Stomach Deficiency Syndromes

I       Stomach Qi Xu

(Related to Spleen and Stomach: Yang Xu, Xu & Cold, and Cold-Damp Dirty Water)

Tongue: puffy, teeth marks, greasy white coat

Pulse: slow, xu, slippery

Traditional Indications:

Stomach: bloating, pain, likes warmth and pressure, Dirty Water (sloshing, gurgling)

Diarrhea, Loose stools, Sputum especially after cold food

Sputum especially after cold food

Leukorrhea: clear discharge that is not very sticky

Conventional Classifications:

Gastroenteritis, Mucus Lining of Stomach: ulcer, infection

Treatment:

Tonify Stomach Qi, Warm Interior, Drain Dampness, Regulate Qi (Chen Pi)

II)       Stomach Yin Xu

Tongue: fresh red, no coat

Pulse: small, rapid

Traditional Indications:

Feels hungry but cannot eat much (difficult to digest)

Burning and pain sensation in the Stomach, More pain if Stomach is empty

Dry mouth (especially when wakes up or midnight & awakens to drink water)

Constipation, Five palms heat

Conventional Classifications:

Stomach ulcer, Diabetes (Middle Jiao), Gastritis which can develop into an ulcer, Psychosematic

Treatment:

Clear Xu Heat, Tonify Yin, Diet: no hot & spicy, greasy, and sugary foods.  Food treatment: American Ginseng cooked with lean meat.

Stomach Excess (Shi) Syndromes

I)       Stomach Food Stagnation

Tongue: greasy thick white coat

Pulse: slippery, full

Traditional Indications:

The root is Xu and the syndromes is Excess (inability of Spleen and Stomach Qi to digest normal meals)- Excess type abdominal pain (pressure causes pain, firmness).

Vomit, Nausea, and Gas (bad smell, abdominal bloating) followed by no appetite from relative overeating.

Treatment:

Remove Food Stagnation, Regulate Qi: Break the Qi (Qing Pi, Da Fu Pi, Zhi Shi), If constipation: Da Huang, Mang Xiao, Hou Po.

II)       Stomach Fire Uprising

Tongue: very red, yellow thick dry coat

Pulse: slippery, excess

Traditional Indications:

Burning Stomach pain, Constipation, Hunger, Thirst (prefers cold water), Bad breath

Gums & Teeth: pain, swelling, bleeding

Conventional Classifications:

Canker sore, Ulcer, Gum disease (periodontitis, gingivitis), Diabetes

Treatment:

Purge Stomach Fire, Clear Heat (Da Huang, Shi Gao, Lu Gen), Huang Lian has antibiotic properties to address heat infection related disorders.

III)       Stomach Blood Stagnation

Tongue: purple spots, purple cast to the coat

Pulse: wiry, choppy, With blood loss: rapid, xu

Traditional Indications:

Vomit with blood

Stool with blood (blood can be detected by dark stool, small amounts of blood can be detected by a lab): diarrhea, loose stool

Xue Stagnation: fixed, needling, and sharp pain in the Stomach area

History of Stomach bleeding

Blood loss from defacation may lead to anemia, a drop in blood pressure, dizziness, fainting, and coma: Qi Xu Big Sweating (Hospitalize)

Conventional Classifications:

Bleeding Stomach ulcer, Stomach Cancer

Treatment:

Regulate Xue: Stop Bleeding (Xian He Cao, Pu Huang, ....)

IV)       Stomach Qi Stagnation Pain

Tongue: thin white coat or normal tongue appearance

Pulse: wiry, deep

Traditional Indications:

Pain in the Stomach area: moves, on and off, bloating

Pain related to emotional changes

Chest and costal region pain

Rebellious Qi:  more gas produces more pain, nausea, vomit, beltching, gurgling

Poor appetite

Conventional Classifications:

Hiatal hernia, Ulcer, Gastritis

Chronic Hepatitis (Liver attacks Spleen and Stomach)

Stomach physiological disturbances involving the muscularis, the lower esophageal sphincter or the pyloric sphincter: hernia, spasm causing narrowing of passageways

Psychosematic (Rebelious Qi): anorexia, bulimia

Treatment:

Regulate the Stomach and Liver Qi: Sink the Qi (Qing Pi, Fo Shou, Chen Xiang, Chai Hu, Patent: Shun Qi Wan)