Regurgitation:gastric disorder causing nausea,nausea retch,fǎn wèi,introduction of its pathological reasons,syndrome differentiation and common syndromes.
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Regurgitation (gastric disorder causing nausea).
✵Regurgitation: regurgitation is a syndrome that flows back of the stomach contents into the mouth, a gastric disorder causing nausea; it is also known as retch, nausea retch, or fǎn wèi.
The syndrome name Fǎn Wèi was firstly recorded in ancient classical works Jin Kui Yao Lue (the Synopsis of the Golden Chamber), it recorded that the Fu Yang pulse is floating and uneven, floating means deficiency, uneven means the spleen is hurt, spleen is hurt and does not grind (transforming), eating in the morning and vomit at night, eating at night and vomit in the next morning, old diet could not be digested, it is known as Fǎn Wèi. It pointed out that the main pathogenesis of this syndrome is the hurt of the spleen and stomach, could not digest and transform water and grains (food or diet and water), its symptoms are mainly represented as eating in the morning and vomit at sunset or night.
Regurgitation is a kind of spleen deficiency disease (gastric asthenia), the diet and drink enters the stomach, cannot be transformed, dryness accumulation and obstruction, take food in the morning and vomit out at sunset, or take food at sunset and vomit out the next morning, and turn and flows out from the stomach, so it is known as regurgitation.
Ancient herbalist Wang Bing explains that "the food enters the stomach, contrary (to expectations), it comes out, it is known as without fire.".
Internal reasons: in general, the reasons are including grief and indignation, stagnant Qi, impairment of the spleen from melancholy and anxiety, improper diet, consumption of essence, Ying exhaustion, depression and boring, confine one's feeling to poetry and wine, indulge in pretty and coquettish, drinking bout and singing, hurt from excessive drinking and promiscuity, generates phlegm and fire, and the function of the spleen and stomach is hurt.
External symptoms: vomit after taking diet, or take diet again and vomit again, or take diet in the morning and vomit out at sunset, or take diet at sunset and vomit out in the next morning, stuffiness and congestion in heart and chest, alternation of cold and fever, or loose stool, or eructation with fetid odor, or ructation. Its main symptoms are stuffiness in the gastric cavity and abdomen, indigestion, taking a diet in the morning and vomiting out at sunset, taking a diet at sunset and vomiting out in the next morning.
The discussion of regurgitation from ancient herbalist Zhongjing, various syndromes of regurgitation, some common syndromes of regurgitation, and other syndromes of regurgitation are introduced.
The entry of regurgitation from Zhongjing.
The entry of regurgitation from Zhongjing is introduced:
Asked: The pulse is rapid, rapid is heat, should digestion and leads to taking food, contrary (to expectations), vomit out (the food), what is it?
Master said: For perspiration was induced, Yang is weak, deficiency of Qi in the diaphragm, pulse is rapid, rapid is guest heat, could not transform grains, for the reason deficiency and cold in the stomach. The pulse is wiry and it is deficiency. The stomach Qi has no residue, take food in the morning and vomit out at sunset, develops to regurgitation. Coldness is at the upper, contrary (to expectations), purgative method is used, contrary (to expectations), purgative method is used, and pulse is wiry on the contrary, thus it is known as deficiency.
Master said again: the cunkou pulse is faint and rapid, weak and there is no Qi, there is no Qi and the Rong is deficient, the Rong is deficient and blood is insufficient, blood is insufficient and there is coldness in the chest.
Various syndromes of Regurgitation.
Various syndromes of regurgitation: There is regurgitation from hurt of stomach Qi and vomit, there is regurgitation from spleen cannot transform and vomit, there is regurgitation due to heat accumulation in the middle, there is regurgitation due to deficiency-cold in the lower. Some common syndromes of regurgitation are introduced as:
(1). Deficiency and cold spleen and stomach type Regurgitation
Symptoms: full abdominal distension after eating, take food in the morning and vomit at sunset or night, vomit and spit out undigested food and clear liquid (water), feel easier once spit out all of them, accompanied by mental fatigue, limbs are not warm, pale complexion and lack of glories, pale tongue, tongue coating is white, pulse is weak, fine, and powerless.
(2). Heat accumulation in the stomach type Regurgitation
Symptoms: take food in the morning and vomit out at sunset or night, take food at night and vomit out in the second morning, vomit and spit out undigested food and clear, sour, smelly rotten turbid liquid (water), halitosis polydipsia (smelly breath, vexation, and thirst), constipation and yellow urine, red tongue, tongue coating is yellow thick greasy, pulse is slippery and rapid.
(3). Phlegm blocking stomach type Regurgitation
Symptoms: often suffers from epigastric abdominal distension and fullness, turns serve after eating, takes food in the morning and vomits out at sunset or night, takes food at night and vomits out in the second morning, vomits and spits out undigested food, also phlegm saliva and water retention, or spits out white foam, palpitation and dazzled head, tongue coating is white and slippery, pulse is wiry, slippery.
(4). Blood stasis blocking the stomach type Regurgitation
Symptoms: often suffers from epigastric abdominal distension and fullness, especially after eating, takes food in the morning and vomits out at sunset or night, takes food at sunset or night and vomits out in the second morning, vomits and spits out undigested food, or vomits out brown turbid fluid, or vomits blood or passing blood in stool. There is a hard mass or lumps on the upper abdomen region, fixed and not movable; distension, fullness and pain once pressed, dark red tongue or petechiae on it, pulse is uneven.
(5). Spleen and kidney Yang deficiency type Regurgitation
Symptoms: epigastric abdominal distension and fullness after eating, turn severe especially after diet, take food in the morning and vomit out at sunset or night, take food at sunset or night and vomit out in the second morning, vomit and spit out undigested food, or vomit out a large volume of clear liquid (diluted water), mental fatigue and lack of strength, soft pain in strength, soft pain in waist and knees, dizziness and tinnitus, loose and thin stool, aversion to cold and cold limbs, off-white complexion (looks white), pale tongue, tongue coating is white, pulse is fine (thready) and powerless.
(6). Deficiency of Qi and Yin type Regurgitation
Symptoms: take food in the morning and vomit out at night, take food at sunset or night and vomit out in the second morning, vomit and spit out undigested food, quantity is not much, mental fatigue exhaustion and short of breath, short of glories on complexion, dry mouth and dry pharynx (dry throat), defecate is dry and clotted (difficulty in defecation or dry stool), tongue is red, and tongue coating is less, pulse is thready (fine) and rapid.
Other syndromes of Regurgitation.
Other common syndromes of regurgitation are introduced as:
The stomach deficiency and regurgitation, vomit out immediately once take it;
Regurgitation, and feel thirst;
Regurgitation, vomit and Qi counter flow, food undigested, unstoppable vomiting;
Regurgitation, take food in the morning and vomit out at night, stabbing pain in the abdomen after eating(after diet), mainly due to chronic cold deficiency;
Regurgitation, take food in the morning and vomit out at night, hard as a cup below the heart, alternating cold and heat, vomit and Qi counter flow, do not take food(no appetite or do not want to take food), this is mainly due to cold pus affection, will develop into an atrophic lung syndrome;
Regurgitation, no appetite(could not take food), vomit out immediately after eating;
Regurgitation, vomit sour liquid(acid water);
References:
1.Regurgitation:gastric disorder causing nausea,nausea retch,fǎn wèi,introduction of its pathological reasons,syndrome differentiation and common syndromes.