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From "Zang Fu Syndromes," by McDonald and Penner
Stomach Cold includes:
Cold Penetrates ST and Intestines
ST Xu with Stagnation of Cold
Retention of Fluid in ST due to Cold ST (and SP)
Xu Cold (discussed separately)
Etiology
ST Yang Xu.
Unrestrained diet.
Excessive cold, raw food and drink.
Direct attack by External Cold.
Clinical Manifestations
General signs and symptoms:
Epigastrium cold with pain
Mild cases:
Constant pain
Severe cases:
Sudden bouts of sharp pain
Pain is aggravated by Cold and relieved by warmth and hot drinks
Cold hands and feet
Cold Penetrates ST and Intestines:
Pain is sudden and sharp
Pain relieved by warmth
Nausea
Diarrhea, loose stools
T: Pink
C: White
P: Deep and tight
Retention of Fluid in ST due to Cold:
Pain is dull
Pain relieved by warmth
Succussion sound in epigastrium on palpation
Vomiting of clear, watery fluid
T: Pink
C: White and sticky
P: Thready or Thready and slow
ST Xu with Stagnation of Cold:
Pain is dull
Pain is relieved by warmth and pressure
Vomiting clear, watery fluid
T: Pale
C: Thin and white
P: Deep and slow or Deep and thready
Associated Western Conditions
| Gastroptosis (Retention of Fluid in ST due to Cold)
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Pyloric obstruction |
| Chronic gastritis |
Gastric or duodenal ulcer |
Differential Diagnosis
Differential diagnosis of ST Cold in its various forms differs
substantially between different authors. See above under "clinical
manifestations".
Treatment Principle
Common Acupuncture Points
REN-12 / Zhongwan Front-Mu point for ST.
UB-21 / Weishu Back-Shu point for ST.
ST-36 / Zusanli He-Sea point of the ST channel.
PC-6 / Neiguan Master point for Yinwei Mai: regulates MJ, stops
vomiting and relieves pain.
SP-4 / Gongsun Master point for Chong Mai: for epigastric fullness
and pain. Combining PC-6 / Neiguan and SP-4 / Gongsun is combining
Yinwei Mai and Chong Mai.
UB-20 / Pishu Back-Shu point for SP.
REN-6 / Qihai Moxibustion on ginger slice to dispel Cold.
ST-21 / Liangmen Promotes function of ST and SP.
Moxibustion is much used in this condition.
Common Herbal Formulae
Severe cases:
Xiang
Sha Liu Jun Zi Tang plus
Liang
Fu Wan / Saussurea, Cardamon and the Six Gentleman Decoction
plus Pills of Galanga and Cyperus
External Cold attack:
Li Zhong Tang
/ Regulate the Center Decoction
or
Fu Zi Li Zhong
Wan / Prepared Aconite Pill to Regulate the Middle
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