| Stomach Yin Xu (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
External Perverse Heat that has
not been cleared from ST damages ST Yin.
Chronic disease damages ST Yin.
Excessive or prolonged vomiting damages ST Yin.
SP and ST Damp-Heat damage ST Yin.
Symptoms especially evident
upon waking:
Vague epigastric pain
Mouth and throat dry but with no desire to drink
Symptoms evident at any
time:
No appetite or Irritability with low grade fever
Famished but with no desire to eat Maybe dry retching or
Abdominal distention after meals Hiccoughs
Dry stools
T: Red
C: Little and dry
P: Thready and rapid
Complications
ST Yin Xu frequently occurs with
SP Yin Xu, especially after prolonged vomiting with diarrhea, because
vomiting depletes ST Fluids while diarrhea drains SP Fluids.
| Associated Western
Conditions |
Chronic gastritis Convalescent
stage of
a febrile disease
Diabetes mellitus Gastric neurosis
ST Yin Xu and SP Yin Xu are very
similar. When SP Yin Xu occurs together with ST Yin Xu there is:
* Famished but with no desire to
eat
* Emaciation
* Fatigue and physical weakness
These symptoms occur because SP
rules the flesh (emaciation), the four limbs (fatigue and weakness)
and appetite (no desire to eat).
If SP Yin Xu occurs with no involvement
of ST Yin Xu, there is no dry retching, hiccoughs (ST Qi Contravention)
or epigastric pain (ST pain).
ST Yin Xu may be differentiated
from ST Fire Blazing 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 |
Nourish Yin and Nourish ST.
| Common Acupuncture
Points |
UB21 (Weishu) - Back-Shu point for
ST.
REN12 (Zhongwan) - Front-Mu point
for ST.
KI3 (Taixi) - Yuan-Source point
of the KI channel: reinforces KI Yin which is the source of all
Yin of the body - for dry mouth.
SP6 (Sanyinjiao) - Meeting point
of the Three Leg Yin channels.
ST36 (Zusanli) Lower He-Sea point of
the ST channel: regulates SP / ST.
Sha Shen Mai Men Dong Tang / Decoction
of Glehnia / Adenophora and Ophiopogonis
Yi Wei Tang plus or minus
/ Benefit the Stomach Decoction with variations
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to Stomach Index]
|
