1. Ulceration: a TCVM Approach CAPT R.M. Clemmons, DVM, PhD, CVA

2. Ulcer SymptomsSymptoms Periodic painPeriodic pain Acid regurgitationAcid regurgitation BelchingBelching VomitingVomiting PatternsPatterns ExcessExcess Stomach ColdStomach Cold Food StagnationFood Stagnation Liver Qi StagnationLiver Qi Stagnation Blood StasisBlood Stasis DeficiencyDeficiency Stomach Yin DeficiencyStomach Yin Deficiency

3. Stomach Heat Pathogenic Heat Yin Deficiency channel Gums organ Ulcer child Colitis grandchild Cystitis

4. Stomach Ulcers MildMild Moderate to Severe Angelica Dang Gui Nourish & activate Blood Paeonia Bai Shao YaoNourish Liver Yin & Blood Bupleurum Chai Hu Soothe Liver Qi Aurantium Zhi Shi Move Qi & relieve pain Trichosanthes Gua Lou Promote body fluid & transform phlegm Pinellia Ban Xia Dry damp & transform phlegm Citrus Chen Pi Move Qi & relieve pain Licorice Gan Cao Harmonize Taraxacum Pu Gong Ying Clear Heat Happy Stomach Jade Lady Gypsum Shi Gao Clear Heat and cool Stomach Anemarrhena Zhi Mu Clear Heat and nourish Yin Rehmannia Shu Di Huang Nourish Yin and Jing Ophiopogon Mai Men Dong Moisten and nourish Yin Achyranthes Niu Xi Bring the Qi flow down

5. GI Food Therapy CabbageCabbage Contains glutamateContains glutamate Cools stomach & GICools stomach & GI SpinachSpinach Stops hemorrhageStops hemorrhage

6. Shan-gen GV-26 Ren zhong 06 Ren-zhong/Shui-gou the center of man/water passage, Xie-07, GV-26 05 Shan-gen Mountain base Xie-05 LO: on the dorsal midline of boundary b/t hairy & non-hairy areas ME: Perpendicular insertion 0.3 cun IN: Loss of appetite, sinusitis, coma, shock, wind-cold, wind-heat LO: At the intersection b/t dorsal and middle 1/3 of the philtrum ME: Perpendicular insertion for 0.3 cun IN: Coma, shock, fever, bronchitis, Lung Heat, facial paralysis

7. 23 Lian-quan ridge spring CV-23 LO: At the ventral midline just cranial to throat. IN: excessive salivation, laryngeal hemiplegia 21 Hua-tuo-jia-ji at cervical region LO: 0.5 dorsal to cervical vertebrae IN: cervical stiffness, wobbler’s disease 22 Jian-wei, strengthen stomach LO: Upper 1/3 of the jugular group, Between vein and cervical vertebra IN: Anorexia, vomit, stomach disorders

8. Pancreatitis: a TCVM Approach CAPT R.M. Clemmons, DVM, PhD, CVA

9. Pancreatitis Considered any acute or chronic change in GI function usually accompanied by some degree of vomiting, diarrhea and abdominal painConsidered any acute or chronic change in GI function usually accompanied by some degree of vomiting, diarrhea and abdominal pain Acute- -MildAcute- -Mild PancreostasisPancreostasis Acute- -SevereAcute- -Severe Fulminating pancreatitisFulminating pancreatitis ChronicChronic Pancreatic insufficiencyPancreatic insufficiency Rx Acute NPO Fluids Antiemetics Pain relief Low fat/protein food Rx Chronic Enzyme therapy

10. TCVM Acute Pancreatitis

11. TCVM Chronic Pancreatitis * Enzyme replacement therapy still good to add

12. Perry 3 yr FS Springer Earth personality Acute onset of vomiting, fever and abdominal pain Increased thirst Scant urination Elevated Amylase & Lipase Increased WBC Rx: Fluids & Ranitidine Tongue: red & dry Pulse: fast & superficial West Dx: acute pancreatitis TCM Dx: damp-heat in spleen

13. Perry Treatment APAP DNDN ST-45ST-45 ST-36ST-36 LI-4LI-4 PC-6PC-6 BL-20BL-20 CV-12CV-12 AquaAqua ST-36ST-36 BL-20BL-20 PC-6PC-6 HerbalHerbal Great Saussurea CoptisGreat Saussurea Coptis Next day was 80% improved Clinician said, “He is doing absolutely fantastic…better than any patient in years…NO…it wasn’t the acupuncture…well…may be we should try it again!”

14. Great Saussurea Coptis Saussurea Mu Xiang Move Qi & relieve pain Coptis Huang Lian Clear Damp-Heat in the intestines Evodia Wu Zhu Yu Warm the middle Jiao & stop vomiting