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  • Current location: home>> Life Cultivation and Rehabilitation of TCM(PREVENTION) >> Rehabilitation Examples of Commonly-Seen Diseases >> Rehabilitation for sequelae
    7 Anorexia
    Syndrome differentiation and treatment
    Deficiency of stomach yin
    It manifests loss of appetite, thirst with inclination to drink, red and dry lips, constipation, scanty urine, or nocturnal low fever, reddish complexion, red tongue with a little fur, thready and slightly rapid pulse. It is advisable to nourish yin and regulate the stomach. The prescription used is Yiwei Decoction (Stomach-Benefiting Decoction) or Wuzhi Beverage (Five-juice Drink). In the case of adverse qi flow with the desire for vomiting due to gastric heat, select Zhuye Shigao Decoction (Lophatherum and Gypsum Decoction); in the case of deficiency of qi and yin and concurrent short breath, palpitation and listlessness, select Xue's Shenmai Decoction (Xue's Decoction of Radix Ginseng and Radix Ophiopogonis ).
    Residual dampness and turbidity
    It manifests removal of fever, no appetite or anorexia, slight thoracic and epigastric oppression, mild lightheadedness, mental fatigue, thin and greasy fur, soft and slow pulse. It is advisable to remove the residual dampness and turbidity with light-natured and aromatic-flavored drugs. The prescription used is the modified Xue's Wuye Lugen Decoction (Xue's Five-Leaf and Reed Rhizome Decoction).
    Asthenia of the spleen and stomach
    It manifests freedom from starvation feeling, loss of appetite, constant abdominal distension after meals, or inclination to vomiting, lassitude of limbs, loose stool, or edema of limbs in severe cases, pale tongue with white fur, feeble and weak pulse. It is suitable to strengthen the spleen and regulate the middle energizer, regulate qi and remove dampnes. The prescription used is Yigong Powder with additional ingredients (Highly Effective Powder with Additional Ingredients) or the modified Shenling Baizhu Powder (Powder of Ginseng, Poria and Bighead Atractylodes). Xiao Jianzhong Decoction (Minor Decoction for Strengthening Middle Energizer) may be used in the case of loss of appetite due to yang deficiency of the spleen and stomach, sallow complexion, feeble and taut pulse.
    Rehabilitation methods
    Regulating emotions and recreation therapy
    Emotional activities are closely related to the splenogastric functions in transportation and transformation, and thus directly affect appetite. Accordingly, encourage the patient to be free from worries and vexation, and remain a cheerful frame of mind and a sanguine disposition. Before taking a meal, do not think of difficult problems and avoid adverse mental stimulation. Besides, stabilize the mood, avoid noises and do not eat while talking during the meal. It is advisable to appreciate music while taking a meal.
    Physical training
    Physical training can promote the splenogastric function. In addition to taking a walk, jogging, setting-up exercises and Taijiquan, practice deep abdominal breathing to promote gastrointestinal peristalsis, increase digestive juice and improve appetite.
    Acumox and massage
    Acumox: Select Zhongwan (CV 12), Pishu (BL 20), Weishu (BL 21), Zusanli (ST 36) and Rangu (KI2) in acumox, with the reinforcing method or the uniform reinforcing-reducing method. In the case of qi deficiency or yang deficiency, add moxibustion.
    Massage: Assume the supine position. First, knead the upper abdomen, mainly on Jiuwei (CV 15) and Zhongwan (CV 12). Then, proceed downwards to the lower abdomen, chiefly on the part around the navel as well as Tianshu (ST 25) and Qihai (CV 6). Meanwhile, vibrate Zhongwan (CV 12) and the upper abdomen with the fingers, and rub the two parts clockwise and anticlockwise respectively for 100 times. Next, ask the patient to assume the prone position and massage the bilateral urinary bladder meridians with the gentle rolling manipulation, mainly on the bilateral acupoints of the sixth to the twelfth thoracic vertebrae. Finally, massage Feishu (BL 13), Weishu (BL 21) and Ganshu (BL 18) with the gentle manipulation.
    Dietary therapy
    In the case of deficiency of the kidney yin, select Maidong Gruel (Gruel of Radix Ophiopogonis ); in the case of residual dampness, select Heye Gruel (Gruel of Folium Nelumbinis ); in the case of asthenia of the spleen and stomach, select Huaishanyao and Biandou Gruel (Gruel of Rhizoma Dioscoreae and Semen Dolichoris); in the case of yang deficiency of the spleen and stomach, select Shanyao Yangrou Gruel (Gruel of Rhizoma Dioscoreae and Caro Caprae seu Ovis ).

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