TCM Foundations Board: Daily Practice Test

The treatment for a patient experiencing stabbing pain in the epigastrium and vomiting dark blood focuses on addressing the symptoms and underlying conditions suggested by these signs, which may indicate internal bleeding and blood stasis, possibly due to stomach issues or an acute condition.

The chosen points include:

- ST-34 (liang qiu): This point is effective for alleviating stomach pain, particularly for acute conditions. It helps move Qi and blood while also tonifying the spleen and stomach.

- SP-4 (gong sun): This point is essential for regulating the spleen and stomach and can help resolve blood stasis, making it particularly useful when there is dark blood present in vomit, suggesting possible internal bleeding or stasis.

- BL-17 (ge shu): This point is influential in nourishing and invigorating blood, particularly when it comes to treating conditions involving blood stasis or hemorrhage. It's known as the "Blood Influential point" and helps in maintaining blood circulation.

- REN-12 (zhong wan): As a critical point for the stomach, it is utilized to alleviate abdominal pain and improve digestion, addressing the patient's epigastric pain.

- ST-21 (liang men): This point regulates and descends stomach