There are three points that must be clarified about this issue:

1. Is it really a "stomach" pain?

Stomach pain is often considered a problem among Chinese people. It is widely used and may have different meanings for different people. If it is not analyzed carefully, it can sometimes cause confusion or even misunderstanding.

Symptom analysis

Stomach pain may represent three different types of pain.

The first so-called stomach pain is medical abdominal pain. Some people casually refer to the pain that occurs in the abdomen, whether it is the upper abdomen or the center of the abdomen, or even the lower abdomen and both sides. For stomachache. Most of these are laypeople who are relatively unfamiliar with physiological medicine. Since stomach pain refers to a wider range, it involves more diseases.

The second type of stomach pain refers to the pain in the upper abdomen. Most of these people have a certain understanding of human physiology and know the location of the stomach, so they call it stomachache. Unfortunately, pain in the upper abdomen is not necessarily caused by gastric problems. Sometimes pancreatic inflammation or intestinal obstruction can also cause upper abdominal pain. But for the previous type of person, this kind of stomach pain has a much narrower meaning.

The most specific type of stomach pain refers purely to pain caused by gastric lesions. People who say this are mainly medical staff and people who are more familiar with the symptoms of their own diseases. The stomach they refer to is the anatomically specific stomach, not the abdomen or belly that others generally refer to. Inflammation and ulcers in the stomach can cause pain. This pain usually occurs in the upper abdomen, and the symptoms are often relieved after taking gastric medicine. For pain whose cause is not yet clear, even if it occurs in the upper abdomen, they are willing to call it abdominal pain or abdominal pain, because the underlying cause may be a disease that has nothing to do with gastric lesions.

So we understand that stomach pain has three different meanings in different people. It is necessary to further clarify it. It is best to ask the patient to point out where the pain is with his or her fingers. This is especially true in teenagers and the elderly. People are particularly important.

2. If you really have stomach pain

Stomach pain is a common symptom that can be caused by a variety of diseases, such as acute and chronic gastritis, stomachache

, 12 Intestinal ulcer, gastric neurosis, indigestion, etc. In traditional Chinese medicine, stomach pain is called epigastrium

pain, which is mostly caused by worry, anger, poor mood, liver qi invading the stomach, improper diet, such as overeating, hunger

erratic satiety, It is caused by overeating cold, spicy, greasy food, and drinking strong alcohol, which damages the spleen and stomach.

According to the different symptoms of patients, epigastric pain can be divided into the following six types:

1. Cold-coagulation qi stagnation type: the patient suddenly develops stomach pain, the pain is severe, and the patient is afraid of After applying cold or hot compress to the upper abdomen, the pain can be relieved. The patient likes hot drinks and has white tongue coating. For such patients, they should warm the stomach, dispel cold, promote qi and relieve pain, and use Liangfu Pills with added flavor.

2. Diet stagnation type: characterized by stomach fullness and pain, which is even worse after rubbing with hands, loss of appetite

, poor stool, and thick and greasy tongue coating. This should be treated with traditional Chinese medicines such as Baohe Pills to eliminate stagnation in the conduction and movement, soothe the stomach and relieve pain.

3. Liver stagnation and qi stagnation type: Symptoms include: fullness and pain in the upper abdomen, pain in the chest and hypochondrium, chest tightness, frequent sighing, and more pain than when you are upset and angry. Onset, dry mouth, bitter mouth, vomiting sour water, red tongue with yellow coating.

In this case, we should soothe the liver, regulate qi, soothe the stomach and relieve pain, and use Bupleurum Shugan Decoction for treatment.

4. Blood stasis blocking collaterals type: The patient has severe pain in the upper abdomen, such as acupuncture/knife cutting, the painful area is fixed, and the pain is aggravated by local massage, or he may vomit blood. The stool is black and the tongue is dark purple. Such patients should be treated with

blood stasis and flavored Shi Xiao Powder.

5. Spleen and stomach deficiency and cold type: dull and continuous pain in the stomach, which is relieved by hot compress, massage, and after eating.

The pain can be relieved, and the patient vomits water and eats less. , characterized by fatigue, cold hands and feet, diarrhea, and pale tongue. This should be treated by warming yang, replenishing qi and strengthening the spleen, and using Huangqi Jianzhong Decoction.

6. Spleen and stomach yin deficiency type: the patient has a dull pain in the stomach, a burning sensation, dry mouth, drinking too much water, irritability,

reduced food intake, dry stools, and a red tongue. moss. In this case, the yin should be nourished and the stomach should be nourished, and the Yiwei Decoction and Bamboo Leaf Stone

paste decoction should be used for treatment.

The initial onset of stomach pain is often related to poor emotions and improper diet, so patients should keep their mood relaxed.

Happy and cheerful, eat small and frequent meals, and eat light, easy-to-digest foods. should. People with yellow and greasy tongue coating

It is best not to eat greasy or fried food, and strong alcohol is a taboo. Patients with red tongue, no coating or

little coating should avoid spicy and irritating foods. If stomach pain persists, you should eat liquid or semi-liquid food within a certain period of time and rest in bed. If you vomit blood, have blood in your stool, or have melena, you should go to the hospital for medical treatment as soon as possible.

Patients with deficient-cold stomachache should take the decoction warm, and preferably before the onset of pain; while patients with deficient-cold stomachache should wait until the decoction cools down slightly before taking it. If the patient has vomiting, he can rub his tongue with ginger before taking the medicine, and take the decoction in several doses. Some pills are hard in texture and can be dissolved with warm water

and then taken.

3. Other precautions

Although stomach pain can be caused by a variety of diseases, the most common diseases are chronic gastritis and peptic ulcer, because these two diseases are a chronic and recurring disease. It is a disease that fluctuates, is delayed, is difficult to heal, or is prone to recurrence, so the dietary adjustment for patients with stomach pain is particularly important. The dietary requirements for patients with stomach pain are as follows:

1. First, correct bad eating habits. Eat more light foods, and eat less fatty and spicy foods, such as foods containing alcohol and spices. Beware of food that is too sour, too sweet, too salty, too bitter, or too pungent, and do not have a preference for the five flavors. Patients with a smoking habit should quit smoking.

2. Eat regularly and quantitatively. Patients with long-term stomach pain should have three meals or snacks at regular times every day, and the intervals should be reasonable. Patients with acute stomach pain should try to eat small meals more frequently, and should eat less or no snacks at ordinary times to reduce the burden on the stomach.

3. Pay attention to nutritional balance. The daily diet should provide food rich in vitamins to help protect the gastric mucosa and improve its defense ability, and promote the repair of local lesions.

4. Food should be soft, warm and warm. It is advisable to use steaming, boiling, boiling and stewing for cooking, and eat less hard and rough food. Don't be impatient when eating. Chew the food fully in the mouth, mix it with saliva and swallow it slowly. This is beneficial to digestion and recovery after illness. Pay attention to the adjustment of food temperature in the four seasons. People with spleen and stomach deficiency should especially avoid raw and cold food. People with liver stagnation and qi stagnation should avoid eating immediately after getting angry