26. Tympanic abdominal distention (Gu zhang)
Definition
---Drum-like abdominal distention, pale-sallow skin tone, distended vein on the abdominal wall, hypochondriac or abdominal masses, and thin limbs.
Relevant diseases of western medicine
1. Hepatitis
2. ascites
3. hepatic tumor
4. tuberculosis peritonitis腹膜炎
5. metastatic cancer 转移性癌症
6. schistosomiasis血吸虫病
7. systemic lupus erythematosus
Etiology & pathogenesis
1. Improper diet
2. emotional stress
3. infestation of schistosomes血吸虫
4. chronic jaundice abdominal masses
Differential diagnosis
Classification & treatment
1. Qi stagnation and dampness obstruction
Chai hu shu gan san
Chai hu, Xiang fu, Zhi ke---
Chi shao, Chuan xiong---
Gan cao---
2. cold-dampness hindering spleen
Shi pi yin
Fu zi, Gan jiang, Bai zhu, Gan cao---
Mu gua, Fu ling---
Hou po, Da fu pi, Mu xiang, Cao gou---
3. damp-heat accumulation
Zhong man fen xiao wan
Huang qin, Huang lian, Zhi mu---
Hou po, Zhi qiao, Ban xia, Chen pi---
Fu ling, Zhu ling, Ze xie---
4. liver and spleen blood stasis
Tiao ying yin
Dang gui, Chuan xiong, Chi shao, Yan hu suo---
Da huang, E zhu---
Bing lang, Ting li zi, sang bai pi---
Fu ling, Qu mai---
5. spleen and kindney yang deficiency
Fu zi li zhong tang + wu ling san
6. spleen and kindney yin deficiency
ge xia zhu yu tang + liu wei di huang wan
Acupuncture treatment
1. Qi stagnation
Rn 17 tan zhong, RN 12 zhong wan, RN 6 qi hai, LR 3 tai chong, ST 36 zu san li
2. dampness accumulation
BL 20 pi shu, BL 23 shen shu, RN 9 shui fen, KI 7 fu liu, SP 4 gong sun
3. blood stasis
LR 14 qi men, LR 13 zhang men, RN shi men, SP 6 san yin jiao
---Drum-like abdominal distention, pale-sallow skin tone, distended vein on the abdominal wall, hypochondriac or abdominal masses, and thin limbs.
Relevant diseases of western medicine
1. Hepatitis
2. ascites
3. hepatic tumor
4. tuberculosis peritonitis腹膜炎
5. metastatic cancer 转移性癌症
6. schistosomiasis血吸虫病
7. systemic lupus erythematosus
Etiology & pathogenesis
1. Improper diet
2. emotional stress
3. infestation of schistosomes血吸虫
4. chronic jaundice abdominal masses
Differential diagnosis
Classification & treatment
1. Qi stagnation and dampness obstruction
Chai hu shu gan san
Chai hu, Xiang fu, Zhi ke---
Chi shao, Chuan xiong---
Gan cao---
2. cold-dampness hindering spleen
Shi pi yin
Fu zi, Gan jiang, Bai zhu, Gan cao---
Mu gua, Fu ling---
Hou po, Da fu pi, Mu xiang, Cao gou---
3. damp-heat accumulation
Zhong man fen xiao wan
Huang qin, Huang lian, Zhi mu---
Hou po, Zhi qiao, Ban xia, Chen pi---
Fu ling, Zhu ling, Ze xie---
4. liver and spleen blood stasis
Tiao ying yin
Dang gui, Chuan xiong, Chi shao, Yan hu suo---
Da huang, E zhu---
Bing lang, Ting li zi, sang bai pi---
Fu ling, Qu mai---
5. spleen and kindney yang deficiency
Fu zi li zhong tang + wu ling san
6. spleen and kindney yin deficiency
ge xia zhu yu tang + liu wei di huang wan
Acupuncture treatment
1. Qi stagnation
Rn 17 tan zhong, RN 12 zhong wan, RN 6 qi hai, LR 3 tai chong, ST 36 zu san li
2. dampness accumulation
BL 20 pi shu, BL 23 shen shu, RN 9 shui fen, KI 7 fu liu, SP 4 gong sun
3. blood stasis
LR 14 qi men, LR 13 zhang men, RN shi men, SP 6 san yin jiao
