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Pain in the stomach due to contraction of external evils such as cold evil or damp-heat. Cold patterns usually occur in people suffering from preexisting center qì cold; heat patterns usually occur in patients with accumulated internal heat.

Patterns

Cold evil (寒邪 hán xié) invades the stomach in sudden cold weather and invariably congeals and binds with phlegm-rheum and food accumulations, thereby obstructing qì dynamic. Such patterns are characterized by fulminant pain, glomus and oppression below the heart, aversion to cold and reversal cold clear uninhibited urine and stool, ejection of cold drool, tight floating or stringlike sunken pulse.

Medicinal therapy: Warm and disperse with formulas such as Five Accumulations Powder (五积散 wǔ jī sǎn).

Acumoxatherapy: Base treatment mainly on alarm and uniting points of ST, PC, SP, LI, and LU. Select CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), PC-6 (Inner Pass, 内关 nèi guān), SP-4 (Yellow Emperor, 公孙 gōng sūn), LI-4 (Union Valley, 合谷 hé gǔ), and LU-7 (Broken Sequence, 列缺 liè quē); needle with drainage and add moxa.

Point selection according to associated evil: For phlegm-rheum, add ST-40 (Bountiful Bulge, 丰隆 fēng lóng), ST-25 (Celestial Pivot, 天枢 tiān shū), and CV-6 (Sea of Qì, 气海 qì hǎi). For food accumulation, add CV-10 (Lower Stomach Duct, 下脘 xià wǎn), Lǐ Inner Court (里内庭 lǐ nèi tíng), and CV-21 (Jade Swivel, 璇玑 xuán jī). For pronounced pain, add ST-34 (Beam Hill, 梁丘 liáng qiū). For pronounced qì stagnation, add CV-17 (Chest Center, 膻中 shān zhōng).

Damp-heat (湿热 shī rè) invades the stomach in sudden hot weather, giving rise to sudden gripping pain. Although the extremities may be cold there is copious sweating from the forehead, and although there may be aversion to cold, there are clear heat signs such as dry mouth and tongue, yellow or red urine, and a rapid pulse.

Medicinal therapy: Clear and resolve with variations of Center-Clearing Decoction (清中汤 qīng zhōng tāng).

Acumoxatherapy: Base treatment mainly on alarm and uniting points of ST, PC, SP, LU, and LI. Select CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), PC-6 (Inner Pass, 内关 nèi guān), SP-4 (Yellow Emperor, 公孙 gōng sūn), LI-11 (Pool at the Bend, 曲池 qū chí), SP-9 (Yīn Mound Spring, 阴陵泉 yīn líng quán), ST-45 (Severe Mouth, 厉兑 lì duì), and ST-44 (Inner Court, 内庭 nèi tíng); needle with drainage. For dry mouth and tongue, add Gold Liquid and Jade Humor (金津玉液 jīn jīn yù yè), and KI-6 (Shining Sea, 照海 zhào hǎi) See stomach duct pain.

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