Acupuncture for Diarrhea - Treatment Protocols
Submitted by yyh_staff on Tue, 2006-08-15 11:35.
Below you will find some of the more common tcm diagnoses and acupuncture treatment protocols for diarrhea. There are many ways to treat this condition with Eastern Medicine and our presentation is only one of many possible options.
- Etiology & Pathology:
- 2 Major Factors:
- Cold - generally a direct strike or from Yang Deficiency.
- Damp - effecting the ST/SP fluid transformation/ascension leading to loose stools (damp-heat is also common).
- 2 Major Organ Deficiencies Involved:
- SP Deficiency (can arise from LV Excess overacting on SP) - transforms and transports body fluids, raises and ascends the Qi.
- KD Deficiency - controls the lower orifices, role in transforming body fluids and as the pilot light to the SP.
- Etiology:
- Cold Diarrhea - exogenous cold w/direct strike on the intestines.
- Hot (Damp-heat) Diarrhea - exogenous heat enters the middle jiao, possibly combining w/damp - possible in warmer climates/months with humidity.
- Damp Diarrhea - Can be acute or chronic, due to overexposure to a damp environment a/or excessive consumption of damp foods.
- SP Deficiency Diarrhea
- KD Deficiency Diarrhea
- LV/SP Diarrhea
- Differentiation:
- Cold Diarrhea
- Signs & Symptoms:
- Abdominal pain that improves with the application of heat, loose or watery stools, possibly w/undigested food, clear urine, no thirst.
- Tongue: Pale, white coat
- Pulse: Slow, tight
- Treatment Points:
- Hot (Damp-Heat) Diarrhea
- Signs & Symptoms:
- Abdominal pain w/urge to defecate, burning sensation in the anus, hot yellow stools w/foul odor, scanty dark urine, aversion to heat, thrist w/desire for cold drinks, irritability, fever possible.
- Tongue: Yellow coat, greasy (if damp)
- Pulse: Fast, slippery (if damp)
- Treatment Points:
- Valaskatagis Point Selection:
- ST 25 - LI Mu
- ST 37 - w/ST 25 to clear heat/regulate intestines
- LI 4 - clear heat in LI
- ST 44 - clear heat
- SP 9 - resolve dampness
- UB 25 - LI Shu
- Maciocia Point Selection:
- CV 12 - ST Mu
- UB 22 - TH Shu - transform body fluids
- SP 6 - resolve dampness
- SP 9 - resolve dampness
- ST 25 - LI Mu, regulate stools
- UB 25 - LI Shu
- Damp Diarrhea
- Signs & Symptoms:
- Watery stools, abdominal distention, boborygmus, stuffy chest, no thirst, scanty urine, sallow complexion, lack of appetite, heaviness of the body.
- Tongue: Greasy, white coat or very wet
- Pulse: Slippery, soft
- Treatment Points:
- Valaskatagis Point Selection:
- UB 20 - SP Shu
- CV 9 - resolve dampness
- SP 9 - resolve dampness
- ST 28 - damp heat in the lower warmer, esp. with urinary tract involvement
- Maciocia Point Selection: (he differentiates this as cold-damp)
- UB 12 - expel wind
- UB 22 - TH Shu
- SP 6 - tonify SP, transform damp
- SP 9 - transform damp
- CV 6 - tonify Qi
- ST 25 - LI Mu
- Spleen Deficiency Diarrhea
- Signs & Symptoms:
- Thin, watery stools w/undigested food, abdominal distention, lack of appetite, fatigue.
- Tongue: Pale, swollen w/teeth marks
- Pulse: Empty, thin
- Treatment Points:
- KD Deficiency Diarrhea
- Signs & Symptoms:
- Very watery stool, diarhea at dawn, cold abdomen a/or lower extremeties, abdominal pain, low back pain.
- Tongue: Pale, puffy body, white coat
- Pulse: Deep, empty, slow
- Treatment Points:
- LV/SP Diarrhea
The information on our site is drawn from our own lecture notes and clinical experience. The following lecture notes were consulted within this section:
- St. John, Meredith: New England School of Acupuncture, Etiology and Pathology Lecture Notes
- Valaskatgis, Peter: New England School of Acupuncture, Etiology and Pathology Lecture Notes
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