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Acupuncturist Study CentrePMING.CA · TCM STUDY LIBRARY
APPENDIX K · INTERNAL MEDICINE

积聚

積聚 · Ji Ju

Abdominal Mass

Discipline · Internal MedicineHandbook · Appendix KID K-001
FROM KNOWLEDGE TO CLINICAL REASONING

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01症状 / Symptoms & signs

腹部结块,固定或游走胀痛,按之可触及

Palpable abdominal lumps; fixed or shifting distending pain.

02病因病机 / Etiology & mechanism

情志失调与饮食不节使气滞血瘀、痰湿结聚;聚偏气、积偏血

Emotional stress and poor diet may cause qi stagnation, blood stasis and phlegm-damp accumulation. Ju (gathering) is mainly related to qi; ji (accumulation) is mainly related to blood.

03辨证分型 / Pattern differentiation
01
气滞
Qi stagnation

胀痛走窜

Wandering distending pain

02
血瘀
Blood stasis

痛有定处、舌暗瘀点

Fixed pain with a dusky tongue or stasis spots

04针灸配穴 / Acupuncture point selection
LR3太冲Taichong
CV12中脘Zhongwan
ST25天枢Tianshu
SP6三阴交Sanyinjiao

Illustrative study point combinations, not a prescribed treatment or official answer key.

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