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Vomiting

Differential diagnosis: Patients with vomiting caused by cold pathogens may have
sudden vomiting with vomitus containing clear fluid and saliva, white tongue coating,
and floating pulse. Patients whose conditions is caused by heat pathogens may have
repeated vomiting with vomitus containing sour and bitter bile, thirst with desire to
drink cold water, red tongue, and rapid pulse. Patients with vomiting caused by
improper food may have vomiting with vomitus containing undigested food with
relief of symptoms after vomiting, fullness and distension of upper abdomen, anorexia,
foul stool, thick and greasy tongue coating, arid rolling and forceful pulse. Patients
with vomiting caused by stagnation of phlegm may suffer from distension of abdomen,
vomiting with vomitus containing sputum, preference for hot drinks after vomiting,
anorexia, dizziness, heart palpitations, pale tongue with white coating, and rolling and
soft pulse. And patients with an attack of liver qi to the stomach may have vomiting
after meals caused by emotional distress, relieved of symptoms after vomiting,
tidiness and distension or pain in chest and flank, annoyance and depression, red
borders of tongue, and wiry pulse. Vomiting due to nerves, gastritis, spasms or
obstruction of pylorus, cholecystitis, cerebrovascular accident and hepatic coma
recognized by modern medicine may be treated by the following methods.

Treatment:

Foot massage: The massage is applied to spleen (34), stomach (15), coeliac plexus
(20), liver (18) and duodenum (16) reflecting areas (Fig. 67).

Foot acupuncture:
1) Meridianal acupoints: At Qiuxu (GB 40), Pucan (BL 61), Zutonggu (BL 66), Yinbai
(SP 1), Dadu (SP 2) and Taibai (SP 3) acupoints, a reducing technique is applied and
the needles are retained for 20 minutes. Moxibustion after acupuncture may be
applied to patients with cold pathogens or phlegm stagnation.
2) Extra acupoint: A reducing technique is applied at Nuxi (EX-F6) acupoint and the
needle is retained for 20 minutes. Moxibustion after acupuncture may be applied to
patients with cold pathogens or phlegm stagnation.
3) Foot acupoints: At Stomach (FA-P 8), Colon (FA-P 13), Small intestine (FA-P 11)
and Spleen (FA-P 10) acupoints, a moderate twisting stimulation is applied with the
needles not retained. Patients with vomiting caused by cold pathogens or phlegm
stagnation may be treated with moxibustion after acupuncture with the needles
retained for 20 minutes.

External application of drugs:
1) After pig oil is smeared on the soles, a garlic paste is applied over the central area
of both soles and wrapped with gauze.
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2) The powder of alum and wheat flour in an adequate amount are mixed with vinegar
or boiled water to prepare a paste for application over Yongquan (KI 1) acupoint and
covered by a piece of sulfate paper and gauze.

Foot bath: For vomiting and diarrhea due to improper food, a warm decoction of
3000 ml in 40 degrees centigrade prepared by boiling pepper 20 gm, a handful of
mung beans, Huanglian (Chinese goldthread rhizome) 120 gm and dry ginger 120 gm
in water for 20 minutes is used for shower of chest and abdomen, and then for soaking
and washing both feet for 30 to 60 minutes, one or two times a day.



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