What are the causes of hypochondriac pain?

summary

Hypochondriac pain is mainly due to the liver and gallbladder. Because the liver is located under the hypochondriac, its meridians flow through the hypochondriac, and the gallbladder is attached to the liver, which has an exterior interior relationship with the liver, and its meridians also flow along the hypochondriac. The liver is a rigid viscera, which is mainly responsible for relieving and discharging, and its nature likes to be smooth; The main blood, body Yin and Yang. If the feeling is not comfortable, improper diet, long-term illness, excessive fatigue, or exogenous damp heat and other causes are involved in the liver and gallbladder, leading to qi stagnation, blood stasis, accumulation of damp heat, unfavorable liver and gallbladder catharsis, or insufficient liver yin, lack of collaterals, hypochondriac pain can be caused. The specific etiology and pathogenesis are as follows

What are the causes of hypochondriac pain?

If the feeling of liver qi stagnation is not comfortable, or depression, or violent anger, it can lead to the liver pulse is not smooth, liver qi stagnation, Qi block, impassable pain, hair for flank pain. For example, the "Golden Chamber wing, hypochondriac pain theory" said: "liver depression hypochondriac pain, sad and angry, depressed liver qi." The stagnation of liver Qi leads to hypochondriac pain. Therefore, the origin and development of miscellaneous diseases rhinoceros candle liver disease also said: "qi depression, from the big anger against, or planning not to decide, all make the liver fire move very much, so that the skin flank rib pain."

Blood stasis obstructing collaterals, qi circulation leading to blood circulation, qi stagnation leading to blood stasis. Stagnation of liver qi can reach the blood, and for a long time, it can cause stagnation of blood due to poor blood circulation, or fall down, flash down, evil blood does not melt, which can cause stagnation of blood to block the collateral, obstruction leads to pain, resulting in hypochondriac pain. Therefore, the "clinical guide medical records - hypochondriac pain" said: "long illness in collaterals, Qi and blood are suffocated."《 It is said in the treatise on syndrome differentiation and treatment of hypochondriac pain that "for those with blood stasis, the pain is severe when they fall and fall, and the blood stays evil."

Dampness and heat can be accumulated in the liver and gallbladder, resulting in adverse liver and gallbladder catharsis, obstruction of Qi, and hypochondriac pain《 Su Wen's "Treatise on pricking heat" says: "people with liver fever are full of pain."《 It was also said in Huibu of syndrome differentiation and treatment · hypochondriac pain that hypochondriac pain "sometimes occurs in patients with damp heat and stagnant fire, and in those who are sick due to the color of the labor room."

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In short, hypochondriac pain is mainly responsible for the liver and gallbladder, and is related to the spleen, stomach and kidney. The transformation of pathogenesis is complex, which can be changed from excess to deficiency and from deficiency to excess; It can not only cause qi stagnation and blood, but also cause blood stasis to block Qi, resulting in the same disease of Qi and blood. The basic pathogenesis of hypochondriac pain is Qi stagnation, blood stasis and accumulation of dampness and heat, resulting in unfavorable liver and gallbladder catharsis, obstruction leads to pain, or liver yin deficiency, collaterals dystrophy, and dishonor leads to pain.