Full stomach

Introduction Abdominal fullness is a symptom, which means that the abdomen is full or full, and there is a sense of fullness in the abdomen and no swelling in the outside. It can make people feel uncomfortable and troubled. Distinguish between the real cold and the heat, the fullness of the pain and the pain of the person is true, the person who is not painful is imaginary; when the fullness is full, the person can be reduced to cold, and the person who is not reduced is hot.

Cause

Causes

1. Deficiency syndrome is caused by the loss of spleen and yang. Every time it is full of pain, it is warm and happy, and it is white, and the pulse is weak.

2, the actual symptoms are caused by hot gastrointestinal tract, every time you see constipation, abdominal pain refused to press, the moss is dry, the pulse is firm and powerful.

3, can also be seen in bloating, bloating and other diseases.

an examination

Related inspection

Ascites examination abdominal MRI examination

symptom

1, refers to the abdomen full or full expansion, the belly has a feeling of fullness and no external expansion.

2, when distinguishing between the real cold and the heat, the fullness of the pain and the pain is true, the person who is not painful is virtual.

3, when the fullness can be reduced, it is cold, and the person who is not reduced is hot.

Differential diagnosis

Disease identification

In the cold and wet, the abdomen is full: the abdomen is full, and the appetite is not reduced, the appetite is weak, the nausea and vomiting, the stool diarrhea, or the abdominal pain, the thirst does not want to drink, the tongue is greasy, the pulse string is slow.

Spleen and stomach deficiency and fullness: fullness in the abdomen, sputum as a sputum, sputum sputum, heavy warm, happy to press or into hot drinks, hot food is comfortable, Shenpi fatigue, stagnation, tongue fat or scalloped, moss Thin white, late pulse.

Damp heat accumulation belly full: belly full and swollen, sputum vomiting, heart trouble, thirst do not want to drink more, always sweating, stool sputum, urinary short red, red tongue yellow greasy, pulse number.

The real heat inside the belly is full: the abdomen is not reduced, the lack of words, or hard pain, or pain around the umbilicus, constipation, hand sweating, hot flashes, pulse, or late, powerful, dry tongue coating Or a cracked thorn.

Discriminant analysis

In the cold and wet, the abdomen is full and the spleen and stomach are full of cold and abdomen: the former is cold and straight into the middle, or stays in a place of dampness for a long time, or eats cold and unclean things, internal and external, cold and wet invasion of the coke, spleen and stomach ups and downs, hair For the belly full. The latter is due to spleen and stomach deficiency, Zhongyang is weak, and has been eaten cold and fat, or used cold and cold drugs, as well as major illness disorders, long-term illness and dystrophy, resulting in spleen and stomach deficiency, and fullness. In the cold and wet, the abdomen is full, because the cold and dampness is yin and evil, the stagnation is in the middle of the coke; the spleen and stomach are blocked, the turbidity does not drop, the nausea and vomiting; the Qingyang does not rise, the stool diarrhea; the air is not smooth, the abdominal pain The spleen and stomach can't stretch and the food is weak; the thirst does not want to drink, the tongue is white and greasy, and the pulse string is slow and cold. The spleen and stomach are full of cold and full stomach, because the middle and the inner cold are not one day, so the abdomen is full of sputum, the sputum is light and heavy, and it is warm to press or enter the hot food to eat hot; Therefore, the god is weak; if the source is insufficient, the gas is unable to lift the sputum, so there is a drooping inside; the spleen is not transported, the stomach is not acceptable, so the stagnation is stagnation; the tongue is fat or scaly, the fur is white, the pulse is late, All are signs of spleen and stomach deficiency. The main difference between the two is that the cold and wet inner abdomen is full, and it is not reduced, and it is accompanied by vomiting and diarrhea, abdominal pain, thick and greasy tongue coating, and the stomach of the spleen and stomach is full of happiness. Warm and happy, accompanied by Shenpi fatigue, internal drooping, thin white tongue embolism. Although both are cold, the former is true and the latter is virtual. Treatment, cold and wet cohesive should be warm and cold, Fang Xuan Decoction and Houpu Wenzhong Decoction and Fanghua; spleen and stomach Deficiency should be warmed to spleen and stomach, Fang Lizhong Decoction or Magnolia Ginger Licorice Pinellia Ginseng Soup.

Damp heat accumulates belly fullness and food stagnation belly full: moist heat accumulation of the belly full of feeling exogenous, or taste thick taste, wine cheese, Wuxin goods, spleen and stomach injury, health and dereliction of duty, damp heat endogenous . When the stagnation of the food is full, the diet is self-doubling, and the stomach is full of disappointment. The stomach is wounded, it is difficult to grind, and the food is stagnant. Therefore, the former is blocked by damp heat, and the gas machine is destitute, and the abdomen is full and swollen, vomiting and vomiting, and the stool is deflated. If you are depressed inside, you will feel bored; if you are hot and humid, your mouth is thirsty but you don't want to drink too much; the heat and the heat are knotted, the glue is sticky and stagnate, although it is always sweaty, and the evil is still difficult to solve; the hot and hot bet is short in urine. The red tongue of the tongue is yellow and greasy, and the number of veins is hot and humid. The latter is due to stagnation of the food, the air is not smooth, so the abdomen is full and painful and bloated; the diet stays in the stomach, the stomach loses and falls, the sputum is swallowed, or the smell is bad; the spleen is not healthy. The stool smells like a scum; the tongue is thick and greasy, and the pulse is slippery. The main distinguishing points of the two are: the dampness of the dampness is full and swollen, and the sputum is vomiting, the thirst does not want to drink more, the stool is sputum, the tongue is yellow and greasy; and the belly of the stagnation is full of pain and pain, and Poisonous acid, bad breath, anorexia, stool smells like a broken egg, thick and greasy tongue coating. Those who are wet and humid, should be treated with dampness and heat, and choose Wang's Lianpu drink; those who are stagnation of food, should be treated with digestive stagnation, and choose Baohe Pill.

The actual heat inside the stomach is full: more common in the development of exogenous heat sickness. From the evil heat into the stagnation, stagnation of the stomach, and the dregs in the intestines, blocking the intestinal tract, the large intestine conduction dysfunction. The transmission of the large intestine is blocked, the gastro-intestinal gas can not be reduced, so the abdomen is not reduced, and the deficiency is insufficient; the invisible evil heat and the tangible dryness are in the same relationship, so the abdomen is full of pain; the suffocation is unreasonable, then the stool is secret The limbs are all suffocating in the stomach, the heat is blazing Yangming, so the hands are sweating out, the heat is blazing, disturbing the gods, so the hot and slang; the tongue is yellow dry or the spurs are cracked, all are evil heat, Shengjin The problem of liquid consumption. Clinically, the abdomen is located in the entire abdomen, which is characterized by hard swelling and pain, or pain around the umbilicus, and constipation. For its treatment, it is advisable to diarrhea under the heat knot, and choose Dachengqi soup.

In short, the abdomen is full of symptoms, there are cold, heat, imaginary, real, and food, clinically combined with the characteristics of syndrome, cause, pulse, and treatment, to identify.

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