What Are the Causes of Persistent Vomiting?

Vomiting, TCM disease name. It is a symptom caused by the loss of stomach and lowering qi, which can occur in the course of many diseases. Clinical syndrome differentiation is based on virtual reality. Treatment is based on the principle of reducing stomach and inversion, but it must be handled separately according to the actual situation.

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Chinese Medicine Name: Vomit
Disease site: stomach
Related Western Medicine Diseases: Neurogenic vomiting, etc.
Main cause: Stomach loss and fall, Qi reverses

Other name: no
Multiple groups: Everyone
Disease classification: Internal Medicine-Spleen and Stomach
Contagious: no

Vomiting nouns explained

Vomiting refers to a type of disease in which the stomach loses and falls, and the qi is reversed, forcing the contents of the stomach to vomit from the mouth. Clinically, there is vomiting with sound, vomiting with sound, and retching with no sound. Clinical vomiting and vomiting often occur simultaneously, so they are collectively called vomiting.

History of Vomiting

1. The name of the vomiting disease was first seen in the Neijing. The reason for its occurrence is discussed in detail. "Su Wen · Liang Pao Lun": "The cold air is in the stomach and intestines, and it goes up and down, so it hurts and vomits." "Su Wen · True truth": "The vomiting acids are all hot."

2. "Golden Chronicles" elaborate on the treatment of vomiting pulse syndrome, and recognize that vomiting is sometimes a protective response of the body to discharge harmful substances in the stomach. Such as "the husband's vomiting family has purulent pus, can not cure vomiting, pus self-healing."

3. "Symptoms of Various Diseases" points out that the occurrence of vomiting is caused by the upset of gastric qi.

4. Liu Wansu's "Suwen Xuanji Original Illness Mode" states: "Every person who vomits has fire-related inflammation, and no matter what is on the surface, Tongyi is cold and scattered."

The relationship between vomiting and disease names in western medicine

Vomiting can occur in many diseases, such as neurogenic vomiting in western medicine, acute gastritis, cardiogenic vomiting, gastric mucosal prolapse, pyloric spasm, pyloric obstruction, cardiac spasm, duodenal congestion and so on. If he has symptoms such as intestinal obstruction, acute pancreatitis, acute cholecystitis, uremia, cardiogenic vomiting, and craniocerebral disease with vomiting as a symptom, he can also refer to this section for dialectical treatment, combined with disease treatment.

Causes of vomiting

1.Stomach of outside evildoer

Feel the evil of wind, cold, heat, humidity, dryness and fire, or filthiness and turbid air, which invades the epigastric stomach, the loss of stomach, and the fall, and the water valley rises up against the air and vomiting occurs. Due to the different seasons, the feelings will be different, but most of them are cold.

2. Insufficient diet

Overeating, overeating, eating too much cold, pungent wine, sweet fat and unclean food can all hurt the stomach and spleen, which can easily cause food stagnation, stomach qi and vomiting.

3. Emotional disorders

Irritated injury to the liver, loss of liver, upset of the stomach, upset of qi in the stomach; worry about spleen injury, loss of spleen health, difficulty in eating, stomach loss and lowering, vomiting can occur.

4. Physical weakness after illness

Deficiency of the spleen and stomach, or weakness after illness, exhaustion, exhaustion of air, stomach deficiency can not be affected by water valleys, spleen deficiency can not transform into subtle, stagnation in the stomach, upper back into vomiting.

Vomiting machine

Vomiting is mainly in the stomach, but has a close relationship with liver and spleen. The basic pathogenesis is stomach loss and decline, and stomach qi upturns. The pathological properties are two types of deficiency and reality. Evidence is that the stomach is suffocated due to external evils, stagnation of stagnation, phlegm, liver qi and other evil qi, which causes stomach qi congestion, lifting disorders, and qi reversion. Can't and drop. Pathological evolution: The first disease is more solid, the vomiting is longer, the spleen and stomach are damaged, and the spleen and stomach are weak, which can be changed from reality to deficiency. There is also evidence of weakness in the spleen and stomach, complex injuries caused by diet, and deficiency and solidness.

Points to check for vomiting

Basis of vomiting diagnosis

1. There is a large amount of vomiting at the beginning, and there is a lot of acid rot smell in the vomit, and there is not a lot of vomit in the long-term vomiting.

2, new disease evil real, frequent vomiting, often accompanied by chills, fever, strong pulse. Prolonged illness and deficiency, vomiting and weakness are often accompanied by mental weakness, fatigue, fatigue, paleness, and pulse weakness.

3. The disease often has a history of inadequate diet, cold food, anger, depression, or chronic illness.

Differentiation of vomiting syndrome

1. Vomiting and nausea

Vomiting and nausea are symptoms of vomiting. Although vomiting, smooth eating, vomiting without timing. The sickness of the sickness is that the eating of the sickness is unsatisfactory or the food is not allowed to enter, or the sickness is caused by vomiting. Vomiting is mostly mild, with a short duration and a good prognosis. However, most of them are caused by internal injuries, with a serious condition, a long course of disease, and a poor prognosis.

Vomiting and nausea

The nausea is the coldness of the spleen and stomach, and there is no fire in the stomach, and it is difficult to rot the cooked grains. Vomiting is characterized by sound and things, mostly due to upset stomach qi, and there are differences in feelings of external evils, eating disorders, emotional disorders, and stomach disorders, and it is not difficult to identify when clinical evidence is available.

3.Identification of vomit

There are differences between vomit and cold and heat, and the vomit can also be identified based on the vomit's characteristics and odor. If there is a lot of acid rot in the vomit and the smell is bad, most of them are stagnation in the diet and internal rot in the food; if they vomit bitter water or yellow water, the stomach will be caused by bile fever and stomach loss; Those with green water often suffer from liver heat and stomach upset. If the vomit is sputum and sputum, most of them are caused by sputum drinking, and Qi is against the stomach. , Yunhua dereliction of duty.

Related inspections

Gastroscopy, barium meal of the upper digestive tract can be used to understand the gastric mucosa, the closure of the spray door, the pylorus, and the changes in the duodenal mucosa. If the vomiting does not stop, accompanied by abdominal distension, loss of gas, or no stool, abdominal fluoroscopy and abdominal ultrasound should be done to understand the presence of intestinal obstruction. If the patient's complexion turns yellow, vomiting persists, accompanied by oliguria, edema, renal function should be checked in time to rule out vomiting caused by renal failure and uremia. If the patient is vomiting and jet-like, CT or MRI of the head should be used to exclude craniocerebral mass occupying lesions. Abdominal B-ultrasound can also be performed to understand the condition of the pancreas and gallbladder. If necessary, combined with blood tests and urine amylase. If vomiting does not stop, check the electrolytes for electrolyte disturbances. Women of childbearing age should be tested for urination and a pregnancy test.

Dialectical treatment of vomiting

Essentials of Vomiting

The disease should be identified first. Empirical results are mostly due to feelings of external evils and stagnation of the diet. The disease is more acute, the course is shorter, the amount of vomiting is more, and the vomit is more acidic. Deficiency syndromes are mostly internal injuries, with differences between Qi deficiency and Yin deficiency. There is not much vomiting, which is often accompanied by depression, fatigue, weakness and weakness.

Vomiting Principles

Vomiting is based on the principle of reducing stomach inversion. Those who prefer to be evil, the main treatment should be to eliminate evil, and adopt methods such as relieving the table, digesting food, resolving phlegm, and relieving depression. For those who are positive and deficient, treatment should be mainly based on rectifying the spleen and stomach, and nourishing qi and nourishing yin. Those who are both false and true shall be ruled when their specimens are examined first and foremost.

Classification of vomiting syndrome

(I) Empirical

1.Stomach of outside evildoer

Symptoms: Sudden vomiting, full chest tightness, fever and chills, pain in the head and body, white greasy tongue coating, slow pulse.

Governing Law: Dispel the evil and clear the table, dissolve the turbidity and neutralize.

Recipe: Huoxiang Zhengqi Powder is added or subtracted.

Commonly used medicines: Huoxiang, Perilla, Paeonia lactiflora, Potbelly skin, Magnolia officinalis, Pinellia oleifera, Chenpi, Atractylodes, Poria, Licorice, Chinese bellflower, ginger, jujube.

2, food stagnation and stop

Symptoms: vomiting, sour rot, bloated abdomen, belching, anorexia, stool or scab or knots, thick greasy tongue, and smooth pulse.

Governing law: digestion and stagnation, and stomach lowering.

Recipe: Baohe Pills.

Commonly used drugs: Hawthorn, Divine Comedy, Lai Gardenia, Chenpi, Pinellia, Poria, Forsythia.

3. Internal resistance of phlegm drink

Symptoms: vomiting water, sputum, suffocation and no food, dizziness, palpitations, white tongue coating, slippery pulses.

Governing Law: Wenzhong Huayin, and Wei Jiang Nii.

Recipe: Xiaobanxia Decoction and Linglingguizhugan Decoction.

Commonly used drugs: Pinellia ternata, ginger, Poria, Atractylodes, Licorice, Guizhi.

4, liver qi and stomach

Symptoms: vomiting and swallowing acid, frequent belching, chest pain, red tongue, thin fur, and pulse strings.

Governing Law: Shugan Qi, Hewei Jiangni.

Recipe: Siqi Decoction.

Commonly used drugs: Su Ye, Magnolia, Pinellia, Ginger, Poria, Jujube.

(Two) false evidence

1.Spleen and stomach qi deficiency

Symptoms: loss of appetite, difficulty in swallowing, nausea and vomiting, suffocation of the crotch, poor stools, white tongue coating, and pulse pulse.

Governing Law: Spleen and Qi, and stomach inversion.

Recipe: Xiangsha Liujunzi Decoction.

Commonly used drugs: Codonopsis, Poria, Atractylodes, Licorice, Pinellia, Chenpi, Muxiang, Amomum.

2.Spleen and stomach yang deficiency

Symptoms: vomiting after eating a little more, time and time, white face, fatigue, fatigue, warmth and cold, limbs are not warm, dry mouth but do not want to drink, thin stools, pale tongue, weak pulse.

Governing method: warming the spleen, and lowering the stomach.

Recipe: Lizhong Decoction.

Commonly used drugs: ginseng, atractylodes, dried ginger, licorice.

3. Insufficient stomach yin

Symptoms: repeated episodes of vomiting, or occasional nausea, hunger but no appetite, dry mouth and dry throat, red tongue and less Jin, pulse count.

Governing Law: Nourish the stomach yin, reduce backache and vomit.

Recipe: Maimendong Decoction.

Commonly used drugs: ginseng, Ophiopogon japonicus, rice, licorice, pinellia, jujube.

Other therapies

1. Acupuncture therapy

Main points: Neiguan, Zusanli, Zhongli.

Acupoints: those who have cold stomachs and stomachs, plus maggots and stomach shu; those who have heat evils inside, plus Hegu, and can use Jinjin jade liquid to puncture and bleed; those with internal phlegm drinking and those who have spleen and stomach, and those with liver qi and stomach, and those who have yang Lingquan and Taichong; those with weak spleen and stomach plus spleen and stomach, spleen and abdominal distension plus Tianshu; those with bowel sounds and spleen and Dachangshu; those with pantothenic acid nausea and Gongsun; those with food stagnation and Liangmen and Tianshu. Operation: Acupuncture, flattening and purging. Acupoints are operated according to the method of tonifying deficiency and diarrhea; those who are cold, and when moxibustion and vomiting occur, they can be stimulated in the Neiguan acupoint continuously and need to be operated for 1 to 3 minutes.

2.Ear acupuncture

Select stomach, sympathy, liver, subcortex, and Shenmen, 2 to 3 times each time, acupuncture, leave the needle for 20 to 30 minutes, or use the buried needle method or pressure method.

Outcome prognosis

Violence and vomiting are generally evil, and treatment is easy and the prognosis is good. However, phlegm and vomiting due to liver qi and stomach qi often recur. Long-term sickness and vomiting are mostly due to deficiency. Therefore, those with deficiency syndrome or deficiency and reality have a longer course of disease, and are prone to recurrence, which is more difficult to treat. If the vomiting does not stop, it is difficult to enter the diet, and it may easily develop evidence, and the prognosis is poor. Such as chronic illness, vomiting, inability to eat, pale, limbs do not return, the pulse is dying, this is the danger of yin damage and yang, spleen and stomach qi failure, true yang to escape.

Preventive care

1. Live a regular life and have a controlled life. Avoid the invasion of wind, cold, heat, and humidity.

2. Maintain a comfortable mood, avoid mental stimulation, and pay special attention to those with liver qi and stomach.

3, diet should also pay attention to conditioning. Those with spleen and stomach deficiency should not eat too much. At the same time, don't eat raw cold fruits and so on. If the stomach is hot, avoid fatty and greasy, spicy and dry, alcohol and other items, do not take warm and dry drugs, quit smoking.

4. For patients who don't stop vomiting, they should rest on the field and closely observe the changes in their condition. When taking the medicine, try to choose a small pungent odor, otherwise you will vomit as you take it, which will hurt your stomach. The method of taking medicine should be a small amount of frequent taking, to reduce the burden on the stomach. According to the patient's situation, it is advisable to use hot drinks, and a small amount of ginger or ginger juice can be added to avoid rejection and return.

Literature Abstract

1. "Su Wen · Xie Jie Pian": "The so-called swollen person in the sun, ... the person who vomits when eating, full and overflowing, so vomiting also."

2. "Lingshu · Four Seasons Qi": "Evil is in the gall and inverse is in the stomach. If the bile leaks, it becomes bitter.

3. "Treatise on Febrile Diseases · Distinguish the Sun Disease's Pulse Syndrome": "The sun disease, after more than ten days, will be two or three times, and the next four or five days, if the Chaihu card is still there, first with Xiao Chaihu Tang; Those who don't stop vomiting, have anxiety, and are slightly annoyed by depression, are unsolved, and they get worse with Da Chai Hu Tang. "

4. "A Brief Introduction to Jin Kui · Vomiting and Treating the Diseases of the Emperor's Disease": "People who have vomiting and their chests are full of Zhuyu Decoction." "Zhe vomiting, who can not go down, Xiao Pinxia soup owner." "Those who have vomited immediately, Rhubarb licorice soup owner."

5. "Earth Diseases and Vomiting": "The vomiting suffers from weakness of the spleen and stomach, and is also affected by the evil."

6. "Three Causes and One Disease Syndrome and Vomiting": "Although vomiting is based on the stomach, there are many causes, so there are differences in diet, cold, heat, blood, and blood, which make people vomit."

7. "Treatment of Medicine · Vomiting": "People who have typhoid fever outside, yangming is too hot and even vomiting; those who have internal trauma diet, stuffing the yin, so that the gas can not be declared and vomiting; those who have stomach heat and vomiting; Those who have a cold stomach and vomiting; those who have chronic illness with qi deficiency, stomach qi failure, and vomiting vomiting; those who have spleen are too wet to transport subtle sputum, which causes sputum to stay stagnation and stagnation, and often causes nausea and vomiting water Those should be ruled by analogy, not at first sight. ".

8. "Treatment of Symptoms and Causes of Vomiting": "Qin Zi said: Vomiting is known by sound and vomiting is vomiting. There is no vomiting when there is something, vomiting when there is something, vomiting when there is something. the Lord."

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