DIVERTICULITIS

Clinical Manifestations
  • Diverticulitis is a digestive disease in which pouches within the large bowel wall become inflamed. Symptoms typically include lower abdominal pain of a sudden onset. Onset however may also occur over a few days. In North America and Europe pain is usually on the left side while in Asia it is often on the right. There may also be fever, nausea, diarrhea or constipation, or blood in the stool. Repeated attacks may occur.
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain (worse with pressure)
  • The skin over the pain may feel warmer to the touch
  • High fever (sometimes rises and falls)
  • Great thirst
  • A dry mouth
  • Profuse perspiration
  • Aversion to Heat
  • Abdominal fullness and distension (worse with pressure)
  • Dryness
  • Constipation (hard dry knots)
  • Dislikes pressure
  • Restlessness
  • Irritability
  • Concentrated urine
  • Mental disturbances:
    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 abdominal pain
  • Fever and chills, fever more pronounced or
  • Tidal fever
  • Fever is unrelieved by sweating
  • Abdominal distention
  • Thirst
  • Sweat
  • Stifling sensation in the chest
  • Restlessness
  • Foggy headaches
  • Irritability
  • Heaviness
  • Nausea
  • Severe diarrhea
  • Scanty urine
  • T: Red tip and edges
  • C: Greasy white or yellow
  • P: Floating or Rapid and soft
Treatment Principle
  • Disperse Wind
  • Clear Heat
  • Resolve Damp
Herb Formulas
Points
Clinical Manifestations
  • Diarrhea with tenesmus which intensifies after defecation
  • Dysentery
  • Frequent stools which are small in quantity
  • Stools are yellow or brown, thin, watery, with foul smell or sticky and pasty like jam or sticky fluid or containing pus and blood
  • Burning hot sensation in anus
  • Abdominal pain
  • Severe lateral or central abdominal pain
  • Urine short and red
  • Sustained fever despite profuse perspiration or raging fever in the afternoon or in severe cases, high fever and coma
  • Mouth dry but no desire to drink
  • Body heavy
  • Limbs tired
  • Fullness in chest
  • Lump in epigastrium
  • Anorexia
  • Vomiting
  • T: Red
  • C: Yellow and greasy
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Eliminate toxins
  • Transform Dampness
  • Stop dysentery
Herb Formulas
Points
Clinical Manifestations
  • Acute, intermittent, spasmodic lower abdominal pain
  • The pain is usually in the left or right iliac fossa
  • The pain may be quite severe and is worse with pressure
  • There may be rebound pain
  • The abdominal muscles over the site of pain may be tight
  • The pain may have begun over the navel
  • Qi Stagnation predominant: The pain may move around
  • Blood Stagnation predominant: The pain is fixed
  • Abdominal distention
  • Belching
  • Loss of appetite
  • Nausea
  • Maybe vomiting
  • Maybe constipation
  • Maybe a mild fever
  • Maybe chills and fever
  • T: Normal
  • C: Thin and white or Thin and yellow
  • P: Wiry or Tight
Treatment Principle
  • Open the bowels
  • Move Qi
  • Invigorate the Blood
  • Eliminate Blood Stasis
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Lack of strength
  • Lassitude
  • Shortness of breath
  • A weak voice
  • Disinclination to speak
  • Fixed, burning pain on one side of the lower abdomen
  • Dark colored, bound stools
  • Maybe frequent, scanty dark colored urine
  • A dry mouth and throat
  • T: Red or Pale or fat and tender
  • C: Slimy and yellow at the root
  • P: Deep, wiry, slippery and rapid
Treatment Principle
  • Tonify the Spleen
  • Tonify Qi
  • Clear Heat
  • Eliminate Dampness
  • Move Qi
  • Invigorate the Blood
Herb Formulas
Points
  • KI-6, PC-6, SJ-6, ST-25, ST-36
    With severe Kidney Yin Deficiency: + SP-6
    With severe Kidney Yang Deficiency: + moxa or moxa needle REN-4
    With severe abdominal distention and flatulence: + LI-4
    With severe Damp-Heat: + SP-9, ST-44
    With night sweats: + HT-6
    With low back pain and abdominal distention: + SP-4
    With undigested food in the stools or reduced food intake: + REN-21, ST-21
    With severe Qi Deficiency: + SP-3
Clinical Manifestations
  • Fatigue
  • Lack of strength
  • Lassitude
  • Shortness of breath
  • Fever
  • Nausea and vomiting
  • Lower abdominal pain
  • Constipation
  • T: Swollen and red or Red and tender
  • C: Slimy and yellow at the root
  • P: Deep, wiry slippery and rapid
Treatment Principle
  • Tonify the Spleen
  • Tonify Qi
  • Expel Toxins from the Interior
  • Clear Heat
  • Stop pain
Herb Formulas
Points
  • KI-6, PC-6, SJ-6, ST-25, ST-44
    With severe Kidney Yin Deficiency: + SP-6
    With severe Kidney Yang Deficiency: + moxa or moxa needle REN-4
    With severe abdominal distention and flatulence: + LI-4
    With severe Damp-Heat: + SP-9,
    With night sweats: + HT-6
    With low back pain and abdominal distention: + SP-4
    With undigested food in the stools or reduced food intake: + REN-21, ST-21
    With severe Qi Deficiency: + SP-3
    With tenderness at the following points: + needle Lanweixue, ST-37, ST-39
Clinical Manifestations
  • Fatigue
  • Lack of strength
  • Lassitude
  • Shortness of breath
  • Insomnia
  • Palpitations
  • Poor appetite
  • Reduced food intake
  • A bland taste in the mouth
  • No taste for food
  • Slow digestion
  • Constipation
  • Dry skin
  • Dry eyes
  • Dry lips and mouth
  • A pale face
  • Maybe malar flush
  • Cold hands an feet
  • Maybe Five Sole Heat
  • Tinnitus
  • Deafness
  • Dizziness
  • Hair loss
  • Decreased visual acuity
  • Poor memory
  • Loose teeth
  • Loss of teeth
  • Low back and knee pain and weakness
  • Lower abdominal distention and pain
  • T: Pale, maybe a red tip or Red and fat
  • C: Scanty
  • P: Soft and weak or Empty
Treatment Principle
  • Strengthen the Spleen
  • Tonify Qi
  • Strengthen the Kidneys
  • Nourish Yin
  • Unblock the stool
  • Stop pain
Herb Formulas
Points
  • REN-6, SJ-6, SP-6, ST-25, ST-36
    With severe constipation: + KI-6
    With Yang Deficiency: + moxa or moxa needle REN-6
    With severe abdominal distention and flatulence: + PC-6
    With Night sweats: + HT-6
    With low back pain and abdominal distention: + SP-4
    With undigested food in the stools or reduced food intake: + REN-21, ST-21
    With severe Qi Deficiency: + SP-3
Clinical Manifestations
  • Pain that is fixed, stabbing and /or severe
  • Pan is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Purple lips
  • Purple nails
  • Dry skin
  • Blue, dark or purplish discoloration of skin in small or large areas,
  • Varicose and spider veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • T: Purple, possible purple or red spots
    Red purple if there is Heat
    Blue purple if there is Cold
  • C: White
  • P: Choppy or Wiry and choppy
Treatment Principle
  • Invigorate the Blood
  • Dispel Blood Stasis
  • Spread Liver Qi
  • Unblock the channels
  • Stop pain
Herb Formulas
  • Shao Fu Zhu Yu Tang
  • With Heat: Shao Yao Tang
  • Chinese Patent Medicines:
    Xue Fu Zhu Yu Wan
    Fu Ke Wu Jin Wan

    With bleeding: add Sheng Tian Qi Pian to either of the above formulas
Points
Clinical Manifestations
  • Severe localized pain or
  • Pain that is spreading to involve the whole abdomen
  • Abdominal rigidity
  • Abdominal guarding
  • Epigastric and abdominal hardness and distention
  • Constipation
  • No passing of gas
  • Rapidly developing jaundice with a gold color
  • High fever or
  • Chills and fever
  • Thirst
  • Dry mouth, throat and lips
  • A red complexion
  • Red eyes
  • Malaise
  • A headache
  • Restlessness
  • Irritability
  • Thirst
  • Foul breath
  • Nausea/Vomiting
  • Halitosis
  • Concentrated urine
  • Abdominal pain
  • Constipation
  • Scanty urine
  • Skin rashes
  • Epistaxis
  • Bleeding gums
  • Muscular spasms or
  • Convulsions
  • Hypochondriac and Stomach fullness and pain
  • Unclear thinking
  • Delirium
  • Epistaxis
  • Hematochezia
  • Bleeding from the mouth
  • Bruises easily
  • T: Deep red or Scarlet
  • C: Greasy and yellow or Dry and yellow
  • P: Flooding and rapid
Treatment Principle
  • Clear Toxic Heat
  • Invigorate the Blood
  • Break up Blood Stasis
  • Cool the Blood
  • Dissipate accumulation
  • Resolve the abscess
  • Stop pain
Herb Formulas
Points