I as it could injure the yin (heat burns the yin), get fluids replaced

Back 40

dysentery