Vomiting
Vomiting
Overvie
Vomiting, stomach contents is out of the mouth against the esophagus Syndrome.
Common in acute gastritis, cardiac spasm, pyloric obstruction, pancreatitis, cholecystitis, or brain disease, certain drugs can also cause vomiting.
Etiology and pathology
Six Exogenous vomiting disease because, evil Fan Wei, impassioned internal injuries, as well as diet, Laojuan over other, causing Stomach Shangni Erzhi vomiting.
Pathological changes of the evils invasion of stomach organs, resulting in lower stomach disharmony, with the gas Shangni Erzhi Mizutani vomiting; diet, Shang Wei lag spleen that may cause food stagnation is not based,, Wei Qi can not be down, but for the Shangni vomiting; emotional disorders, disorders of the liver, tribulations Fan Wei, Wei Qi Shangni, Concerned injured spleen, card lost health movement, difficulty of stopping eating, loss and lower stomach, vomiting may also occur; spleen and stomach, not subtle Mizutani qi and blood, so that the cold cloud in the sputum into a blocked or gather to drink, drink evil Shangni caused vomiting.
Diagnostic points
l. vomiting, often with digestive diseases and central nervous system or a central nervous symptoms of the disease; also seen in other systemic diseases such as diabetes, acidosis, and uremia.
2. Central vomiting was sprayed, and more significantly associated with headache; digestive nausea and vomiting often precede.
dialectical
1. Evils Fan Wei symptoms: sudden vomiting, aversion to cold can be accompanied by fever, head and body pain, chest stuffiness Zhongwan. Greasy moss, pulse slow moisten.
Syndrome analysis: exogenous pathogenic wind and cold, or summer Shushi dirty cloud of gas, stomach and organs within the interference, sewage Shangni, it is suddenly vomiting; evil muscle bundles form business health disharmony, so fever chills, head and body pain ; wet muddy in the resistance, air-negative, so the abdominal chest stuffiness; greasy moss, pulse slow Confucianism are all wet muddy Yun resistance of the sign. The card to a sudden vomiting, head and body pain or clinical characteristics of cold and heat.
2. Food stagnation symptoms: sour vomiting, abdominal distention, anorexia warming gas, to eat even worse, anti soon after vomit, stool or a foul smell or the thin lining secret knot. Thick and greasy fur, slippery pulse reality.
Syndrome analysis: Shi Zhi resistance, sewage Shangni, so sour vomiting;
Movements disorders, conduction loss of Division abnormal stool test, or the foul smell, or pond thin, or the secret knot; food stagnation in the coke, air-negative, so the hospital distention, gas heating anorexia; thick and greasy fur, slippery pulse fact, the stopping of waiting for the food stagnation. The card to sour vomiting, anorexia and clinical characteristics of heating gas.
3. Phlegm resistance symptoms: vomiting, mostly water, hold the spit, abdominal doors do not eat, dizziness palpitations. Greasy fur, slippery pulse.
Syndrome Analysis: Brand is not to transport and, in Stop Tan Yin, Wei Qi did not fall, do not eat the abdominal nausea, vomiting, hold the spit; water to drink committed, Qing Yang of the gas does not show, so the dizziness; water vapor is the heart Lingpalpitations; greasy fur, slippery pulse, the stopping of the levy for the phlegm. This permits water to hold the spit with the dizziness and vomiting for the clinical features of palpitations.
4. Qi Fan Wei symptoms: vomiting Tunsuan, Heating frequent, Xiong Xie men Tong. Tongue side of red, greasy moss, pulse string.
Syndromes; liver uncomfortable, tribulations Fan Wei, stomach disharmony down, so vomiting Tunsuan, warm air frequently; Xiong Xie men Tong, red tongue, pulse string for the stagnation of the liver Wang Zheng. Heating of the gas card to hypochondriac pain and vomiting with clinical features.
These four types of evidence for the vomiting.
5. Spleen Deficiency symptoms: eating a little careless, that is easy to vomiting, the time when he ended, looking? S white, malaise, fatigue, dry mouth and not want to drink, limbs not warm, loose stools thin. Pale tongue, weak pulse moisten.
Syndrome analysis: weak stomach, weak in the sun, the water transport of less than Google ripe rot, so the slightest mistake or spit food, for the time when only; Yang can not warm cloth, then looking? S white, limbs not warm, languid ; Deficiency in the coke, gas is not of Tianjin, dry mouth and not want to drink it; deficiency disorders is to transport and therefore thin stool Tong; pale tongue, weak pulse are signs of Spleen deficiency. The card to a little careless eating namely vomiting, cold extremities, loose stools for clinical characteristics.
6. Stomach yin deficiency symptoms: recurrent vomiting, time to make retching, dry mouth and throat, like hungry but Yushi. Little red tongue, Tianjin, rapid pulse.
Syndrome analysis: stomach heat is unclear, Hao Shang Yin stomach, resulting in loss of Ru Yang stomach, gas loss and drop, so the recurrent vomiting, retching when he, like hungry but Yushi; not on the order of Tianjin, it is dry mouth throat; mamillata chun little breakdown pulse for the fluid Hao Shang, imaginary elephant in heat. The card to retching, dry mouth and throat, red tongue Tianjin less clinical characteristics.
Above the deficiency type II is vomiting.
Treatment
1. Evils Fan Wei rule is: Shu evil of the table, aromatic dampness.
Recipe: Huo Xiang Zheng Qi San oriented.
Lei Hong Perilla 9 g 9 g 6 g Da Fupi Angelica Magnolia 6 g 9 g 9 g Citrus Pinellia Atractylodes 6 g Poria 15 g 12 g 3 slices of ginger, jujube, licorice 3 grams 5 addition and subtraction with the disease: delay places , chest tightness, abdominal distension, to Atractylodes, liquorice, jujube, plus Divine Comedy 9 grams, 9 grams of Gallus gallus domesticus, to eliminate lead stagnation; those cold and heat and sweat-free, plus wind and 9 grams, 9 grams of Nepeta to Qufeng of the table; summer feeling Shushi, vomiting and upset thirst see those sweet warm to dry the drug Hong, plus berberine 3 grams, Perrin 9 grams, the leaves of 9 grams, to Qingshu antipyretic; like feeling dirty cloud gas, sudden vomiting, can be swallowed jade Ondansetron to the provision of cloud vomiting.
2. Food stagnation rule is: digestion of stagnation, and Heweijiangni.
Recipe: Paul and the pill based.
The Divine Comedy hawthorn 9 grams 9 grams 9 grams of Pinellia 9 grams of dried tangerine peel Poria 12 grams 9 grams of radish seeds 12 grams forsythia with addition and subtraction cards: Fu Man constipation, can increase the yellow 9 grams (post below), citrus aurantium 9 grams, Magnolia 6 grams, to dredge Tongfu, sewage downstream, the vomiting may only; accumulated heat on the red stomach, food is the spit, bad breath Erke, moss yellow vein several persons, plus pay Ru 10 grams, ginger, 3 films, to Qingwei Jiangni.
3. Phlegm Therapeutic resistance: temperature of phlegm, and Heweijiangni.
Recipe: Small Pinellia Decoction Ling Gui Zhu Gan Tang.
Pinellia 12 g ginger 3 Guizhi 6 g Poria 15 grams 15 grams Atractylodes licorice 6 grams plus or minus with the disease: abdominal distention were to Atractylodes, Magnolia plus 9 grams, Tai Fupi 9 grams, except full-qi; vomiting more than those who hold the spit of water, plus cows son, Mustard Seed 2 grams each, and research has not loaded capsules, 3 times daily swallowed, drink Juan can enhance the power of phlegm; phlegm on the Mongolia, Zheng Jian vertigo vomiting, can add 10 grams of Tianma, Daizhe Dan 12 grams, 9 grams of real power to phlegm Jiangni;
Yu phlegm-fire, could add berberine 3 grams, 12 grams of whole melon wilt to heat phlegm, vomiting and stomach.
4. Qi Fan Wei Therapeutic: Liver and stomach, Jiangni vomiting.
Recipe: Sini San and left Kanemaru addition and subtraction.
Bupleurum 9 grams 6 grams of white peony shell product berberine 6 g 12 g 10 g Pinellia Evodia 6 6 grams of Akzo Terrier 12 g Poria 12 g turmeric 3 grams of licorice ginger 3 addition and subtraction with the disease: I suffer noisy, constipation Results were, a little rhubarb 9 g (later), citrus aurantium 9 grams, the Tongfu Jiangzhuo; hot as in more worse, plus Zhuru 9 grams, gardenia 12 grams, to send fire Liver; warm air vomit against severe cases, plus Inula 9 grams, 12 grams Daizhe Dan to Jiangni vomiting.
5. Spleen Deficiency Treatment Principle: warming middle invigorating spleen, and stomach Jiangni.
Recipe: in particular, the main reason.
Codonopsis 12 grams 12 grams Atractylodes ginger 3 g Glycyrrhizae 6 g Poria 15 grams Amomum 3 g (later) Citrus Pinellia 9 g 9 g addition and subtraction with the disease; vomiting more than water, cold limbs cool homes, could add aconite 9 grams (Xian Jian) to Onyang vomiting; and vomiting Xian Mo, could add 3 grams of Evodia to warm in the cold, Jiangni on the ass.
6. Stomach yin deficiency Therapeutic principle: Nourishing Stomach Yin, Jiangni vomiting.
Recipe: Wheat Asp Decoction.
Codonopsis Pinellia 12 McCauley Winter 15 grams 6 grams 6 grams of rice Zhuru TCS 12 grams 20 grams 9 grams of licorice Anemarrhena 3 grams jujube 5 addition and subtraction with the disease: dry mouth was, could add 15 grams of Dendrobium toheat fluid; Ambassador dry, could add 15 grams of hemp seed, peach kernel 9 grams, the laxative; and stagnant heat, could add 3 grams berberine to heat Chufan.
CHINESE
1. Lei Hong upright soft capsule 3 capsules each time, 3 times a day, swallow.
2. Left Kanemaru 6 grams each time, 3 times a day, swallow.
Easy side
1. Coptis 3 grams, 6 grams Su Ye, Shuijianbi, 2 times a day.Vomiting and gas heating for those Tunsuan.
2. Pinellia 6 grams, ginger, 3, Shuijianbi, 2 times a day.Vomiting of water, hold the spit for those.
Other therapies
Acupuncture: The bilateral relations within the Zusanli, Sanyinjiao, strong stimulation, or the needle for 30 minutes. Were more cold moxibustion, acupuncture heat of a disease, and may increase bleeding puncture Venezuela for vomiting evidence.Vomiting deficiency within the customs check, building, the full three years, Yu liver, spleen and other points, there are warm in the antiemetic effect.
Massage: rubbing the court, dove tail, push the throttle in the straight to the dove tail, point Quepen, the solar plexus, spleen and stomach Jiangni have the power.
Scraping therapy: taking the spine on both sides, from top to bottom to scrape along the waist, stomach and vomiting may be dispelling evil.
Hold drug law: take Pinellia, Citrus 9 grams, and research to fine, plus 6 grams of light blue, ginger 10 grams, a total of pound mud balls, grip on the hands, there is and the role of Heweijiangni vomiting. Students also take ginger, the better.
Food therapy: Amomum Oufen: Amomum end 10 grams, Panax end of 2 g, lotus root starch 30 grams, sugar amount, four and even, when the boiling water into the food, mix well. Vomiting spleen and stomach function.
Note
1. Vomiting is a common clinical symptoms, timely diagnosis and treatment, the prognosis is good.
If repeated vomiting can cause electrolyte imbalance and acid-base balance disorder, and should be treated.
2. Attention to food hygiene, not overeating, avoid alcohol and spicy food.
3. Some have a stimulating effect on the stomach should avoid the application of the drug.