ACUTE PANCREATITIS

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • High fever (sometimes rises and falls)
  • Great thirst
  • Profuse perspiration
  • Aversion to Heat
  • Abdominal pain (worse with pressure)
  • Abdominal distension
  • Dryness
  • Constipation (hard dry knots) or
  • Watery diarrhea
  • Dislikes pressure
  • Restlessness
  • Irritability
  • Mental disturbance:
    Mentally unclear
    Delirious speech
  • T: Red and dry, or black and moist
  • C: Thick yellow or dry yellow
  • P: Deep, strong and forceful
Treatment Principle
  • Purge
Herb Formulas
Points
Clinical Manifestations
  • Acute epigastric pain
  • Alternating chills and fever
  • Abdominal pain
  • Constipation or
  • Burning diarrhea
  • Nausea
  • Vomiting
  • Hypochondriac pain
  • Pounding temporal headaches
  • Dizziness
  • Chills
  • Low-grade fever
  • Cold hands and feet
  • Intolerance of Cold
  • Pain in the armpits
  • Unilateral pain in the abdomen and hypochondrium
  • Stiffness and spasms beside and below the umbilicus
  • Pain in the waist and legs
  • T: Normal
  • C: Greasy and white or Greasy and yellow
  • P: Deep, tight and wiry or Wiry and rapid
Treatment Principle
  • Harmonize and Disperse the Shao Yang
  • Drain Internal Heat Retention
Herb Formulas
Points
Clinical Manifestations
  • Acute epigastric pain
  • Fever and chills, fever more pronounced or
  • Tidal fever
  • Fever unrelieved by sweating
  • Abdominal distention
  • Thirst
  • Sweating
  • Stifling sensation in the chest
  • Restlessness
  • Irritability
  • Heaviness of the head and body
  • Muscle aches
  • Nausea
  • Vomiting
  • Severe diarrhea
  • Scanty urine
  • T: Red tip and edges
  • C: Greasy yellow
  • P: Floating, rapid and soft
Treatment Principle
  • Disperse Wind
  • Clear Heat
  • Resolve Damp
Herb Formulas
Points
Clinical Manifestations
  • High fever worse at night
  • Thirst
  • Insomnia
  • Major mental problems
  • Dramatic change of personality
  • Delirium
  • Speech difficulty
  • Aphasia
  • Poor memory
  • Dizziness
  • Maybe fainting
  • Maybe coma
  • Feverish extremities
  • T: Deep red
  • P: Thready and rapid
Treatment Principle
  • Clear Heat in Pericardium
Herb Formulas
Points
Clinical Manifestations
  • Dry stools
  • Knotted constipation
  • Mouth parched
  • Sensation of burning heat, swelling and pain of anus
  • Urine short and dark
  • T: Pink
  • C: Yellow and dry
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Purge constipation
Herb Formulas
Points
Clinical Manifestations
  • Knotted constipation or
  • Watery, thin diarrhea
  • Burning hot sensation in the anus
  • Abdominal distention and pain (dislikes pressure)
  • High fever or infantile tidal fever
  • Hands and feet dripping with perspiration
  • Vomiting
  • Irritating thirst
  • Delirium
  • T: Pink, maybe prickles or Red
  • C: Thick, yellow and dry
  • P: Deep and Excess
Treatment Principle
  • Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas
Points
Clinical Manifestations
  • Anorexia
  • Abdominal distention and discomfort
  • Suffocating sensation in the chest
  • Epigastric mass
  • Maybe abdominal pain on palpation
  • Yang jaundice (sclera and skin are bright yellow)
  • Dislike of oily foods
  • Nausea
  • Vomiting
  • Lassitude
  • Scanty, dark urine
  • Maybe thirst or thirst with no desire to drink
  • Diarrhea with foul smell or
  • Constipation
  • Fever
  • Sweet sticky taste or bitter taste in mouth
  • T: Pink
  • C: Thick, yellow and greasy (maybe sticky)
  • P: Soft and rapid
Treatment Principle
  • Clear Heat
  • Benefit Dampness
Herb Formulas
Points
Clinical Manifestations
  • Severe constipation (dry knots)
  • Flatulence
  • Focal distention
  • Abdominal fullness
  • Abdominal pain - worse with pressure
  • Tense firm abdomen
  • Tidal fevers
  • Delirious speech
  • Profuse perspiration from the palms and soles
  • Trembling extremities
  • Aversion to Heat
  • Mania
  • Convulsions
  • Abdominal masses
  • Dry mouth
  • Thirst
  • Cracked lips
  • Periumbilical pain
  • Irritability
  • Heavy body
  • Hemorrhoids
  • Fever
  • Cold extremities
  • Perspiration from the head
  • A hot sensation in the sternum and epigastrium
  • Scanty, dark urination
  • Green, watery and foul-smelling diarrhea
  • Abdominal spasms
  • T: Pink with prickles or Red
  • C: Yellow and dry or Black and dry
  • P: Deep, Excess and rapid or Slippery and rapid
Treatment Principle
  • Strongly purge Heat Accumulation
Herb Formulas
Points
Clinical Manifestations
  • Burning Heat and pain in the epigastrium
  • The pain is worse with pressure and or spicy hot foods
  • Irritating thirst: drinks copious fluids and prefers cold drinks
  • Epigastric distention
  • Excessive appetite: hungry again quickly after eating (as if food vanishes)
  • Thirst with a desire for cold drinks
  • Swelling, pain, ulceration and bleeding of gums
  • Foul breath
  • Toothache
  • Maybe vomiting right after eating
  • Vomiting acid or undigested food
  • Heartburn
  • Constipation or maybe diarrhea
  • Restlessness
  • Irritability
  • Maybe scanty, red urine
  • T: Red
  • C: Thick, yellow and dry or Peeled or A wide, shallow crack
  • P: Slippery, big, Excess and rapid
Treatment Principle
  • Clear and Purge Stomach Fire
Herb Formulas
Points
Clinical Manifestations
  • Sharp, stabbing epigastric pain with fixed location
  • Pain is severe after eating
  • Dislike of pressure and heat on epigastrium
  • Pain predominates over distention or
  • Pain but no distention
  • Epigastric rumbling
  • Vomiting purple/black blood
  • Stools with blood like tar (melaena)
  • May be abdominal or epigastric lumps or masses
  • T: Dark purple with purple spots or dots
  • P: Wiry and choppy
Treatment Principle
  • Invigorate the Blood
  • Adjust Qi
  • Transform Stagnation
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Epigastric fullness, distention and pain with dislike of pressure
  • Belching with rotten food smell
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation
  • T: Pink
  • C: Thick and greasy
  • P: Slippery
Treatment Principle
  • Clear Food
  • Conduct Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Distention and pain in the sides or flanks
  • Insidious pain that comes and goes
  • The pain may radiate to the chest, shoulder, upper back and arm
  • Suffocating sensation in the chest
  • Belching
  • Maybe dry heaves
  • Anorexia
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Wiry or Thready and wiry or Deep and thready
Treatment Principle
  • Soothe the Liver
  • Clear Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Stabbing, diffuse pain in the epigastrium that extends to the back
  • Anorexia
  • Alternating chills and fever
  • Abdominal pain
  • Constipation
  • T: Normal or Darkish
  • C: Yellow or Greasy and Yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear and drain Excess Heat
  • Spread Liver Qi
  • Promote the movement of Qi
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Acute attacks accompanied by chest oppression
  • Pain and fullness in ribs on both sides
  • Persistent hypochondriac and/or epigastric pain which is worse with pressure
  • A dry mouth with a bitter taste
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Aversion to fatty, oily foods
  • Maybe alternating chills and fever
  • Maybe fever or afternoon fever
  • A yellowish body and eyes
  • Concentrated, dark urine
  • Abdominal distention and pain
  • Bound stools or
  • Diarrhea which is yellow or brown and foul smelling or
  • Constipation
  • Maybe jaundice
  • Women:
    Yellow vaginal discharge with foul smell
    Pruritis vulvae
  • Men:
    Pain, swelling and burning sensations of testicles
  • T: Pink
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid or Wiry, slippery and rapid
Treatment Principle
  • Clear Dampness
  • Purge Heat from Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Fullness and hardness of the epigastrium and/or abdomen
  • Lower abdominal pain
  • Severe pain that becomes unbearable with the slightest pressure
  • Tidal fever at dusk
  • Shortness of breath
  • Severe constipation
  • Thirst
  • Irritability
  • Restlessness
  • T: Normal
  • C: Very dry
  • P: Deep, tight and forceful
Treatment Principle
  • Drains Heat
  • Purge Water Accumulation
Herb Formulas
Points
Clinical Manifestations
  • Prolonged, nagging epigastric pain and distention
  • Patient tends to be overweight
  • Cough with sticky, yellow, difficult to expectorate sputum
  • Rapid breathing with a harsh voice
  • Restless fever
  • Sore throat
  • Constipation
  • Thirst with no desire to drink
  • Dry stools
  • Alternating constipation and diarrhea
  • Variable appetite
  • Mania
  • Shortness of breath
  • Dyspnea
  • Nausea
  • Vomiting
  • Chest and/or epigastric fullness
  • A heavy sensation in the body
  • Lethargy
  • Pain in the ribs
  • T: Scarlet
  • C: Yellow or Yellow and greasy or Yellow and smooth
  • P: Rapid and smooth or Slippery and rapid
Treatment Principle
  • Clear Heat
  • Resolve Phlegm
  • Soothe the Liver
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Paroxysmal, severe pain in the upper abdomen
  • Pain worse with pressure
  • No fever at first
  • Fever when severe
  • Occasional vomiting of roundworms
  • T: Pink
  • C: Thin and white or Thin and yellow
  • P: Deep and tight or Wiry and rapid
Treatment Principle
  • Promote Liver functions
  • Eliminate Heat
  • Clear roundworms
Herb Formulas

Points