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1、Wenlei QiaoIrritable bowel syndrome (IBS) 肠道易激综合症肠道易激综合症Irritable bowel syndrome (IBS)The normal rhythmic muscular contraction of the digestive tract become irregular and uncoordinated leads to accumulation of mucus and toxins in the intestineThe main clinical manifestations:Abdominal pain& distensi
2、on, diarrhea or/ and constipation + general symptoms and signs of neurosis主证：腹痛，腹胀，腹泻 或主证：腹痛，腹胀，腹泻 或 / 和 便秘和 便秘 + 全身神经官能症状全身神经官能症状肠道易激综合症肠道易激综合症Mental stress 精神紧张精神紧张Digestive tract 消化道消化道affect each other a group of syndromesEnteric cavity 肠腔肠腔A functional disorder 功能性紊乱功能性紊乱no physical signs of di
3、sease in bowel tissue with IBSIrritable bowel syndrome (IBS)Disharmony of LV & SP 肝脾不和肝脾不和-Abdominal distention 腹胀腹胀-Diarrhea or constipation alternately 受情绪影响，泄泻 或受情绪影响，泄泻 或/和 便秘 交替和 便秘 交替related to the emotional changes mostly- Nausea or poor appetite 恶心或食欲不振恶心或食欲不振T: light red with white coating,
4、 P: wiry10LiverBody YinFunction - YangCirculation & Metabolism of water in the bodymouthdispersing to the skin-hairesophagus Lung excreted as sweatHeartStomach Spleen regulating water passageLiver-GBSmall Kidney Qi Kidney Intestine activityturbid part descendingLarge Intestine Urinary bladderClear p
5、artSanjiaoMain points:主穴主穴CV 12 中脘中脘- Front-Mu of ST- hui of FU, Qi of Middle JiaoST 25 天枢天枢- Front-Mu of LI, to treat diarrhea or constipation CV 4- Original qi of Kidney, Front-Mu of SIST 37 上巨虚上巨虚- Lower He-sea of LI Regulating ST & LI, clearing damp-heatLV 3 太冲太冲- Yuan-source of LVsmooth qi of L
6、V -emotional pointST37LV 3CV12ST25ST25CV 4ST25EX- Zhixie (2.5cun) Antidiarrheal pointST25Severe Diarrhea + EX-Sishencong GV20GV20 BaihuiLiver MeridianWith High blood pressure or HeadacheBleeding on GV20Crohns Disease & Ulcerative Colitis - Chronic Inflammatory EnteropathyUlcerative colitis is simila
7、r to Crohns disease in many aspects:Related to the emotional disorders Loss of energy or loss of weight Abdominal painDiarrhea and rectal bleedingThe primary difference between the two conditions:The degree of involvement of the wall of the intestinal tractCrohns disease - deep into muscularisUlcera
8、tive colitis-limited to the mucosa & submucosaCrohns diseaseUlcerative colitisDifferentiation in TCM Basic: Depression of Liver and Deficiency of SpleenSP yang SP & KI yang stressOr - stagnation of qi SP qi disharmony depression in LV & GB LV & SPheat dampIntestines Lower Jiao accumulation of damp-h
9、eat Different diseases with similar symptoms & signsAccumulation of damp-heat 湿热内蕴湿热内蕴-Abdominal pain intermittently with diarrhea 阵发性腹痛， 腹泻阵发性腹痛， 腹泻-Feeling of incomplete emptying of rectum 便不爽感便不爽感- Bowel movement with burning in the anus 肛门灼热感肛门灼热感T: red with yellow-greasy, P: wiry & slipperyYang
10、 def. of SP & KI 脾肾阳虚脾肾阳虚Long term of illness consume Yangai-feel a dull pain in abdomen 腹部隐痛腹部隐痛-bowel movement with mucus-undigested food 便粘液便粘液+不消化食物不消化食物-diarrhea often attack in the early morning（五更泻）（五更泻）-with cold limbs and lassitude 寒象寒象 + 全身无力全身无力T: pale with white coating, P: deep, thin an
11、d weak9ImmunityPrinciple of Treatment- Harmonizing of Liver & Spleen 调和肝脾调和肝脾- Eliminate damp and Clearing heat away除湿清热除湿清热- Warming Spleen & Kidney温补脾肾阳气温补脾肾阳气Main points:主穴主穴CV 12 中脘中脘- Immunity-Spleen- hui of FU, Qi of Middle JiaoCV 10 下脘下脘- ST-IntestineST 25 天枢天枢- Front-Mu of LIST 36 Immunity,
12、Regulating ST & LI, clearing damp-heatCV 4 关元关元CV 6 气海气海 MU of SI Immunity-Kidney LV 3 太冲太冲smooth qi of LV -emotional pointST36LV 3CV12ST25CV 4CV 6CV10ST28 or Ashi Improve the local circulation for the ulcer recoveryileum 回肠回肠ST28Moxa with Ginger after withdrawing the needlesRen Mai Qi in the Yin me
13、ridianCV17 Qihui Upper jiaoCV12 Qi of Spleen Middle Jiaowater CV 6 Qihai Lower jiao(whole body)CV 4 Original Yin Yang of KidneyQiCV 8CV 9KI13(Qixue)Secondary points1. Disharmony of LV & SP 肝脾不和肝脾不和+ GB 34阳陵泉阳陵泉 (with muscular tension)Bleeding on Liveryang or apex of ear 2. Accumulation of damp-heat 湿热内蕴湿热内蕴+ SP 9 or ST44 Strengthening immunity Yang qi of Spleen-KidneyCV 6气海气海CV 4关元关元CV 8神阙神阙Or Moxa on the backGV 4 -Door of LifeMoxa BoxDeficiency of Spleen-Kidney YangSevere diarrhea Moxa with saltAuricular Acu-pessureLILV, ST
