18. Hiccup
• Definition
Involtary short, sharp and frequent inspiratory couph cuased by ST qi rebelling upward to disturb diaphragm
• Relevant diseases of western medicine
1. Indigestion
2. Gatro-neurosis
3. post gastric surgery
4. Phrenic nerve disturbance
5. Cerebral lesion
• Etiology & pathogenesis
1. Improper diet
2. emotional stress
3. Insufficiency of righteous qi
• Differential diagnosis
1. excess or deficiency pattern
2. Retching---This is the process by which the contents of the stomach are expelled through the mouth. When the effort of vomiting is made but nothing is expelled the process is called retching. Retching is a common symptom of alcoholism. The vomiting centre in the brain co-ordinates the contraction of the abdominal wall and the opening of the cardiac sphincter of the stomach. The vomiting centre is found in the floor of the fourth ventricle.
3. Belching---the act of bringing up air from the stomach with a typical sound.
• Classification & treatment
Excess patterns
1. Stomach cold
Ding Xiang San
Ding Xiang, Shi Di---
Gao Liang Jiang, Zhi gan Cao---
2. Stomach fire blazing upward
Xin Zhi Ju Pi Zhu Ru Tang
Zhu Ru, Shi Di---
Sheng Jiang, Ju Pi---
3. Liver qi stagnation
Wu Mo Yin Zi
Wu Yao, Mu Xiang---
Zhi Shi, Chen Xiang, Bing Lang---
Deficient patterns
4. Spleen and Stomach yang deficiency
Li Zhong Wan
Gan Jiang---
Ren Shen, Bai Zhu, Gan Cao---
5. Stomach yin deficiency
Mai Men Dong---
Ban Xia---
Ren Shen, Gan Cao, Jing Mi---
• Acupuncture treatment.
RN12, PC6, ST36, UB17
• Personal clinical experience
Involtary short, sharp and frequent inspiratory couph cuased by ST qi rebelling upward to disturb diaphragm
• Relevant diseases of western medicine
1. Indigestion
2. Gatro-neurosis
3. post gastric surgery
4. Phrenic nerve disturbance
5. Cerebral lesion
• Etiology & pathogenesis
1. Improper diet
2. emotional stress
3. Insufficiency of righteous qi
• Differential diagnosis
1. excess or deficiency pattern
2. Retching---This is the process by which the contents of the stomach are expelled through the mouth. When the effort of vomiting is made but nothing is expelled the process is called retching. Retching is a common symptom of alcoholism. The vomiting centre in the brain co-ordinates the contraction of the abdominal wall and the opening of the cardiac sphincter of the stomach. The vomiting centre is found in the floor of the fourth ventricle.
3. Belching---the act of bringing up air from the stomach with a typical sound.
• Classification & treatment
Excess patterns
1. Stomach cold
Ding Xiang San
Ding Xiang, Shi Di---
Gao Liang Jiang, Zhi gan Cao---
2. Stomach fire blazing upward
Xin Zhi Ju Pi Zhu Ru Tang
Zhu Ru, Shi Di---
Sheng Jiang, Ju Pi---
3. Liver qi stagnation
Wu Mo Yin Zi
Wu Yao, Mu Xiang---
Zhi Shi, Chen Xiang, Bing Lang---
Deficient patterns
4. Spleen and Stomach yang deficiency
Li Zhong Wan
Gan Jiang---
Ren Shen, Bai Zhu, Gan Cao---
5. Stomach yin deficiency
Mai Men Dong---
Ban Xia---
Ren Shen, Gan Cao, Jing Mi---
• Acupuncture treatment.
RN12, PC6, ST36, UB17
• Personal clinical experience
