Internal Medicine Board Review

Hiccough

Pattern: Stomach fire.

Key symptoms: Loud clear hiccough, halitosis, irritability, thirst with preference for cold drinks, dark scanty urine, constipation. Yellow coating, rapid slippery pulse.

Formula: Zhu ye shi gao tang (Lophatherus and Gypsum Decoction).

Treatment method: Drain heat, downbear Stomach Qi, relieve hiccough.

Acupuncture: Ren12 zhong wan, ST44 nei ting, Pericardium-6 nei guan, ST36 zu san li, UB17 ge shu.

Formula Ingredients: Zhu ye shi gao tang: Dan zhu ye (Herba Lophatheri), Mai men dong (Radix Ophiopogonis), Shi gao (Gypsum fibrosum), Ren shen (Radix Ginseng), Fa ban xia (Tuber Pinelliae preparatum), Gan cao (Radix Glycyrrhizae), Jing mi (Nonglutinous rice)

Modifications: 

To avoid fostering heat, delete Ren shen (Radix Ginseng), Bei sha shen (Radix Glehniae)

To clear Stomach and move Qi downward, add shi di, zhu ru

For constipation with fullness of the abdomen, add xiao cheng qi tang

ACUPUNTURA Y MASAJE TERAPÉUTICO