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21 Cards in this Set

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What are the two common points to tx acute diarrhea?
ST 25 and ST 36.
ST 25 is Front Mu of LI
What are the 3 causes of acute diarrhea in TCM terms?
Retention of food, cold damp and damp heat.
In terms of diarrhea and retention of food, what are the signs and symptoms?
(excessive intake of food, greasy food, raw or cold food, dirty food with injure T&T of spleen)
Abdominal pain RELIEVED AFTER BOWEL MOVEMENT, borborygmus, FETID odor of stools, EPIGASTRIC PAIN AND DISTENTION, belching
T: Thick, yellow,
P: slippery or rolling, rapid, deep and possibly wiry

** Tx how?
TX principle: regulate Qi and remove stagnation
ST 36, ST 25 and inner nei ting
In terms of acute diarrhea caused by cold damp, what are the signs and symptoms?
(cold damp attacks SP impairing ascending function)
WATERY DIARRHEA, abdominal pain w borborygmus, chilliness RESPONDS TO WARMTH, NO THIRST
T: Pale, white coat
P: Deep and slow
** How to treat?
TX principle? Warm ST and resolve damp
St 36, ST 25, Ren 12, Ren 6

If patient has abdominal pain, add PC 6 and SP 4
Can also do needle moxa to warm
In terms of acute diarrhea caused by damp heat, what are the signs and symptoms?
(Summer heat blocks sp function of T&T with dampness)
diarrhea w/ abdominal pain, YELLOW/HOT fetid stools, BURNING Sensation in anus, SCANT URINE, general feverish feeling, THIRSTY
T: yellow, sticky coat
P: slippery and rapid
** TX how?
TX principle? Eliminate heat and resolve damp
St 36, ST 25, ST 44 and SP 9
SP 9-reduces damp
What are the two causes of chronic diarrhea?
SP Xu and KD yang Xu
What is the common prescription for chronic diarrhea?
ST 36 and BL 20
With Chronic Diarrhea, what are the signs and symptoms when caused by SP XU?
(emotions, irregular life or exogenous pathogenic factor affects SP)
epigastric pain after eating, LOOSE STOOLS WITH UNDIGESTED FOOD, SALLOW COMPLEXTION, LASSITUDE, weak
T: pale with white coat
P: thready and weak
Tx how?
TX principle: tonify SP and stop diarrhea
ST 36, BL 20, LV 13, SP 3, Ren 12
When chronic diarrhea is caused by KD yang def, what are the signs and symptoms?
(emotions, strain, chronic disease, and/or too much sex)
PAIN BELOW THE UMBILICUS, COCKS CROW DIARRHEA, AGGRAVATED BY COLD, COLD LOWER EXTREMITIES, borborygmus, relieved by bowel movement,
T: pale w/ white coat
P: Deep and weak
** Tx how?
TX principle: Warm and tonify KD yang
St 36, BL 20, KD 3, BL 23, DU 4, Ren 4
invigorate KI yang
You can moxa Du 4 and Ren 4
UB 23 is KD back shu
General auricular points for diarrhea?
Shenmen, sympathetic, SP, ST, SI, LI, San Jiao
What is the key symptom in dysentery?
Tenesmus which is the feeling that you have to go to the bathroom but then you don't go.
What is the key cause of dysentery?
ID epidemic damp heat and intaking raw, cold and dirty food. Direct attack on ST and LI.
What is the Western Diagnosis of Dysentery?
Chronic Bacillary and Amebic Dysentery.
What are the 4 causes of dysentery?
Cold damp, damp heat, food resistant, and intermittent.
What are common dysentery points?
ST 25 (Front Mu of LI) and ST 37 (lower he sea of ST)
In terms of dysentery, when it is caused by cold damp, what are the signs and symptoms?
(too much raw, cold or dirty food impedes ST and Intestines. Qi Stagnation in LI injures blood. Pus and blood is in stools appear.
DIFFICULT DEFECATION, AVERSION TO COLD, PREF FOR WARMTH, FULLNESS IN CHEST & EPIGASTRUM, TASTLESSNESS IN MOUTH, ABSENCE OF THIRST, white mucous in stools, lingering abd pain.
T: white, sticky coat
P: deep, slow
** Tx how?
TX principle: remove stagnation from intestines. Remove cold damp.
St 25, ST 37, Ren 12, Ren 6, and SP 9.

SP 9 removes damp
You can use needle moxa
Ren 12 is Front Mu of ST
In terms of dysentery, when it is caused by damp heat, what are the signs and symptoms?
(Summer heat invades ST and intestines. Prefer fatty and sweet food, irregular diet, intake of unclean foods leads to qi and blood stag in fu organs. Pus and blood results.
Red dysentery-more heat than damp.
White dysentery-more damp than heat.
Red/White-damp and heat are equal in strength)
AB PAIN, BURNING SENSATION IN ANUS, FEVER, RESTLESSNESS, THIRST, tenesmus, mix of pus and blood in stool, scanty/yellow urine, chills
T: yellow sticky coat
P: rolling or slippery and rapid or soft and rapid.
** TX how?
TX principle? Remove stagnation from intestines. Remove damp heat.
RX: ST 25, ST 37, LI 11 and LI 4
(could also add DU 14 and SJ 5 since they are good at removing heat)
In terms of dysentery, when it is caused by food resistant, what are the signs and symptoms?
(Toxic and damp heat attack ST and Intestines.ST cannot receive food)
*Frequent stools* with blood and pus, *total loss of appetite*, *nausea*, vomit. Tongue: yellow, stick coat Pulse: Soft, rapid
** TX how?
TX principle? Tx: Remove stagn from intestines.
Rx: ST25, ST37, Ren12, PC6
PC 6 reduces stagnation + regulates ST Qi.
In terms of dysentery, when it is caused by intermittent, what are the signs and symptoms?
( Results from prolonged dystentery due to a weakening of SP Qi.)
Difficult to cure. *On and off*. Aversion to cold, *lassitude*, *somnolence* and anorexia.
Tongue: Pale w/sticky coat
Pulse: Stick, soft
** TX how?
TX principle? Tx: Remove stagn from intestines.
Rx: ST25, ST37, ST36, Ren4, B20, B21
Ren 4 enforces the primary qi
What are supplementary points when tx'ing dysentery?
DU 14 if fever, UB 29 for Tenesmus and DU 20 and DU 1 if prolapse of rectum.
What auricular prescription is used when treating dysentery?
Shenmen, sympathetic, SP, ST, SI, Li