Lower Abdominal Pain

Intestinal Abscess

Clinical Manifestations	This can also be called Blood Stagnation in the Large Intestine, Blood and Heat Stagnation in the Large Intestine or Toxic Heat in the Large Intestine Pain in the lower right abdomen; refuses pressure Pain may be severe, boring, and in a fixed position or without fixed location Constipation or Mild diarrhea Maybe fever Maybe nausea and vomiting Anorexia T: Red C:Thick, yellow and greasy or sticky P: Rapid
Treatment Principle	Clear Heat Transform Dampness Invigorate Blood circulation Conduct Stagnation.
Herb Formulas	Da Huang Mu Dan Pi Tang Da Cheng Qi Tang
Points	Lanweixue, ST-37, ST-36 For high fever: + LI-11, LI-4 For abdominal pain: + ST-25 For nausea and vomiting: PC-6, SP-4

Spleen And Kidney Yang Deficiency

Clinical Manifestations	Body cold Limbs icy Complexion white and shiny Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Edema of face and limbs Dysuria T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow
Treatment Principle	Warm and Reinforce the Spleen and Kidneys
Herb Formulas	Zhen Wu Tang Fu Zi Li Zhong Wan
Points	Moxa or moxa needle UB-20, UB-23, ST-36, SP-6, SP-9, REN-4, REN-12

Small Intestine Deficiency Cold

Clinical Manifestations	Vague lower abdominal pain Feelings of cold and heaviness Fond of warmth and pressure Abdominal fullness intermittently Borborygmus Unformed, loose stools or Chronic, incessant diarrhea Urinary frequency T: Pale C: Thin and white P: Deep and even
Treatment Principle	Warm and Clear the Small Intestine
Herb Formulas	Li Zhong Tang
Points	Moxa needle LIV-13, REN-4, REN-12, SP-3, ST-25, ST-36, ST-37, ST-39, UB-20, UB-27

Small Intestine Qi Pain

Clinical Manifestations	Vague pain in lower abdomen involving low back Pain radiates down into testicle Abdominal distention Borborygmus Relief after passing wind Hernia pain in scrotum T: Pale C: Thin and white P: Deep and wiry or Wiry and tight
Treatment Principle	Move Qi Expel Knotting
Herb Formulas	Tian Tai Wu Yao San
Points	ST-39, SP-6, LIV-1, LIV-4, LIV-5, LIV-8, REN-4

Liver Qi Stagnation Causing Shan Qi

Clinical Manifestations	Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Clear Stagnation
Herb Formulas	Chai Hu Shu Gan Tang
Points	GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18

Liver Qi And Blood Stagnation

Clinical Manifestations	Acute, colicky lower abdominal pain Facial color dark and dull Emaciation Sides and ribs distended on both sides (maybe with sharp pain) Enlargement of the Liver and Spleen Suffocating sensation in chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Dark purple (maybe purple spots on edge of tongue) P: Wiry, choppy and slow
Treatment Principle	Activate Blood circulation Soften hardness
Herb Formulas	Shi Xiao San
Points	LIV-3, LIV-13, LIV-14, SP-6, UB-17

Cold Stagnation In The Liver Channel

Clinical Manifestations	Swelling and pain in scrotum as if the testicles were being pulled downward or Contractions and cold sensations of scrotum which are alleviated by warmth Pain, distention, fullness and cold sensation in lower abdomen Cold limbs Dislike of cold and preference for warmth T: Pale C: White, greasy P: Deep and wiry or Slow or Deep and Shi
Treatment Principle	Warm the Liver Dispel Cold
Herb Formulas	Nuan Gan Jian Tian Tai Wu Yao San Nuan Gan Jian
Points	Moxa LIV-1, REN-4, SP-6

Liver Wind Stirring Internally: Liver Blood Deficiency Generates Wind

Clinical Manifestations	Pale, lusterless complexion Pale lips Blurred or failing vision Spots before eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Generalized muscle tension Numbness of limbs Tremor, spasms or involuntary movements (chorea) Involuntary shaking of head Light menses or amenorrhea Late menses Irregular menstruation with little flow Periumbilical pain Lower abdominal pain Vertigo Spotting of pale Blood Postpartum uterine bleeding Tic or tremor of hands and feet Maybe trismus T: Pale C: Little P: Thready and wiry
Treatment Principle	Nourish Blood Subdue Wind.
Herb Formulas	Si Wu Tang
Points	UB-17, UB-18, UB-20, ST-36, SP-6, REN-4, LIV-3, GB-20, DU-16, DU-20

Liver Blood Deficiency

Clinical Manifestations	Pale, lusterless complexion Pale lips Blurred or failing vision Spots before eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Generalized muscle tension Numbness of limbs Tremor, spasms or involuntary movements (chorea) Involuntary shaking of head Light menses or amenorrhea Late menses Irregular menstruation with little flow Periumbilical pain Lower abdominal pain Vertigo Spotting of pale Blood Postpartum uterine bleeding T: Pale C: Little P: Thready and wiry
Treatment Principle	Nourish Blood Subdue Wind.
Herb Formulas	Si Wu Tang
Points	UB-17, UB-18, UB-20, ST-36, SP-6, REN-4, LIV-3

Kidney Yang Deficiency

Clinical Manifestations	Aversion to Cold Watery stools with undigested food Lower back pain Weakness of the lower extremities A cold sensation in the lower half of the body Tenseness in the lower abdomen Pain and cramps in the lower abdomen Panting and irritability to the point of having difficulty lying down Will breathe most comfortably while leaning against something Nocturia May be numbness in the lower abdomen Urinary difficulty with edema or Spasmodic pain in the lower abdomen Excessive urination If severe, may be incontinence of urine May have persistent diarrhea Dysuria May have flushed face (Yang floating upward) Thirst with frequent, copious urination (Xiao Ke) Fatigue (severe) May have severe perspiration (Yang floating upward) Constipation Lassitude Pale face Edema of the face and feet Severe edema of the legs (may prevent walking) Maybe cough Maybe asthma T: Pale, may be swollen C: Thin, white and moist P: Deep, Deep and thready and/or Weak and slow
Treatment Principle	Warm and Tonify Kidney Yang
Herb Formulas	Jin Gui Shen Qi Wan
Points	UB-23, REN-4, KI-3, DU-4

Urinary Bladder Damp-Heat

Clinical Manifestations	Urgent pain in lower abdomen Sometimes connects with lower back Burning, painful urination May contain blood May contain granules T: Normal C: Yellow P: Rapid
Treatment Principle	Clear Heat Eliminate Dampness by diuresis
Herb Formulas	Wu Lin San Ba Zheng San Shi Wei San
Points	UB-23, UB-28, UB-39, SP-6, SP-9, REN-3, LIV-2, KI-7

Qi And Blood Deficiency

Clinical Manifestations	Lower abdominal pain A somber, pale, white or sallow and lusterless facial complexion Pale lips and nails Fatigue Lassitude Weakness Aversion to Cold Disinclination to speak Stiffness of the neck and back Difficulty moving Spontaneous cool perspiration Dizziness Insomnia Blurred vision Loose stools Maybe edema T: Thick and pale or Thick and dark with teethmarks or petechiae C: Thin P: Thready or Thready and weak
Treatment Principle	Tonify Qi Nourish the Blood Extinguish Wind Unblock the channels
Herb Formulas	Ba Zhen Tangmodified
Points	LI-4, LIV-3, UB-17, UB-18, UB-20, UB-21 For Spleen Yang Deficiency: + REN-4 For Kidney Yang Deficiency: + DU-4, UB-23 For more severe Blood Deficiency: + UB-15 For Blood Stagnation: + SP-6, SP-10 For severe fatigue and weakness: + ST-36 For edema: + REN-9, SP-9 For twitching or severe tremors: + GB-20, GB-34 With inhibited bending and stretching: + DU-14, DU-26, REN-24 With pain and numbness in the upper limbs: + SJ-5 With pain and numbness in the lower limbs: + UB-57 With generalized joint pain: + LI-11, SP-9, Ahshi points With instability when walking: + KI-6, UB-62

Blood Stagnation With Heat

Clinical Manifestations	Piercing pain in the lower abdomen Pain is worse with pressure Maybe palpable masses Purpura Incontinence of urine Night fevers Irritability Restlessness Thirst Dysmenorrhea Amenorrhea Hard stool Dark red complexion Headache Vertigo Tinnitus Insomnia Palpitations Constipation Frequent urination Emotional instability Chills in the waist and feet Afternoon fever Tremors Black stool May be chills and fever Hemoptysis Hematuria Red eyes Pain and distention of the head Toothache Irregular menstruation Lochioschesis Severe wheezing Distention of the chest T: Red and dry C: Yellow P: Deep and forceful or Choppy
Treatment Principle	Drive out Blood Stasis Drain Heat
Herb Formulas	Xia Yu Xue Tang
Points

Blood Deficiency With Qi Stagnation

Clinical Manifestations	Irregular menstruation Late menstruation Scanty menstruation Distension of the lower abdomen Menstruation with purple blood and clots Pain of the abdomen which is worse upon pressure and diminishes with menstruation Pain is worse with pressure Pain decreases with the passage of clots Swelling and edema of the lower extremities A feeling of oppression in the chest and epigastrium Dry mouth Dark, purplish menses with clots or Dark purple edges T: Red or Purple P: Deep and strong or Hesitant or Choppy and rough
Treatment Principle	Invigorate the Blood Nourish the Blood Move Qi
Herb Formulas	Guo Qi Yin
Points

Toxic-Heat Obstructing The Uterus

Clinical Manifestations	Acute lower abdominal pain or Acute suprapubic pain The lower abdomen feels warm or Hot Worse with pressure High fever Chills Rigors Thirst Copious malodorous vaginal discharge with Blood and/or pus Constipation Concentrated urine T: Red C: Thick, greasy and yellow P: Slippery and rapid or Wiry and rapid
Treatment Principle	Clear Toxic Heat Activate the Blood Dispel Blood Stasis
Herb Formulas	Yin Qiao Hong Jiang Jie Du Tang With chronic Damp-Heat and Blood Stagnation following unresolved Toxic-Heat: Qing Re Jie Du Hua Yu Tang Chinese Patent Medicines: Huang Lian Jie Du Wan Yu Dai Wan Long Dan Xie Gan Wan Chuan Xi Lian Kang Yan Pian
Points	GB-26, KI-7, LIV-5, REN-3, SP-8, Zigong, Ahshi points between UB-31 and UB-34 With fever: + DU-14, LI-4, LI-11 With Shao Yang symptoms: + GB-34, GB-39, SJ-5 With discharge and vaginal pruritis: + LIV-8, SP-9 With nausea : + PC-6 Ear: Abdomen, Stomach, Large Intestine, Small Intestine, Uterus, Ovary, Shenmen, Sympathetic, Subcortex

Cold Accumulation In The Uterus

Clinical Manifestations	Lower abdominal pain Pain alleviated by warmth and pressure Irregular menstruation Dysmenorrhea Infertility or This type of pain during the second or third trimester
Treatment Principle	Warm the uterus Supplement the Blood Calm the fetus if necessary
Herb Formulas	Ai Fu Nuan Gan Wan
Points

Lower Jiao Cold

Clinical Manifestations	Lower abdominal pain Periodic vomiting Nervousness Anorexia
Treatment Principle
Herb Formulas
Points	Moxa REN-6, LIV-13

Transverse Luo Of The Liver

Clinical Manifestations	Lower abdominal pain
Treatment Principle
Herb Formulas
Points	LIV-5, GB-44 LIV-5, GB-40