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
Emotions stagnate and transform
into Fire (sometimes called LIV Fire Attacks ST).
Excessive hot (spicy) food or rich
food generate Heat in ST.
External Perverse Heat penetrates
ST.
Burning Heat and pain in the epigastrium
Toothache
Irritating thirst: drinks copious fluids and prefers cold drinks
Maybe vomiting right after eating
Excessive appetite: hungry again quickly after eating (as if food
vanishes) Vomiting acid or undigested food
Swelling, pain, ulceration and bleeding of gums Constipation
Foul breath Maybe scanty, red urine
T: Red
C: Thick, yellow and dry
P: Slippery, big, Shi and rapid
Complications
ST Fire Blazing may affect HT,
leading to HT Fire Flaring Up (note that emotions, hot food and
External Perverse Heat are common to the etiology of both conditions).
ST Fire Blazing may eventually
damage ST Yin causing ST Yin Xu.
ST Fire Blazing will usually penetrate
the Colon, causing Shi Heat in the Colon.
| Associated Western
Conditions |
Chronic gastritis Gingivitis
Diabetes mellitus Periodontitis
Mouth ulcers
ST Fire Blazing may be differentiated
from ST Yin Xu by the following:
| ST Yin Xu: |
ST Fire Blazing |
| Vague epigastric pain |
Epigastric burning and pain |
| Dry mouth but no thirst |
Great thirst for cold drinks |
| No appetite or |
Hungers easily and eats a lot |
| Famished with no desire to eat |
Vomiting sour fluid |
| Dry retching |
Gingivitis, bad breath |
| T: Red |
T: Red |
| C: Little and dry |
C: Thick, yellow and dry |
| P: Thready and rapid Epigastric burning heat
and pain |
P: Slippery, big, Shi and rapid |
Clear and Purge ST Fire.
| Common Acupuncture
Points |
ST44 (Neiting) - Ying-Spring point
of the ST channel: cools and drains Heat from ST.
UB21 (Weishu) - Back-Shu point for
ST.
ST36 (Zusanli) - Lower He-Sea point of
the ST channel.
PC8 (Laogong) - Clears HT and Sedates
Heat: for bad breath and mouth ulcers.
PC6 (Neiguan) - Regulates MJ, stops
vomiting and relieves pain.
CO4 (Hegu) - For facial symptoms
and constipation.
CO11 (Quchi) - With ST44 (Neiting)
cools ST and Intestines.
ST6 (Jiache) - Clears Heat from Yang
Ming: for mouth ulcers, gingivitis and other local Heat signs in
the ST channel.
ST45 (Lidui) - Clears Heat from
Yang Ming: for gingivitis and indigestion.
ST34 (Liangqiu) Xi-Cleft point
of the ST channel: for epigastric pain.
ST43 (Xiangu) Sometimes used with
ST44 (Neiting) to clear Heat from ST.
Qing Wei San plus / Clear the Stomach
Powder with additions
Mai Men Dong Tang plus Bai
Shao / Ophiopogonis Decoction plus White Peony Root
[Return
to Stomach Index]
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