STOMACH

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[level-membership-for-complementary-medicine-category]Chapter 97

STOMACH

Chapter contents

STOMACH-QI DEFICIENCY

STOMACH DEFICIENT AND COLD (STOMACH-YANG DEFICIENCY)

Clinical manifestations

Discomfort or a dull pain in the epigastrium, better after eating and with pressure or massage, lack of appetite, preference for warm drinks and foods, vomiting of clear fluid, absence of thirst, cold and weak limbs, tiredness, pale complexion.

Tongue Pale and wet.

Pulse Deep-Weak-Slow, especially on the right Middle position.

Acupuncture

ST-36 Zusanli, Ren-12 Zhongwan, BL-20 Pishu, BL-21 Weishu, Ren-6 Qihai. Moxa is applicable.

Prescription

Huang Qi Jian Zhong Tang Astragalus Strengthening the Centre Decoction

Xiao Jian Zhong Tang Small Strengthening the Centre Decoction.

STOMACH-YIN DEFICIENCY PATTERNS

Stomach-Yin deficiency

Clinical manifestations

No appetite or slight hunger but no desire to eat, constipation (dry stools), dull or slightly burning epigastric pain, dry mouth and throat especially in the afternoon, slight feeling of fullness after eating.

Tongue Peeled in the centre, or with rootless coating, normal body colour.

Pulse Floating-Empty on the right Middle position.

Acupuncture

Ren-12 Zhongwan, ST-36 Zusanli, SP-6 Sanyinjiao, SP-3 Taibai.

Prescription

Sha Shen Mai Dong Tang Glehnia-Opheopogan Decoction

Shen Ling Bai Zhu San Ginseng-Poria-Atractylodis Powder

Yi Wei Tang Benefiting the Stomach Decoction.

Stomach-Yin deficiency with Empty-Heat

Clinical manifestations

Dull or burning epigastric pain, a feeling of heat in the afternoon, constipation (dry stools), dry mouth and throat especially in the afternoon, thirst with a desire to drink in small sips, feeling of hunger but no desire to eat, a slight feeling of fullness after eating, night sweating, five-palm heat, bleeding gums, a feeling of heat in the evening.

Tongue Red and Peeled in the centre.

Pulse Floating-Empty on the right Middle position and slightly Rapid.

Acupuncture

Ren-12 Zhongwan, ST-36 Zusanli, SP-6 Sanyinjiao, SP-3 Taibai, ST-44 Neiting, ST-21 Liangmen, LI-11 Quchi.

Prescription

Sha Shen Mai Dong Tang plus Zhi Mu Radix Anemarrhenae asphodeloidis and Shi Hu Herba Dendrobii.

DEFICIENCY OF STOMACH-YIN AND STOMACH-YANG

Clinical manifestations

Dull or burning epigastric pain, dry throat and mouth, poor appetite, sour regurgitation, tiredness, sweating, night sweating, five-palm heat, cold fingers.

Tongue Red in the centre without coating.

Pulse Floating-Empty.

This is essentially a Stomach-Yin deficiency which has developed from a Stomach-Yang deficiency.

Acupuncture

Ren-12 Zhongwan, ST-36 Zusanli, SP-6 Sanyinjiao, SP-3 Taibai, ST-21 Liangmen, ST-44 Neiting. Generally no moxa but moxa on the needle on ST-36 may be used.

Prescription

Si Jun Zi Tang Four Gentlemen Decoction or Huang Qi Jian Zhong Tang Astragalus Strengthening the Centre Decoction combined with Yi Wei Tang Benefiting the Stomach Decoction or Sha Shen Mai Dong Tang Glehnia-Ophiopogan Decoction.

STOMACH-QI STAGNATION

Clinical manifestations

Epigastric pain and distension, belching, nausea, vomiting, hiccup, irritability.

Tongue No particular signs on the tongue except that in severe cases it may be Red on the sides in the central section.

Pulse Wiry on the right Middle position.

Acupuncture

ST-34 Liangqiu, ST-21 Liangmen, ST-19 Burong, KI-21 Youmen, TB-6 Zhigou, SP-4 Gongsun with P-6 Neiguan (opening points of the Penetrating Vessel), GB-34 Yanglingquan with Ren-12 Zhongwan, ST-40 Fenglong.

Prescription

Chen Xiang Jiang San Aquilaria Subduing Qi Powder Ban Xia Hou Po Tang Pinellia-Magnolia Decoction Zuo Jin Wan Left Metal Pill.

BLOOD STASIS IN THE STOMACH

Clinical manifestations

Severe, stabbing epigastric pain that may be worse at night, dislike of pressure, nausea, vomiting, possibly of blood, or of food looking like coffee grounds.

Tongue Purple.

Pulse Wiry.

Acupuncture

Prescription

Shi Xiao San Breaking into a Smile Powder

Dan Shen Yin Salvia Decoction

Ge Xia Zhu Yu Tang Eliminating Stasis below the Diaphragm Decoction

Tong You Tang Penetrating the Depth Decoction.

STOMACH-HEAT

Clinical manifestations

Burning epigastric pain, thirst, sour regurgitation, nausea, vomiting soon after eating, excessive hunger, foul breath, a feeling of heat.

Tongue Red in the centre with a yellow coating.

Pulse Rapid and slightly Overflowing on the right Middle position.

Acupuncture

ST-44 Neiting, ST-34 Liangqiu, ST-21 Liangmen, Ren-12 Zhongwan, Ren-13 Shangwan, LI-11 Quchi, LI-4 Hegu, Ren-11 Jianli.

Prescription

Bai Hu Tang White Tiger Decoction

Yu Nu Jian Jade Woman Decoction

Qing Wei San Clearing the Stomach Powder.

STOMACH-FIRE

Clinical manifestations

Burning epigastric pain, intense thirst with a desire to drink cold liquids, mental restlessness, bleeding gums, dry stools, dry mouth, mouth ulcers, sour regurgitation, nausea, vomiting soon after eating, excessive hunger, foul breath, a feeling of heat.

Tongue Red in the centre with a dry yellow or dark-yellow (or even black) coating.

Pulse Rapid and slightly Overflowing on the right Middle position.

Acupuncture

ST-44 Neiting, ST-34 Liangqiu, ST-21 Liangmen, Ren-12 Zhongwan, Ren-13 Shangwan, LI-11 Quchi, LI-4 Hegu, Ren-11 Jianli, SP-15 Daheng.

Prescription

Tiao Wei Cheng Qi Tang Regulating the Stomach Conducting Qi Decoction

Qing Wei San Clearing the Stomach Powder

Liang Ge San Cooling the Diaphragm Powder.

STOMACH PHLEGM-FIRE

Clinical manifestations

Burning epigastric pain, thirst without a desire to drink, mental restlessness, bleeding gums, dry stools, dry mouth, mouth ulcers, sour regurgitation, nausea, vomiting soon after eating, excessive hunger, foul breath, a feeling of heat, a feeling of oppression of the chest and epigastrium, mucus in the stools, insomnia, excessive dreaming, expectoration of phlegm.

Tongue Red in the centre with a sticky yellow or dark-yellow (or even black) coating, Stomach crack with a rough, sticky yellow coating inside it.

Pulse Slippery-Rapid and slightly Overflowing on the right Middle position.

Acupuncture

ST-44 Neiting, ST-34 Liangqiu, ST-21 Liangmen, Ren-12 Zhongwan, Ren-13 Shangwan, LI-11 Quchi, LI-4 Hegu, Ren-11 Jianli, SP-15 Daheng, ST-40 Fenglong, SP-9 Yinlingquan, Ren-9 Shuifen, SP-6 Sanyinjiao.

Prescription

Wen Dan Tang Warming the Gall-Bladder Decoction.

STOMACH DAMP-HEAT

Clinical manifestations

A feeling of fullness and pain of the epigastrium, a feeling of heaviness, facial pain, stuffed nose or thick, sticky nasal discharge, thirst without a desire to drink, nausea, a feeling of heat, dull-yellow complexion, a sticky taste.

Tongue Red tongue with sticky yellow coating.

Pulse Slippery-Rapid.

Acupuncture

ST-44 Neiting, ST-34 Liangqiu, ST-21 Liangmen, Ren-12 Zhongwan, Ren-13 Shangwan, LI-11 Quchi, LI-4 Hegu, Ren-11 Jianli, ST-25 Tianshu, ST-40 Fenglong, SP-9 Yinlingquan, Ren-9 Shuifen.

Prescription

Lian Po Yin Coptis-Magnolia Decoction.

COLD INVADING THE STOMACH

Clinical manifestations

Sudden severe pain in the epigastrium, a feeling of cold, cold limbs, preference for warmth, vomiting of clear fluids (which may alleviate the pain), nausea, feeling worse after swallowing cold fluids (which are quickly vomited), preference for warm liquids.

Tongue Thick white coating.

Pulse Deep-Tight-Slow.

Acupuncture

ST-21 Liangmen, SP-4 Gongsun, Ren-13 Shangwan, ST-34 Liangqiu. Moxa must be used.

Prescription

Liang Fu Wan Alpinia-Cyperus Pill.

STOMACH-QI REBELLING UPWARDS

Clinical manifestations

Nausea, difficulty in swallowing, belching, vomiting, hiccup.

Tongue No changes.

Pulse Tight or Wiry on the right Middle position.

Acupuncture

Ren-13 Shangwan, Ren-10 Xiawan, P-6 Neiguan, SP-4 Gongsun, ST-21 Liangmen, ST-19 Burong.

Prescription

Ding Xiang Shi Di Tang Caryophyllum-Diospyros Decoction

Huo Xiang Zheng Qi San Agastaches Upright-Qi Powder

Ban Xia Hou Po Tang Pinellia-Magnolia Decoction.

RETENTION OF FOOD IN THE STOMACH

Clinical manifestations

Fullness, pain and distension of the epigastrium which are relieved by vomiting, nausea, vomiting of sour fluids, foul breath, sour regurgitation, belching, insomnia, loose stools or constipation, poor appetite.

Tongue Thick coating (which could be white or yellow).

Pulse Full-Slippery.

Acupuncture

Ren-13 Shangwan, Ren-10 Xiawan, ST-21 Liangmen, ST-44 Neiting, ST-45 Lidui, SP-4 Gongsun, P-6 Neiguan, ST-40 Fenglong, ST-19 Burong, KI-21 Youmen, Ren-12 Zhongwan.

Prescription

Bao He Wan Preserving and Harmonizing Pill

Zhi Shi Dao Zhi Wan Citrus Eliminating Stagnation Pill.

[/level-membership-for-complementary-medicine-category][not-level-membership-for-complementary-medicine-category]Chapter 97

STOMACH

Chapter contents

STOMACH-QI DEFICIENCY

Clinical manifestations

An uncomfortable feeling in the epigastrium, lack of appetite, lack of sense of taste, loose stools, tiredness especially in the morning, weak limbs.

Tongue Pale.

Pulse Empty, especially on the right Middle position.

Acupuncture

ST-36 Zusanli, Ren-12 Zhongwan, BL-21 Weishu, Ren-6 Qihai. Moxa is applicable.

Prescription

Si Jun Zi Tang Four Gentlemen Decoction.

STOMACH DEFICIENT AND COLD (STOMACH-YANG DEFICIENCY)

Clinical manifestations

Tongue Pale and wet.

Pulse Deep-Weak-Slow, especially on the right Middle position.

Acupuncture

ST-36 Zusanli, Ren-12 Zhongwan, BL-20 Pishu, BL-21 Weishu, Ren-6 Qihai. Moxa is applicable.

Prescription

Huang Qi Jian Zhong Tang Astragalus Strengthening the Centre Decoction

Xiao Jian Zhong Tang Small Strengthening the Centre Decoction.

STOMACH-YIN DEFICIENCY PATTERNS

Stomach-Yin deficiency

Clinical manifestations

Tongue Peeled in the centre, or with rootless coating, normal body colour.

Pulse Floating-Empty on the right Middle position.

Acupuncture

Ren-12 Zhongwan, ST-36 Zusanli, SP-6 Sanyinjiao, SP-3 Taibai.

Prescription

Sha Shen Mai Dong Tang Glehnia-Opheopogan Decoction

Shen Ling Bai Zhu San Ginseng-Poria-Atractylodis Powder

Yi Wei Tang Benefiting the Stomach Decoction.

Stomach-Yin deficiency with Empty-Heat

Clinical manifestations

Tongue Red and Peeled in the centre.

Pulse Floating-Empty on the right Middle position and slightly Rapid.

Acupuncture

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