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vomiting
common causes
1. retention of food
2. attack of the stomach by the liver qi
3. hypofunction of the spleen and stomach
vomiting
etiology and pathogenesis
1. overeating of raw, cold and greasy food leads to upward perversion of the stomach qi, resulting in vomiting
2. emotional disturbance and depression of the liver qi harm the stomach, impairing downward movement of the stomach qi, causing vomiting
3. weakness of the spleen and stomach or overstrain leads to hypofunction of the stomach in T/T then causing retention of food. the stomach qi ascends instead of descending
vomiting
retention of food
manifestation
1. acid fermented vomitus
2. epigastric and abdominal distention
3. belching
4. anorexia
5. loose stools or constipation
6. thick granular tongue coating
7. rolling and forceful pulse
vomiting
retention of food
analysis
retention of food impedes the function of the spleen and stomach in T/T. since qi in the middle energizer is stagnated, there appear epigastric and abdominal distention, belching and anorexia.
retention of food leads to upward flowing of the turbid qi, so acid femented vomitus and loose stool or constipation occur
thick granular T/C and rolling, forceful pulse are the signs of retention of food 
vomiting
attack of the stomach by liver qi
manifestations
1. vomiting
2. acid regurgitation
3. requent belching
4. distending pain in the chest and hypochondriac regions
5. irritability with an oppressed feeling
6. thin sticky T/C
7. string-taut pulse
vomiting
attack of the stomach by liver qi
analysis
1. depressed liver qi attacks the stomach, causing upward perversion of the stomach qi, so there occur vomiting, acid regurgitation, frequent belching, distending pain the chest and hypochondriac regions
2. in case of stagnation of liver qi, irritability with an oppressed feeling occurs
3. thin, sticky T/C and string-taut pulse are the signs of the stagnation of liver qi
vomiting
hypofunction of the spleen and stomach
manifestations
1. sallow complexion
2. vomiting after a big meal
3. loss of appetite
4. lassitude and weakness
5. slightly loose stools
6. pale thin white T/C
7. thready and forceless pulse
vomiting
hypofunction of the spleen and stomach
analysis
1. weakness of spleen and stomach leads to hypoactivity of the yang in the middle energizer, which fails to receive food and water, so vomiting appears after a big meal
2. if the spleen fails in T/T the essentials of water and food no longer supply the body for nourishment, there may appear lassitude, weakness, loss of appetite and slithly loose stool
3. pale tongue, thin T/C and thready and forceless pulse are the signs of weakness of the spleen and stomach.
vomiting
TxP method
1. the points of yangming and taiyin meridians of foot are selected as the principal points to activate the descent of qi and to pacify the stomach
2. for retention of food, reducing is used
3. for attack of stomach by liver qi even movement is usually used to soothe the liver and regulate the flow of qi
4. for weakness of spleen and stomach, reinforcing combined with moxa is used to strengthen the function of spleen and warm up the middle energizer
vomiting
points 1 general
Zhongwan RN12- ST FM, fu infl. 
ST36-
PC6- luo, yinwei co.
SP4- luo, chong co.
vomiting
point 2- retention of food
Xiawan RN10- lower epigastrium
vomiting
attack of the stomach by liver qi
LIV3- SS, yuan 
vomiting
hypofunction of the spleen and stomach
UB20- BS spleen
vomiting
persistent vomiting
jinjing- left
yu ye- right
golden fluid, jade fluid
on the veins of the frenulum of the tongue
experice point
x of y cards