-IBIS-1.5.0-
tx
digestive system
peptic ulcer disease
psychospiritual approaches

metaphors and correlations

• Individual feels deprived of what is due him (i.e. what is promised or owed) and wants to seek revenge or get even. (Gentry, p. 43)
• Fear; strong belief that you are not good enough. What is eating away at you? (Hay, 1984, p. 187)
• Chronic pain syndrome develops as a result of having chronically negative attitudes and/or unconscious emotional response mechanisms that keep a person continually in stress. Chronic attitude problems are so much a part of a person's self-image that he or she does not recognize them as separate from the personality. Nothing is more difficult to identify than our assumed 'natural' ways of being in the world that are essentially patterns we have developed to help us cope. Certain body parts susceptible to chronic negative patterns include the spine, the stomach (as in ulcers), and the head (tension and migraine headaches). (Shealy, p. 256-266)
• Ulcer patients need to become aware of and admit their need for infantile dependence and maternal security, and their longing to be loved and cared for, especially if these desires are well hidden behind a facade of independence, competence, and pride. (Dethlefsen, p. 134)

Chinese psychophysiology:
Liver ~ Gan is the home of the Hun (Ethereal Soul); it relates to decisiveness, control, and the principle of emergence; stores and cleanses the Xue (Blood); maintains smooth flow of Qi and Xue (Blood); and reflects emotional harmony and movement.
» Healthy expressions are kindness, spontaneity, and ease of movement.
» Liver Xu (Deficiency) signs include impotence; frigidity; pain in thighs, pelvic region, and throat; ready tendency to "the blahs" (Seem, p. 28); timidity; depression; irritability; vertigo; pruritus; dry eyes, skin, and/or tendons; asthma; aching at the waist; hernia; and difficulty raising head up and down. Liver Xue Xu (Blood Deficiency) predisposes to Xue Yu (Blood Stasis). Liver Yin Xu (Deficiency) predisposes to the Shi (Excess) conditions such as Liver Yang Rising, and Liver Fire Blazing.
» Liver Qi Stagnation reflects and accentuates emotional constraint as the Liver's function of facilitating smooth flow in the body is constricted. Stagnation is associated with frustration, irritability, tension, and feeling stuck. With time this pattern tends to produce a gloomy emotional state of constant resentment, repressed anger or depression, along with tightness in the chest, frequent sighing, abdominal tension or distension, and/or a feeling of a lump in the throat with difficulty in swallowing. (Maciocia, p. 216) Liver Qi Stagnation often combines with Liver Shi (Excess) to "invade" the Stomach and Spleen. Xue Yu (Blood Stasis) often begins with Qi Stagnation.
» Liver Shi (Excess) signs include discontent; anger; pain in lumbar region and genitals (Seem, p. 28); muscular tension; excessive sex drive; insomnia; moodiness; excitability; genital diseases; red, tearing eyes; compulsive energy; and bitter taste in the mouth. Chronically suppressed anger can implode and give rise to Fire in the Liver and Gall Bladder with symptoms of irritability, bitter taste, headaches, etc., and a tendency to "invade" the Stomach, Spleen, and Intestines.

Small Intestine ~ Xiao Chang receives and transforms food by separating the Clear (Pure) from the Turbid (Impure), with the Clear becoming bodily fluids and the Turbid becoming urine - this function also operates on the emotional, mental, and spiritual levels; regulates quality of Xue (Blood); is responsible for digestion and nutrient absorption; with the Heart, is responsible for sweating; and opens into the tongue.
» Healthy expressions are love, joy, and the ability to discriminate; and, as the Princely Fire, warmth, vitality, and excitement.
» The Small Intestine is affected by sadness which grips a person and destroys the mental clarity and capacity of sound judgment for which this organ is responsible. (Maciocia, p. 273) Weakness, dysfunction, and illness are associated with cruelty, hate, indiscretion, and impatience.

Stomach ~ Wei is the Sea of Nourishment and origin of all fluids; transforms and digests food so that the Spleen can separate the distilled food essences; with the Spleen, is the root of post-natal Qi; and as Earth, relates to the ability to assimilate, stabilize, and feel centered and balanced.
»
Healthy expressions are fairness, openness, and nurturance.
» Weakness, dysfunction, and illness associated with worry, anxiety, and overthinking. Worry will cause Stagnation of Qi in the Stomach and will manifest as a niggling, burning pain, belching, and nausea. Excessive mental work over a period of years leads to Deficiency of Stomach Qi. Anger, frustration, and resentment affect the Stomach indirectly through Liver Qi Stagnation which invades the Stomach. (Maciocia, p. 267)
» Stomach Xu (Deficiency) signs include slow digestion; vomiting after meals; painful eyebrows; emotionality; teariness; sadness; cold feet (Seem, p. 28); cold and shivering in the abdominal area; abdomen swollen and full; gastritis; loss of appetite; diarrhea; nausea; and leg weakness.
» Stomach Shi (Excess) signs include nightmares; acne; skin eruptions; excess stomach acid (Seem, p. 28); heat in the abdominal area; overactive digestive system causing hunger and thirst; dark yellow urine; gluttony; halitosis; swollen gums; red dry lips; pains and cramps in legs.

Spleen ~ Pi governs digestion and manifests in the muscle tissues; transforms food into Qi and Xue (Blood); governs the Xue (Blood); resolves Dampness and Phlegm; maintains upbearing; and relates to the ability to assimilate, stabilize, and feel centered and balanced.
» Healthy expressions are fairness, openness, deep thinking, and reminiscence.
» Spleen Xu (Deficiency) signs include slightness (deficient "form"); abundant elimination; morning fatigue; cold, wet feet (Seem, p. 28); abdomen taut and distended like a drum; craving for sweets; flatulence; nausea; mild edema; memory failure; heavy feeling in legs; pale lips; loose stools; muscular weakness; and, indirectly, obesity. Unresolved Spleen Xu (Deficiency) predisposes to Spleen Shi (Excess), particularly accumulation of Dampness and Phlegm, as the Spleen's functioning declines. Spleen Xu (Deficiency) increases the susceptibility to "invasion" by the Liver.
» The excessive use of the mind in thinking, studying, concentrating, and memorizing over a long period of time tends to weaken the Spleen and may lead to Xue Yu (Blood Stasis). This also includes excessive pensiveness and constant brooding. (Maciocia, p. 241) Likewise, inadequate physical exercise and excess consumption of sweet and Cold foods will also deplete the Spleen. Environmentally, the Spleen is highly susceptible to attack from external Dampness and Cold.


therapies

behavior modification:
• Treatment aimed at increased assertiveness, identifying and changing self defeating attitudes, and generalized relaxation techniques results in decreased symptomatology. (Gentry, p. 521)
• Key is to perfect relaxation. Stress, especially anger, is major factor, so stress-reduction is the only long term solution. When relaxed, spend time with healing images. Picture your ulcer shrinking in on itself, being covered with smooth, healthy tissue, and the color changing from red to pinkish grey. Turn off the faucets that release acid. (Fanning, p. 228)

affirmation:
• I digest and assimilate all new experiences peacefully and joyously. (Hay, 1984, p. 170)
• I love and approve of myself. I am calm and at peace. All is well. (Hay, 1984, p. 187)

theotherapy:
Midas, Prometheus, Tantalus (Lemesurier, p. 93)

psychotherapy:
• In cases of stomach disorders and digestive complaints, ask some related questions:
» What is it that I am unable or unwilling to swallow? Assimilate? Let go of?
» Is something eating me up inside? What am I feeling so sour about?
» How am I handling my feelings? How am I coping with my aggression?
» To what extent am I avoiding conflicts? Am I longing for the conflict-free time of childhood, when I was secure, loved, and cared for? (Dethlefsen, p. 134)
• Those who are prone to inflammations are attempting to avoid conflicts. The following questions may be useful:
» What conflict am I failing to see? hear? feel? move?
» What conflict am I dodging? What is my relationship to it?
» What conflict am I failing to admit to?" (Dethlefsen, p. 108)

process paradigm: (experientially oriented)
• What is the symptom preventing me from doing? What is the symptom making me do? (see process interview: digestive system)

related materia medica listings:
the shadow and physical symptoms
converting a symptom to a signal
behavior modification techniques
relaxation techniques
imagery: precautions
imagery: techniques
affirmations: guidelines and precautions
theotherapy
process paradigm


footnotes

Reprinted from The Foundations of Chinese Medicine, Maciocia, Giovanni, 1989, by permission of the publisher Churchill Livingstone, a division of Elsevier Limited.