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Repletion glomus
实痞 〔實痞〕 shí pǐ
Fullness, oppression, and sensation of blockage in the stomach duct attributed to stagnating evils. Repletion glomus can arise in damp turbidity obstruction, cold stagnating in the spleen and stomach, and binding of phlegm-food. It may also occur in patterns of liver qì depression or external evils lodged in the inner body. In severe cases, there may be pain, vomiting, constipation, or inability to eat.
Medicinal therapy: Regulate qì dynamic, dispel damp-phlegm, and free bowel qì. Use formulas such as
Acumoxatherapy: Base treatment mainly on CV, ST, and SP. Main points: PC-6 (Inner Pass, 内关 nèi guān), ST-25 (Celestial Pivot, 天枢 tiān shū), CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), CV-6 (Sea of Qì, 气海 qì hǎi), and ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ).
- For internal damp turbidity obstruction, add SP-9 (Yīn Mound Spring, 阴陵泉 yīn líng quán), LR-13 (Camphorwood Gate, 章门 zhāng mén), and BL-20 (Spleen Transport, 脾俞 pí shù), needle with even supplementation and drainage and add moxa.
- For cold stagnating in the spleen and stomach, add BL-20 (Spleen Transport, 脾俞 pí shù), BL-21 (Stomach Transport, 胃俞 wèi shù), and CV-4 (Pass Head, 关元 guān yuán), needling with drainage and adding moxa.
- For phlegm and food binding internally, add ST-40 (Bountiful Bulge, 丰隆 fēng lóng), LI-4 (Union Valley, 合谷 hé gǔ), and SP-4 (Yellow Emperor, 公孙 gōng sūn), needling with drainage and adding moxa.
- For liver qì depression, add LR-3 (Supreme Surge, 太冲 tài chōng), SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo), BL-18 (Liver Transport, 肝俞 gān shù), BL-17 (Diaphragm Transport, 膈俞 gé shù), BL-20 (Spleen Transport, 脾俞 pí shù), and LR-13 (Camphorwood Gate, 章门 zhāng mén), needling with drainage.
- For lodged external evils, add GB-20 (Wind Pool, 风池 fēng chí), TB-5 (Outer Pass, 外关 wài guān), and LI-4 (Union Valley, 合谷 hé gǔ), needling with drainage and, for cold evil, moxa.