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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
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)
ST Yang Xu.
Unrestrained diet.
Excessive cold, raw food and drink.
Direct attack by External Cold.
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) Pyloric obstruction
Chronic gastritis Gastric or duodenal ulcer
Differential diagnosis of ST Cold
in its various forms differs substantially between different authors.
See above under "clinical manifestations".
Warm ST and Warm Cold.
| Common Acupuncture
Points |
REN12 (Zhongwan) - Front-Mu point
for ST.
UB21 (Weishu) - Back-Shu point for
ST.
ST36 (Zusanli) - Lower He-Sea point of
the ST channel.
PC6 (Neiguan) - Master point for
Yinwei Mai: regulates MJ, stops vomiting and relieves pain.
SP4 (Gongsun) - Master point for
Chong Mai: for epigastric fullness and pain. Combining PC6 (Neiguan)
and SP4 (Gongsun) is combining Yinwei Mai and Chong Mai.
UB20 (Pishu) - Back-Shu point for
SP.
REN6 (Qihai) - Moxibustion on ginger
slice to dispel Cold.
ST21 (Liangmen) - Promotes function
of ST and SP.
Moxibustion is much used in this
condition.
General cases:
Liang Fu Wan plus / Pills of
Galanga and Cyperus with additions
Mild cases:
Gan Jiang Ren Shen Ban Xia Wan
/ Ginger, Ginseng and Pinellia Pill
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
[Return
to Stomach Index]
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