MindMap Gallery stomachache
This is a mind map about stomach pain, mainly including: diagnosis, clinical evidence, syndrome differentiation and treatment, differential diagnosis, etiology and pathogenesis, and concepts. The knowledge is sorted out clearly, very practical and worth collecting.
Edited at 2025-01-06 18:51:24Rumi: 10 dimensions of spiritual awakening. When you stop looking for yourself, you will find the entire universe because what you are looking for is also looking for you. Anything you do persevere every day can open a door to the depths of your spirit. In silence, I slipped into the secret realm, and I enjoyed everything to observe the magic around me, and didn't make any noise. Why do you like to crawl when you are born with wings? The soul has its own ears and can hear things that the mind cannot understand. Seek inward for the answer to everything, everything in the universe is in you. Lovers do not end up meeting somewhere, and there is no parting in this world. A wound is where light enters your heart.
Chronic heart failure is not just a problem of the speed of heart rate! It is caused by the decrease in myocardial contraction and diastolic function, which leads to insufficient cardiac output, which in turn causes congestion in the pulmonary circulation and congestion in the systemic circulation. From causes, inducement to compensation mechanisms, the pathophysiological processes of heart failure are complex and diverse. By controlling edema, reducing the heart's front and afterload, improving cardiac comfort function, and preventing and treating basic causes, we can effectively respond to this challenge. Only by understanding the mechanisms and clinical manifestations of heart failure and mastering prevention and treatment strategies can we better protect heart health.
Ischemia-reperfusion injury is a phenomenon that cellular function and metabolic disorders and structural damage will worsen after organs or tissues restore blood supply. Its main mechanisms include increased free radical generation, calcium overload, and the role of microvascular and leukocytes. The heart and brain are common damaged organs, manifested as changes in myocardial metabolism and ultrastructural changes, decreased cardiac function, etc. Prevention and control measures include removing free radicals, reducing calcium overload, improving metabolism and controlling reperfusion conditions, such as low sodium, low temperature, low pressure, etc. Understanding these mechanisms can help develop effective treatment options and alleviate ischemic injury.
Rumi: 10 dimensions of spiritual awakening. When you stop looking for yourself, you will find the entire universe because what you are looking for is also looking for you. Anything you do persevere every day can open a door to the depths of your spirit. In silence, I slipped into the secret realm, and I enjoyed everything to observe the magic around me, and didn't make any noise. Why do you like to crawl when you are born with wings? The soul has its own ears and can hear things that the mind cannot understand. Seek inward for the answer to everything, everything in the universe is in you. Lovers do not end up meeting somewhere, and there is no parting in this world. A wound is where light enters your heart.
Chronic heart failure is not just a problem of the speed of heart rate! It is caused by the decrease in myocardial contraction and diastolic function, which leads to insufficient cardiac output, which in turn causes congestion in the pulmonary circulation and congestion in the systemic circulation. From causes, inducement to compensation mechanisms, the pathophysiological processes of heart failure are complex and diverse. By controlling edema, reducing the heart's front and afterload, improving cardiac comfort function, and preventing and treating basic causes, we can effectively respond to this challenge. Only by understanding the mechanisms and clinical manifestations of heart failure and mastering prevention and treatment strategies can we better protect heart health.
Ischemia-reperfusion injury is a phenomenon that cellular function and metabolic disorders and structural damage will worsen after organs or tissues restore blood supply. Its main mechanisms include increased free radical generation, calcium overload, and the role of microvascular and leukocytes. The heart and brain are common damaged organs, manifested as changes in myocardial metabolism and ultrastructural changes, decreased cardiac function, etc. Prevention and control measures include removing free radicals, reducing calcium overload, improving metabolism and controlling reperfusion conditions, such as low sodium, low temperature, low pressure, etc. Understanding these mechanisms can help develop effective treatment options and alleviate ischemic injury.
stomachache
concept
Also known as stomach pain, it is a disease that mainly involves pain in the heart of the stomach
Western medicine: acute gastritis, chronic gastritis, functional indigestion, stomach and duodenal ulcers, etc.
Causes and pathogenesis
Causes
External evil attack
Diet and not serene
Emotional disorder
Long-term illness and physical deficiency
Pathogenesis
Basic pathogenesis: stomach qi stagnation, loss of harmony and decline, pain if it is not smooth
Pathological factors: mainly qi stagnation, and food accumulation, cold congestion, heat depression, dampness obstacle, blood stasis, etc.
diagnosis
The main symptoms are pain near the heart skull of the gastric hospital. Pain can manifest as swelling, tingling, burning, hidden pain, severe pain, stuffy pain and other different properties
Often accompanied by symptoms such as loss of appetite, nausea and vomiting, noisy pantothenic acid, and heater swallowing
Most of them are middle-aged and young people, and they have a history of repeated attacks. There are obvious causes before the onset of the disease, such as weather changes, anger, fatigue, overeating, hunger, eating raw, cold, hard, spicy and mellow wine, or a history of unreasonable medication.
Gastroscopy, upper gastrointestinal angiography, Helicobacter pylori examination, etc. can help diagnose this disease
Differential diagnosis
Really painful
True heartache is a serious syndrome of chest pain, which is more common in the elderly and often has a history of chest pain. The typical symptoms are stuffy, tingling or colic in the chest, severe pain, pain leads to the shoulders and back, and are often accompanied by palpitations and shortness of breath, Symptoms such as sweating, cold limbs, cyanosis of the lips and nails, and the condition is critical. Some patients also often show gastric pain, so it is particularly easy to be confused with stomach pain, resulting in misdiagnosis.
Flank pain
Flank pain is located in the liver and gallbladder, which is related to the spleen and stomach. The clinical manifestations are mainly pain in the flank ribs, which may also be accompanied by gastric discomfort and even gastric pain, which is often accompanied by anorexia, fullness of chest and flanks, bitter mouth, or fever and evil Cold and other symptoms
Stomach pain is located in the stomach, which is related to the liver and spleen. It is mainly caused by stomach pain. Some patients can attack and rush the two flanks, and even with chest and flanks, which are often accompanied by abdominal distension, fullness, and noisy swallowing.
Dialectical treatment
Key points of diagnosis
Distinguish the real and false
People with deficiency often have long courses of illness, like to press the pain in the pain, and the pain is caused when hungry, and the pain is reduced after the inhalation, and the body is weak and the pulse is weak. Those with deficiency should further distinguish between qi deficiency, yang deficiency and yin deficiency
In the case of solid patients, the course of the disease is short and the pain is refused to be pressed. The pain is mild when hungry, the pain increases after absorption, and the body is strong and the pulse is strong. Those who are true should further identify different pathological factors as diseases
Distinguish cold and heat
If the stomach pain is severe when it encounters cold, and the warm pain is reduced, and the vomiting of clear water is a cold syndrome
Those who have burning pain in the stomach, urgent pain, like coolness and hate heat, and vomit sour water, are fever symptoms
Cold and heat are both different from deficiency and excess
Distinguishing Qi and Blood
Generally, the first disease is in qi, and the long-term disease is in blood
Those with qi stagnation tend to experience swelling and pain, with no fixed location, or attacking and escaping the two flanks. Pain is closely related to emotional factors.
For blood stasis, the pain area is fixed and persistent, which will worsen at night, the tongue is dark or there are ecchymosis, or vomiting of blood and bloody stools.
Treatment rules and regulations
Regulate qi and stomach pain
When using the "common" method, we cannot be limited to a narrow "common" method. We should adopt corresponding treatment methods based on different symptoms.
For those with a symptom of the disease, cold congestion, food accumulation, qi stagnation, stomach heat, and blood stasis should be distinguished. The treatment methods should be given to dispel cold and relieve pain, digest food and relieve stomach, relieve liver and stomach, clear the liver and stomach, unblock the meridians and remove blood stasis.
For those with deficiency syndrome, you should distinguish between deficiency and cold and yin deficiency. Treat them separately for warming the stomach and strengthening the middle or nourishing the yin and nourishing the stomach.
For those with acute and painful stomach, emergency and pain relief methods can be used
Certification of syndromes and treatments
Cold evil guest stomach
symptom
Main certificate
Stomach pain is severe, cold and painful, cold and cold, cold and warm, warm and painful, worsen when cold, no thirst mouth, like hot drinks, have a history of cold or eating cold
Moss vein
Thin white moss, stringy and tight pulse
Summary of the Certificate
Cold evil attracts the stomach, violently curbs yang energy, and stagnation of qi
Treatment
Warm the stomach and dispel cold, regulate qi and relieve pain
Main side
Liangfu Pills
Common medicines
Gaoliang ginger and amomum villoss warm the stomach and dispel cold
Xiangfu, tangerine peel, and wood fragrance promote qi and relieve pain
Addition and subtraction
If the cold evil is more serious, add ginger, Sichuan pepper, and cinnamon
For those with cold symptoms such as cold and headache, add Suzao Leaf and Guizhi
Cold evil is depressed for a long time and turns into heat, and cold and heat are mixed. Use Banxia Xiexin Decoction to add and subtract it
Diet and stomach damage
symptom
Main certificate
The stomach pain in the stomach, fullness and reluctance to press, warm and soreness, or vomiting and indigestion of food, its taste is rotten, the pain is reduced after vomiting, no food, unhappy stool, a little relieved after getting angry, and a little relieved after taking stool, and a little drunk after drinking History of binge eating
Moss vein
Thick and greasy tongue coating, smooth pulse
Summary of the Certificate
Dietary stagnation, blocking stomach qi
Treatment
Eliminate food and guide stagnation, and relieve pain
Main side
Baohe Pills
Common medicines
Shenqu, hawthorn, and Lai take Zi to eliminate food and guide stagnation
Poria cocos, Pinellia ternata, Tangerine peel and stomach dampness
Forsythia scatters and clears heat
Addition and subtraction
If the abdominal distension is severe, add Citrus aurantium, Muxiang and betel nut.
If the food accumulates and heat, warms, sour and odor, add Coptis chinensis and Gardenia
For those with stomach distension and pain and constipation, please use Xiaochengqi Decoction
If the stomach pain is severe and the pressure is refused, accompanied by yellow and dry moss and constipation, the food accumulates and heat becomes dry, so it is combined with Dachengqi Decoction.
Liver Qi invades the stomach
symptom
Main certificate
Stomach pain, or attack and support, pull back and forth, emotional fluctuations may cause aggravation of pain, heating and arrow air will cause pain, chest tightness and sigh, and stool will be poor
Moss vein
Thin white tongue coating, stringy pulse
Summary of the Certificate
Liver qi stagnation, skew, and stomach qi block
Treatment
Relieve liver and qi, harmonize stomach and relieve pain
Main side
Chaihu Shugan San
Common medicines
Chaihu, Chuanxiong, Xiangfu, Tangerine peel and Chinese
White peony and licorice relieve emergency and relieve pain
Citrus aurantium, Buddha's hand, and green-caly plums regulate qi and relieve depression without damaging yin
Addition and subtraction
If the liver and stomach qi are protruding, stomach pain or flank pain, add Chrysanthemum and Yanhusuo
For those with frequent heating, add Pinellia, Solidum, Ochre, etc. and stomach reduction.
For those with pantothenic acid, add squid bones, fritillaria, calcined corrugated seeds, and Zuojin Wan
Hepatopathy
symptom
Main certificate
Stomach pain, irritability, heat and anxiety, swelling and discomfort, pancreatic acid and noisy, dry mouth and bitter mouth, red tongue
Moss vein
Yellow moss, stringy or rapid pulse
Summary of the Certificate
Liver depression turns into fire, heat damages the stomach
Treatment
Relieve liver and relieve heat, and relieve stomach pain
Main side
Hualien decoction
Liver Green Peony Dan Gardenia, Alisma Fritillaria and Tangerine
Common medicines
Danpi and Gardenia clear liver fire
White peony and licorice soften the liver and relieve pain
Green peel and tangerine peel relieve liver and stomach
Fritillaria zhexi and Alisma clear and depressed fever
Coptis chinensis and Everrucidae relieve liver and stomach
Addition and subtraction
If the chest and flanks are full, and are irritable, add Chaihu, Xiangfu, Chuanxiong and other liver to relieve liver and regulate qi
For those with bitter mouth and dry mouth, add Bupleurum, Scutellaria baicalensis, Ophiopogon japonicus, etc. to relieve depression and clear heat, nourish yin and produce salivation
For those with excessive stomach heat, burning pain in the stomach, fullness, and poor bowel movements, use Dahuang Huanglian Xiexin Decoction
Humid heat resistance
symptom
Main certificate
Burning pain in the stomach, noisy vomiting, abdominal distension, nausea, thirst and unable to drink water, yellow urine, and poor bowel movements
Moss vein
Red tongue, yellow and greasy coating, smooth and rapid pulse
Summary of the Certificate
Dampness and heat accumulation, stomach qi stagnation
Treatment
Clear heat and dampness, regulate qi and stomach
Main side
Qingzhong Soup
Common medicines
Coptis chinensis and gardenia clear heat and dry dampness
Pinellia ternata, Poria cocos, and cardamom to remove dampness and strengthen the spleen
Tangerine peel and licorice regulating Qi and Chinese
Addition and subtraction
If the dampness is severe, add Atractylodes and Agastache
For those with severe heat, add dandelion, scutellaria baicalensis, and scutellaria
Those with nausea and vomiting, add Zhuru, Suye and stomach to reduce reversal
For those with constipation and disorders, add rhubarb (late to lower back) to clear the viscera
For those with qi stagnation and abdominal distension, add Parsa citrus and Citrus aurantium
If the damp heat is accumulated and becomes poisonous, the stomach is burning and painful, the abdomen is full, and the tongue is red and yellow, use Xian Gong to detoxify and disperse knots
Internal stopping blood stasis
symptom
Main certificate
Stinging pain in the stomach, there is a certain point of pain, and the pain is severe when pressed, and the pain is prolonged and repeatedly, which is aggravated after eating, especially at night, and even black stools or vomiting of blood
Moss vein
Purple or ecchymn, and astringent pulse
Summary of the Certificate
Stasis of stomach and collaterals, veins stagnation
Treatment
Removing blood stasis and unblocking meridians, regulating qi and stomach
Main side
Thunderbolt and Salvia miltiorrhiza drink plus or subtract. In the front, promote blood circulation and stasis, disperse nodules and relieve pain, regulate qi and remove blood stasis in the back.
Common medicines
Puhuang, Wulingzhi, and Salvia miltiorrhizae to relieve blood stasis and relieve pain
Sandalwood and Amomum villoss regulate qi and relieve pain
Addition and subtraction
If the stomach is severe, add Yanhusuo, turmeric, Jiuxiangworm, Muxiang, and Citrus aurantium to promote qi, promote blood circulation and relieve pain.
If bleeding occurs such as vomiting and black stool, stop bleeding should be the first step. Sandalwood and Amomum villossum are removed, and rhubarb, madder root, and Panax notoginseng powder (take it)
Spleen and stomach deficiency and cold
symptom
Main certificate
Stomach pain in the stomach, endless, severe pain on the empty stomach, slow food, like warmth, like to press, and attack or worsen after fatigue or cold, vomit clear water, eat less and take a dull stool, loose stools, fatigue, and lack of warm limbs
Moss vein
Pale tongue, white coating, weak pulse
Summary of the Certificate
Deficiency and cold in the middle burner, stomach failure to nourish
Treatment
Warm the middle and strengthen the spleen, harmonize the stomach and relieve pain
Main side
Huangqi Jianzhong Decoction
Common medicines
Astragalus and Atractylodes macrocephala replenish qi and strengthen spleen
Guizhi warms the stomach and dispels cold
White peony, ginger, jujube, and licorice relieve emergency and pain
Addition and subtraction
If you vomit acid water, add Everrucidum and calcined corrugated seeds to make acid and relieve pain
Spit more clear water, or there is a sound of water in the stomach, add dried ginger, Pinellia ternata, Tangerine peel, and Poria, or use Linggui Shu Gan Tang Tongyang Hua Drink
Cold is better than severe pain, vomiting and cold limbs, and Liuzhong Wan, or use Dajianzhong Decoction instead
For those with spleen and stomach deficiency, stomach pain, loss of appetite, nausea and vomiting, use Xiangsha Liujunzi Decoction
Insufficient stomach yin
symptom
Main certificate
The stomach yard is faintly burning, sometimes noisy and hungry, or hungry, dry mouth and throat, dry stool
Moss vein
Red tongue, less fluid, or light peeling without coating, stringy and thin pulse
Summary of the Certificate
Insufficient stomach yin, moisturize and reduce the body
Treatment
Nourishing yin and nourishing the stomach, and relieve pain
Main side
Yiwei Decoction
Yiwei Decoction can nourish the stomach yin, decoction of rock sugar, samadhi and ginseng, Ophiopogon japonicus, raw rehmannia, and take it together, sweet, cool, moisturizing and nourishing the stomach
Common medicines
Northern Salvia ginseng, Ophiopogon japonicus, Rehmannia glutinosa, Viagra, and Dendrobium sweet and cool to nourish the stomach yin
Buddha's hands and green-caly plums regulate qi and relieve pain
Addition and subtraction
If the stomach acid is significantly reduced, add black plum, croquette, chicken gizzard, etc.
For severe stomach pain, use Shaoyao Licorice Decoction to relieve emergency and relieve pain
Those with severe bloating and pain in the stomach and stagnation of the stomach should add Magnolia officinalis, Chuanlianzi, and Yanhusuo.
Hot constipation, add sesame seeds, Trichosanthes and dandelions
Those with deficiency of Qi and Yin, fatigue and weakness, and do not want to eat, add Prince ginseng and yam
If the stomach pain recurs and is difficult to cure, those with yin deficiency and poison accumulation, add Forsythia, Zhecao, Curcuma zedo, Coix seed, Half-branch lotus, and White-flowered snake tongue grass
Clinical certification requirements
Treat the liver and calm the stomach
Pay attention to "avoid hardness and softness"
Use blood-activating and blood-removing drugs
Prevent changes after long pain