| Food Stagnation in
Stomach |
Used with permission from Zang Fu Syndromes, By McDonald and
Penner.
* Etiology
* Clinical Manifestations
* Complications
* Associated Western Conditions
* Differential Diagnosis
* Treatment Principle
* Common Acupuncture Points
* Common Herbal Formulae
Irregular meals.
Unrestrained diet or overeating.
Epigastric fullness, distention
and pain with dislike of pressure Detests food or
Belching with rotten food smell Vomits after eating Distention is
reduced after vomiting
Acid regurgitation Unformed stools or
Shortness of breath Knotted constipation
T: Pink
C: Thick and greasy
P: Slippery
Food Stagnation in ST may occur
combined with LIV Qi Invades ST, a form of LIV Qi Stagnation. In
such cases, pain may also affect the ribs and sides, and symptoms
will be precipitated or exacerbated by emotional distress. Due to
LIV involvement, the pulse will be wiry as well as slippery.
| Associated Western
Conditions |
Dyspepsia
Food Stagnation in ST may be identified
as a Shi condition by the dislike of pressure on the epigastrium,
the adverse reaction to eating and the improvement after vomiting.
Differentiation of Shi ST conditions with vomiting and epigastric
pain is as follows:
| Food Stagnation |
Blood Stagnation |
ST Fire Blazing: |
| Vomits acid and partly |
Vomits purple / black blood |
No vomiting or |
| decomposed food |
Mild or no distention |
Vomits acid or undigested food |
| Better after vomiting |
Sharp fixed pain |
No distention |
| Distention prominent |
Melaena (stools with blood like tar) |
Burning with pain |
| Pain with distention |
|
Constipation |
| Unformed stools or Constipation |
|
|
| T: Pink |
T: Dark purple with purple spots |
T: Red |
C: Thick and greasy |
|
C: Thick, yellow and dry |
| P: Slippery |
P: Wiry and choppy |
P: Slippery, big, Shi and rapid |
Clear Food and Conduct Stagnation.
| Common Acupuncture
Points |
ST44 (Neiting) - Clears ST and promotes
digestion.
LIV13 (Zhangmen) - Relieves Food
Stagnation.
LIV14 (Qimen) - Relieves Food Stagnation.
PC6 (Neiguan) - Regulates MJ and
stops vomiting: with SP4 (Gongsun) couples Yinwei Mai and Chong
Mai - for fullness and distention.
SP4 (Gongsun) With PC6 (Neiguan),
couples Yinwei Mai and Chong Mai: for fullness and distention.
ST36 (Zusanli) - Readjusts ST and
corrects contravecting Qi (makes ST Qi descend as it should); promotes
digestion.
REN12 (Zhongwan) - Regulates ST
Qi, suppresses contravection and relieves Food Stagnation.
REN11 (Jianli) - Alternative to
REN12 (Zhongwan)
ST21 (Liangmen) - Alternative to
REN12 / Zhongwan.
Sample Point Prescription:
Epigastric pain due to
Food Stagnation in ST:
1. ST36 (Zusanli)
REN12 (Zhongwan)
PC6 (Neiguan)
plus
LIV13 (Zhangmen)
ST44 (Neiting) - from "Essentials
of Chinese Acupuncture"
2. ST44 (Nei Ting)
LIV13 (Zhangmen)
ST21 (Liangmen) - from a seminar
by Giovanni Maciocia.
3. PC6 (Neiguan)
ST36 (Zusanli)
plus
REN11 (Jianli) - from "Acupuncture:
a Comprehensive Text"
4. REN12 (Zhongwan)
PC6 (Neiguan)
ST36 (Zusanli)
SP4 (Gongsun)
plus
REN10 (Xiawan)
ST21 ( Liangmen) - from "Zhen
Jiu Xue" Jiangsu Province translated by Yimmy Chan and Garry
Seifert.
Vomiting due to Food Stagnation
in ST:
1. ST36 (Zusanli)
REN12 (Zhongwan)
PC6 (Neiguan)
SP4 (Gongsun)
ST25 (Tianshu) - from "Essentials
of Chinese Acupuncture".
Bao He Wan / Preserve and Harmonize
Pill
Zhi Shi Dao Zhi Wan / Immature
Bitter Orange Pill to Guide Out Stagnation
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to Stomach Index]
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