GASTRALGIA (STOMACH PAIN)

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Chills and Fever
  • Aversion to Cold
  • Headache
  • Anhidrosis
  • Chest/gastric distension
  • Gastric pain
  • Nausea/vomiting
  • Borborygmus
  • Diarrhea (acute)
  • Abdominal pain
  • Thirst
  • Dry throat
  • T: Normal
  • C: Greasy and white
  • P: Floating and tight
Treatment Principle
  • Disperse Wind
  • Relieve Exterior
  • Tonify the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Joint pain with a crackling sensation
  • Epigastric pain
  • Fatigue
  • Gastrointestinal weakness
  • Headache
  • Heaviness in the head
  • Fever
  • Moderately severe chills
  • Distension beneath the Heart
  • Periumbilical or lower abdominal pain
  • Tenseness around the pubic bone
  • Subcostal pain
  • Epigastric fullness
  • Nausea
  • Mild vomiting
  • Mild thoraco-costal discomfort
  • Costal distress
  • Tension in the rectus abdominus
  • Chest distension
  • Abdominal pain
  • Abdominal distension
  • Constipation
  • Irritability
  • Insomnia
  • Repeated loss of spinal alignment due to muscular tension
  • P: Floating and weak
Treatment Principle
  • Release the Exterior and muscle layer
  • Harmonize and releases the Shao-Yang
  • Harmonize the Liver, Spleen and Intestines
Herb Formulas
Points
Clinical Manifestations
  • Edema in limbs, especially lower limbs
  • Maybe anasarca
  • Maybe abdominal distention
  • Loose stools
  • Physical and mental fatigue
  • T: Pale
  • C: White and moist
  • P: Soft and even
Treatment Principle
  • Warm Yang
  • Strengthen the Spleen
  • Benefit Qi
  • Move water
Herb Formulas
Points
Clinical Manifestations
  • A feeling of Cold in the stomach and abdomen
  • Maybe pain in the stomach and abdomen
  • Sallow complexion
  • Aversion to Cold with a preference for warmth
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Cold extremities
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting of clear watery fluid
  • Loose stools or watery stools containing undigested food
  • Maybe occasional constipation
  • Shortness of breath
  • Pain in the epigastrium with cold sensations (pain is relieved by warmth)
  • Cold limbs
  • Feeling chilled
  • Mental fatigue
  • Tired extremities
  • Copious, clear urine
  • Maybe scanty urine with edema (Spleen Deficiency Edema)
  • Maybe clear, watery vaginal discharge
  • T: Pale or Pale and swollen
  • C: Thin and white
  • P: Deep and weak or Deep, slow and thready
Treatment Principle
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Nausea and vomiting
  • Emaciation
  • Sallow complexion
  • Anorexia with a full feeling after very little food
  • Weak abdomen
  • No desire for food and drink
  • Belching
  • Abdominal distention or pain (subtle)
  • Borborygmus
  • Loss of sensation of taste
  • Rolled lips
  • Pale lips
  • Stiff tongue
  • Tired limbs
  • Heavy limbs
  • Chest fullness
  • Shortness of breath
  • Acid regurgitation
  • Epigastric distention or pain
  • Muscle weakness in arms and legs
  • Loose stools or diarrhea
  • Urine clear and abundant
  • Maybe bleeding
  • Thin muscles.
  • Lethargy-fatigue
  • Does not like to speak
  • Weak, soft voice
  • Maybe enuresis
  • Maybe cold extremities
  • T: Pale and flabby - may have teeth marks
  • C: Thin and white.
  • P: Weak and Deficient or Even, forceless and Deficient
Treatment Principle
  • TonifY Qi
  • Strengthen the Spleen
  • Harmonize the Stomach
  • Regulate Qi
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Dull pain
  • Aversion to cold
  • Regurgitates watery fluid
  • Lassitude
  • Cold extremities
  • Shallow respiration
  • Yellow face
  • Pain worse with movement
  • T: Pale
  • C: White
  • P: Thready and soft
Treatment Principle
  • Warm the Middle Jiao
  • Strengthen the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Acid reflux
  • A sallow facial complexion
  • Fatigue
  • Poor muscle tone
  • A flabby abdomen
  • Mild constant epigastric pain; relieved by warmth and pressure
  • Anorexia
  • Abdominal pain and fullness after meals
  • Nausea
  • Vomiting
  • Loose, unformed stools
  • Excessive salivation
  • Cold limbs
  • Lassitude
  • Weakness
  • Maybe edema
  • Maybe scanty urination
  • Maybe clear, watery, copious vaginal discharge
  • T: Moist
  • C: White
  • P: Large and faint
Treatment Principle
  • Strengthen the Spleen
  • Warm Yang
  • Warm the Center
  • Dispel Cold
  • Regulate Qi and Blood
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Sudden, violent abdominal pain
  • Pain responds to warmth
  • Loose stools
  • Diarrhea
  • Nausea
  • No thirst
  • Clear urine
  • T: Normal
  • C: White
  • P: Deep and tight
Treatment Principle
  • Warm the abdomen
Herb Formulas
Points
Clinical Manifestations
  • Headache
  • Fever (maybe chills)
  • Strong thirst with a desire to drink
  • Vomits immediately after drinking
  • Urinary difficulty
  • Edema
  • General sensation of heaviness
  • Diarrhea
  • Irritability
  • Simultaneous vomiting and diarrhea
  • Throbbing sensations below umbilicus
  • Vomits frothy saliva
  • Vertigo
  • Abdominal pain and / or distention
  • Dark urine
  • Anxiety
  • Jaundice
  • Shortness of breath
  • Cough
  • Stomach pain
  • Urinary retention
  • Lower abdominal fullness
  • Extreme thirst
  • Palpitations
  • Lower abdominal distention
  • Lower abdominal palpitations
  • Dizziness
  • Abdominal pain
  • Restlessness
  • Slightly pale skin tone
  • T: Normal
  • C:Thick, yellow and greasy
  • P: Soft and rapid
Treatment Principle
  • Promote urination
  • Drain Dampness
  • Strengthen the Spleen
  • Clear Damp-Heat
Herb Formulas
Points
Clinical Manifestations
  • Continuous pain in the Stomach
  • Epigastric fullness and distention
  • Likes pressure
  • Reduced appetite
  • Frequent belching
  • Loss of sensation of taste
  • Borborygmus
  • Pale face
  • Stools not solid
  • Urine clear and abundant
  • T: Pale
  • C: Thin and white
  • P: Empty, Weak an Slow or Weak and Deficiency
Treatment Principle
  • Warm and tonify the Spleen and Stomach
  • Replenish Qi
  • Harmonize the Interior
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Burning Heat and pain in the epigastrium
  • Irritating thirst: drinks copious fluids and prefers cold drinks
  • Excessive appetite: hungry again quickly after eating (as if food vanishes)
  • Swelling, pain, ulceration and bleeding of gums
  • Foul breath
  • Toothache
  • Maybe vomiting right after eating
  • Vomiting acid or undigested food
  • Constipation
  • Maybe scanty, red urine
  • T: Red
  • C: Thick, yellow and dry
  • P: Slippery, big, Shi and rapid
Treatment Principle
  • Clear and Purge Stomach Fire
Herb Formulas
Points
Clinical Manifestations
  • Epigastrium cold with pain
  • Constant pain
  • Sudden bouts of sharp pain
  • Pain is aggravated by Cold and relieved by warmth and hot drinks
  • Cold hands and feet
  • Nausea
  • Diarrhea
  • Loose stools
  • T: Pink
  • C: White
  • P: Deep and tight
Treatment Principle
  • Warm Stomach
  • Warm Cold
Herb Formulas
Points
Clinical Manifestations
  • Pain with diarrhea
  • Dysentery
  • Patient feels heavy
  • Patient feels worse after defecation
  • Burning anus
  • Fever
  • Scanty dark urine
  • T: Normal
  • C: Greasy and yellow
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Remove Dampness
  • and Regulate Qi
Herb Formulas
Points
Clinical Manifestations
  • Dull pain
  • Pain relieved by warmth
  • Succussion sound in epigastrium on
  • Palpations
  • Vomiting of clear, watery fluid
  • T: Pink
  • C: White and sticky
  • P: Thready or Thready and slow
Treatment Principle
  • Warm the Stomach
  • Warm Cold
Herb Formulas
Points
Clinical Manifestations
  • Distention and pain of Stomach
  • Worse with pressure
  • Anorexia
  • Foul, auditory belching
  • Bad breath better after defecation
  • Diarrhea
  • T: Pink
  • C: Thick sticky white or yellow
  • P: Slippery and rolling or Deep and Full
Treatment Principle
  • Remove retention
Herb Formulas
Points
Clinical Manifestations
  • Nausea
  • Sudden vomiting of Thin Mucus or clear Fluids
  • Absence of thirst
  • May feel thirsty
  • Palpitations
  • Dizziness
  • Dysuria
  • Focal distention of the epigastrium
  • Stomach pain
  • T: Normal
  • C: White and Slippery
  • P: Wiry
Treatment Principle
  • Harmonize the Stomach
  • Stop vomiting
  • Dispel Phlegm
  • Regulate water circulation
  • Disperse Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal pain
  • Hypochondriac pain and distention
  • Alternating fever and chills
  • Depression
  • Easily angered
  • Chest fullness
  • Bitter taste in mouth
  • Fidgeting
  • Breast distention and pain
  • Irritability
  • Dysmenorrhea
  • Irregular menstruation
  • Amenorrhea
  • T: Pink
  • C: Thin and white
  • P: Wiry or Tight
Treatment Principle
  • Spread Liver Qi
  • Promote Qi circulation
  • Harmonize the Blood
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Epigastric distension
  • Stomach or hypochondriac pain
  • Belching
  • Anorexia
  • Easily angered
  • T: Pale or Red
  • C: Thin white
  • P: Wiry or Deep and Rough
Treatment Principle
  • Regulate Qi
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Restlessness
  • Easily angered
  • Regurgitation of gastric acid
  • Stomach pain
  • Hungers easily
  • Dry mouth
  • Bitter taste in mouth
  • T: Red
  • C: Yellow
  • P: Wiry and Rapid
Treatment Principle
  • Reduce Liver Fire
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Aversion to Cold
  • Chest and gastric distention
  • Gastric pain
  • Nausea
  • Vomiting
  • Borborygmus
  • Acute diarrhea
  • Acute gastritis
  • Abdominal pain
  • Thirst
  • Dry throat
  • T: Normal
  • C: Greasy and white
  • P: Floating, forceful and tight
Treatment Principle
  • Dry Dampness
  • Warm the body
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills, fever more pronounced or
  • Tidal fever
  • Abdominal distention
  • Thirst
  • Sweat
  • Stifling sensation in the chest
  • Restlessness
  • Gastric disturbances:
    Heaviness
    Nausea
    Severe diarrhea
  • Aversion to Cold
  • Chest and gastric distention
  • Gastric pain
  • Nausea
  • Vomiting
  • Borborygmus
  • Acute diarrhea
  • Scanty urine
  • T: Red tip and edges
  • C: Greasy and white or yellow
  • P: Rapid and soft or Forceful and tight
Treatment Principle
  • Disperse Wind
  • Clear Heat
  • Resolve Damp
  • Warm Cold
Herb Formulas
Points
Clinical Manifestations
  • Empty pain
  • Dark yellow face
  • Palpitations
  • Insomnia
Treatment Principle
  • Tonify Blood
Herb Formulas
Points
Clinical Manifestations
  • Fixed pain
  • Worse with pressure
  • Hematemesis
  • Hemafecia
  • Black, tarry stool
  • T: Purple or Purple spots
  • C: White or Black
Treatment Principle
  • Activate Blood
  • Remove Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Stomach
  • Maybe abdominal masses which are visible when lying down
  • Piercing hypochondriac pain
  • Irritability
  • Indigestion
  • Constipation
  • Dysmenorrhea
  • Amenorrhea
  • Chronic diarrhea
  • Daybreak diarrhea
  • Palpable abdominal masses
  • Irregular menstruation
  • Breast distention
  • Abdominal tumors
  • Hypochondriac distention
  • T: Purple with purple spots on the side
  • P: Wiry, choppy and tight
Treatment Principle
  • Invigorate the Blood
  • Dispel Blood Stasis
  • Move Qi
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Pain with hunger
  • Good appetite
  • Bowel movements contain worms
  • Vomiting worms
  • White spots on lips
  • Large belly with obvious veins
  • Selective with food
Treatment Principle
  • Soothe worms
  • Neutralize accumulations
Herb Formulas
Points
Clinical Manifestations
  • Chronic intermittent diarrhea with variable mixtures of pus and Blood
  • Triggered or aggravated by overexertion, colds fatigue and stress or
  • May be no obvious trigger
  • Active phase: Diarrhea may occur many times daily
  • Fatigue
  • Tiredness
  • Tenesmus
  • Abdominal distention
  • Mild abdominal pain which is better with warmth and maybe pressure
  • Anorexia
  • Loss of sense of taste
  • Long-standing cases:
    Emaciation
    Sallow or pale complexion
    Listlessness
    Lethargy
    Increased desire to sleep
    Intolerance of Cold
    Cold extremities
  • T: Normal or Pale or Red
  • C: Greasy
  • P: Thready and choppy or Soft and weak
Treatment Principle
  • Strengthen the Spleen
  • Tonify Qi
  • Regulate Qi
  • Clear Damp-Heat or
  • Clear Cold-Damp or
  • Clear Toxic Heat
Herb Formulas
Points