Eat regularly and stick to it for a while.
Now take some biscuits in your pocket. If you feel hungry, just eat a few. Don't wait for him to get hurt.
Just stick to the above two points for a few days.
Overview of intermittent stomachache
The cause of disease
The common causes are cold pathogen invading the stomach, food damaging the stomach, liver qi invading the stomach, and spleen and stomach weakness.
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Examination and diagnosis
Stomach discomfort is accompanied by many symptoms, such as burping, flatulence, nausea, vomiting, diarrhea, chest tightness and so on. Because the symptoms of each disease are different, if accompanied by chest tightness, heartburn, acid water spitting, burping and other symptoms, it may be an esophageal disease; If accompanied by empty abdominal pain, fullness, hunger and other symptoms, hiccups are sour, or even vomiting blood, it may be gastric ulcer, but if there are symptoms such as hiccups, jaundice, fever, etc., it may have nothing to do with the stomach, or there is something wrong with the gallbladder.
Differential diagnosis of intermittent stomachache;
1. Chronic stomachache: Chronic stomachache is common in chronic gastritis and refers to various chronic inflammatory lesions of gastric mucosa caused by different reasons. It is one of the common and frequently-occurring diseases in the army, and its incidence ranks first among all kinds of stomach diseases. Since the extensive application of fiberscope, the understanding of this disease has been improved obviously. Chronic gastritis often has a certain degree of atrophy (mucosal dysfunction) and metaplasia, often involving the cardia, accompanied by G cell loss and decreased gastrin secretion, and also involving the stomach body, accompanied by oxyntic gland loss, resulting in decreased gastric acid, pepsin and endogenous factors.
2, neuropathic stomach pain: Some people will secrete a lot of stomach acid when they are under great mental stress, showing a state of hyperacidity, causing heartburn, snoring, stomach pain and other symptoms. In addition, the work of the stomach is dominated by autonomic nerves. When people's mental stress is too great, the autonomic nervous system loses balance and the stomach can't work normally (secreting gastric acid, peristalsis, etc.). ), causing stomach discomfort and stomachache. And because of lack of sleep, poor diet, life, work, study and other reasons. It can cause autonomic nerve disorder and stomach pain, which is neuropathic stomach pain.
3, acute stomach pain: stomach pain is a common clinical symptom, more common in acute and chronic gastritis, gastric and duodenal ulcer disease, gastric neurouterine disease. It can also be seen in gastric mucosal prolapse, gastroptosis, pancreatitis, cholecystitis and gallstones. Acute stomachache is an acute, fast-changing and serious disease. The patient felt severe pain in the stomach, accompanied by hiccups, flatulence, nausea, vomiting, diarrhea, chest tightness and other symptoms.
4, emotional stomach pain: psychological stomach pain is a mental disorder, mainly because people's anxiety, anxiety and other anxiety are reflected in the stomach, leading to upper abdominal pain, symptoms include stomach cramps, bloating, usually after the anxiety is relieved. But what is disturbing is that psychological pain is sometimes difficult to relieve symptoms immediately, and the degree of pain is unbearable. The more serious consequence is that stress can cause gastric acid secretion. Once gastric acid is secreted too much, it will easily lead to gastritis, peptic ulcer, gastric acid reflux and other diseases.
Stomach discomfort is accompanied by many symptoms, such as burping, flatulence, nausea, vomiting, diarrhea, chest tightness and so on. Because the symptoms of each disease are different, if accompanied by chest tightness, heartburn, acid water spitting, burping and other symptoms, it may be an esophageal disease; If accompanied by empty abdominal pain, fullness, hunger and other symptoms, hiccups are sour, or even vomiting blood, it may be gastric ulcer, but if there are symptoms such as hiccups, jaundice, fever, etc., it may have nothing to do with the stomach, or there is something wrong with the gallbladder.
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Therapeutic nursing
To treat stomachache, we must first distinguish between the cold and heat nature of pain, and the disease lies in qi and blood, and then check the cause and give corresponding treatment. Generally speaking, the sudden onset of new diseases, pain, and refusal to press the pain points are mostly empirical; Chronic pain and persistent pain are mostly deficiency syndrome; Cold syndrome pain, just like warm ironing hot drinks, cold will aggravate the pain; Heat causes pain, just like cold drinks, and heat is a painful drama; Pain is mainly flatulence, or pain leads to chest and hypochondrium. Every time the pain is aggravated or alleviated due to emotional changes, it is mostly qi stagnation. Pain is fixed, mostly stinging. It is often a long illness and blood stasis; If you are hot and hungry, your tongue is red without coating or your body fluid is insufficient, it is mostly a syndrome of insufficient stomach yin.
Although there was a saying in ancient times that "general principles do not hurt", it was by no means limited to a method of "communication". In clinical practice, according to the different conditions of patients, four diagnoses and eight categories should be used for detailed examination to establish appropriate treatment methods.
First, liver-qi attacks the stomach.
According to different conditions, this syndrome can be divided into three types: qi stagnation, fire depression and blood stasis.
1, gas stagnation
The main symptoms are fullness in the stomach, pain on both sides, frequent belching, slight pain or shortness of breath after belching, thin and white tongue coating and heavy pulse.
Analyze emotional disorder, qi stagnation, liver qi invading the stomach, stomach disharmony and depressed pain; Qi disease often occurs, and the hypochondrium is the dividing line of the liver, so the pain leads to two hypochondriacs; Stomach qi rushes up, which leads to frequent hiccups. After losing qi, the qi goes down, so the pain is slightly reduced, the coating is white, and the pulse is heavy, which is the image of liver depression.
The principle of treatment is soothing the liver and regulating qi, regulating stomach and relieving pain.
Take Ganshu, Pishu, Shu Wei, Zhongwan, Ermen, Zhangmen, Shousanli and Zusanli. It can be used repeatedly to massage back and waist to relieve pain, shake Shu points to promote blood circulation, pinch back muscles to regulate blood, and massage abdomen and France.
If the pain even leads to nausea and vomiting, both Neiguan and Neiguan can promote qi and relieve pain; If you spit sour water, you are always noisy; And the liver and gallbladder are divided into exterior and interior, and liver heat is better than gallbladder fire, so it is bitter to see dry mouth; Yellow fur pulse string is caused by liver and stomach stagnation.
The principle of treatment is soothing liver, clearing heat and regulating stomach.
Take Ganshu, Shu Wei, Sanjiaoshu, Dachangshu, Zhangmen, Shousanli and Zusanli. It can be repeatedly used to massage the back and waist to relieve pain, lift the back to help transport, massage the abdomen to eliminate food stagnation, massage the yin and yang to clear away heat, and massage the chest and hypochondrium to soothe the liver (see fever).
In the case of severe pain, you can hold both sides of Xue Hai and Liang Qiu with your thumb and forefinger respectively. If the pain is relieved and the liver and spleen are not adjusted, you can massage the two sides of Sanjiao Shu with your thumb and massage the middle jiao with your thumb to regulate Sanjiao.
2. Blood stasis
The pain of the main symptom is local, and it is often stinging, aggravated after eating, or black when vomiting blood, or even purple tongue and astringent pulse.
Analysis of long-term pain into the collateral, collateral damage, so vomiting blood will be black; Blood stasis is a tangible thing, so the pain is fixed and refuses to press; Eating is combined with blood stasis, so it hurts after eating; Blood stasis blocks blood circulation, so the tongue is purple and the pulse is astringent.
The principle of treatment is to promote blood circulation to remove blood stasis, dredge collaterals and relieve pain.
Take Ganshu, Pishu, Shu Wei, Zhangmen, Neiguan, Laogong, Liang Qiu and Neiting. Reuse the methods of rubbing back and waist to relieve pain, shaking Shu points to promote qi, pinching back muscles and regulating qi, rubbing upper abdomen to dispel cold; Combined with the method of kneading Yangming to clear away heat, plus the method of inducing pain at the far end (take both sides of Neiguan, Laogong, Liang Qiu and Neiting with both thumbs).
If hematemesis and hematochezia persist, medication is the main treatment, and surgery can be performed only after the condition is stable.
Second, the pathogenic factors are blocked.
1, weight loss block
The main symptoms are upper abdominal pain, abscess, anorexia or vomiting. After vomiting, the pain is relieved, the tongue coating is thick and greasy, and the pulse is smooth and firm.
Analysis of food stopped in the stomach, conduction is abnormal, so epigastric pain is swollen; Diet stagnation, stomach qi rising instead of falling, so spoilage or vomiting; After vomiting, the pain is relieved due to stagnation; The fur is thick and greasy because of eating turbid fumigation; Stomach qi and food stagnation pulsate with each other, so the pulse condition is stable and powerful.
Treatment leads to digestive stagnation.
Take Pishu, Sanjiaoyu, Sanmen, Shu Tian, Shousanli and Zusanli. You can reuse the methods of strengthening the spine, rubbing the abdomen to eliminate food stagnation, shaking and guiding stagnation, pressing the back and waist to relieve pain, and pressing Yangming to clear away heat.
If the pain is severe, you can press the bilateral Shu Tian with your thumbs to promote qi circulation and guide stagnation; Stagnation of food accumulation and heat can shake the large intestine meridian and both sides of Shu.
2, cold hurts stomach yang
The main symptoms are cold and cold drinks with stomachache, severe pain, preference for warm and hot drinks, spitting clear water, or aversion to cold and fever, white fur and tight pulse.
Analysis of sudden contact with cold pathogens, the yang in the stomach can not be connected, and the righteous and evil contend, so the stomach pain is severe; Aversion to cold and fever, white fur caused by exogenous cold pathogen; Tight pulse governs cold and pain.
Treatment principle: Warming stomach, dispelling cold and relieving pain.
Acupoints Shu Wei, Pishu, Zhongwan, Liang Qiu and Neiting. The methods of massaging back and waist to relieve pain, pinching back muscles to benefit qi, rubbing stomach, warming stomach and massaging abdomen and middle part can be repeatedly used. It is used in combination with the back-suppressing exercise method and the three cold methods of rubbing the upper abdomen.
Third, spleen and stomach weakness.
1, spleen and stomach deficiency and cold
The main symptoms are faint stomachache, watery vomiting, asthenia of warm pressure, no temperature in limbs, pale tongue with white fur and slow and weak pulse.
Analysis of spleen and stomach weakness, cold stagnation, so stomach pain is faint; The sun doesn't move, the water stops gathering, and the pain is not very good, so spit water and like warm pressure; Deficiency of spleen-yang leads to hypothermia in limbs, mental fatigue, pale tongue and slow and weak pulse.
Treatment principle: warming spleen and strengthening stomach.
Selection of points: Ganshu, Pishu, Sanjiaoshu, ermen, Zhongwan, Zhangmen, Shousanli and Zusanli. All the above basic methods can be used except shaking and stagnation-inducing method and pressing Yangming to clear heat.
When the pain occurs, you can rub the stomach Shu with your thumbs, press the beam door and warm the middle epigastrium to relieve the pain. After the pain stops, you can perform the operation according to the basic technique. For example, spleen and stomach deficiency and cold, liver depression and internal heat. Besides a stomachache, you can also see vomiting. When you feel hungry, your food is uncomfortable, your limbs are warm, your tongue is crimson, your fur is white and yellow, and your pulse is thin. You can use your thumb to take a double-door boxing and roll in the abdomen to treat cold and heat, liver and stomach.
2. Deficiency of stomach yin
The main symptoms are dull pain, upset and noisy, dry mouth and thirst, dry stool, little or no coating, red tongue and scanty fluid, and thready pulse.
Analysis of stomach yin deficiency, stomach collateral dystrophy, so stomach pain is faint; Yin deficiency produces internal heat, so it is annoying, dry mouth and thirst, and dry stool; Red tongue, little body fluid, thin fur and slight pulse are all manifestations of deficiency of stomach yin.
Nourishing yin and benefiting stomach.
Take Ganshu, Pishu, Shu Wei, Sanjiao Shu and Zhongshu. You can repeatedly use the methods of lifting and kneading the spine, massaging the abdomen, neutralizing and chiropractic for ten times each.
For people with loss of appetite, it is important to open three doors, transport three cups, conceal blood in the stool and use abdominal techniques with caution.
In addition to massage and other methods, the treatment of stomachache also needs to pay attention to diet adjustment and feel comfortable.
Fourth, basic technology.
1. On the basis of pushing the back of bladder meridian with one hand, alternately press the inner line of bladder meridian from Shu Ge to Sanjiaoshu with both hands or thumb, and pay attention to local acupoint selection.
2. The method of activating qi by shaking Shu points takes one palm root as the center, and it stimulates liver, spleen, stomach and Shu points respectively by shaking the palm root with moderate intensity and even shaking frequency.
3. Lift the thumb and forefinger repeatedly from top to bottom along the Du meridian route (Dazhui point to Mingmen point), and perform chiropractic method 10 times from bottom to top.
4. Pinch back and waist muscles to regulate qi. On the basis of scapular movement, the thumb and forefinger hold the upper segment of sacrospinous muscle (scapular segment, lightly), and the middle finger can also be used for torsion.
5. Knead the stomach Shu point on both sides of the sole or thenar muscle with the stomach Wen Shu method, and then slowly knead it to make the heat sense penetrate.
6. Abdominal push method and thumb method open three doors, transport three cups, and quickly push the left abdomen with one or two palms, which is called abdominal push method; Palmar push abdominal artery route; Palm root wheel pushes abdomen clockwise; Put your hands together and rub the upper abdomen, mainly the left upper abdomen.
7. Knead the upper abdomen and dispel the cold. Knead the upper abdomen repeatedly with one palm, and the frequency should be fast and warm; Switch to the upper part of the palm.
8. According to the method of rubbing the abdomen to help digestion, alternately press the abdominal ren meridian and stomach meridian route on both sides with two thumbs, and rub the above parts from top to bottom with the palms overlapping; Hold your navel with your palms and rub your abdomen in a wheel shape.
9. Shaking method is to shake the abdominal muscles on the basis of waving the abdomen with two palms.
10. According to the method of clearing heat by rubbing Yangming Meridian, rub Yangming Meridian of hands and feet on forearm and calf with thumb or thenar muscle, mainly rubbing hands and Zusanli points.
The symptoms of abdominal pain are: often caused by cold weather and cold food, accompanied by a cold feeling in the stomach, and the symptoms of warming are alleviated.
The main cause of stomach pain is bad eating habits, such as uncontrolled eating, often eating cold drinks or food. Coupled with the fast pace of life and great mental stress, it is more likely to lead to stomach problems. Therefore, to develop good eating habits, patients with stomach cold can eat more Chili pork tripe soup and Jiang Shui. Pepper and ginger are condiments for strengthening and warming the stomach, which can adjust the symptoms of stomach cold and restore a healthy spleen and stomach. Of course, if you have a stomachache, you need to be alert to the organic lesions of the stomach. It is best to go to the hospital for gastroscopy.
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Preventive health care
1 First of all, correct bad eating habits.
Eat more light food, less fat and all kinds of irritating food, such as food containing alcohol and spices. Beware of food that is too sour, too sweet, too salty, too bitter and too spicy, and don't make the five flavors partial to the food. Patients with smoking hobbies should give up smoking.
2. Regular quantitative diet
Patients with long-term stomachache should have three meals or extra meals regularly every day. Patients with acute stomachache should try to eat less and more meals, and usually eat less or no snacks to reduce the burden on the stomach.
3. Pay attention to balanced nutrition
Normal diet should provide foods rich in vitamins to protect gastric mucosa, improve its defense ability and promote the repair of local lesions.
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