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Stomach repletion cold
胃实寒 〔胃實寒〕wèi shí hán
Also:
- Cold evil invading the stomach (寒邪犯胃 hán xié fàn wèi)
- Cold stagnating in the stomach duct (寒滞胃脘 hán zhì wèi wǎn)
- Cold stagnating in the stomach and intestines (寒滞胃肠 hán zhì wèi cháng), considered by some to be more precise because the condition involves both the stomach and the intestines.
A disease pattern chiefly characterized by acute cold pain in the stomach duct and abdomen, triggered by exposure to cold.
Description: Fulminant cold pain in the stomach duct and abdomen exacerbated by exposure to cold and relieved by warmth; nausea and vomiting, with relief from pain after vomiting; bland taste in the mouth; absence of thirst; upwelling of clear water; diarrhea with clear thin stool or constipation with abdominal distension; physical cold and cold limbs; a white or green-blue facial complexion; moist white tongue fur; a pulse that is stringlike and tight or sunken and tight.
Diseases: Vomiting; abdominal distension; diarrhea; constipation.
Pathogenesis: Cold evil invading the stomach and intestines and inhibiting the qì dynamic. This results from:
- catching cold in the abdomen (such as from sleeping with the abdomen uncovered);
- consumption of raw or cold foods;
- constitutional yáng vacuity and stomach yáng vacuity may be predisposing factors.
Analysis of signs
- Cold evil invading the stomach: Invasion of cold of rapid onset obstructs the movement of yáng qì, causing fulminant (sudden, severe, acute) cold pain in the stomach duct and abdomen that is exacerbated by cold and pressure and relieved by warmth.
- Cold evil invading the intestines: Diarrhea or constipation; abdominal distension; and rumbling intestines.
- Impaired harmony and downbearing of the stomach: Nausea with vomiting that relieves the cold pain.
- Failure of stomach yáng to warm and transform rheum: Upwelling of clear fluid into the mouth.
- No damage to liquid: Bland taste in the mouth and absence of thirst.
- Water-damp pouring downward: Diarrhea with clear thin stool.
- Cold evil obstructing the general qì dynamic: When cold makes yáng qì unable to reach outward and inhibits qì and blood, this causes physical cold and cold limbs, white or green-blue facial complexion, and in some cases lassitude of spirit and lack of strength.
- Tongue: White and moist fur, reflecting cold.
- Pulse: Stringlike and tight or sunken and tight, reflecting repletion cold.
| Comparison Between Stomach Vacuity Cold and Stomach Repletion Cold | ||
|---|---|---|
| Stomach Yáng Vacuity | Cold Stagnating in the Stomach and Intestines | |
| Common Signs | Cold pain in the stomach duct and abdomen | |
| Differences | Periodic continual pain relieved by warmth and pressure | Severe pain relieved by warmth and exacerbated by cold and pressure |
| Tongue | Pale and enlarged | Moist white tongue fur |
| Pulse | Sunken, slow, and forceless | Stringlike and tight or sunken and tight |
Treatment
Medicinal therapy: Warm the stomach and disperse cold. Use
Acumoxatherapy: Base treatment mainly on ST points. Select
Further developments: Stomach yáng vacuity; spleen yáng vacuity.
Comparisons: Spleen qì vacuity, stomach qì vacuity, spleen yáng vacuity, and stomach yáng vacuity are all characterized by reduced eating, dull pain in the stomach duct and abdomen, as well as qì vacuity or yáng vacuity signs.
However, spleen yáng and spleen qì vacuity are primarily disturbances of splenic movement and transformation, with distension or pain mostly in the greater abdomen, sloppy stool, and possibly water swelling.
Stomach yáng vacuity and stomach qì vacuity are disturbances of the stomach function of intake and of ripening and rotting and are marked by impaired harmony and downbearing of the stomach, with distension and pain focused in the stomach duct and with signs of stomach qì ascending counterflow. The significance of yáng vacuity as opposed to qì vacuity is the presence of cold signs. Cold stagnating in the stomach and intestines, being a repletion pattern, manifests in a more rapid onset, more pronounced cold signs, and more severe pain.
Stomach yáng vacuity and cold stagnating in the stomach and intestines are often poorly distinguishable because yáng vacuity increases disposition to contraction of cold evil. See table.
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