CONTENTS
1)
Introduction 4
2)
Clinical Manifestations 10 - 15
3)
Essentials for Diagnosis 16 - 17
4)
Treatment with Tuina Therapy
18 - 42
5)
Cautions 433
DIARRHEA
May occur at any time, especially in summer and autumn
Frequent and sloppy stool, sometimes even appearing like water
Similar to intestinal inflammation, chronic enteritis, gastrointestinal neurosis and non-specific ulcerated colitis in Western medicine
4
CLINICAL MANIFESTATIONS
• 1. Acute diarrhea• (1) Attack of dampness• (2) Improper diet• 2. Chronic diarrhea• (1) Deficiency of spleen & stomach• (2) Yang deficiency of kidney &
spleen• (3) Liver Qi over-straining the
spleen10
ACUTE DIARRHEA
(1) Attack of dampness
Sudden onset with thin and loose stool or mixed with mucus, ten times a day
Accompanied by abdominal pain, borboygmus, aching pain of the extremities, yellowish or whitish greasy tongue coating, soft or rapid and slippery pulse11
ACUTE DIARRHEA(2) Improper diet
Sudden onset with a history of improper diet, diarrhea with rotten egg smell
Accompanied by abdominal distension, foul belching, alleviation of pain after diarrhea, acid regurgitation, thick greasy tongue coating, soft or rapid slippery pulse 12
CHRONIC DIARRHEA(1) Deficiency of spleen and
stomach
Usually occur after taking greasy, oily food, marked by loose or watery stool
Poor appetite, pale tongue with whitish tongue coating, slow and weak pulse
13
CHRONIC DIARRHEA(2)Yang deficiency of kidney and
spleen(3)Diarrhea accompanied by pain
around the umbilicus occurring at dawn and right after borboygmus
(4)Pain is relieved after diarrhea (5)Other symptoms include cold
feeling in abdomen, aching and coldness in the waist and limbs, pale tongue with whitish coating, deep and thin pulse
14
CHRONIC DIARRHEA
(3) Liver Qi over-restraining the spleen
Often induced by excessive emotional changes
Accompanied by abdominal pain, borborygums, full sensation in the chest and hypochondriac regions, belching, thin tongue coating, taut and thin pulse
15
ESSENTIALS FOR DIAGNOSIS
1. Loose or watery feces, increased frequency, often abdominal distension
2. Sudden onset of acute fulminate diarrhea with short duration, aversion of cold and fever
3. Slow onset of chronic diarrhea with longer duration and frequent relapse and fluctuation 16
ESSENTIALS FOR DIAGNOSIS
4. Improper diet, cold attack or emotional changes that can lead to diarrhea
5. Red and white blood cells can be seen in stool test, the bacteria culture of stool is either positive or negative
6. Barium meal X-ray examination or intestinal endoscope should be done if necessary
17
TREATMENT WITH TUINA THERAPY
Principle:
Invigorating the spleen and harmonizing the stomach, warming the kidney to strengthen yang, soothing the liver to regulate Qi
18
TREATMENT WITH TUINA THERAPY
Acupoint and location:
Zhongwan (CV 12), Tianshu (ST 25), Qihai (CV 6), Guanyuan (CV 4)
Pishu (BL 20), Weishu (BL 21), Shenshu (BL 23), Dachangshu (BL 25) and Changqiang (GV 1)
19
TREATMENT WITH TUINA THERAPY
Operation 1:
(1)Patient - lateral recumbent position
(2)Push first gently and then strongly from Zhongwan (CV 12) down to Qihai (CV 6) and Guanyuan (CV 4) for 5-6 times
(3)Rub the abdomen counter-clockwise for about 8 minutes.
20
TREATMENT WITH TUINA THERAPY
Operation 2:(1)Patient - prone position
(2)Roll from Pishu (BL 20) to Dachangshu (BL 25), 1 minute each
(3)Press Pishu (BL 20), Weishu (BL 21), Dachangshu (BL 25) and Changqiang (GV 1) repeatedly for about 3-4 times
(4)Rub the left side of the back until it is warm for about 10 minutes
23
(1) COLD AND DAMPNESS
Rub Shenque (CV 8), Qihai (CV 6) until the abdomen becomes warm
Press and rub Zusanli (ST 36) and Neiguan (PC 6) for 1 minute each
Rub the left side of the back and lumbosacral region till it turns warm
29
(3) GASTRICSPLENIC DEFICIENCY
Rub Guanyuan (CV 4) and Zusanli (ST 36) gently for 2 minutes each
Rub Qihai (CV 6) for a longer period of time
Rub the whole abdomen anticlockwise, mainly focusing on the epigastric region
Rub the lower abdomen clockwise
34
(4) YANG DEFICIENCY IN BOTH SPLEEN AND
KIDNEYS
Rub gently Qihai (CV 6) and Guanyuan (CV 4) for 3 minutes each
Rub vertically the govern vessel on the back
Rub transversely Shenshu (BL 23), Mingmen (GV 4) and Baliao
35
(5) LIVER QI OVER RESTRAINING THE
SPLEEN Press and knead gently
Zhangmen (LR 13) and Qimen (LR 14) for about 5-10 minutes
Rub obliquely backward and forward hypochodrium region until it is slightly warm
Rub Ganshu (BL 18), Danshu (BL 19), Geshu (BL 17), Taichong (LR 3) and Xingjian (LR 2)
38
CAUTIONS
1. Abstain from starch and fat food, avoid food difficult to digest
2. Keep warm, avoid overstrain and pay attention to mental state and diet
43