16. Epigastric pain
• Definition
A painful sensation located between the lower margin of sternum and infracostal margine.
• Relevant diseases of western medicine
1. Gastritis
2. Gastric ulcer
3. Prolapse of gastric mucosa
4. Indigestion
• Etiology & pathogenesis
1. Exterior pathogens attacking stomach
2. Improper diet injuring stomach
3. Stadnated liver qi overacting on stomach
4. deficiency of SP and ST
• Differential diagnosis
1. Cold and heat
2. Excess and deficiency
3. Qi stagnation and blood stasis
• Classification & treatment
Cold invading stomach
Liang Fu Tang
Gao Liang Jiang---
Xiang Fu---
Retention of food
Bao He Wan
Shan Zha--
Shen Qu, Lai Fu Zi---
Ban Xia, Chen Pi---
Fu Ling---
Lian Qiao---
Stagnant liver qi invading the stomach
Chai Hu Shu Gan Wan
Chai Hu---
Xiang Fu, Chuan Xiong, Shao Yao---
Chen Pi, Zhi Qiao---
Congested liver fire invading stomach
Hua Gan Jian
Qing Pi, Chen Pi---
Shao Yao---
Mu Dan Pi, Zhi Zi---
Blood stasis in stomach
Shi Xiao San+Dan Shen Yin
Pu Huang---
Wu Ling Zi---
Dan Shen---
Tan Xiang---
Sha Ren---
Stomach yin deficiency
Yi Wei Tang + Shao Yao Gan Cao Tang
Sha Shen, Mai Men Dong, Sheng Di Huang, Yu Zhu---
Shao yao---
Zhi Gan Cao---
Spleen and stomach yang deficiency
• Acupuncture treatment
RN12, ST36, PC6, SP4
Stomach cold + RN6, RN8
Stomach heat + ST44
Stagnant liver qi invading the stomach + LR14, LR3
Retention of food + Inner Neiting
Blood stasis in stomach + UB17, SP10
• Personal clinical experience
A painful sensation located between the lower margin of sternum and infracostal margine.
• Relevant diseases of western medicine
1. Gastritis
2. Gastric ulcer
3. Prolapse of gastric mucosa
4. Indigestion
• Etiology & pathogenesis
1. Exterior pathogens attacking stomach
2. Improper diet injuring stomach
3. Stadnated liver qi overacting on stomach
4. deficiency of SP and ST
• Differential diagnosis
1. Cold and heat
2. Excess and deficiency
3. Qi stagnation and blood stasis
• Classification & treatment
Cold invading stomach
Liang Fu Tang
Gao Liang Jiang---
Xiang Fu---
Retention of food
Bao He Wan
Shan Zha--
Shen Qu, Lai Fu Zi---
Ban Xia, Chen Pi---
Fu Ling---
Lian Qiao---
Stagnant liver qi invading the stomach
Chai Hu Shu Gan Wan
Chai Hu---
Xiang Fu, Chuan Xiong, Shao Yao---
Chen Pi, Zhi Qiao---
Congested liver fire invading stomach
Hua Gan Jian
Qing Pi, Chen Pi---
Shao Yao---
Mu Dan Pi, Zhi Zi---
Blood stasis in stomach
Shi Xiao San+Dan Shen Yin
Pu Huang---
Wu Ling Zi---
Dan Shen---
Tan Xiang---
Sha Ren---
Stomach yin deficiency
Yi Wei Tang + Shao Yao Gan Cao Tang
Sha Shen, Mai Men Dong, Sheng Di Huang, Yu Zhu---
Shao yao---
Zhi Gan Cao---
Spleen and stomach yang deficiency
• Acupuncture treatment
RN12, ST36, PC6, SP4
Stomach cold + RN6, RN8
Stomach heat + ST44
Stagnant liver qi invading the stomach + LR14, LR3
Retention of food + Inner Neiting
Blood stasis in stomach + UB17, SP10
• Personal clinical experience
