DIARRHEA

Sources:
Emily Connor Handouts
Kiiko Matsumotos Clinical Strategies, Vol.1

1. Categories of Disharmony

a. Oketsu
b. Autonomic Nervous System
c. Spleen
d. ST Qi
e. Sacroiliac Imbalance

2. Clinical Manifestations

a. Loose Stools
b. Borborygmus
c. Abdominal Discomfort
d. Gas/Bloating

3. Palpatory Findings

a. Spleen reflex around navel tenderness and coolness often found

b. Left KI 16 Sugar Lump
c. Oketsu reflex- Left ST 26-27 area
d. ANS reflex- Right SCM
e. Pancreas reflex- Line btn Left and Right ST 21s
f. Upper Trapezius tenderness
g. Mid-back spasm
h. Low back tightness and tenderness
i. Pressure pain L4/L5
j. Huato Jiajis of T6/7, L3/4, Left only of T5/6

4. Pulse Findings: Lack of movement, SP pulse disappears with pressure

5. Treatment Principles

a. Move Blood Stagnation

b. Tonify SP/ST
6. Treatment Strategies

a. Clear Oketsu
b. Treat ANS, ST Qi, Pancreas, and Spleen
c. Use empirical points for diarrhea
d. Warm navel and abdomen

7. Treatment Plan- 1st place Diode ring on patients index finger

a. Ventral Treatment

i. Left LR 4, Left LU 5 (Oketsu)

ii. ST Qi points
iii. Shaoyang pair (ANS)
1. Slow pulse- Left above TH 9, Left GB 40
2. Rapid pulse- Left TH 5, Left GB 41
iv. Right ST 41 (ANS)
v. KI 6, KI 27, and Right (Bilat if no Oketsu) LU 5 (Pancreas)
vi. SP 9 (Spleen, essential for diarrhea)
vii. BL 63 (empirical for diarrhea w/ borgorygmus & flatulence)
viii. SP 3.2, 3 fingers above SP 10 (Spleen)
ix. Food poison point (behind 2nd toe, empirical for diarrhea)
x. CV 12 (ANS)
xi. Salt moxa on navel

b. Dorsal Treatment

i. BL 17, 18, 20, 21 (6 Flowers)

ii. Sacral Border gummies
iii. If tender, Huato Jiajis of T6/7, L3/4, Left only of T5/6

8. Patient Education/Recommendations

a. Dont eat a lot of sugar, raw or cold foods.

b. See a physician if diarrhea continues for an extended period of
time.

9. Prognosis: very good with acupuncture.