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Abdominal Pain

Chapter 11.2.5 · Earth Element

Description

Ask patient to point out the exact area of pain. Different areas suggest different organs: Stomach (upper), Small Intestine (around navel), Large Intestine (lower abdomen), Liver/Gall Bladder (below ribs).

Differential Diagnosis

Treatment

Common Points

Plum-blossom hammer paravertebral tapping from T11 to L5 until red skin reaction

Stomach (Yin)

UB 21, St 36Ren 12 moxaSt 40 (Luo)

Small Intestine (Yin)

UB 27, St 39Ren 4, Ren 8 moxaSI 7 (Luo)

Large Intestine (Yin)

UB 25, St 37LI 11, LI 4 if constipatedLI 6 (Luo)

Stomach (Yang)

Ren 12, P 6Liv 1, St 43Sp 21During Yang excess: St 34 sedation, St 42 sedation, UB 21 bleeding cup

Small Intestine (Yang)

Ren 4, Ren 12P 6 if vomitingSt 25, St 37 if diarrhoeaSt 39, H 5, SI 2, K 7During Yang excess: St 39 sedation, SI 4 sedation, UB 27 bleeding cup

Large Intestine (Yang)

St 25, Ren 12St 37, Lu 7LI 5, H 8During Yang excess: St 37 sedation, UB 25 bleeding cup

Treatment Schedule

Varies by type and severity

Point Prescription Builder

Select Organ

Energy State

Add Symptomatic Point (optional)

Suggested Prescription

Sp 2Liv 13UB 20

Rationale

• Tonification (Mother) point — tonifies 90% house energy of Spleen.

• Mu-Front point — tonifies cooling/calming Yin of Spleen.

• Back-Shu point — tonifies functional Yang of Spleen.

• Influential point: GB 39 (Marrow/nerve) — treats related tissue group.

Educational use only. Point prescriptions should only be applied by licensed practitioners.