Type 1: Vomiting due to impairment by overeating
Symptoms:
Cases manifesting as vomiting of undigested food, abatement after vomit,ing eructation, ozostomia, aversion to diet even worse after eating, distention or pain of epigastrium, vomiting right after eating, constipation turning into intestinal flatus from anus, thick and greasy fur, slippery and forceful pulse.
Principle of treatment:
Promoting circulation of qi and removing stagnancy of food. Points of Ren Meridian and Foot-Yangming Meridian are punctured with reducing method.
Prescription:
Xiawan (CV10) [3] (RN10), Xuanji (CV21) [4] (RN21), Zusanli (ST36) He-Sea Point [5] (Zusanli (ST36) He-Sea Point [6]), Fujie (SP14) [7] (Fujie (SP14) [8])
Modification according to symptoms:
For epigastric distension, Qihai (CV6) [9] (RN6) is added.
Type 2: Vomiting due to phlegm retention.
Symptoms:
Cases with weakness of spleen and stomach, manifesting as dim complexion, oppressed feeling in the epigastrium, vomiting phlegm and saliva more than food, liking hot drink after vomiting, borborygmus after drink, accompanied by palpitation , dizziness, pale tongue and whitish fur, slippery smooth or soft floating pulse.
Principle of treatment:
Expelling fluid retention and removing phlegm. Points of Foot-Taiyin and Foot-Yangming Meridian are selected. Both acupuncture and moxibustion are applied.
Prescription:
Zhangmen (LR13)Front-Mu Point of the Spleen, Influential Point of Zang Organs [10] (Zhangmen (LR13)Front-Mu Point of the Spleen, Influential Point of Zang Organs [11]), Gongsun (SP4) Luo-Connecting Point, The Eight Confluent Point [12] (Gongsun (SP4) Luo-Connecting Point, The Eight Confluent Point [13]), Zhongwan (CV12) Front-Mu Point of the Stomach [14] (RN12), Fenglong (ST40) Luo-Connecting Point [15] (Fenglong (ST40) Luo-Connecting Point [16])
Modification according to symptoms:
For borborygmus, Pishu (BL20) [17] (Pishu (BL20) [18]), Dachangshu (BL25) [19] (Dachangshu (BL25) [20]) are added.
Type 3: Vomiting due to disorder of the liver-qi
Symptoms:
Cases manifesting as vomiting under mental stimulation after mealing, abatement after vomiting. Mild cases suffered no discomfort after vomit out but easy to relapse. Cases with typical symptom, manifesting as dysphoria, irritability, wandering pain in chest and hypochondrium, nausea, retching, acid regurgitation, thin and whitish fur, stringy pulse.
Principle of treatment:
Relieving depressed liver and regulating stomach. Points of Foot-Jueyin, Foot-Shaoyang and Foot-Yangming Meridians are selected. Puncture with reducing method.
Prescription:
Shangwan (CV13) [21] (RN13), Yanglingquan (GB34) He-Sea Point, Influential Point of Tendon [22] (Yanglingquan (GB34) He-Sea Point, Influential Point of Tendon [23]),Taichong (LR3) Shu-Stream, Yuan-Source Point [24] (Taichong (LR3) Shu-Stream, Yuan-Source Point [25]), Liangqiu (ST34) [26] (Liangqiu (ST34) [27]), Shenmen (HT7) Shu-Stream, Yuan-Primary Point [28] (Shenmen (HT7) Shu-Stream, Yuan-Primary Point [29])
Modification according to symptoms:
For acid regurgitation, retching, Neiguan (PC6) Luo-Connecting Point the Eight Confluent Point [30] (Neiguan (PC6) Luo-Connecting Point the Eight Confluent Point [31]), Gongsun (SP4) are added.
Type 4: Vomiting due to affection by exogenous pathogen.
Symptoms:
The symptom occured mainly in exogenous febrile disease and epidemic febrile disease. Cases with severe cold manifesting as intense and sudden vomiting, vomiting dilute saliva, heartburn, accompanied by aversion to cold and fever, headache, whitish fur, superficial pulse, etc. Cases with severe heat manifesting as frequent vomiting, vomiting after having a diet or drink, vomiting sour and bitter bile, thirst and liking cold drink, accompanied by headache and fever, reddish tongue, frequent pulse.
Principle of treatment:
Relieving exterior syndrome and regulating the stomach. For cases with severe heat, points of Shaoyang Meridians, Yangming Meridians are mostly punctured. For severe cold, moxibustion is mostly applied to the points of Taiyin and Jueyin.
Prescription:
Dazhui (GV14) [32] (DU14),Waiguan (TE5) Luo-Connecting Point the Eight Confluent Point [33] (SJ5), Hegu (LI4) Yuan-Source Point [34] (Hegu (LI4) Yuan-Source Point [35]), Neiting (ST44) Ying-Spring Point [36] (Neiting (ST44) Ying-Spring Point [37]), Zhongwan (RN12), Sanyinjiao (SP6) [38] (Sanyinjiao (SP6) [39]), Taichong (LR3)
Modification according to symptoms:
For retching, Jianshi (PC5) Jing-River Point [40] (Jianshi (PC5) Jing-River Point [41]) is moxibusted for 7 moxa-cones; for dizziness, Fengchi (GB20) [42] (Fengchi (GB20) [43]) is punctured; for vomiting bile, Qiuxu (GB40) Yuan-Primary Point [44] (Qiuxu (GB40) Yuan-Primary Point [45]) is added.
Cautions and precautions:
Curative effect of acupuncture to vomit is fairly good. But sometimes cases with vomiting due to severe obstruction of upper digestive tract and cancer and vomiting due to encephalopathy can be only treated expectantly. Attention should be paid to the treatment of primary disease.
Key Words: vomiting, acupuncture
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