LARGE INTESTINE

Published on 22/06/2015 by admin

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Last modified 22/04/2025

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LARGE INTESTINE

Chapter contents

DAMP-HEAT IN THE LARGE INTESTINE

Clinical manifestations

Abdominal pain that is not relieved by a bowel movement, diarrhoea, mucus and blood in the stools, offensive odour of the stools, burning in the anus, scanty dark urine, fever, sweating which does not decrease the fever, a feeling of heat, thirst without a desire to drink, a feeling of heaviness of the body and limbs.

Tongue Red with sticky yellow coating.

Pulse Slippery-Rapid.

Acupuncture

SP-9 Yinlingquan, SP-6 Sanyinjiao, BL-22 Sanjiaoshu, ST-25 Tianshu, ST-27 Daju, Ren-6 Qihai, BL-25 Dachangshu, LI-11 Quchi, Ren-12 Zhongwan, ST-37 Shangjuxu, BL-20 Pishu.

Prescription

Ge Gen Qin Lian Tang Pueraria-Scutellaria-Coptis Decoction

Bai Tou Weng Tang Pulsatilla Decoction

Shao Yao Tang Paeonia Decoction.

HEAT PATTERNS

Heat in the Large Intestine

Clinical manifestations

Constipation with dry stools, a burning sensation in the mouth, dry tongue, burning and swelling in the anus, scanty dark urine.

Tongue Thick yellow (or brown or black) dry coating.

Pulse Full-Rapid.

Acupuncture

ST-25 Tianshu, BL-25 Dachangshu, LI-11 Quchi, ST-37 Shangjuxu, ST-44 Neiting, LI-2 Erjian, SP-6 Sanyinjiao, KI-6 Zhaohai.

Prescription

Ma Zi Ren Wan Cannabis Pill.

Heat Obstructing the Large Intestine

Clinical manifestations

Constipation, burning in the anus, abdominal distension and pain which is worse with pressure, high fever or tidal fever (fever that rises in the afternoon), sweating especially on limbs, vomiting, thirst, delirium.

Tongue Thick, dry yellow (or brown-black) coating, Red body.

Pulse Deep-Full.

Acupuncture

LI-11 Quchi, LI-4 Hegu, SP-15 Daheng, TB-6 Zhigou, SP-6 Sanyinjiao, LI-2 Erjian, ST-44 Neiting, ST-25 Tianshu, BL-25 Dachangshu.

Prescription

Tiao Wei Cheng Qi Tang Regulating the Stomach Conducting Qi Decoction.

COLD PATTERNS

Cold invading the Large Intestine

Clinical manifestations

Sudden abdominal pain, diarrhoea with pain, a feeling of cold, a cold sensation in the abdomen.

Tongue Thick white coating.

Pulse Deep-Wiry.

Acupuncture

ST-37 Shangjuxu, ST-25 Tianshu, ST-36 Zusanli, SP-6 Sanyinjiao, LIV-3 Taichong, ST-27 Daju. Moxa is applicable.

Prescription

Liang Fu Wan Alpinia Cyperus Pill plus Zheng Qi Tian Xiang San Upright Qi Heavenly Fragrance Powder.

Large Intestine Cold

Clinical manifestations

Loose stools like duck droppings, dull abdominal pain, borborygmi, pale urine, cold limbs.

Tongue Pale.

Pulse Deep-Weak.

Acupuncture

ST-25 Tianshu, Ren-6 Qihai, ST-36 Zusanli, ST-37 Shangjuxu, BL-25 Dachangshu, BL-20 Pishu. Moxa is applicable.

Prescription

Liang Fu Wan Alpinia Cyperus Pill.

LARGE INTESTINE DRYNESS

Clinical manifestations

Dry stools which are difficult to discharge, dry mouth and throat, thin body, foul breath, dizziness.

Tongue Dry, either Pale or Red without coating.

Pulse Fine.

Acupuncture

ST-36 Zusanli, SP-6 Sanyinjiao, KI-6 Zhaohai, Ren-4 Guanyuan, ST-25 Tianshu.

Prescription

Zeng Ye Tang Increasing Fluids Decoction

Qing Zao Run Chang Tang Clearing Dryness and Moistening the Intestines Decoction

Wu Ren Wan Five-Seeds Pill

Tian Di Jian Heaven and Earth Decoction

Si Wu Ma Ren Wan Four-Substance Cannabis Pill

Ma Zi Ren Wan Cannabis Pill.

DAMPNESS IN THE LARGE INTESTINE

Clinical manifestations

Abdominal distension and fullness, difficulty in urination, scanty urination, loose stools, borbor-ygmi, sticky taste, nausea, vomiting, mucus in the stools.

Tongue Sticky white coating.

Pulse Soggy on the right Rear position.

Acupuncture

ST-25 Tianshu, BL-25 Dachangshu, ST-37 Shangjuxu, ST-27 Daju, SP-6 Sanyinjiao, SP-9 Yinlingquan, Ren-12 Zhongwan, BL-22 Sanjiaoshu.

Prescription

Wei Ling Tang Stomach ‘Ling’ Decoction.

LARGE INTESTINE DEFICIENT AND COLD

Clinical manifestations

Chronic dull abdominal pain that is alleviated by pressure, application of heat and ingestion of warm liquids, borborygmi, loose stools, in some cases constipation, cold limbs especially the legs, pale stools.

Tongue Pale and wet.

Pulse Deep-Weak especially on both Rear positions.

Acupuncture

ST-25 Tianshu, BL-25 Dachangshu, ST-37 Shangjuxu, ST-27 Daju, SP-6 Sanyinjiao, Ren-6 Qihai, ST-36 Zusanli. Moxa should be used.

Prescription

Fu Zi Li Zhong Wan Aconitum Regulating the Centre Pill

Zhen Ren Yang Zang Tang True Man Nourishing the Organs Decoction.

LARGE INTESTINE DEFICIENT AND DAMP

Clinical manifestations

Dull abdominal pain that is alleviated by pressure or application of heat, and aggravated by exposure to cold or ingestion of cold foods, loose stools, possi-bly mucus in the stools, a feeling of heaviness, incontinence of the stools, abdominal fullness, tiredness.

Tongue Pale with a sticky coating.

Pulse Weak and slightly Slippery.

Acupuncture

ST-25 Tianshu, BL-25 Dachangshu, ST-37 Shangjuxu, ST-27 Daju, SP-6 Sanyinjiao, SP-9 Yinlingquan, Ren-12 Zhongwan, BL-22 Sanjiaoshu, Ren-6 Qihai, ST-36 Zusanli.

Prescription

Shen Ling Bai Zhu San Ginseng-Poria-Atractylodes Powder plus Xiang Fu Rhizoma Cyperi rotundi.

COLLAPSE OF LARGE INTESTINE

Clinical manifestations

Chronic diarrhoea, prolapse ani, haemorrhoids, tiredness after bowel movements, cold limbs, lack of appetite, mental exhaustion, a desire to drink warm liquids, a desire to have the abdomen massaged.

Tongue Pale.

Pulse Deep-Fine-Weak.

Acupuncture

Ren-6 Qihai, ST-25 Tianshu, ST-36 Zusanli, SP-3 Taibai, BL-20 Pishu, BL-21 Weishu, Du-20 Baihui.

Prescription

Bu Zhong Yi Qi Tang Tonifying the Centre Benefiting Qi Decoction.

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