Rib pain

Introduction Hypochondriac pain is a syndrome characterized by pain on one side or both sides of the flank, and it is also a clinically common symptom. May be caused by rib cartilage or intercostal neuralgia.

Cause

Under the threat of liver, its meridians are placed in two threats, and the gallbladder is attached to the liver. Its veins follow the threat, so the disease of hypochondriac pain is mainly responsible for the liver and gallbladder. Because of the liver main venting, sexual joy, so that can cause liver and gallbladder meridian block or vascular dysfunction and other factors, can lead to hypochondriac pain, as follows:

Liver qi stagnation

The liver is under the threat, the gallbladder is attached to the liver, and its meridians are distributed in the two threats. If you are depressed by emotions, or if you are violent and hurt your liver, you will be able to get the liver out of the way, so that the relief is unfavorable, and the gas is blocked and causing hypochondriac pain.

2. Blood stagnates

The qi stagnation for a long time, the blood flow is not smooth, gradually become blood stasis, phlegm blocking the threat and causing hypochondriac pain; or strong weight bearing, falling servant injury, blood stasis, blocking the collaterals, and causing hypochondriac pain.

3. Liver and gallbladder dampness

The gallbladder is attached to the liver, and its meridians are interconnected, so it is a relationship between the two. The two are physiologically interdependent and pathologically affect each other. If you feel the external humidity, or the diet is not healthy, the spleen loses health, the water is not wet, the dampness is blocked, the air machine is unfavorable, the stagnation heats up, the damp heat accumulates, the liver and gallbladder loses its sparseness, and the blood is not smooth. And thus hypochondriac pain.

4. Insufficient liver yin

Physical deficiency, long-term illness, or excessive labor, blood consumption, liver yin deficiency, can not raise the liver, causing collateral dystrophy to become hypochondriac pain.

an examination

Related inspection

Chest perspective rib lock extrusion test

Costal cartilage inflammation occurs in young adults, showing thickening of the costal cartilage with pain, and the cause is not clear. More often on the side of the 2nd to 4th costal cartilage, occasionally seen in the rib arch or other parts of the costal cartilage. Sometimes the skin is slightly raised, the skin color is not abnormal, the pain is conscious, the activity can be aggravated, sometimes there is tenderness, the course of disease varies from day to day, and the symptoms are light and heavy, and can be repeated.

Differential diagnosis

Intercostal neuralgia is a group of symptoms, refers to the damage of the thoracic nerve root (ie intercostal nerve) for different reasons, such as: thoracic degeneration, thoracic tuberculosis, thoracic spine injury, thoracic duralitis, tumor, ankylosing spondylitis, etc. Disease or ribs, mediastinum, pleural lesions, intercostal nerves are subjected to compression, stimulation, and inflammatory reactions of the above-mentioned diseases, and syndromes with banded pain in the chest intercostal or abdomen appear. Treatment should identify the primary lesion and use appropriate treatment.

1, rib tenderness:

In cirrhosis, the portal pressure increases. When the water exceeds 200 mm, the blood flow to the normal digestive organs and spleen is blocked by the liver, resulting in a portal-body collateral circulation between many parts of the portal system and the vena cava. Due to the portal hypertension of cirrhosis, the normal hepatic portal vein obstruction, the blood through the two anastomosis into the vena cava system, due to the small veins in the anastomosis, the blood flow will be varicose, once ruptured can lead to major bleeding, such as hematemesis, blood in the stool, around the umbilicus You will see the veins of the varicose veins.

2, rib pain:

The back thoracic vertebrae corresponding to the ribs are slightly displaced, causing the rib nerve to be stuck or stuck, which can cause pain. There is muscle damage at the point of pain that produces a sterile inflammation station that stimulates the rib nerve to cause pain.

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