Internal Medicine - Hiccup, Vomit, Abdominal Pain

Front 1

Organs involved in Hiccups are:

Back 1

Stomach and Lung (location in diaphragm)

Front 2

Too much _____ or ____ can cause rebellious ST Qi

Back 2

cold food/drink or inhaling cold air after eating

Front 3

_________ blocks ST and Intestinal tracts (manifests as constipation), causing hiccups

Back 3

Shi accumulated Heat in Yangming

Front 4

__________ can attack STO, causing ST Qi to rise

Back 4

Emotional stress

Front 5

Causes of Middle Qi Deficiency

Back 5

Old chronic disease
Poor diet

Severe vomiting/diarrhea

Pharmaceutical medications

Front 6

Most severe cause of hiccups is:

Back 6

Extremely weak Kidneys

Front 7

Sx: quickly eating cold food/drink, inhaling cold air causes this; low pitch hiccups, slow moving; chest/diaphragm discomfort; better with warm drink/food...
T: pale, white moist coat
P: deep, slow or tight

Back 7

Cold Attacking ST

Front 8

Rx for Cold Attacking ST causing hiccups

Back 8

Ding Xiang Shi Di Tang

Front 9

Sx: caused by hot/spicy foods, lots of Heat in ST; loud, short, high pitched hiccups, bad breath, thirst, constipation, dark/scanty urine

T: red with yellow coat
P: slippery, rapid (ST forceful)

Back 9

ST Fire

Front 10

Rx for ST Fire causing hiccups

Back 10

Zhu Ye Shi Gao Tang

Front 11

Sx: hiccups come and go connected with emotional stress; chest/epigastric tightness/fullness; reduced appetitie, gas

T: nonspecific

P: wiry

Back 11

Liver/ST disharmony

Front 12

Rx for LV/ST disharmony causing hiccups

Back 12

Wu Mo Yin Zi

Front 13

Sx: sharp, frequent hiccups that come and go; feeling hungry/queasy but doens't want to eat much; thirst
T: red, shiny, peeled coat
P: thready

Back 13

ST Yin Xu

Front 14

Rx for ST Yin Xu causing hiccups

Back 14

Yi Wei Tang

Front 15

Vomiting: external evils attack __ and disturb ___

Back 15

Stomach and disturb ST Qi

Front 16

_____ (which is common in clinic) is often associated with emotional stress and can cause vomiting.

Back 16

Liver Qi attacking the Stomach

Front 17

Morning sickness in 1st tri pregnancy indicates __________

Back 17

Shi Chong Mai Qi attacking the ST

Front 18

Sx: acute vomiting (w/ diarrhea), chills/fever, head/bodyaches, heavy sensation, abd. fullness/congestion
T: white, sl. greasy coat

P: soggy

Back 18

External Evil Attacking Stomach
(Wind, Cold, Damp, Summer Heat/Damp most common)

Front 19

Rx for External Evil attacking ST causing vomit

Back 19

Huo Xiang Zheng Qi San

Front 20

Sx: vomiting/belching/diarrhea/gas (foul/sour); aversion to food, loss of appetite, abd. fullness/pain (OR) abd. pain/distention
T: looks gross, dirty, thick greasy coat

P: excess, full, slippery

Back 20

Food Retention

Front 21

Rx for Food Retention causing vomit OR abd. pain

Back 21

Bao He Wan

Front 22

Sx: emotionally depressed, intermittent vomiting, acid regurg., belching, chest/costal/epigast. pain/fullness, induced by emotional stress
T: sl. red on edges, sl. white coat
P: wiry, esp. guan positions

Back 22

Liver Qi attacking ST

Front 23

Rx for LV Qi attacking ST causing vomit

Back 23

Zuo Jin Wan

Front 24

Sx: fever, very irritable, delirium, abd. fullness/congestion/pain, constipation, dislikes pressure, severe/intense/loud vomiting, vomitus doesn't stop
T: red, yellow dry thick coat
P: rapid, forceful or slippery

Back 24

Yangming accumulating Heat

Front 25

Rx for Yangming accumulating Heat causing vomit

Back 25

Cheng Qi Tang formulas

Front 26

Sx: vomiting, abd. bloating/pain, cold sensation, prefers warmth, pale complexion, tired/fatigue, cold limbs, reduced appetite, loose stool...
T: puffy, pale, white coat
P: weak, soggy

Back 26

Stomach/Spleen Xu Cold (chronic)

Front 27

Rx for ST/SP Xu Cold causing vomit

Back 27

Li Zhong Wan

Front 28

Sx: frequent recurrent vomiting (w/ dry heaves), dry throat/mouth/lips, hungry but does not want to eat
T: red, dry, cracked, sl. coat or peeled
P: thready, rapid

Back 28

Stomach Yin Insufficiency

Front 29

Rx for ST Yin Insufficiency causing vomit

Back 29

Mai Men Dong Tang

Front 30

Vomiting in acute stages tends to be _______; chronic tends to be ______.

Back 30

Excess and strong;

more Xu.

Front 31

Sx: abd. pain (fixed/stabbing); dislikes pressure; history of vomiting blood, black stool, history of traumatic injury

T: purplish/purple spots

P: choppy

Back 31

Qi Stagnation and Blood Stasis

Front 32

Rx for Qi Stagnation & Blood Stasis causing abdominal pain

Back 32

Upper abd.: Dan Shen Yin
Lower abd.: Shi Xiao San
General abd.: Xue Fu Zhu Yu Tang

Front 33

Sx: dull pain in ST/epigastrium, dull/burning pain in costal region, dry mouth/throat, restless, irritable, dry stools, constipation
T: red, dry, cracks, sl. coat or peeled

P: thready, wiry, rapid

Back 33

Liver/Stomach Yin Xu

Front 34

Rx for LV/ST Yin Xu causing abdominal pain

Back 34

Yi Guan Jian (AND) Shao Yao Gan Cao Tang

Front 35

Sx: abdominal pain that is chronic, comes and goes, dull, prefers warmth/pressure, worse with empty stomach; reduced appetite, poor digestion, fatigue, cold hands/feet, thin loose stool
T: pale, white coat

P: weak or slow

Back 35

Spleen/Stomach Xu Cold

Front 36

Rx for SP/ST Xu Cold causing abdominal pain

Back 36

Xiao Jian Zhong Tang

Front 37

Sx: abd. bloating/pain, pain in costal region, frequent belching, sighs a lot, emotional upset, irritable, pain aggravated by emitional stress, nausea, vomiting, diarrhea

T: non-specific

P: wiry

Back 37

Liver Qi attacking Stomach

Front 38

Rx for LV Qi attacking ST causing abdominal pain

Back 38

Chai Hu Shu Gan San

Front 39

Sx: sudden abd. pain/cramps, aggravated by cold, alleviated by warmth, chills, cold limbs, prefers warm drinks, no thrist, loose stools (thin/watery), clear urine

T: white coat

P: wiry, tight

Back 39

Cold Evil injuring the Middle

Front 40

Rx for Cold Evil injuring the Middle causing abdominal pain

Back 40

Liang Fu Wan