Abdominal Masses and Gatherings - Ji Ju

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Definition

A syndrome manifested as masses or gatherings in the abdomen with pain or distension.

Ji and Ju are different.

  • Ji literally means accumulation. In TCM, Ji has a specific shape, a fixed position and its pains are fixed in a certain place. It is a Zang organ syndrome and the disease is in the Blood.
  • Ju literally means gathering. In TCM, Ju has no real shape, no fixed position and its pains are moving from place to place. It is a Fu organ syndrome and the disease is in the Qi.

Causes

Transformation from other diseases: Huang Dan (Jaundice), Nue Ji (Malaria) and parasites (e.g. schistosomiasis).

Emotions

  • Liver Qi Stagnation: abnormal qi movements and qi gathering – gatherings syndromes
  • Qi Stagnation leads to blood stasis and masses formation – masses syndromes

Diet

  • Spleen fails to transport, water and the pure become Phlegm.
  • Phlegm obstructs Qi movement – gatherings syndromes
  • Phlegm obstructs Qi movement and mixed with blood to form masses- masses syndromes

Cold-Damp Invasion

  • Spleen impairments – as dietary damages

Pathological Mechanisms

  • Functional disorders of the Liver and the Spleen are the most to blame
  • Qi and Blood Stagnation, Dampness and Phlegm are the main pathological products
  • Ji and Ju can transform into each other, but most of the time Ju transforms into Ji
  • The formation of Ji Ju also related to the strength and weakness of the body’s Genuine Qi
  • If not treated properly, Ji Ju can develop into bleeding, jaundice and tympanites syndromes

Patterns

Ju - Liver Qi Stagnation

  • Symptoms: Gathering of Qi in the abdomen with intermittent attacks of distending and moving pain, discomfort or distension in epigastrium and hypochondriac regions.
  • Tongue:
  • Pulse: Wiry.
  • Treatment strategy: Soothe the liver and regulate qi to relieve stagnation and dissipate gatherings.
  • Formula: Xiao Yao San
  • Acupoints:

Ju - Food Retention and Phlegm Obstruction

  • Symptoms: Gathering in the abdomen, stripe-like masses appear and disappear, dislike palpation, abdominal distension or pain, constipation, poor appetite.
  • Tongue: Greasy tongue coating.
  • Pulse: Wiry and Slippery.
  • Treatment strategy: Regulate qi and resolve phlegm, promote digestion and relieve intestines.
  • Formula: Liu Mo Tang
  • Acupoints:

Ji - Qi Stagnation and Blood Stasis

  • Symptoms: Soft masses with distension and pain, pain fixed at certain place.
  • Tongue: Bluish tongue with ecchymoses
  • Pulse: Wiry
  • Treatment strategy: Regulate qi and activate blood, remove collateral obstruction and eliminate masses.
  • Formula: Jin Ling Zi San plus Shi Xiao San
  • Acupoints:

Ji - Accumulated Blood Stasis

  • Symptoms: Progressively growing masses, hard and painful, pain fixed at certain place, weight loss, darkish complexion, tired, poor appetite, spells of fever and chill, amenorrhea.
  • Tongue: Dull and purple tongue with ecchymoses
  • Pulse: Thready and Uneven
  • Treatment strategy: Remove Blood Stasis, soften masses and assist with regulation of the Spleen and Stomach.
  • Formula: Ge Xia Zhu Yu Tang
  • Acupoints:

Ji - Accumulated Blood Stasis with Weakened Genuine Qi

  • Symptoms: Hard masses, sever pain, very poor appetite, emaciated and cachectic.
  • Tongue: Pale purple tongue with little or no coating
  • Pulse: Thready and rapid or wiry and thready
  • Treatment: Vigorously tonify Qi and Blood, promote circulation and remove stasis.
  • Formula: Ba Zheng Tang plus Hua Ji Wan
  • Acupoints:

References

Articles

Books


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