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TCM Diagnosis Maciocia Textbook > Stomach Patterns > Flashcards

Flashcards in Stomach Patterns Deck (52)
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1
Q

tiredness

A

tiredness deriving from both ST-qi deficiency and SP-qi deficiency is one of the most common clinical symptoms encountered in practice

2
Q

functions of the Stomach

A
controls 'receiving'
controls "rotting & ripening" food
controls transportation of food essences
controls descending of Qi
is the origin of fluids
3
Q

The Stomach

A

as long as there is stomach qi, every disease can be conquered

4
Q

Stomach crack

A

a wide crack in the center section of the tongue
narrow and mostly in center section
sign of stomach deficiency

5
Q

tongue coating without root

A

formed when the stomach is weak ands ceases to send “dirty dampness” up to the tongue; no new coating is formed and the old coating loses root

tongue coating without root looks patchy as if it has been sprinkled on top of the tongue rather than arising out of the tongue surface

6
Q

the nature of food and the stomach

A

the stomach prefers moist foods (soups, porridge)
the stomach dislikes dry foods (baked or broiled, breads)
excessive consumption of meat, spices & alcohol (hot foods) causes Stomach Heat
excessive consumption of raw vegetables, fruit and cold drinks causes Cold in the Stomach

7
Q

Regularity of meal times and the stomach

A
  • overeating prevents the Stomach from digesting food properly and causes retention of food
  • undereating or too strict or unsuitable diets lead to stomach and spleen deficiency
  • constant nibbling or eating too fast lead to retention of food
  • eating late at night leads to deficiency of Stomach Yin
8
Q

a “feel” for stomach patterns

A

tiredness
digestive complaints
weak limbs
Stomach-qi and Stomach-yin reflected directly on the tongue coating

9
Q

tiredness in the morning and a weak Stomach pulse

A

Stomach qi deficiency

10
Q
uncomfortable feeling in the epigastrium
no appetite
lack of taste sensation
loose stools
tiredness especially in the morning
weak limbs
pale tongue or unrooted coating
empty pulse, esp on the right middle position
A

Stomach qi deficiency
(Stomach hours 7 to 9am)

looks a lot like SP-qi deficiency
usually diagnose SP-qi def
epigastric discomfort better with eating

11
Q

difference between Spleen qi def & Stomach qi def

A

SP-qi def: slight abdominal distension and often loose stools
ST-qi def: slight discomfort in the epigastrium and generally more digestive symptoms, and also weak limbs

12
Q

discomfort in the epigastrium which is better after eating
tiredness
cold limbs

A

Stomach deficient and cold

13
Q
discomfort or dull pain in the epigastrium, better after eating and better with pressure or massage
no appetite
preference for warm drinks and foods
vomiting of clear fluid
no thirst
cold and weak limbs
tiredness
pale complexion
pale and wet tongue
deep weak slow pulse esp on right middle position
A

Stomach deficient Cold

14
Q

absence of coating in the center of the tongue

A

Stomach yin deficiency

15
Q

dry mouth with desire to drink in small sips

A

Stomach yin deficiency

16
Q

Stomach yin deficiency is nearly always the precursor of….

A

Kidney yin deficiency

17
Q

no appetite or slight hunger but no desire to eat
constipation (dry stools)
dull or slightly burning epigastric pain
dry mouth and throat especially in the afternoon, with desire to drink in small sips
slight feeling of fullness after eating
tongue: without coating in the center or with rootless coating, normal body color
pulse: floating empty on the right middle position

A

Stomach yin deficiency

18
Q

epigastric distension, belching and irritability

A

Stomach qi stagnation

19
Q

causes of Stomach qi stagnation

A

dietary irregularity and emotional strain causes Stomach qi stagnation; emotional strain by itself will tend to cause Liver qi stagnation
Liver attacking Stomach

20
Q
epigastric pain and distension
belching
nausea
vomiting
hiccups
irritability
no particular signs on the tongue except in severe cases it may be red on the sides in the central section
pulse wiry on the right middle position
A

Stomach qi stagnation

pulse may be wiry in both Lf & Rt middle positions if Liver is involved

21
Q

a burning sensation in the epigastrium
thirst with a desire to drink cold liquids
red tongue with thick yellow coating

A

Stomach Heat

22
Q

Fire compared to Heat

A

distinguishing characteristics of Fire

  • more intense (intense thirst)
  • dries up fluids more (dry stools, dark urine)
  • may cause bleeding (bleeding gums)
  • disturbs the Mind/Shen more (mental restlessness)
  • the tongue has a drier and darker coating
23
Q
burning epigastric pain
intense thirst with desire to drink cold liquids
mental restlessness
bleeding gums
dry stools
dry mouth
mouth ulcers
sour regurgitation
nausea
vomiting soon after eating
excessive hunger
foul breath
a feeling of heat
tongue red in the center with a dry yellow  or dark yellow or even black coat
rapid and slightly overflowing pulse on the right middle position
A

Stomach Heat

Stomach fire has more intense symptoms

24
Q

sudden pain in the epigastrium and a tight pulse

A

Cold invading the Stomach

25
Q
sudden pain in the epigastrium
a feeling of cold
cold limbs
preference for warmth
vomiting clear fluids (which may alleviate the pain)
nausea
feeling worse after swallowing cold fluids which are quickly vomited
preference for warm liquids
thick white tongue coating
deep tight slow pulse
A

Cold invading the stomach

26
Q
nausea
difficulty in swallowing
belching
vomiting
hiccups
no changes on tongue
pulse tight or wiry on the right middle position
A

Stomach qi rebelling upwards

27
Q

epigastric fullness
nausea
sticky yellow coating

A

damp heat in stomach

28
Q

symptoms on the face (stomach channel) such as facial pain and nasal discharge such as sinusitis

A

damp heat in the stomach frequently causes symptoms on the face (due to stomach channel)

29
Q
a feeling of fullness and pain of the epigastrium
a feeling of heaviness
facial pain
blocked nose or thick sticky nasal discharge
thirst without desire to drink
nausea
a feeling of heat
dull yellow complexion
a sticky taste
red tongue with sticky yellow coating
slippery rapid pulse
A

damp heat in the stomach

30
Q

epigastric fullness
sour regurgitation
thick tongue coating

A

retention of food in the stomach

31
Q

a stabbing pain in the epigastrium

tongue that is purple in the center

A

blood stasis in the stomach

32
Q
fullness
pain and distension of the epigastrium which are relieved by vomiting
nausea
vomiting of sour fluids
foul breath
sour regurgitation
belching
insomnia
loose stools or constipation
poor appetite
tongue: thick coating (white or yellow), curdy
pulse: full slippery
A

retention of food in the stomach

33
Q

blood stasis potentially gives rise to serious diseases

A

blood stasis potentially gives rise to serious diseases
such as cancer, heart disease, stroke
for example one cannot get carcinoma of the stomach from stomach qi stagnation but one can from blood stasis in the stomach

34
Q
severe stabbing epigastric pain that may be worse at night
dislike of pressure
nausea
vomiting
possibly vomiting of blood
vomiting of food looking like coffee grounds
purple tongue (dusky)
wiry pulse or choppy
A

blood stasis in the stomach

35
Q

poor appetite
epigastric discomfort
tiredness

A

stomach & spleen qi deficiency

36
Q

the simultaneous deficiency of stomach and spleen qi deficiency is extremely common in practice

A

!

37
Q
poor appetite
slight abdominal distension after eating
tiredness
lassitude
pale complexion
weakness of the limbs
loose stools
uncomfortable feeling in the epigastrium
lack of taste sensation
pale tongue
empty pulse, especially on the right middle position
A

Stomach and Spleen qi deficiency

38
Q

dry mouth
dry lips
epigastric discomfort
tongue without coating

A

stomach and spleen yin deficiency

39
Q

the simultaneous deficiency of stomach and spleen yin deficiency is extremely common in practice

A

!

40
Q
poor appetite
dry mouth
thirst with desire to drink in small sips
dry stools
dry lips
slight nausea
tiredness
uncomfortable feeling in the epigastrium
lack of taste sensation
tongue without coating
pulse floating empty especially on the right middle position
A

stomach and spleen yin deficiency

41
Q

FU Organs- general principles

A

constantly filled and emptied of impure substances
peristalsis
susceptible to qi stagnation and qi deficiency
direct strike can affect most of them (cold)
internal pathogenic factors
external (6 climates) becomes internal
or internally generated (emotions excess or prolonged)
stagnations: qi, damp, phlegm, blood, food stagnation
phlegm created in response to an irritation and becomes a pathogen

42
Q

The stomach functions

A

rottens and ripens food
root of post heaven qi
critical area of qi mechanism: middle burner
digestive symptoms in the epigastric area (navel & sternum)
source of body fluids and foundation of post heaven yin
ST - has actual sensations/complaints in the epigastric area

43
Q

unrooted coating- can easily be scraped away

A

lack of ST-qi

44
Q

floating empty pulse

A

yang unrooted from yin = floating pulse

45
Q

root of yin deficiency that over time leads to yin deficiency of other organs

A

Stomach yin deficiency

46
Q

tongue coating dry peeled in center

A

ST-yin def
assess middle of tongue to assess ST-yin
treat ST-yin first to help with assimilation of herb formulas

47
Q

normal tongue in qi stagnation

A

qi is an invisible pathogen so does may not show up on the tongue

48
Q

common cause of ST-qi stagnation

A

family arguments at dinner table, emotional strain while eating

49
Q
fullness and pain in the epigastrium
feeling of heaviness, muzziness
facial pain, sinus congestion (yellow phlegm)
thirst w/out desire to drink
feels warm and sticky, low grade fever
dull yellow complexion
tongue: red with greasy yellow fur
pulse: slippery, rapid
A

damp heat in the stomach

sometimes: acne on ST channel of face, greasy face
low grade fever- damp keeps fever from going too high
ST-qi stagnation may be the cause
sinus symptoms: ST channel on the face, ST is the source of fluids

50
Q

Cold invading the Stomach vs Stomach qi def with cold

A

Cold invading the Stomach is an excess cold (better with heat, dislikes pressure)
Stomach qi deficiency with cold is a deficiency cold (better with eating and massage)

51
Q

cause of food stagnation in the stomach

A

eating beyond your digestive capacity

52
Q

insomnia is commonly caused by

A

food stagnation