THIRST AND DRINK

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[level-membership-for-complementary-medicine-category]Chapter 70

THIRST AND DRINK

THIRST

Interrogation, Chapter 32

DRY MOUTH

Interrogation, Chapter 32

Yin deficiency

Dry mouth with a desire to drink in small sips, dry throat in the evening, night sweating, scanty dark urine, dry stools, normal-coloured tongue without coating, Floating-Empty pulse. Other symptoms and signs depend on the organ involved, which could be the Stomach, Lungs, Liver, Kidneys, Heart, or Spleen.

Damp-Heat in the Stomach and Spleen

Dry mouth with no desire to drink, thirst without a desire to drink, a feeling of fullness and pain of the epigastrium and lower abdomen, poor appetite, a feeling of heaviness, nausea, loose stools with offensive odour, a feeling of heat, dull-yellow complexion, sticky taste, Red tongue with sticky yellow coating, Slippery-Rapid pulse.

Phlegm-Heat in the Stomach

Dry mouth with no desire to drink, thirst, foul breath, burning epigastric pain, mental restlessness, bleeding gums, dry stools, mouth ulcers, sour regurgitation, nausea, vomiting soon after eating, excessive hunger, a feeling of heat, a feeling of oppression of the chest and epigastrium, insomnia, tongue Red in the centre with a sticky yellow coating and a Stomach crack with a rough, sticky yellow coating inside it, Slippery-Rapid pulse.

ABSENCE OF THIRST

Interrogation, Chapter 32

Deficiency of Yang of the Spleen and Stomach

Absence of thirst, poor appetite, slight abdominal distension after eating, uncomfortable feeling in the epigastrium, tiredness, lassitude, pale complexion, weakness of the limbs, loose stools, feeling cold, cold limbs, oedema. Pale and wet tongue, Deep-Weak pulse.

Cold in the Stomach

Absence of thirst, severe pain in the epigastrium, a feeling of cold, cold limbs, preference for warmth, vomiting of clear fluids (which may alleviate the pain), nausea, feeling worse after swallowing cold fluids (which are quickly vomited), thick white tongue coating, Deep-Tight-Slow pulse.

Dampness in the Stomach and Spleen

Lack of desire to drink, sticky taste, a feeling of fullness and pain of the epigastrium and lower abdomen, poor appetite, a feeling of heaviness, nausea, loose stools, a feeling of heat, dull-yellow complexion, tongue with sticky coating, Slippery pulse.

Clinical note

• Remember always to ask about ‘absence of thirst’: no patient will report that spontaneously. This is also often difficult to establish owing to the widespread habit of drinking vast amounts of water.

INCREASED SALIVATION

Stomach and Spleen deficient and cold

Increased salivation, preference for warm drinks and foods, discomfort or dull pain in the epigastrium, better after eating and with pressure or massage, no appetite, vomiting of clear fluid, no thirst, cold and weak limbs, tiredness, pale complexion, Pale and wet tongue, Deep-Weak-Slow pulse.

Kidney-Yang deficiency, Water overflowing

Increased salivation, oedema especially of the legs and ankles, a feeling of cold generally or in the legs and back, fullness and distension of abdomen, soreness of the lower back, scanty clear urination, palpitations, breathlessness, cold hands, Pale and Swollen tongue with a wet white coating, Deep-Weak-Slow pulse.

[/level-membership-for-complementary-medicine-category][not-level-membership-for-complementary-medicine-category]Chapter 70

THIRST AND DRINK

THIRST

Interrogation, Chapter 32

Stomach-Heat

Liver-Fire

Heart-Fire

Damp-Heat in Stomach and Spleen

Damp-Heat in Liver and Gall-Bladder

Phlegm-Heat in the Lungs

Heart-Yin deficiency with Empty-Heat

Stomach-Yin deficiency with Empty-Heat

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Diagnosis in Chinese Medicine A Comprehensive Guide

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THIRST AND DRINK