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Internal Medicine

Type 1: Hypochondriac pain due to stagnation of the liver qi
Symptoms:
Pain in the left or the right hypochondrium is always wandering and is usually induced or aggravated by emotional changes. Accompaning symptoms are oppressed feeling in chest, eructation, sour regurgitition, irritability, poor sleep, thin and white tongue coating, wiry pulse.
Principle of treatment:
Soothing the liver and regulating the circulation of qi. Select points of Liver Meridian of Foot-Jueyin and Gall Bladder Meridian of Foot-Shaoyang as main points, with points of Ren Meridian and Back-Shu points as supplementary. Needling with reducing method.
Prescription:
Zhongting (CV16) (RN16), Ganshu (BL18) (Ganshu (BL18)), Qimen (LR14) Front-Mu Point of the Liver (Qimen (LR14) Front-Mu Point of the Liver), XiaXi (GB43) Ying-Spring Point (XiaXi (GB43) Ying-Spring Point).
Modification according to symptoms:
For sour regurgitition, Weishu (BL21) (Weishu (BL21)) is added; for poor sleep, Shenmen (HT7) Shu-Stream, Yuan-Primary Point (Shenmen (HT7) Shu-Stream, Yuan-Primary Point) is added.
Type 2: Hypochondriac pain due to damp-heat
Symptoms:
Pain in the right hypochondrium with pricking or burning sensation, accompanied by aversion to cold and fever during the acute attack, bitter taste, restlessness, nausea, vomiting, and dislike of oily or greasy food, tongue with thick and greasy or yellow and greasy coating, wiry and rapid pulse.
Principle of treatment:
Removing heat and damp, soothing the liver and normalizing the function of the gallbladder. Select points mainly from Liver Meridian of Foot-Jueyin and GallBladder Meridian of Foot-Shaoyang and Pericardium Meridian of Hand-Shaoyang. Needling with reducing method.
Prescription:
Qimen (LR14), Riyue (GB24) Front-Mu Point of the Gallbladder (Riyue (GB24) Front-Mu Point of the Gallbladder), Zhigou (TE6) (SJ6), Yanglingquan (GB34) He-Sea Point, Influential Point of Tendon (Yanglingquan (GB34) He-Sea Point, Influential Point of Tendon), Taichong (LR3) Shu-Stream, Yuan-Source Point(Taichong (LR3) Shu-Stream, Yuan-Source Point)
Modification according to symptoms:
For excessive heat, Dazhui (GV14) (DU14) is added; for nausea, vomiting, fullness in abdomen, Zhongwan (CV12) Front-Mu Point of the Stomach (RN12) and Zusanli (ST36) He-Sea Point (Zusanli (ST36) He-Sea Point) are added; for restlessness, Ximen (PC4) Xi-Cleft Point (Ximen (PC4) Xi-Cleft Point) is added.
Type 3: Hypochondriac pain due to blood stasis
Symptoms:
Continued hypochondriac pain in fixed area, the patients have history of trauma or chronic hypochondriac pain, hypochonidriac pain with distention and tenderness, or mass may be palpable in the hypochondrium, occasional purplish spots on the tongue, wiry pulse or small, and uneven pulse.
Principle of treatment:
Promoting blood circulation to remove blood stasis and promoting circulation of qi to relieve pain. Select points of Liver Meridian of Foot-Jueyin and Gall Bladder Meridian of Foot-shaoyang as main points; points of Spleen Meridian of Foot-Jaiyin and Back-Shu points as supplementary. Needling with reducing method.
Prescription:
Dabao (SP21) Major Luo-Connecting Point of the Spleen (Dabao (SP21) Major Luo-Connecting Point of the Spleen), Jinmen (BL63) Xi-Cleft Point (Jinmen (BL63) Xi-Cleft Point), Xingjian (LR2) Ying-Spring Point (Xingjian (LR2) Ying-Spring Point), Geshu (BL17) (Geshu (BL17)), Sanyinjiao (SP6) (Sanyinjiao (SP6)).
Modification according to symptoms:
For the patient due to trauma, points of pain region can be selected.
Type 4: Hypochondriac pain due to deficiency of yin
Symptoms:
Dull pain in the hypochondrium with unfixed location. No distending sensation. Aggravated by overwork and changes of posture. Pale complexion, flush cheeks, low fever, spontaneous perspiration, vertigo, palpatition. red tongue with little coating, small and rapid pulse.
Principle of treatment:
Nourishing yin and replenishing blood, regulating collaterals to relieve pain. Select points mainly from Spleen Meridian of Foot-Taiyin, Stomach Meridian of Foot-Yangming and the Heart Meridian of Hand-Shaoyin. Needling with reinforcing method.
Prescription:
Yinxi (HT6) Xi-Cleft Point (Yinxi (HT6) Xi-Cleft Point), Xinshu (BL15) ( Xinshu (BL15)), Xuehai (SP10) (Xuehai (SP10)), Sanyinjiao (SP6).
Modification according to symptoms:
For hectic fever, Gaohuang (BL43) (Gaohuang (BL43)) is added; for vertigo, Baihui (GV20) (DU20) is added with moxibustion with clothes.


Key Words: hypochondriac pain,acupuncture

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