| Blood Stagnation in
the Stomach (Deficiency) |
Used with permission from Zang Fu Syndromes, By McDonald and
Penner.
* Etiology
* Clinical Manifestations
* Complications
* Associated Western Conditions
* Differential Diagnosis
* Treatment Principle
* Common Acupuncture Points
* Common Herbal Formulae
Qi Stagnation.
Qi Xu fails to circulate Blood vigorously
which leads to Blood Stagnation.
Chronic intractable pain leads to
Stagnation.
Sharp, stabbing epigastric pain
with fixed location Pain predominates over distention or
Pain is severe after eating Pain but no distention
Dislike of pressure and heat on epigastrium Loose stools
Epigastric rumbling Vomiting purple / black blood Stools with blood
like tar (melaena)
May be abdominal or epigastric lumps or masses
T: Dark purple with purple spots
or dots
C: White
P: Wiry and choppy
| Associated Western
Conditions |
Gastric ulcer (hemorrhaging) Gastric
carcinoma
Blood Stagnation in ST may be identified
as a Shi condition by the dislike of pressure on the epigastrium
and the adverse reaction to eating.
Differentiation of Shi ST conditions
with vomiting and epigastric pain is as follows:
| Food Stagnation |
Blood Stagnation |
ST Fire Blazing: |
| Vomits acid and partly |
Vomits purple / black blood |
No vomiting or |
| decomposed food |
Mild or no distention |
Vomits acid or undigested food |
| Better after vomiting |
Sharp fixed pain |
No distention |
| Distention prominent |
Melaena (stools with blood like tar) |
Burning with pain |
| Pain with distention |
|
Constipation |
| Unformed stools or Constipation |
|
|
| T: Pink |
T: Dark purple with purple spots |
T: Red |
C: Thick and greasy |
|
C: Thick, yellow and dry |
| P: Slippery |
P: Wiry and choppy |
P: Slippery, big, Shi and rapid |
Adjust Qi, Transform Stagnation
and Stop Pain.
| Common Acupuncture
Points |
ST21 (Liangmen) - Local point for
pain.
ST34 (Liangqiu) - Xi-Cleft point
of the ST channel: for epigastric pain.
To Transform Blood Stagnation and
Invigorate Blood circulation:
UB17 (Geshu) - Meeting point for
Blood: transforms stagnant Blood.
SP6 (Sanyinjiao) - Invigorates circulation
of Qi and Blood.
SP4 (Gongsun) - Regulates Chong Mai
("Sea of Blood")
and
ST. SP10 (Xuehai) - Harmonizes Ying
Qi, and regulates and clears Blood.
Sample formula: for epigastric
pain due to Blood Stagnation:
PC6 (Neiguan)
ST36 (Zusanli)
UB17 (Geshu)
SP6 (Sanyinjiao)
SP4 (Gongsun) - from "Acupuncture:
a Comprehensive Text"
Dan Shen Yin plus Decoction of
Salvia Root with additions
Shi Xiao San plus Sudden Smile
Powder with additions
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