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Ulceration: a TCVM Approach

Ulceration: a TCVM Approach. CAPT R.M. Clemmons, DVM, PhD, CVA. Ulcer. Symptoms Periodic pain Acid regurgitation Belching Vomiting Patterns Excess Stomach Cold Food Stagnation Liver Qi Stagnation Blood Stasis Deficiency Stomach Yin Deficiency. Pathogenic Heat. Yin Deficiency.

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Ulceration: a TCVM Approach

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  1. Ulceration: a TCVM Approach CAPT R.M. Clemmons, DVM, PhD, CVA

  2. Ulcer • Symptoms • Periodic pain • Acid regurgitation • Belching • Vomiting • Patterns • Excess • Stomach Cold • Food Stagnation • Liver Qi Stagnation • Blood Stasis • Deficiency • Stomach Yin Deficiency

  3. Pathogenic Heat Yin Deficiency Stomach Heat channel grandchild Gums organ child Cystitis Ulcer Colitis Stomach Heat

  4. Mild Moderate to Severe Stomach Ulcers Happy Stomach Angelica Dang Gui Nourish & activate Blood Paeonia Bai Shao Yao Nourish Liver Yin & Blood Bupleurum Chai Hu Soothe Liver Qi Aurantium Zhi Shi Move Qi & relieve pain Trichosanthes Gua Lou Promote body fluid & transform phlegm Pinellia Ban Xia Dry damp & transform phlegm Citrus Chen Pi Move Qi & relieve pain Licorice Gan Cao Harmonize Taraxacum Pu Gong Ying Clear Heat Jade Lady Gypsum Shi Gao Clear Heat and cool Stomach Anemarrhena Zhi Mu Clear Heat and nourish Yin Rehmannia Shu Di Huang Nourish Yin and Jing Ophiopogon Mai Men Dong Moisten and nourish Yin Achyranthes Niu Xi Bring the Qi flow down

  5. GI Food Therapy • Cabbage • Contains glutamate • Cools stomach & GI • Spinach • Stops hemorrhage

  6. 05 Shan-gen Mountain base Xie-05 LO: on the dorsal midline of boundary b/t hairy & non-hairy areas ME: Perpendicular insertion 0.3 cun IN: Loss of appetite, sinusitis, coma, shock, wind-cold, wind-heat Shan-gen GV-26 Ren zhong 06 Ren-zhong/Shui-gou the center of man/water passage, Xie-07, GV-26 LO: At the intersection b/t dorsal and middle 1/3 of the philtrum ME: Perpendicular insertion for 0.3 cun IN: Coma, shock, fever, bronchitis, Lung Heat, facial paralysis

  7. 21 Hua-tuo-jia-ji at cervical region LO: 0.5 dorsal to cervical vertebrae IN: cervical stiffness, wobbler’s disease 22 Jian-wei, strengthen stomach LO: Upper 1/3 of the jugular group, Between vein and cervical vertebra IN: Anorexia, vomit, stomach disorders LO: At the ventral midline just cranial to throat. IN: excessive salivation, laryngeal hemiplegia 23 Lian-quan ridge spring CV-23

  8. Pancreatitis: a TCVM Approach CAPT R.M. Clemmons, DVM, PhD, CVA

  9. Considered any acute or chronic change in GI function usually accompanied by some degree of vomiting, diarrhea and abdominal pain Acute- -Mild Pancreostasis Acute- -Severe Fulminating pancreatitis Chronic Pancreatic insufficiency Rx Acute NPO Fluids Antiemetics Pain relief Low fat/protein food Rx Chronic Enzyme therapy Pancreatitis

  10. TCVM Acute Pancreatitis

  11. TCVM Chronic Pancreatitis * Enzyme replacement therapy still good to add

  12. Perry 3 yr FS Springer Earth personality Acute onset of vomiting, fever and abdominal pain Increased thirst Scant urination Elevated Amylase & Lipase Increased WBC Rx: Fluids & Ranitidine Tongue: red & dry Pulse: fast & superficial West Dx: acute pancreatitis TCM Dx: damp-heat in spleen

  13. AP DN ST-45 ST-36 LI-4 PC-6 BL-20 CV-12 Aqua ST-36 BL-20 PC-6 Herbal Great Saussurea Coptis Next day was 80% improved Clinician said, “He is doing absolutely fantastic…better than any patient in years…NO…it wasn’t the acupuncture…well…maybe we should try it again!” Perry Treatment

  14. Great Saussurea Coptis Saussurea Mu Xiang Move Qi & relieve pain Coptis Huang Lian Clear Damp-Heat in the intestines Evodia Wu Zhu Yu Warm the middle Jiao & stop vomiting

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