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From "Zang Fu Syndromes," by McDonald and Penner
Etiology
External Perverse Heat that has not been cleared from ST damages
ST Yin.
Chronic disease damages ST Yin. Excessive or prolonged vomiting
damages ST Yin.
SP and ST Damp-Heat damage ST Yin.
Clinical Manifestations
Symptoms especially evident upon waking:
| Vague epigastric pain |
| Mouth and throat dry but with no desire to drink |
Symptoms evident at any time:
| No appetite or |
Irritability with low grade fever
|
| Famished but with no desire to eat
|
Maybe dry retching or |
| Abdominal distention after meals
|
Hiccoughs |
| Dry stools |
T: Red C: Little and dry P: Thready and rapid
Complications
ST Yin Xu frequently occurs with SP Yin Xu, especially after prolonged
vomiting with diarrhea, because vomiting depletes ST Fluids while
diarrhea drains SP Fluids.
Associated Western Conditions
| Chronic gastritis |
Convalescent stage of a febrile disease
|
| Diabetes mellitus |
Gastric neurosis |
Differential Diagnosis
ST Yin Xu and SP Yin Xu are very similar. When SP Yin Xu occurs
together with ST Yin Xu there is:
- Famished but with no desire to eat
- Emaciation
- Fatigue and physical weakness
These symptoms occur because SP rules the flesh (emaciation), the
four limbs (fatigue and weakness) and appetite (no desire to eat).
If SP Yin Xu occurs with no involvement of ST Yin Xu, there is
no dry retching, hiccoughs (ST Qi Contravention) or epigastric pain
(ST pain).
ST Yin Xu may be differentiated from ST Fire Blazing by the following:
| ST Yin Xu: |
ST Fire Blazing: |
Vague epigastric pain Dry mouth but no thirst
No appetite or Famished with no desire to eat Dry retching
T: Red C: Little and dry P: Thready and rapid |
Epigastric burning heat and pain Great thirst for cold drinks
Hungers easily and eats a lot Vomiting sour fluid Gingivitis, bad breath
T: Red C: Thick, yellow and dry P: Slippery, big, Shi and rapid |
Treatment Principle
Common Acupuncture Points
UB-21 / Weishu Back-Shu point for ST.
REN-12 / Zhongwan Front-Mu point for ST.
KI-3 / Taixi Yuan-Source point of the KI channel: reinforces KI
Yin which is the source of all Yin of the body - for dry mouth.
SP-6 / Sanyinjiao Meeting point of the Three Leg Yin channels.
ST-36 / Zusanli He-Sea point of the ST channel: regulates SP /
ST.
Common Herbal Formulae
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