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Vomiting

The regurgitation of vomitus from stomach with or without vomiting noise is causedby the adverse ascent of stomach qi.

Differential diagnosis: Patients with vomiting caused by cold pathogens may have

sudden vomiting with vomitus containing clear fluid and saliva, white tongue coating,

and floating pulse. Patients whose conditions is caused by heat pathogens may have

repeated vomiting with vomitus containing sour and bitter bile, thirst with desire to

drink cold water, red tongue, and rapid pulse. Patients with vomiting caused by

improper food may have vomiting with vomitus containing undigested food with

relief of symptoms after vomiting, fullness and distension of upper abdomen, anorexia,

foul stool, thick and greasy tongue coating, arid rolling and forceful pulse. Patientswith vomiting caused by stagnation of phlegm may suffer from distension of abdomen,

vomiting with vomitus containing sputum, preference for hot drinks after vomiting,

anorexia, dizziness, heart palpitations, pale tongue with white coating, and rolling and

soft pulse. And patients with an attack of liver qi to the stomach may have vomiting

after meals caused by emotional distress, relieved of symptoms after vomiting,

tidiness and distension or pain in chest and flank, annoyance and depression, red

borders of tongue, and wiry pulse. Vomiting due to nerves, gastritis, spasms or

obstruction of pylorus, cholecystitis, cerebrovascular accident and hepatic coma

recognized by modern medicine may be treated by the following methods.

Treatment:

Foot massage: The massage is applied to spleen (34), stomach (15), coeliac plexus

(20), liver (18) and duodenum (16) reflecting areas (Fig. 67).

Foot acupuncture:

(1) Meridianal acupoints: At Qiuxu (GB 40), Pucan (BL 61), Zutonggu (BL 66),

Yinbai (SP 1), Dadu (SP 2) and Taibai (SP 3) acupoints, a reducing technique isapplied and the needles are retained for 20 minutes. Moxibustion after acupuncture

may be applied to patients with cold pathogens or phlegm stagnation.

(2) Extra acupoint: A reducing technique is applied at Nuxi (EX-F6) acupoint and the

needle is retained for 20 minutes. Moxibustion after acupuncture may be applied to

patients with cold pathogens or phlegm stagnation.

(3) Foot acupoints: At Stomach (FA-P 8), Colon (FA-P 13), Small intestine (FA-P 11)

and Spleen (FA-P 10) acupoints, a moderate twisting stimulation is applied with the

needles not retained. Patients with vomiting caused by cold pathogens or phlegm

stagnation may be treated with moxibustion after acupuncture with the needles

retained for 20 minutes.

Vomiting

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External application of drugs:

(1) After pig oil is smeared on the soles, a garlic paste is applied over the central area

of both soles and wrapped with gauze.(2) The powder of alum and wheat flour in an adequate amount are mixed with

vinegar or boiled water to prepare a paste for application over Yongquan (KI 1)

acupoint and covered by a piece of sulfate paper and gauze.

Foot bath: For vomiting and diarrhea due to improper food, a warm decoction of

3000 ml in 40 degrees centigrade prepared by boiling pepper 20 gm, a handful of

mung beans, Huanglian (Chinese goldthread rhizome) 120 gm and dry ginger 120 gm

in water for 20 minutes is used for shower of chest and abdomen, and then for soaking

and washing both feet for 30 to 60 minutes, one or two times a day.

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Vomiting

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