Ulceration: a TCVM Approach

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Ulceration a TCVM Approach

• CAPT R.M. Clemmons, DVM, PhD, CVA

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Ulcer

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

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Stomach Heat
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Stomach Ulcers

• Mild

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

• Moderate to Severe

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
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GI Food Therapy

• Cabbage
• Contains glutamate
• Cools stomach GI
• Spinach
• Stops hemorrhage

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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
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21 Hua-tuo-jia-ji at cervical region
LO 0.5 dorsal to cervical vertebrae IN
cervical stiffness, wobblers 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
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Pancreatitis a TCVM Approach

• CAPT R.M. Clemmons, DVM, PhD, CVA

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Pancreatitis

• 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

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TCVM Acute Pancreatitis
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TCVM Chronic Pancreatitis
Enzyme replacement therapy still good to add
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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
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Perry Treatment

• 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
  fantasticbetter than any patient in yearsNOit
  wasnt the acupuncturewellmaybe we should try
  it again!

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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