Large Intestine LARGE_INTESTINE_QI_DEF_BLOOD_STASIS

Large Intestine Qi Deficiency with Blood Stasis

💊 Treatment principle: Strengthen Large Intestine Qi, resolve stasis, circulate blood.

Description

Constipation, fatigue, abdominal pain, dark stools.

Clinical features

Constipation, fatigue, abdominal pain at fixed location, dark stools, pale face, purple tongue, choppy pulse.

🏥 Scientific research

Western understanding:

Large Intestine Qi deficiency with Blood stasis correlates with chronic constipation with bleeding, colorectal cancer, and hemorrhoids. Characterized by abdominal pain, blood in stool, purple tongue, and a weak choppy pulse.

Research evidence:

Research evidence for these patterns is emerging. Systematic reviews show acupuncture benefits for cardiovascular disease, respiratory conditions, and digestive disorders. Studies demonstrate efficacy for heart failure, COPD, chronic kidney disease, and IBS. Large-scale RCTs recommended for complex pattern differentiation.

⚠️ Cautions

Caution in patients on anticoagulants. Use shallow needling. Monitor for bleeding.

📚 References

Zhang Y, et al. Acupuncture for heart failure. J Card Fail. 2019. Wang L, et al. Acupuncture for COPD. Chest. 2020. Li M, et al. Acupuncture for chronic kidney disease. Kidney Int. 2018. WHO Standard Acupuncture Point Locations. 2008. Maciocia G. Foundations of Chinese Medicine. 2015.

✅ Cupping advice

Highly effective

Technique: Moving

⏱️ Duration: 15 minutes

📅 Frequency: 1x per week

💪 Intensity: Moderate

Clinical notes:

Bewegende cupping is zeer effectief bij dit stagnatie syndroom

Special notes:

Use massage oil on the skin. Slowly glide cups along meridian direction. Very effective for neck pain, shoulder stiffness, low back pain and muscle knots.

🚫 Contraindications:

Pregnancy (back/abdomen), varicose veins, wounds, acute inflammation, fever

Recommended cupping points:

LI4 primary

Hegu 合谷

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LR3 primary

Taichong 太冲

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SP10 primary

Xuehai 血海

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BL-18 primary

Ganshu 肝俞

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GB34 secondary

Yanglingquan 阳陵泉

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TE-5 secondary

Waiguan 外關

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BL-12 secondary

Fengmen 風門

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📍 Acupuncture points

SP10 Primary

Xuehai 血海

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ST25 Primary

Tianshu 天枢

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ST36 Secondary

Zusanli 足三里

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SP6 Adjuvant

Sanyinjiao 三阴交

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🔥 Moxa advice

strongly recommended

Recommended moxa points:

ST25 indirect moxa (ginger)

Tianshu 天枢

⏱️ Duration: 600 seconds

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LI4 indirect moxa (ginger)

Hegu 合谷

⏱️ Duration: 600 seconds

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📜 Herbal formulas

Buyang Huanwu Tang 补阳还五汤

🧠 TCM pattern:

Qi deficiency with blood stasis

📋 Indications:

Ischemic stroke (subacute phase, 7 days to 6 months) with hemiparesis and fatigue

📖 Classical source: Yilin Gaicuo (Qing dynasty)

🚫 Contraindications:

Hemorrhagic stroke, acute phase

⚠️ Safety warnings:

Monitor bleeding risk if combined with anticoagulants

Bu Yang Huan Wu Tang 补阳还五汤

🧠 TCM pattern:

Qi deficiency with blood stasis

📋 Indications:

RRMS and SPMS with EDSS 2.0-5.0, fatigue, hemiparesis, numbness, purple tongue, weak pulse

📖 Classical source: Yi Lin Gai Cuo (医林改错) - 清·王清任

🚫 Contraindications:

Acute infection, bleeding, pregnancy, hypertension

⚠️ Safety warnings:

Generally safe; check INR when using anticoagulants

Xuefu Zhuyu Tang 血府逐瘀汤

🧠 TCM pattern:

Blood stasis

📋 Indications:

Angina pectoris, migraine, insomnia, chest tightness

📖 Classical source: Yilin Gaicuo

🚫 Contraindications:

Severe qi deficiency

⚠️ Safety warnings:

Monitor bleeding risk with anticoagulants