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24.    Hypochondriac pain

• Definition
Pain in the infracostal region

• Relevant diseases of western medicine
1. Cholecystitis
2. Cholelithiasis
3. Bile Duct Tumors
4. Hepatitis
5. Liver cancer

• Etiology & pathogenesis 
1. Liver Qi stagnation
2. Blood stasis in the liver channel
3. Liver and gallbladder damp-heat
4. Liver yin deficiency

• Differential diagnosis
1. exterior and interior patterns
2. Cold and heat patterns
3. Qi stagnation and blood stasis
4. Epigastric pain and chest painful obstruction

• Classification & treatment
1. Liver Qi stagnation
Chai Hu Shu Gan San
Chai Hu---
Xiang Fu, Chen Pi, Zhi Qiao---
Chuan Xiong---
Shao Yao, Gan Cao---

2. Blood stasis in the liver channel
Xuan Fu Hua Tang---
Qian Cao---
Xuan Fu Hua---

3. Liver and gallbladder damp-heat
Long Dan Xie Gan Tang
Long Dan Cao---
Zhi Zi, Huang Qin, Sheng Di Huang---
Che qian Zi, Mu Tong, Ze Xie---
Chai Hu---

4. Liver yin deficiency
Yi Gan Jian
Sheng Di Huang, Dang Gui---
Sha Shen, Mai Men Dong---
Gou Qi Zi---
Chuan Lian Zi---

• Acupuncture treatment
Excess patterns---LR14, SJ6, GB34, 
Deficiency patterns---LR14, UB18, SP6, UB23

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