Stomachache Gastralgia 1 Etiology pathogenesis 7 Diagnosis Differential

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胃痛 Stomachache / Gastralgia 高健 1

胃痛 Stomachache / Gastralgia 高健 1

病因病机 Etiology & pathogenesis 7

病因病机 Etiology & pathogenesis 7

诊断 Diagnosis & 鉴别诊断 Differential diagnosis 14

诊断 Diagnosis & 鉴别诊断 Differential diagnosis 14

Analyses of pathological conditions 寒邪客胃: retention pathogenic cold in stomach 饮食停滞: 肝气犯胃: liver-qi attacking

Analyses of pathological conditions 寒邪客胃: retention pathogenic cold in stomach 饮食停滞: 肝气犯胃: liver-qi attacking stomach 肝胃郁热 瘀血停滞: retention of blood stasis 胃阴亏虚: consumption of gastric yin 脾胃虚寒: asthenia-cold in spleen and stomach 18

Stomachache / Gastralgia Problems of patients: Nursing goals: 22

Stomachache / Gastralgia Problems of patients: Nursing goals: 22

Stomachache / Gastralgia Nursing interventions Retention pathogenic cold in stomach • Principle of nursing:温胃散寒,理气止痛

Stomachache / Gastralgia Nursing interventions Retention pathogenic cold in stomach • Principle of nursing:温胃散寒,理气止痛 Life care: Diet care: ¡香苏散合良附丸加减。 Drugs care: • ¡常用药:高良姜、吴茱萸温胃散寒; Entirety nursing Acupuncture: : ¡香附、乌药、陈皮、木香行气止痛。 Tui na: Other nursing methods: 23

Stomachache / Gastralgia Nursing interventions 饮食停滞 • Principle of nursing :消食导滞 Life care: Diet

Stomachache / Gastralgia Nursing interventions 饮食停滞 • Principle of nursing :消食导滞 Life care: Diet care: ¡保和丸加减。 Drugs care: • Entirety nursing ¡常用药:神曲、山楂、莱菔子消食导滞; Acupuncture: : ¡茯苓、半夏、陈皮和胃化湿;翘散结清热。 Tui na: Other nursing methods: 24

Stomachache / Gastralgia Nursing interventions Liver-qi attacking stomach • Principle of nursing :疏肝理气,和胃止痛 Life

Stomachache / Gastralgia Nursing interventions Liver-qi attacking stomach • Principle of nursing :疏肝理气,和胃止痛 Life care: Diet care: ¡柴胡疏肝散加减。 Drugs care: • Entirety nursing Acupuncture: : ¡常用药:柴胡、芍药、川芎、郁金、 Tui na: ¡香附疏肝解郁;陈皮、枳壳、佛手、甘草理气和中。 Other nursing methods: 25

Stomachache / Gastralgia Nursing interventions 肝胃郁热 • Principle of nursing :疏肝清热和胃 • Entirety nursing

Stomachache / Gastralgia Nursing interventions 肝胃郁热 • Principle of nursing :疏肝清热和胃 • Entirety nursing Life care: Diet care: Drugs care: Acupuncture: Tui na: Other nursing methods: 26

Stomachache / Gastralgia Nursing interventions Retention of blood stasis • Principle of nursing :活血化瘀止痛

Stomachache / Gastralgia Nursing interventions Retention of blood stasis • Principle of nursing :活血化瘀止痛 Life care: Diet care: ¡失笑散合丹参饮加减。 Drugs care: • Entirety nursing ¡常用药:蒲黄、五灵脂、丹参活血 Acupuncture: Tui na: ¡散瘀止痛;檀香、砂仁行气和胃。 Other nursing methods: 27

Stomachache / Gastralgia Nursing interventions Consumption of gastric yin • Principle of nursing :养阴益胃

Stomachache / Gastralgia Nursing interventions Consumption of gastric yin • Principle of nursing :养阴益胃 Life care: ¡一贯煎合芍药甘草汤加减。 Diet care: ¡常用药:沙参、麦冬、生地、 Drugs care: • Entirety nursing ¡枸杞子养阴益胃;当归养血活血; Acupuncture: Tui na: ¡川楝子理气止痛;芍药、甘草缓急止痛。 Other nursing methods: 28

Stomachache / Gastralgia Nursing interventions Asthenia -cold in spleen and stomach • Principle of

Stomachache / Gastralgia Nursing interventions Asthenia -cold in spleen and stomach • Principle of nursing :温中健脾 Life care: Diet care: ¡黄芪建中汤加减。 • Entirety nursing Drugs care: ¡常用药:黄芪补中益气;桂枝、生姜温脾散寒; Acupuncture: ¡芍药、炙甘草、饴糖、大枣缓急止痛。 Tui na: Other nursing methods: 29

Diarrhea Analyses of pathological conditions 寒湿(风寒): cold-damp ( wind-cold ) 湿热(暑湿): damp-heat(summer damp) 食滞胃脘:

Diarrhea Analyses of pathological conditions 寒湿(风寒): cold-damp ( wind-cold ) 湿热(暑湿): damp-heat(summer damp) 食滞胃脘: retention of food in stomach 肝气乘脾: liver-qi attacking spleen 脾胃虚弱: weakness/hypofunction of spleen and stomach 肾阳虚衰: declination of renal yang 34

Diarrhea Problems of patients 38

Diarrhea Problems of patients 38

Diarrhea Nursing interventions Cold -damp ( wind-cold ) • Principle of nursing :解表散寒,芳香化浊 •

Diarrhea Nursing interventions Cold -damp ( wind-cold ) • Principle of nursing :解表散寒,芳香化浊 • Entirety nursing Life care: Diet care: Drugs care: Acupuncture: Tui na: Other nursing methods: 39

Diarrhea Nursing interventions Damp –heat ( summer damp ) • Principle of nursing :清热利湿

Diarrhea Nursing interventions Damp –heat ( summer damp ) • Principle of nursing :清热利湿 • Entirety nursing Life care: Diet care: Drugs care: Acupuncture: Tui na: Other nursing methods: 40

Diarrhea Nursing interventions Retention of food in stomach • Principle of nursing :消食导滞 •

Diarrhea Nursing interventions Retention of food in stomach • Principle of nursing :消食导滞 • Entirety nursing Life care: Diet care: Drugs care: Acupuncture: Tui na: Other nursing methods: 41

Diarrhea Nursing interventions Liver -qi attacking spleen • Principle of nursing :抑肝扶脾 • Entirety

Diarrhea Nursing interventions Liver -qi attacking spleen • Principle of nursing :抑肝扶脾 • Entirety nursing Life care: Diet care: Drugs care: Acupuncture: Tui na: Other nursing methods: 42

Diarrhea Nursing interventions Weakness /hypofunction of spleen and stomach • Principle of nursing :健脾益胃

Diarrhea Nursing interventions Weakness /hypofunction of spleen and stomach • Principle of nursing :健脾益胃 • Entirety nursing Life care: Diet care: Drugs care: Acupuncture: Tui na: Other nursing methods: 43

Diarrhea Nursing interventions Declination of renal yang • Principle of nursing :温肾健脾,固涩止泄 • Entirety

Diarrhea Nursing interventions Declination of renal yang • Principle of nursing :温肾健脾,固涩止泄 • Entirety nursing Life care: Diet care: Drugs care: Acupuncture: : Tui na: Other nursing methods: 44

黄疸 (Jaundice / Icterus) 主讲: 高健 46

黄疸 (Jaundice / Icterus) 主讲: 高健 46

Jaundice / Icterus Problems of patients Nursing goals 50

Jaundice / Icterus Problems of patients Nursing goals 50

Jaundice / Icterus Nursing interventions Yang jaundice • Principle of nursing :清热利湿退黄 • Entirety

Jaundice / Icterus Nursing interventions Yang jaundice • Principle of nursing :清热利湿退黄 • Entirety nursing Life care: Diet care: Drugs care: Acupuncture: Tui na: Other nursing methods: 51

Jaundice / Icterus Nursing interventions Acute jaundice • Principle of nursing :清热解毒,凉血散瘀 • Entirety

Jaundice / Icterus Nursing interventions Acute jaundice • Principle of nursing :清热解毒,凉血散瘀 • Entirety nursing Life care: Diet care: Drugs care: Acupuncture: Tui na: Other nursing methods: 52

Jaundice / Icterus Nursing interventions Yin jaundice • Principle of nursing :健脾和胃,温寒化湿 • Entirety

Jaundice / Icterus Nursing interventions Yin jaundice • Principle of nursing :健脾和胃,温寒化湿 • Entirety nursing Life care: Diet care: Drugs care: Acupuncture: : Tui na: Other nursing methods: 53