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Prominent green-blue abdominal veins
腹露青筋 〔腹露青筋〕 fù lù qīng jīn
The appearance of veins on the surface of the abdomen, accompanying severe cases of drum distension. Prominent green-blue abdominal vessels are observed in qì stagnation and damp obstruction, liver-spleen static blood, spleen-kidney yáng vacuity, and liver-kidney yīn vacuity.
Biomedical correspondence: caput medusae.
Patterns
Qì stagnation and damp obstruction (气滞湿阻 qì zhì shī zǔ) gives rise to abdominal enlargement, distension, and fullness with prominent green-blue veins, accompanied by distending pain in the rib-sides, poor appetite with abdominal distension worsening after eating, fatigued cumbersome limbs, short voidings of scant urine, sloppy diarrhea, slimy white tongue fur, and a stringlike pulse. It arises in liver depression and qì stagnation when liver qì runs cross counterflow to invade the spleen and nonmovement of spleen qì gives rise to internal collection of water-damp and phlegm turbidity congestion.
Medicinal therapy: Course the liver and fortify the spleen; disinhibit dampness and eliminate fullness. Use
Liver-spleen blood stasis (肝脾血瘀 gān pí xuè yū) gives rise to abdominal enlargement, distension, and fullness with prominent green-blue veins, accompanied by a lump under the rib-side with stabbing pain, a dry mouth with the desire only wash the mouth with fluid rather than swallowing it, black stool, dark black face, filiform blood moles on the head, neck, chest, and arms, dark purple lips, a dark purple tongue with stasis macules, and a fine rough pulse.
Medicinal therapy: Quicken the blood and transform stasis; disinhibit water and disperse swelling. Use variations of
Spleen-kidney yáng vacuity (脾肾阳虚 pí shèn yáng xū) causes abdominal enlargement, distension, and fullness with prominent green-blue veins, accompanied by fear of cold and cold limbs, oppression in the stomach duct, torpid intake, limp aching lumbus and knees, inhibited urination, sloppy stool, puffy swelling of the lower limbs, somber yellow facial complexion, an enlarged purplish pale tongue, a glossy white tongue fur and a fine sunken pulse.
Medicinal therapy: Supplement the spleen and kidney; move qì and disinhibit water. Use variations of
Liver-kidney yīn vacuity (肝肾阴虚 gān shèn yīn xū) causes abdominal enlargement, distension, and fullness with prominent green-blue veins, associated with dizzy head and vision, heart palpitation and insomnia, dry mouth and throat, spontaneous bleeding from the nose and gums, short voidings of scant urine, dark dull facial complexion, a red tongue with little liquid, and a fine rapid stringlike pulse.
Medicinal therapy: Enrich and nourish the liver and kidney; disinhibit water and disperse distension. Use