Prescription
Main formula
Liang fu wan
Alternative formula
Gui zhi tang
Modifications
Patent remedy
Main points
Explanations
Alternative points
Modifications
Invasion of Cold-Damp
Symptoms and signs
Principle of treatment
Prescription
Huo xiang zheng qi san
Modifications
Patent remedy
Main points
Explanations
Alternative points
Modifications
Diagnosis
Principle of treatment
Herbal Treatment
Huo xiang zheng qi san
Explanations
Stagnation of Food
Symptoms and signs
Principle of treatment
Prescription
Main formula
Bao he wan
Alternative formulas
Zhi zhu wan
Zhi shi dao zhi wan
Modifications
Patent remedy
Main points
Explanations
Alternative points
Modifications
Disharmony between the Liver and Stomach
Symptoms and signs
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Epigastric pain
Galangal and Cyperus Pill. This is a very simple herbal formula, consisting of only two herbs but its function is unique: Gao Liang Jiang Rhizoma Alpiniae Officinarum dispels the Wind-Cold, warms the stomach and relieves the pain; while Xiang Fu Rhizoma Cyperi promotes the Qi and Blood circulation and harmonises the Stomach so as to relieve the epigastric pain. If used properly and in time, the pain could be under the control very quickly.
Cinnamon Twig Decoction. This formula can be used to treat slight invasion of Wind-Cold. When it is used to treat the stomach pain due to invasion of Wind-Cold, Chuan Xiong Radix Ligustici Wallichii 10g, Xi Xin Herba Asari 5g and Gao Liang Jiang Rhizoma Alpiniae Officinarum 5g could be used to relieve the pain.
1. If the pain is not severe and is caused by excessive consumption of cold drinks, use Sheng Jiang Rhizoma Zingiberis 5g, brown sugar 5g with 200ml water. Cook them together for 10 minutes, and then drink the liquid slowly to warm the Stomach and dispel the Cold
2. If there are severe External symptoms, add Zi Su Ye Folium Perillae 10g to expel the Wind-Cold, Chen Pi Pericarpium Citri Reticulatae 5g and Zhi Gan Cao Radix Glycyrrhizae Praeparata 3g to harmonise the Stomach-Qi
3. If there is much vomiting, add Ban Xia Radix Pinelliae 10g to cause the Stomach-Qi to descend and relieve the vomiting
4. If the pain is fixed and heavy, add Yan Hu Suo Rhizoma Corydalis 10g to promote the Qi and Blood circulation and stop the pain
5. If the Cold in the Stomach is severe and the cramp is obvious, add Wu Zhu Yu Fructus Evodiae 5g to expel the Cold and warm the Stomach
6. If the pain is caused by emotional disturbance, add Chai Hu Radix Bupleuri 5g and Mu Xiang Radix Aucklandiae 5g to regulate the Liver-Qi and smooth the emotions.
Liang Fu Wan Galangal and Cyperus Pill.
LU-7 Lieque, LI-4 Hegu, CV-12 Zhongwan, ST-36 Zusanli, SP-4 Gongsun and PC-6 Neiguan. Reducing method is used on these points except PC-6 and ST-36, on which even method is used. Moxibustion should be applied on the first four points.
▪ LU-7 and LI-4 dispel the Wind-Cold and relieve the External symptoms
▪ CV-12 is the Front Collecting point of the Stomach and ST-36 is the Lower Sea point of the Stomach. These two points are used in combination to clear obstruction in the Stomach channel, expel the Wind-Cold and stop the pain
▪ PC-6 and SP-4 are the Confluence points, being able to clear the Qi obstruction in the Stomach and stop the pain
▪ Moxibustion could dispel the Cold, warm the Stomach and relieve the pain.
ST-21 Liangmen, ST-23 Taiyi, ST-34 Liangqiu, ST-40 Fenglong and ST-42 Chongyang, etc.
1. If the Cold is severe, apply moxibustion on CV-12 and PC-6 to expel the Cold and warm the Interior
2. If the pain is severe and leading to restlessness, add LR-3, the Source point of the Liver channel, and GB-20, to disperse the Liver-Qi so as to relieve the pain and calm the Mind.
Acute onset of stomach pain with nausea and vomiting, a feeling of fullness and cold in the epigastric region, loose stools or diarrhoea, fever, aversion to cold, generalised pain, a white and sticky tongue coating and a soft pulse.
Expel the Cold, transform the Damp, regulate the Qi in the Middle Burner and stop the pain.
Agastache Upright Qi Powder. This formula is very effective at treating epigastric pain with nausea, vomiting or diarrhoea due to invasion of Cold-Damp to the Spleen and Stomach. It dispels the Wind, eliminates the Cold, resolves the Damp, relieves the External symptoms and sedates the pain. There are not many formulas which have such therapeutic functions and this is one of the best for this case.
1. If there is severe epigastric pain with much cold sensation, add Gao Liang Jiang Rhizoma Alpiniae Officinarum 10g and Xiang Fu Rhizoma Cyperi 10g to warm the Stomach, spread the Qi and relieve the pain
2. If there is severe vomiting, add Wu Zhu Yu Fructus Evodiae 5g to cause the Stomach-Qi to descend and relieve the vomiting
3. If there is much diarrhoea, add Gan Jiang Rhizoma Zingiberis 5g and Ge Gen Radix Puerariae 10g to warm the Spleen and stop the diarrhoea
4. If there is severe External symptoms, add Qiang Huo Rhizoma seu Radix Notopterygii 10g, Du Huo Radix Angelicae Pubescentis 10g to promote the sweating and relieve the External symptoms.
Huo Xiang Zheng Qi Wan (Pian) Agastache Upright Qian Pill (Tablet).
LI-4 Hegu, TE-5 Waiguan, CV-12 Zhongwan, ST-36 Zusanli and SP-3 Taibai. Reducing method is used on the first three points; even method is used on the last two points.
▪ LI-4, the Source point of Large Intestine channel, TE-5, the Connecting point of the Triple Burner channel, can expel the Cold-Damp from the Exterior and relieve the Exterior symptoms
▪ CV-12, the Front Collecting point of the Stomach, and ST-36, the Lower Sea point of the Stomach, can regulate the Stomach-Qi, expel the Cold-Damp and stop the pain
▪ SP-3, the Source point of the Spleen channel, can strengthen the Spleen and transform the Damp in the Middle Burner so as to harmonise the Stomach.
ST-19 Burong, ST-20 Chengman, ST-24 Huaroumen, ST-34 Liangqiu, ST-40 Fenglong, SP-6 Sanyinjiao and SP-9 Yinlingquan, etc.
1. If there is severe vomiting, apply indirect moxibustion with ginger on CV-8, to transform the Damp, warm the Middle Burner and relieve the vomiting
2. If there is severe epigastric pain add ST-34, the Accumulation point of the Stomach channel, to harmonise the collateral and stop the pain
3. If there is much diarrhoea, add SP-9 to activate the Spleen and relieve the diarrhoea.
A 41-year-old woman complained of epigastric pain after consuming too much cold food and drink the day before. The pain was constant, with a cramping nature and distension. She also had diarrhoea about five times a day. Her tongue coating was white and her pulse was soft and slightly superficial.
Invasion of Cold-Damp to the Stomach.
Eliminate Damp, harmonise the Middle Burner and stop the pain.
Agastache Upright Qi Powder
Huo Xiang Herba Agastachis 9g
Zi Su Ye Folium Perillae 6g
Bai Zhi Radix Angelicae Dahuricae 6g
Gan Jiang Rhizoma Zingiberis 6g
Chen Pi Pericarpium Citri Reticulatae 9g
Ban Xia Rhizoma Pinelliae 6g
Hou Po Cortex Magnoliae Officinalis 6g
Da Fu Pi Pericarpium Arecae 9g
Fu Ling Poria 12g
Gan Cao Radix Glycyrrhizae 6g
This formula can expel the Wind-Cold from the Exterior and transform the Cold-Damp from the Middle Burner so as to restore the function of the Stomach and Spleen, and stop the pain.
After taking the herbs for only 1 day, the patient found the pain and diarrhoea had disappeared. She was followed up 6 months later and she said she had experienced no pain after the herbal treatment.
Epigastric pain with history of overeating and drinking or irregular eating, full and distending sensation in the stomach, belching with a foul smell, vomiting, which reduces the pain, possible poor appetite, loose stool or constipation, abdominal swelling, a normal or slightly red tongue with a sticky coating and a wiry, slippery pulse are symptoms and signs of this condition.
Promote the digestion, regulate the Qi of the Stomach and stop the pain.
Preserving and Harmonising Pill. This is a typical formula to treat stagnation and accumulation of food in the Spleen and Stomach. It is indicated in both acute and chronic cases. However, its efficacy at relieving the pain is limited, therefore, some other herbs should be added into prescription, such as Chuan Xiong Radix Ligustici Wallichii 10g, Chuan Lian Zi Fructus Meliae Toosendan 10g and Xiang Fu Rhizoma Cyperi Rotundi 10g to relieve the pain.
Immature Bitter Orange and Atractylodes Macrocephala Pill. When there is stagnation and accumulation of Food due to weakness of the Spleen and Stomach, this formula could be applied. This formula has function to activate the Spleen and Stomach, promote the digestion and eliminate food stagnation. Of cause, its function to relieve the pain is quite limited, so Chuan Xiong Radix Ligustici Wallichii 10g, Chuan Lian Zi Fructus Meliae Toosendan 10g and Xiang Fu Rhizoma Cyperi Rotundi 10g to relieve the pain.
Immature Bitter Organe Pill to Guide Out Stagnation. When there is stagnation and accumulation of food for a long time and there is formation of Damp-Phlegm mixed with Heat, showing epigastric pain and abdominal pain, distension in the abdomen, and constipation, etc., this formula should be used. Chuan Lian Zi Fructus Meliae Toosendan 10g and Xiang Fu Rhizoma Cyperi Rotundi 10g should be combined with it to relieve the pain.
1. If there are some External symptoms, add Zi Su Ye Folium Perillae 5g and Huo Xiang Herba Agastachis 10g to expel the Wind-Cold and relieve the External symptoms
2. If there is severe vomiting, add Zhu Ru Caulis Bambusae in Taeniam 10g and Ban Xia Rhizoma Pinelliae 10g to transform the Damp-Phlegm, descend the Stomach-Qi and relieve the vomiting
3. If there is severe constipation, add Zhi Shi Fructus Aurantii Immaturus 10g to promote bowel movement and relieve the constipation
4. If there is abdominal pain and distension, add Mu Xiang Radix Aucklandiae 10g together to regulate the Qi in the Intestine and stop the pain
5. If there is food stagnation due to over emotions, add Chai Hu Radix Bupleuri 5g and Bai Shao Yao Radix Paeoniae Lactiflorae 10g to disperse the Liver-Qi and harmonise the Stomach so as to assist the digestion.
Bao He Wan Preserve Harmony Pill.
CV-12 Zhongwan, ST-36 Zusanli, BL-21 Weishu, ST-25 Tianshu, SP-9 Yinlingquan, SP-6 Sanyinjiao and PC-6 Neiguan. Reducing method is used on these points.
▪ CV-12, the Front Collecting point of the Stomach and the Gathering point for the Fu organs, can transport the food and promote the digestion. ST-36, the Lower Sea point of the Stomach, strengthens the function of the Spleen and Stomach, promotes the digestion and reduces food stagnation. These two points can regulate the Stomach-Qi and stop epigastric pain.
▪ BL-21, the Back Transporting point of the Stomach, is used together with CV-12 to regulate the Stomach-Qi.
▪ ST-25, the Front Collecting point of the Large Intestine, regulates the Qi in the Large Intestine and reduces food stagnation.
▪ PC-6, the Confluence point of the Yin Linking Vessel and the Connecting point of the Pericardium channel, can smooth the Stomach-Qi and relieve pain. It can also disperse the Qi in the chest and release emotional distress.
▪ SP-6 and SP-9 can activate the Spleen, promote the digestion and relieve the food stagnation and accumulation.
ST-19 Burong, ST-21 Liangmen, ST-34 Liangqiu, ST-38 Tiaokou, ST-40 Fenglong, ST-42 Chongyang and SP-3 Taibai, etc.
1. If there are some External symptoms, add LI-4 and TE-5 to expel the Wind-Cold and release the External symptoms
2. If stress is involved, add LR-3, the Source point of the Liver channel, and GB-34, the Lower Sea point of the Gallbladder, to disperse the Liver-Qi and promote the digestion
3. If there is depression, add CV-17, the Gathering point for the Qi, LU-7, the Connecting point of the Lung, and LI-4, the Source point of the Large Intestine, to regulate the Lung-Qi, disperse the restrained Qi and promote digestion.
