LOWER ABDOMINAL PAIN

Clinical Manifestations
  • This can also be called Blood Stagnation in the Large Intestine, Blood and Heat Stagnation in the Large Intestine or Toxic Heat in the Large Intestine
  • Pain in the lower right abdomen; refuses pressure
  • Pain may be severe, boring, and in a fixed position or without fixed location
  • Constipation or
  • Mild diarrhea
  • Maybe fever
  • Maybe nausea and vomiting
  • Anorexia
  • T: Red
  • C:Thick, yellow and greasy or sticky
  • P: Rapid
Treatment Principle
  • Clear Heat
  • Transform Dampness
  • Invigorate Blood circulation
  • Conduct Stagnation.
Herb Formulas
Points
Clinical Manifestations
  • Body cold
  • Limbs icy
  • Complexion white and shiny
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful
  • Loose stools containing undigested food
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • Edema of face and limbs
  • Dysuria
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow
Treatment Principle
  • Warm and Reinforce the Spleen and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Vague lower abdominal pain
  • Feelings of cold and heaviness
  • Fond of warmth and pressure
  • Abdominal fullness intermittently
  • Borborygmus
  • Unformed, loose stools or
  • Chronic, incessant diarrhea
  • Urinary frequency
  • T: Pale
  • C: Thin and white
  • P: Deep and even
Treatment Principle
  • Warm and Clear the Small Intestine
Herb Formulas
Points
Clinical Manifestations
  • Vague pain in lower abdomen involving low back
  • Pain radiates down into testicle
  • Abdominal distention
  • Borborygmus
  • Relief after passing wind
  • Hernia pain in scrotum
  • T: Pale
  • C: Thin and white
  • P: Deep and wiry or Wiry and tight
Treatment Principle
  • Move Qi
  • Expel Knotting
Herb Formulas
Points
Clinical Manifestations
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Clear Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Acute, colicky lower abdominal pain
  • Facial color dark and dull
  • Emaciation
  • Sides and ribs distended on both sides (maybe with sharp pain)
  • Enlargement of the Liver and Spleen
  • Suffocating sensation in chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Dark purple (maybe purple spots on edge of tongue)
  • P: Wiry, choppy and slow
Treatment Principle
  • Activate Blood circulation
  • Soften hardness
Herb Formulas
Points
Clinical Manifestations
  • Swelling and pain in scrotum as if the testicles were being pulled downward or
  • Contractions and cold sensations of scrotum which are alleviated by warmth
  • Pain, distention, fullness and cold sensation in lower abdomen
  • Cold limbs
  • Dislike of cold and preference for warmth
  • T: Pale
  • C: White, greasy
  • P: Deep and wiry or Slow or Deep and Shi
Treatment Principle
  • Warm the Liver
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Pale, lusterless complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Generalized muscle tension
  • Numbness of limbs
  • Tremor, spasms or involuntary movements (chorea)
  • Involuntary shaking of head
  • Light menses or amenorrhea
  • Late menses
  • Irregular menstruation with little flow
  • Periumbilical pain
  • Lower abdominal pain
  • Vertigo
  • Spotting of pale Blood
  • Postpartum uterine bleeding
  • Tic or tremor of hands and feet
  • Maybe trismus
  • T: Pale
  • C: Little
  • P: Thready and wiry
Treatment Principle
  • Nourish Blood
  • Subdue Wind.
Herb Formulas
Points
Clinical Manifestations
  • Pale, lusterless complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Generalized muscle tension
  • Numbness of limbs
  • Tremor, spasms or involuntary movements (chorea)
  • Involuntary shaking of head
  • Light menses or amenorrhea
  • Late menses
  • Irregular menstruation with little flow
  • Periumbilical pain
  • Lower abdominal pain
  • Vertigo
  • Spotting of pale Blood
  • Postpartum uterine bleeding
  • T: Pale
  • C: Little
  • P: Thready and wiry
Treatment Principle
  • Nourish Blood
  • Subdue Wind.
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Watery stools with undigested food
  • Lower back pain
  • Weakness of the lower extremities
  • A cold sensation in the lower half of the body
  • Tenseness in the lower abdomen
  • Pain and cramps in the lower abdomen
  • Panting and irritability to the point of having difficulty lying down
  • Will breathe most comfortably while leaning against something
  • Nocturia
  • May be numbness in the lower abdomen
  • Urinary difficulty with edema or Spasmodic pain in the lower abdomen
  • Excessive urination
  • If severe, may be incontinence of urine
  • May have persistent diarrhea
  • Dysuria
  • May have flushed face (Yang floating upward)
  • Thirst with frequent, copious urination (Xiao Ke)
  • Fatigue (severe)
  • May have severe perspiration (Yang floating upward)
  • Constipation
  • Lassitude
  • Pale face
  • Edema of the face and feet
  • Severe edema of the legs (may prevent walking)
  • Maybe cough
  • Maybe asthma
  • T: Pale, may be swollen
  • C: Thin, white and moist
  • P: Deep, Deep and thready and/or Weak and slow
Treatment Principle
  • Warm and Tonify Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • Urgent pain in lower abdomen
  • Sometimes connects with lower back
  • Burning, painful urination
  • May contain blood
  • May contain granules
  • T: Normal
  • C: Yellow
  • P: Rapid
Treatment Principle
  • Clear Heat
  • Eliminate Dampness by diuresis
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal pain
  • A somber, pale, white or sallow and lusterless facial complexion
  • Pale lips and nails
  • Fatigue
  • Lassitude
  • Weakness
  • Aversion to Cold
  • Disinclination to speak
  • Stiffness of the neck and back
  • Difficulty moving
  • Spontaneous cool perspiration
  • Dizziness
  • Insomnia
  • Blurred vision
  • Loose stools
  • Maybe edema
  • T: Thick and pale or Thick and dark with teethmarks or petechiae
  • C: Thin
  • P: Thready or Thready and weak
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
  • Extinguish Wind
  • Unblock the channels
Herb Formulas
Points
Clinical Manifestations
  • Irregular menstruation
  • Late menstruation
  • Scanty menstruation
  • Distension of the lower abdomen
  • Menstruation with purple blood and clots
  • Pain of the abdomen which is worse upon pressure and diminishes with menstruation
  • Pain is worse with pressure
  • Pain decreases with the passage of clots
  • Swelling and edema of the lower extremities
  • A feeling of oppression in the chest and epigastrium
  • Dry mouth
  • Dark, purplish menses with clots or Dark purple edges
  • T: Red or Purple
  • P: Deep and strong or Hesitant or Choppy and rough
Treatment Principle
  • Invigorate the Blood
  • Nourish the Blood
  • Move Qi
Herb Formulas
Points
Clinical Manifestations
  • Acute lower abdominal pain or
  • Acute suprapubic pain
  • The lower abdomen feels warm or Hot
  • Worse with pressure
  • High fever
  • Chills
  • Rigors
  • Thirst
  • Copious malodorous vaginal discharge with Blood and/or pus
  • Constipation
  • Concentrated urine
  • T: Red
  • C: Thick, greasy and yellow
  • P: Slippery and rapid or Wiry and rapid
Treatment Principle
  • Clear Toxic Heat
  • Activate the Blood
  • Dispel Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal pain
  • Pain alleviated by warmth and pressure
  • Irregular menstruation
  • Dysmenorrhea
  • Infertility or
  • This type of pain during the second or third trimester
Treatment Principle
  • Warm the uterus
  • Supplement the Blood
  • Calm the fetus if necessary
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal pain
  • Periodic vomiting
  • Nervousness
  • Anorexia
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal pain
Treatment Principle
Herb Formulas
Points