Transcript Asian Bodywork 3 Class 9

Asian Bodywork III
Class 9
Timur Lokshin LMT, CPT, LAc.
Types Patterns
• Empty: Vacuity, Deficient, Lacking of
something.
• Full: Excess, Replete, Obstructed or Impaired
Spleen Empty
• Qi: Sallow complexion, emaciation, tiredness,
lassitude, reduced appetite, weakness of limbs,
abdominal distention, loose stools, dislike of
speaking
– Toungue: Pale, thin white coating
– Pulse: slow, weak or soft and thready
• Qi Sinking: Any of the Sx from qi vacuity, bearing
down sensation in the abdominal region, visceral
prolapse, frequency and urgency of urination.
– Tongue: Pale, thin white coating
– Pulse: Slow, weak or soft and thready
Spleen Empty
• Yang: Pallor, poor appetite, tiredness,
abdominal distension which is worse after
eating, dull pain in the abdominal region
which is better with warmth and pressure, the
four limbs being not warm, chilliness, cold
limbs, weakness of the four limbs, loose
stools, edema
– Tongue: Pale and delicate, white coating
– Pulse: Deep, slow
Spleen Empty
• Control Blood: Pale complexion, lassitude,
dislike speaking, purpura, blood spot under
the skin, bloody stools, excess menstrual flow,
uterine bleeding in women, sallow complexion
and SoB
– Tongue: Pale
– Pulse: Thready, weak
Spleen Full
• Cold Damp: Fullness and distension in the
epigastrium and abdomen, loss of appetite,
sweetish taste in the mouth or absence of
taste, no thirst, sticky saliva, heaviness of the
head and body, loose stools and diarrhea,
white vaginal discharge.
– Tongue: White-sticky coating
– Pulse: soft, rolling, slow
Spleen Full
• Damp Heat: Fullness and distension in the
epigastrium and abdomen, loss of appetite,
nausea, vomiting, bitter taste and stickiness in
the mouth, heaviness of the body and lassitude,
loose stools with offensive odor, burning
sensation of the anus, thirst without desire to
drink or drink small sips, scanty and dark-yellow
urine, low-grade fever, headache, bright yellow
face, eyes and skin.
– Tongue: yellow-sticky coat
– Pulse: soft, rapid
Stomach Full
• Food Retention: Distension, fullness and pain
in the epigastrium and abdomen which are
relieved by vomiting, foul benching, sour
regurgitation, vomiting, anorexia, hesitant
bowel movement, insomnia
– Tongue: thick-sticky coating
– Pulse: rolling
Stomach Full
• Cold Fluid: Epigastrium fullness and pain,
sudden pain in the epigastrium, worse with
cold, better with warmth, reflux of clear fluids
or vomiting after eating
– Tongue: white-slippery coating
– Pulse: slow
Stomach Full
• Fire: Burning sensation and pain in the epigastric
region, empty and incomfortable feeling in the
stomach, sour regurgitation, vomiting, foul
breath, vomiting soon after eating, thirst with
preference for cold drinks, voracious appetite and
getting hungry easily, swelling and pain or
ulceration and bleeding gums, constipation,
scanty yellow urine.
– Tongue: red, yellow coating
– Pulse: rapid
Stomach Full
• Phlegm Fire: Stuffiness of the epigastrium,
less thirst, mucus in stools, mental
derangement and insomnia
– Tongue: thick yellow sticky coating or yellow
prickles inside midline crack
– Pulse: rolling, excess, rapid
Stomach Full
• Blood Stasis: Stabbing pain in the epigastrium
which is worse with heat and pressure, pain
after eating, vomiting of dark blood, blood in
stool
– Tongue: N/A
– Pulse: N/A
Stomach Empty
• Yin: Burning pain in the epigastrium region,
empty and uncomfortable sensation in the
stomach, hunger with no desire to eat, dry
vomiting and hiccups, dryness of the mouth
and throat, constipation or dry stool, thirst
with no desire to drink or drinks in small sips
– Tongue: red, little moisture
– Pulse: rapid, thready
Large Intestine Full
• Damp Heat: Abdominal pain, blood and mucus in
the stool, offensive odor of stools, diarrhea with
yellow, watery stools, burning sensation of the
anus, tenesmus(frequent bowels), scanty deepyellow urine, possible fever, sweating, thirst
without desire to drink, feeling heaviness in the
body and limbs, stuffiness of the chest and
epigastrium
– Tongue: yellow-sticky coating
– Pulse: rolling rapid or soft and rapid
Large Intestine Full
• Heat: Constipation, burning in the anus,
abdominal distension and pain which is worse
with pressure, high fever or tidal fever,
sweating especially on the limbs, vomiting,
thirst, delirium
– Tongue: red body, thick dry yellow or brown black
coating
– Pulse: thready
Large Intestine Empty
• Dry: Dry stools, constipation, dryness of the
mouth and throat
– Tongue: red, little moisture, or dry yellow coating
– Pulse: thready
Small Intestine Full
• Qi Pain: Acute twisting of the lower abdomen
which may extend to back, abdominal
distension, dislike of pressure in the abdomen,
borborygmus, flatulence, abdominal pain
relieved by emission of wind, bearing down
pain in the testes referring to the lumbar
region
– Tongue: White coating
– Pulse: deep, string-taught
Small Intestine Full
• Qi Tied: Sudden violent abdominal pain,
dislike of pressure, abdominal distension,
constipation, borboygmus, flatulence vomiting
– Tongue: thick white coating
– Pulse: deep, string taut
Small Intestines Full
• Worms: abdominal pain and distension, bad
taste in mouth, sallow complexion
• Roundworms: abdominal pain, vomiting of
roundworms, cold limbs
• Hookworms: eat strange objects (soil, wax)
• Pinworms: itchy anus, worse in the evening
• Tapeworms: constant hunger
Abdominal Pain
• Abdominal pain refers to pain in the region
around the umbilicus to the pubic bone, and is
distinguished from epigastric pain. This
symptom is frequently encountered clinically
and is presented in a wide variety of illnesses.
Biomed Conditions Treated
•
•
•
•
Acute and Chronic gastroenteritis
Enterospasm
Psychosomatic Gastrointestinal Conditions
Dyspepsia
 Not for treatment of abdominal pain due to
gynecological disorders.
Etiology
• Patterns of abdominal pain are caused by
external evils of cold, dampness or heat, or by
internal disruptions because of improper diet
and poor eating habits, emotional stress or
constitutional yang vacuity. These factors
cause stagnation and obstruction of Qi flow,
leading to blockage of the connecting vessels,
or to reduced nourishment of channels,
resulting in abdominal pain.
Pathogenesis
• The pathogenesis of abdominal pain include
cold, heat, repletion and vacuity. Clinically,
one may give rise to another, one may
transform into another, or two or more may
manifest.
TCM Conditions
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•
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•
Obstruction by Cold Evil
Obstruction by Damp-Heat
Vacuity of Spleen Yang
Obstruction by Food Stagnation
Qi Stagnation and Blood Stasis
– Predominant Qi Stagnation
– Predominant Blood Stasis
Obstruction by Cold Evil
• Sx: Acute and sudden abdominal pain that is
decreased by external application of heat and
increased by cold, no apparent thirst, copious
clear urine, loose stools.
– Tongue: White slimy coating
– Pulse: Deep, tight
• Tx: ST36, Ren 12, Heat to Ren4-6 area
Obstruction by Damp-Heat
• Sx: Abdominal pain that is increased by
external pressure, abdominal fullness and
distention, constipation or difficult elimination
of loose stools, irritability, thirst, scanty dark
urine.
– Tongue: Yellow slimy coating
– Pulse: Slippery, rapid
• Tx: St25, LI11, GB34
Vacuity of Spleen Yang
• Sx: Dull periodic abdominal pain relieved by
heat or external pressure that increases when
hungry or fatigued, loose stools, tiredness,
physical cold.
– Tongue: Pale with white coating
– Pulse: Deep, thready
• Tx: ST36, Heat to Ren4-Ren6 area.
Obstruction by Food Stasis
• Sx: Abdominal fullness, distention and pain
increased by external pressure, refusal of food,
belching of foul gas, acid regurgitation,
sometimes constipation or in some cases
abdominal pain that occurs just prior to a bout of
diarrhea and that disappear with the emptying of
the bowels.
– Tongue: Slimy coating
– Pulse: Replete, slippery
• Tx:ST36, ST25, Ren12 Li Nei Ting (Opposite of
ST44)
Qi Stag and Blood Stasis
(Predominant Qi Stagnation)
• Sx: Distention, fullness and pain in the
epigastrium and abdomen increasing with
anger, indeterminate moving location of pain,
relief following belching or expulsion of gas.
– Tongue: Thin coating
– Pulse: Wiry
• Tx: ST36, LI4, LV3, PC6
Qi Stag and Blood Stasis
(Predominant Blood Stasis)
• Sx: Predominance of blood stasis, pain is sever
and the location of the pain is defined and
stationary.
– Tongue: Purplish
– Pulse: Wiry or rough
• Tx: Ren17, LV3, SP6