Although there was a saying in ancient times that "general principles do not hurt", it was by no means limited to a method of "communication". In clinical practice, according to the different conditions of patients, four diagnoses and eight categories should be used for detailed examination to establish appropriate treatment methods.
1. Liver-qi attacking the stomach
According to different conditions, this syndrome can be divided into three types: qi stagnation, fire depression and blood stasis.
(1) qi stagnation
The main symptoms are fullness in the stomach, pain on both sides, frequent belching, slight pain or shortness of breath after belching, thin and white tongue coating and heavy pulse.
Analyze emotional disorder, qi stagnation, liver qi invading the stomach, stomach disharmony and depressed pain; Qi disease often occurs, and the hypochondrium is the dividing line of the liver, so the pain leads to two hypochondriacs; Stomach qi rushes up, which leads to frequent hiccups. After losing qi, the qi goes down, so the pain is slightly reduced, the coating is white, and the pulse is heavy, which is the image of liver depression.
The principle of treatment is soothing the liver and regulating qi, regulating stomach and relieving pain.
Take Ganshu, Pishu, Shu Wei, Zhongwan, Ermen, Zhangmen, Shousanli and Zusanli. It can be used repeatedly to massage back and waist to relieve pain, shake Shu points to promote blood circulation, pinch back muscles to regulate blood, and massage abdomen and France.
If the pain even leads to nausea and vomiting, both Neiguan and Neiguan can promote qi and relieve pain; If you spit sour water, you are always noisy; And the liver and gallbladder are divided into exterior and interior, and liver heat is better than gallbladder fire, so it is bitter to see dry mouth; Yellow fur pulse is caused by stagnation of heat in liver and stomach.
The principle of treatment is soothing liver, clearing heat and regulating stomach.
Take Ganshu, Shu Wei, Sanjiaoshu, Dachangshu, Zhangmen, Shousanli and Zusanli. It can be repeatedly used to massage the back and waist to relieve pain, lift the back to help transport, massage the abdomen to eliminate food stagnation, massage the yin and yang to clear heat, and massage the chest and hypochondrium to soothe the liver (see fever).
In the case of severe pain, you can hold both sides of Xue Hai and Liang Qiu with your thumb and forefinger respectively. If the pain is relieved and the liver and spleen are not adjusted, you can massage the two sides of Sanjiao Shu with your thumb and massage the middle jiao with your thumb to regulate Sanjiao.
(3) Blood stasis
The pain of the main symptom is local, and it is often stinging, aggravated after eating, or black when vomiting blood, or even purple tongue and astringent pulse.
Analysis of long-term pain into the collateral, collateral damage, so vomiting blood will be black; Blood stasis is a tangible thing, so the pain is fixed and refuses to press; Eating is combined with blood stasis, so it hurts after eating; Blood stasis blocks blood circulation, so the tongue is purple and the pulse is astringent.
The principle of treatment is to promote blood circulation to remove blood stasis, dredge collaterals and relieve pain.
Take Ganshu, Pishu, Shu Wei, Zhangmen, Neiguan, Laogong, Liang Qiu and Neiting. Reuse the methods of rubbing back and waist to relieve pain, shaking Shu points to promote qi, pinching back muscles and regulating qi, rubbing upper abdomen to dispel cold; Combined with the method of kneading Yangming to clear away heat, plus the method of inducing pain at the far end (take both sides of Neiguan, Laogong, Liang Qiu and Neiting with both thumbs).
If hematemesis and hematochezia persist, medication is the main treatment, and surgery can be performed only after the condition is stable.
2. Pathogenic mass
(1) diet block
The main symptoms are upper abdominal pain, abscess, anorexia or vomiting. After vomiting, the pain is relieved, the tongue coating is thick and greasy, and the pulse is smooth and firm.
Analysis of food stopped in the stomach, conduction is abnormal, so epigastric pain is swollen; Diet stagnation, stomach qi rising instead of falling, so spoilage or vomiting; After vomiting, the pain is relieved due to stagnation; The fur is thick and greasy because of eating turbid fumigation; Stomach qi and food stagnation pulsate with each other, so the pulse condition is stable and powerful.
Treatment leads to digestive stagnation.
Take Pishu, Sanjiaoyu, Sanmen, Shu Tian, Shousanli and Zusanli. You can reuse the methods of strengthening the spine, rubbing the abdomen to eliminate food stagnation, shaking and guiding stagnation, pressing the back and waist to relieve pain, and pressing Yangming to clear away heat.
If the pain is severe, you can press the bilateral Shu Tian with your thumbs to promote qi circulation and guide stagnation; Stagnation of food accumulation and heat can shake the large intestine meridian and both sides of Shu.
(2) Cold hurts stomach yang.
The main symptoms are cold and cold drinks with stomachache, severe pain, preference for warm and hot drinks, spitting clear water, or aversion to cold and fever, white fur and tight pulse.
Analysis of sudden contact with cold pathogens, the yang in the stomach can not be connected, and the righteous and evil contend, so the stomach pain is severe; Aversion to cold and fever, white fur caused by exogenous cold pathogen; Tight pulse governs cold and pain.
Treatment principle: Warming stomach, dispelling cold and relieving pain.
Acupoints Shu Wei, Pishu, Zhongwan, Liang Qiu and Neiting. The methods of massaging back and waist to relieve pain, pinching back muscles to benefit qi, rubbing stomach, warming stomach and massaging abdomen and middle part can be repeatedly used. It is used in combination with the back-suppressing exercise method and the three cold methods of rubbing the upper abdomen.
3. Spleen and stomach weakness
(1) Deficiency and cold of spleen and stomach
The main symptoms are faint stomachache, watery vomiting, asthenia of warm pressure, no temperature in limbs, pale tongue with white fur and slow and weak pulse.
Analysis of spleen and stomach weakness, cold stagnation, so stomach pain is faint; The sun doesn't move, the water stops gathering, and the pain is not very good, so spit water and like warm pressure; Deficiency of spleen-yang leads to hypothermia in limbs, mental fatigue, pale tongue and slow and weak pulse.
Treatment principle: warming spleen and strengthening stomach.
Selection of points: Ganshu, Pishu, Sanjiaoshu, ermen, Zhongwan, Zhangmen, Shousanli and Zusanli. All the above basic methods can be used except shaking and stagnation-inducing method and pressing Yangming to clear heat.
When the pain occurs, you can rub the stomach Shu with your thumbs, press the beam door and warm the middle epigastrium to relieve the pain. After the pain stops, you can perform the operation according to the basic technique. For example, spleen and stomach deficiency and cold, liver depression and internal heat. Besides a stomachache, you can also see vomiting. When you feel hungry, your food is uncomfortable, your limbs are warm, your tongue is crimson, your fur is white and yellow, and your pulse is thin. You can use your thumb to take a double-door boxing and roll in the abdomen to treat cold and heat, liver and stomach.
(2) Deficiency of stomach yin
The main symptoms are dull pain, upset and noisy, dry mouth and thirst, dry stool, little or no fur, red tongue, scanty fluid and thready pulse.
Analysis of stomach yin deficiency, stomach collateral dystrophy, so stomach pain is faint; Yin deficiency produces internal heat, so it is annoying, dry mouth and thirst, and dry stool; Red tongue, little body fluid, thin fur and slight pulse are all manifestations of deficiency of stomach yin.
Nourishing yin and benefiting stomach.
Take Ganshu, Pishu, Shu Wei, Sanjiao Shu and Zhongshu. You can repeatedly use the methods of lifting and kneading the spine, massaging the abdomen, neutralizing and chiropractic for ten times each.
For people with loss of appetite, it is important to open three doors, transport three cups, conceal blood in the stool and use abdominal techniques with caution.
In addition to massage and other methods, the treatment of stomachache also needs to pay attention to diet adjustment and feel comfortable.