CHRONIC PANCREATITIS

Clinical Manifestations
Treatment Principle
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
  • Dry stools
  • Knotted constipation or bowel movements once a day
  • Difficulty passing stools
  • Dizziness
  • Bad breath
  • Mouth and throat dry
  • T: Red
  • C: Little
  • P: Thready and rapid
Treatment Principle
  • Lubricate the Intestines
  • Relieve constipation
Herb Formulas
Points
Clinical Manifestations
  • Distention and fullness of epigastrium and abdomen
  • Nausea
  • Vomiting
  • Anorexia
  • Loose stools
  • Diarrhea
  • Reduced sensation of taste
  • No thirst or preference for hot drinks
  • Sticky sensation in mouth
  • Borborygmus
  • Lassitude
  • Yin jaundice
  • Heavy head
  • Maybe edema
  • Maybe copious white vaginal discharge
  • Maybe cold limbs, fear of Cold or feeling chilled
  • T: Pink
  • C: Thick, white and greasy or sticky
  • P: Deep and slow
Treatment Principle
  • Warm Cold
  • Transform Dampness
  • Harmonize the Stomach
  • Strengthen the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools containing undigested food
  • Shortness of breath
  • Pain in the epigastrium with cold sensations (pain is relieved by warmth)
  • Cold limbs
  • Feeling chilled
  • Frequent, clear urination
  • Mental fatigue
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale
  • C: Thin and white
  • P: Deep and weak
Treatment Principle
  • Warm the Center
  • Dispel Cold
Herb Formulas
  • Fu Zi Li Zhong Wan
  • With Wind-Cold: Wu Tou Gui Zhi Tang
  • Chinese Patent Medicines: Li Zhong Wan
    With severe Cold: Fu Zi Li Zhong Wan
    With Spleen and Stomach Qi Deficiency and Phlegm-Damp: Xiang Sha Liu Jun Zi Tang
    With Food Stagnation: Zi Sheng Wan
Points
Clinical Manifestations
  • Distention and fullness in chest, epigastrium and abdomen
  • Loss of taste and appetite
  • Heavy sensation and possible weakness in the limbs and body
  • Possible weakness in the limbs
  • Loose stools or diarrhea after eating
  • Easily fatigued
  • Increased desire to sleep
  • Nausea
  • Vomiting
  • Belching
  • Maybe dizziness
  • Feeling lazy with a preference for inactivity
  • Lethargy
  • Acid regurgitation
  • Cough with sputum
  • Borborygmus
  • Shortness of breath
  • Distention and oppression after eating
  • Persistent bitter taste in mouth
  • T: Pale and swollen
  • C: Thick, white and greasy
  • P: Slippery and even or Slow or Moderate or Soft and moderate
Treatment Principle
  • Tonify the Spleen
  • Dry Dampness
  • Move Qi
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Reduced appetite
  • Difficulty digesting
  • Abdominal and epigastric bloating
  • Watery diarrhea
  • Loose stools
  • T: Normal
  • C: Slightly yellow, greasy
  • P: Deficient and frail
Treatment Principle
  • Strengthen the Spleen
  • Harmonize the Stomach
  • Reduce Food Stagnation
  • Stop diarrhea
Herb Formulas
Points

Clinical Manifestations
  • Mild constant epigastric pain; relieved by warmth and pressure
  • Anorexia
  • Poor appetite
  • Abdominal pain and fullness after meals
  • Nausea
  • Borborygmus
  • Intolerance of Cold
  • Vomiting of thin, watery Fluids
  • Loose, unformed stools maybe with undigested food or
  • Diarrhea
  • Excessive salivation
  • Cold limbs
  • Lassitude
  • Fatigue
  • Heaviness and lethargy, which is worse after meals
  • Weakness
  • Sallow or pale, dull complexion
  • Maybe edema , especially in the fingers, eyelids and abdomen
  • Maybe scanty urination
  • Maybe clear, watery, copious vaginal discharge
  • Emaciation
  • Cold body
  • Weight loss
  • T: Pale and swollen with teethmarks
  • C: White and greasy
  • P: Deep, thready and forceless, Moderate and weal or Deep and slow
Treatment Principle
  • Strengthen the Spleen and Stomach
  • Warm Yang
  • Warm the Center
  • Stop pain
  • Transform Phlegm-Damp
Herb Formulas
Points
Clinical Manifestations
  • Milky, turbid spermatorrhea
  • Listlessness
  • Fatigue
  • A shiny, white complexion
  • Anorexia or
  • Increased food intake
  • Restlessness
  • Vaginal discharge
  • Diarrhea
  • Dryness of the external ears
  • Dizziness
  • Enuresis
  • Copious urination
  • Thirst
  • Premature ejaculation
  • Lumbago
  • T: Pale
  • C: White
  • P: Deep and frail
Treatment Principle
  • Tonify the Kidneys
  • Stabilize Jing
  • Stop leakage
  • Strengthen the Spleen
  • Drain Dampness
Herb Formulas
Points
Clinical Manifestations
  • Body cold
  • Limbs icy
  • Complexion white and shiny
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful
  • Loose stools containing undigested food
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • Edema of face and limbs
  • Dysuria
  • Severe:
    Abdominal ascites
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow
Treatment Principle
  • Warm and Reinforce the Spleen and Kidneys
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
  • Foul breath
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation or
  • Rotten smelling diarrhea
  • Decreased pain after defecation
  • T: Pink
  • C: Thick and greasy
  • P: Slippery or Wiry and 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
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Chronic pancreatitis with acute attacks accompanied by chest oppression
  • Pain and fullness in ribs on both sides
  • Maybe pain in the right hypochondrium
  • A dry mouth with a bitter taste
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Aversion to fatty, oily foods
  • Maybe alternating chills and 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
  • 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
  • Alternating chills and fever with fever more prominent
  • A bitter taste in the mouth
  • Nausea
  • Dry heaves
  • Hiccups
  • A stifling sensation in the chest
  • Chest and hypochondriac pain and distention
  • Distending pain in the upper abdomen
  • Vomiting bitter or sour fluids that are yellow and sticky
  • Acid regurgitation
  • Thirst
  • T: Red
  • C: Yellowish or White and greasy or Yellow and greasy
  • P: Left: Wiry and rapid, Right: Slippery and rapid
Treatment Principle
  • Clear Gall Bladder Heat
  • Dispel Dampness
  • Harmonize the Stomach
  • Resolve Phlegm
Herb Formulas
Points


Clinical Manifestations
  • Lancinating ductal and costal pain or
  • Fixed pain and distention which is worse at night
  • Emaciation
  • Scaly skin
  • A dark, lusterless facial complexion
  • Brittle, ridged fingernails
  • Abdominal lumps and hardness, especially below the ribs
  • Menstrual irregularities
  • T: Dark purple or Static macules or spots and/or engorged, tortuous sublingual veins
  • C: White
  • P: Wiry and choppy
Treatment Principle
  • Regulate Qi
  • Activate the Blood
  • Break up Stasis
  • Soften hardness
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Spontaneous sweating
  • Pale wan complexion
  • Poor appetite
  • Loose stools or watery diarrhea
  • Dizziness
  • Weak voice/reluctance to speak
  • Five Sole Heat
  • Malar flush
  • Night sweats
  • Anxiety
  • Hot flashes
  • Weak extremities
  • Weight loss
  • Distention and a stifling sensation in chest and epigastrium
  • Abdominal distention
  • Indigestion
  • Vomiting
  • Chills
  • Leukorrhea
  • Reduced appetite
  • Borborygmus
  • Edema
  • Reduced appetite
  • Diarrhea with onset of menstrual flow
  • Cough with copious sputum
  • T: Pale, Pale red or Red
  • C: Thin white, Little or None
  • P: Deep and weak or Thready and rapid
Treatment Principle
  • Replenish Qi and Yin
  • Resolve Dampness
  • Generate Body Fluids
Herb Formulas
Points
Clinical Manifestations
  • Epigastric pain that is worse in the morning and with pressure
  • Poor appetite or
  • Anorexia
  • Heaviness of the body
  • Edema
  • Severe abdominal distention
  • Chest and hypochondriac distention
  • Dizziness
  • Foggy-headedness
  • Morning nausea
  • Vomiting of mucus-like substance
  • Acid reflux
  • Vertigo
  • Thirst with no desire to drink
  • Maybe no thirst
  • Palpitations
  • Shortness of breath
  • T: Normal
  • C: Thick and slippery
  • P: Slippery, full and maybe wiry
Treatment Principle
  • Warm and Dissolve Phlegm-Damp
Herb Formulas
  • Er Chen Tang
  • Ping Wei San
  • With Heat: Wen Dan Tang
  • Chinese Patent Medicines:
    With Spleen and Stomach Qi Deficiency and Phlegm-Damp: Xiang Sha Liu Jun Zi Tang
    With Food Stagnation: Zi Sheng Wan
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
  • Excruciating epigastric and abdominal pain to the point of not being able to to be touched
  • May be borborygmus.
  • Vomiting to the point of not being able to eat
  • Superficial skin pulsations throughout the abdomen
  • May be fluid sounds
  • May be cold limbs
  • Strong sensation of Cold in the chest and epigastrium.
  • Severe pain in the head and feet
  • T: Pale or Dark purple
  • C: White and greasy or Slippery
  • P: Thin and tight or slow and wiry or Deep and thready or Hidden
Treatment Principle
  • Warm and tonify Middle Jiao Yang
  • Direct rebellious Qi downward
  • Relieve pain
Herb Formulas
Points