GASTROPTOSIS (GASTRIC/STOMACH PROLAPSE)

Clinical Manifestations
  • Gastroptosis is the abnormal downward displacement of the stomach. It is not a life-threatening condition. The condition frequently causes digestive symptoms and constipation and is much more prominent in women than men.
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Chills
  • Headache
  • Joint pains
  • Severe diarrhea
  • Epigastric distention
  • Perspiration
  • Cold body and extremities
  • Weakness of the extremities
  • Upper abdominal palpitations
  • Cold feet
  • Dysuria
Treatment Principle
  • Release the Exterior
  • Warm the Interior
  • Tonify Qi
  • Relieve distention
Herb Formulas
Points
Clinical Manifestations
  • History of Yang Ming Jing or Fu
  • No appetite
  • Perspiration on extremities (cold center)
  • Sluggish or difficult urination
  • Constipation moving to long stringy stools moving to diarrhea
  • T: Normal
  • C: Slightly yellow and moist
  • P: Deep and forceful
Treatment Principle
  • Restore Yang
  • Warm the center
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Restlessness
  • Irritability
  • Anorexia
  • Sometimes fatigue
  • Nausea
  • Occasional vomiting
  • Headaches (side of head)
  • Hypochondriac pain
  • Rib pain
  • Achiness
  • Ear infection
  • Hearing difficulty
  • Red eyes
  • Stiff shoulders
  • Throat pain
  • Hip pain
  • T: Normal with bumps or dots on side
  • C: Thin white
  • P: Wiry
Treatment Principle
  • Harmonize the Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever (not so likely)
  • Restlessness
  • Irritability
  • Continuous vomiting
  • Headache (side of head)
  • Hypochondriac pain
  • Epigastric pain
  • Bitter taste in mouth
  • Digestive disruption
  • Anorexia
  • Nausea
  • Acid regurgitation
  • Burning diarrhea or
  • Constipation
  • Menstrual problems
  • Dry throat
  • Heart pain with vomiting
  • Throat pain
  • Hip pain
  • T: Red
  • C: Thin yellow
  • P: Wiry, forceful
Treatment Principle
  • Harmonize the Liver and Gall Bladder
  • Purge Internal Heat
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever (chills predominate) or
  • Chills without fever
  • Sensation of irritability in the chest
  • Sweating from the head
  • Fatigue
  • Gastrointestinal weakness
  • Heavy head
  • Neuralgia
  • Epigastric distension
  • Lower abdominal pain
  • Tension around pubic bone
  • Periumbilical pain
  • Urinary difficulty
  • T: Moist
  • C: White and slippery
  • P: Superficial and wiry
Treatment Principle
  • Disperse Clumping
  • Harmonize the Shao Yang
  • Warm the Interior
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Nausea
  • Clear, frequent urination
  • Lack of thirst
  • Anorexia
  • Vomiting of clear fluid
  • Abdominal distension and pain (sharp)
  • Diarrhea or loose stool
  • Prefers warmth
  • T: Pale or pink
  • C: White
  • P: Slow and tight or Soft
Treatment Principle
  • Regulate the middle
  • Warm the Middle Jiao
  • Disperse Cold
  • Relieve pain
Herb Formulas
Points
  • For pain and Cold: moxa the abdomen
  • To strengthen the Spleen and Stomach: LIV-13, REN-10, ST-36, UB-20, UB-21 (moxa if severe)
  • For abdominal pain and nausea: PC-6, SP-4, ST-25
  • For frequent, clear urination: moxa REN-4, REN-6, UB-23
  • For diarrhea: moxa REN-8
  • Use few needles with deep insertion and moxa
Clinical Manifestations
  • Clear, frequent urination
  • Abdominal distension
  • Anorexia
  • Nausea
  • Vomiting clear fluid
  • Dull abdominal pain
  • Diarrhea or loose stools
  • Prefers warmth and pressure
  • T: Pale
  • C: White
  • P: Slow and sinking or Soft and weak
Treatment Principle
  • Regulate the Middle
  • Warm the Middle Jiao
  • Disperse Cold
Herb Formulas
Points
  • For pain and Cold: moxa the abdomen
  • To strengthen the Spleen and Stomach: LIV-13, REN-10, ST-36, UB-20, UB-21 (moxa if severe)
  • For abdominal pain and nausea: PC-6, SP-4, ST-25
  • For frequent, clear urination: moxa REN-4, REN-6, UB-23
  • For diarrhea: moxa REN-8
  • Use few needles with deep insertion and moxa
Clinical Manifestations
  • Protracted, incessant cough
  • Expectoration of copious, clear, watery or white Phlegm
  • Short, weak, breathing
  • Asthma
  • Four limbs tired
  • Anorexia
  • General lassitude
  • Distention and pain of the epigastrium and abdomen
  • Loose stools
  • Severe cases:
    Frightens easily
  • T: Pale
  • C: White
  • P: Thready and weak
Treatment Principle
  • Reinforce the Spleen
  • Benefit the Lungs
  • Warm and transform Phlegm-Dampness
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention
  • Subcardiac distention and obstruction
  • Vomiting
  • Anorexia
  • Diarrhea
Treatment Principle
  • Promote movement of Qi
  • Descend Qi
  • Tonify the Spleen and Stomach Qi
  • Stop vomiting
Herb Formulas
Points
Clinical Manifestations
  • Indigestion
  • A sensation of oppression in the chest
  • Abdominal pain
  • Nausea
  • Vomiting
  • Diarrhea
  • Postpartum abdominal fullness and distention
  • Abdominal fullness and distention with nausea and vomiting
  • T: Pale and swollen
  • C: Thick, white and greasy
  • P: Slippery and even or Slow or Moderate
Treatment Principle
  • Strengthen the Spleen and Stomach
  • Harmonize the Middle Jiao
  • Relieve Food Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Distention and fullness of epigastrium and abdomen
  • Nausea
  • Vomiting
  • Anorexia
  • Loose stools
  • Diarrhea
  • Reduced sensation of taste
  • No thirst or preference for hot drinks
  • Sticky sensation in mouth
  • Borborygmus
  • Lassitude
  • Yin jaundice
  • Heavy head
  • Maybe edema
  • Maybe copious white vaginal discharge
  • Maybe cold limbs, fear of Cold or feeling chilled
  • T: Pink
  • C: Thick, white and greasy or sticky
  • P: Deep and slow
Treatment Principle
  • Warm Cold
  • Transform Dampness
  • Harmonize the Stomach
  • Strengthen the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Anorexia
  • Abdominal distention and discomfort
  • Suffocating sensation in the chest
  • Epigastric mass
  • Maybe abdominal pain on palpation
  • Yang jaundice (sclera and skin are bright yellow)
  • Dislike of oily foods
  • Nausea
  • Vomiting
  • Lassitude
  • Scanty, dark urine
  • Maybe thirst or thirst with no desire to drink
  • Diarrhea with foul smell or
  • Constipation
  • Fever
  • Sweet sticky taste or bitter taste in mouth
  • T: Pink
  • C: Thick, yellow and greasy (maybe sticky)
  • P: Soft and rapid
Treatment Principle
  • Clear Heat
  • Benefit Dampness
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even, forceless and deficient
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
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
  • Prolapse of one or more organs
  • Sallow complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even or Soft and thready
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
  • Reinforce the Center
  • Invigorate Yang
Herb Formulas
Points
  • DU-20, other points are selected according to the type of prolapse
Clinical Manifestations
  • Sallow complexion
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools containing undigested food
  • Shortness of breath
  • Pain in the epigastrium with cold sensations (pain is relieved by warmth)
  • Cold limbs
  • Feeling chilled
  • Frequent, clear urination
  • Mental fatigue
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale
  • C: Thin and white
  • P: Deep and weak
Treatment Principle
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Intermittent or continuous abdominal distention, fullness and discomfort
  • Distention is improved by warmth and pressure and worse when eating raw or cold foods
  • Intermittent, chronic acid reflux and heartburn which are worse with hard to digest or raw foods, bending or any increase in abdominal pressure
  • May wake during the night with heartburn
  • Mild epigastric pain or discomfort which is better with warmth and pressure
  • Hypersalivation
  • Drooling
  • Sour belching
  • Poor appetite
  • Easily satiated
  • Fatigue
  • Weak, tired limbs
  • Loose stools or
  • Diarrhea or
  • A tendency toward sluggish bowel movements
  • Puffiness around the eyes or in the fingers
  • Rapid weight fluctuations
  • A pale, sallow face and lips
  • Shortness of breath
  • Reluctance to speak
  • A weak, soft voice
  • Intolerance of Cold
  • Cold extremities
  • T: Pale or Pale and swollen with teeth marks
  • C: White
  • P:Weak and thready or Deficient or Big and Weak
Treatment Principle
  • Warm Zong Qi
  • Strengthen the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Sallow or pale, dull complexion
  • Maybe edema
  • Maybe scanty urination
  • Maybe clear, watery, copious vaginal discharge
  • T: Pale
  • C: White and greasy
  • P: Deep, thready and forceless
Treatment Principle
  • Strengthen the Spleen
  • Warm Yang
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Anorexia
  • Loss of the sense of taste
  • Inability to eat more than a little at a time
  • Bloating after eating
  • Focal distention
  • Diarrhea
  • Nausea/Vomiting
  • Palpitations
  • Indigestion
  • Epigastric discomfort
  • Generalized weakness
  • Maybe chest distention
  • T: Pale
  • C: White
  • P: Deep and soft
Treatment Principle
  • Strengthen and harmonize the Spleen and Stomach
  • Resolve Dampness
  • Improve the appetite
Herb Formulas
Points
Clinical Manifestations
  • Body cold
  • Limbs icy
  • Complexion white and shiny
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful
  • Loose stools containing undigested food
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • Edema of face and limbs
  • Dysuria
  • Severe:
    Abdominal ascites
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow
Treatment Principle
  • Warm and Reinforce the Spleen and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Epigastrium Cold with pain
  • Mild cases:
    Constant pain
  • Severe cases:
    Sudden bouts of sharp pain
    Pain is aggravated by Cold and relieved by warmth and hot drinks
    Cold hands and feet
  • Pain is dull
  • Pain is relieved by warmth
  • Succussion sound in the epigastrium on palpation
  • 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
  • Epigastric fullness and distention
  • No desire for food and drink
  • Frequent belching
  • Borborygmus
  • Loss of sensation of taste
  • Stools not solid
  • Urine clear and abundant
  • T: Pale
  • C: Thin and white
  • P: Weak and Deficient
Treatment Principle
  • Strengthen Qi
  • Invigorate the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Nausea
  • Sudden vomiting of Thin Mucus or clear Fluids
  • Absence of thirst
  • May feel thirsty
  • Palpitations
  • Vertigo
  • Dizziness
  • Dysuria
  • Focal distention of the epigastrium
  • Hiccups
  • 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
  • General signs and symptoms:
    Epigastrium Cold with pain
  • Mild cases:
    Constant pain
  • Severe cases:
    Sudden bouts of sharp pain
    Pain is aggravated by Cold and relieved by warmth and hot drinks
    Cold hands and feet
  • Pain is dull
  • Pain is relieved by warmth
  • Succussion sound in the epigastrium on palpation
  • 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
  • Epigastric focal distention
  • Fullness and tightness with very slight or no pain
  • Dry heaves
  • Vomiting
  • Borborygmus
  • Diarrhea
  • Anorexia
  • Stomach pain
  • Abdominal pain
  • Subcardiac distention
  • Heartburn
  • Resistance below the Heart
  • Soft epigastrium
  • Nausea
  • Ascites
  • Gurgling sounds
  • T: Normal or with a red tip
  • C: Thin, yellow and greasy
  • P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle
  • Harmonize the Stomach
  • Disperse clumping
  • Eliminate focal distention due to Cold and Heat factors
Herb Formulas
Points

Clinical Manifestations
  • Dizziness
  • Vertigo
  • Nausea and vomiting
  • Insomnia
  • Dream-disturbed sleep with unusual dreams
  • Palpitations
  • Anxiety
  • Profuse white foamy sputum
  • Restlessness
  • Timidity
  • Indecisiveness
  • Indeterminate gnawing hunger
  • Seizures accompanied by copious sputum
  • Chest distention
  • Expectoration of yellow Phlegm
  • Bitter taste in the mouth
  • Chills and fever
  • Abdominal distention
  • Frequent dark, scanty urine
  • Irritability
  • Depression
  • Slight thirst
  • Anorexia after serious illness
  • T: Pink or Red tip
  • C: Yellow and greasy
  • P: Slippery and rapid or Wiry and rapid
Treatment Principle
  • Regulate Qi
  • Transform Phlegm
  • Clear the Gallbladder
  • Harmonize the Stomach
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Excessive perspiration (daytime)
  • Above symptoms worse after exertion or when tired
  • Fatigue
  • Weakness
  • Maybe chills
  • Cyanosis
  • Suffocating sensation in chest
  • Depression
  • Facial pallor
  • All four limbs cold
  • Watery stools with undigested food
  • Maybe loss of consciousness
  • T: Pale and swollen
  • C: White
  • P: Thready and weak or Knotted or Intermittent
Treatment Principle
  • Return Yang
  • Relieve contravection
Herb Formulas
Points
Clinical Manifestations
  • Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle
  • Spread Qi
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Epigastric pain (worse when emotionally upset)
  • Belching with acid regurgitation
  • Nausea
  • Vomiting
  • Anorexia
  • Epigastric distention
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Blurred vision
  • Bitter taste in the mouth
  • Nausea
  • Vomiting
  • Agitation
  • Restlessness
  • Irritability
  • Indecision
  • Suspiciousness
  • Palpitations with anxiety
  • Insomnia
  • Frequent sighing
  • Suffocating sensation in the chest
  • T: Pink
  • C: Yellow and greasy or Thin and white
  • P: Slippery and wiry or Thready and wiry- maybe rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Descend Contravecting Qi
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Anemia
  • Uterine bleeding
  • Cold extremities
  • Pale or sallow face
  • Dizziness
  • General fatigue
  • Coarse skin
  • Nocturnal emissions
  • Weak knees
  • Fatigue
  • Dyspnea
  • Night sweats
  • Irregular menstruation
  • Insomnia
  • Intolerance of Cold
  • Decreased eyesight after a prolonged illness
  • Anxiety
  • Intermittent fever
  • Jaundice
  • Deficient cough
  • Shortness of breath
  • Palpitations
  • Anorexia
  • Listlessness
  • Lassitude
  • Spontaneous sweating
  • Spermatorrhea
  • Continuous spotting
  • Leukorrhea
  • Weak legs and knees
  • T: Pale
  • C: Thin and white
  • P: Thready and weak
Treatment Principle
  • Replenish Yang
  • Warm and tonify Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Violent nausea and vomiting
  • Severe vomiting of Phlegm and/or thin fluids
  • Severe pain
  • Migrating and shooting pain throughout the upper and lower back
  • Chest pain
  • Precordial pain
  • T: Pale
  • C: Greasy and white
  • P: Deep and wiry
Treatment Principle
  • Dry Dampness
  • Dissolve Phlegm
  • Regulate Qi
  • Subdue Rebellious Qi
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Chest pain
  • Chest and hypochondriac distention
  • Shoulder stiffness
  • Abdominal distention and pain
  • Constipation
  • Cold feet
  • An aversion to Cold
  • Pale face
  • Anorexia
  • Edema
  • Dizziness
  • Nausea
  • Vomiting
  • Vertigo
  • Thirst with no desire to drink
  • Maybe no thirst
  • Palpitations
  • Shortness of breath
  • Fatigue
  • Headaches with heavy headedness
  • Abdominal weakness
  • T: Normal or Pale
  • C: Thick and slippery
  • P: Slippery, full and maybe wiry or Weak or Weak and wiry
Treatment Principle
  • Warm and Dissolve Tan Yin
Herb Formulas
Points
Clinical Manifestations
  • Paralysis
  • Numbness
  • Slurred speech
  • Deviated eyes
  • Deviated mouth (wry mouth)
  • Dizziness
  • Tinnitus
  • Sputum in the throat
  • Chest fullness and distention
  • Epigastric fullness and distention
  • Hypertension
  • Stroke
  • T: Deviated and trembling
  • C: Thick
  • P: Slippery and maybe wiry
Treatment Principle
  • Resolve Phlegm
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Vertigo
  • Mental cloudiness
  • Heavy head
  • Heavy sensation in the body
  • Cough with Excess sputum
  • Chest and epigastric distention
  • Suffocating sensation in the chest and epigastrium
  • Nausea
  • Profuse sputum
  • Vomiting
  • Anorexia
  • Fatigue
  • Borborygmus
  • Tinnitus
  • Mouth glutinous
  • No thirst
  • Likes to sleep
  • Maybe palpitations
  • T: Thick
  • C: White and greasy or Sticky and white
  • P: Rolling or Wiry and slippery
Treatment Principle
  • Strengthen the Spleen
  • Harmonize the Stomach
  • Eliminate Dampness
  • Resolve Phlegm
Herb Formulas
Points