Symptoms
Different from the short impact of vocalized eructation. After satiety, occasional belching, no other concomitant symptoms, is not pathological, and most can be self-cured. Clinically, according to the belching
belching
sound and smell of different, in order to identify the evidence of the virtual reality. The first thing you need to do is to take a look at the actual situation and see if you can find a solution to the problem.
Belching is frequent and loud, after belching the epigastric distension is reduced, belching episodes due to emotional changes and increase or decrease in the person, most of the liver and gas in the stomach, is the real evidence.
Belching is low and intermittent, without sour and rotten odor, and see the dull food, mostly for the stomach is weak and rebellious, common in the elderly or people with chronic illnesses and weaknesses, is a false evidence.
The frequent belching, no sour smell, and epigastric pain, most of the cold evil guest stomach, cold evidence.
In particular, reflux esophagitis, chronic gastritis, peptic ulcer and functional dyspepsia are often accompanied by belching symptoms.
Causes
1, dietary indiscretion, want to eat cold fruits or sticky and slippery indigestible things, resulting in damage to the spleen and stomach, and the things stagnant in the middle of the palace, the food is not transformed, so the belching. The origin of the disease" said; "grain is not eliminated, then fullness and gas reversal, so good yelp and swallow acid."
2, external wind-cold, cold guest in the stomach, can cause belching. Such as "typhoid fever" said; "typhoid fever sweating. If the spit, if the next solution, the heart under the gang gang whip, yelp not remove"
3, sadness and excessive thinking, due to injuries to the spleen and stomach; or anger injuries to the liver, the liver gas by the stomach can be caused by belching.
4, after the disease or old age, the spleen and stomach weakness, the stomach is weak and rebellious, can lead to belching.
Causes of flatulence and hiccups
1, the causes of flatulence are manifold, such as mental stress, dyspepsia, etc., mainly due to insufficient gastric power.
2, flatulence may be a symptom of stomach and intestinal problems, such as chewing with an open mouth, eating and talking at the same time eating a lot of air, eating while drinking soup, etc., are prone to digestive problems brought about by flatulence.
3. Food allergies can also be a cause, as they cause food to ferment in the colon, producing hydrogen and carbon dioxide.
4. Sugary foods contain bacteria, which are a major source of flatulence.
Chinese medicine defense
1, coldness
Chai Hu Shuo Liver San
{Causes of the disease}Dietary indiscretion, over-eating cold and raw food.
{Mechanism}The spleen and stomach belong to the earth and are located in the central state, mainly receiving water and grain and transporting essence. If the spleen and stomach are deficient in yang, and cold is present in the stomach, then there will be a loss of function, and the qi will go from the bottom to the top and out of the mouth for belching.
{Symptoms}Vomiting and diarrhea, pain in the epigastric region, cold, no thirst, no digestion, belching frequently, salivation and foaming, pale tongue, white moss, and slow pulse.
{Diagnostic points}Vomiting and diarrhea, pain in the epigastrium, fear of cold, no thirst, belching of food, pulse is slow,
{Treatment}Warming the stomach and dispersing cold.
2, hot
{Causes}Dietary indiscretion, overeating pungent and hot.
{Pathogenesis}Over-drinking is dampness in the spleen, and over-eating hot and oily things produces phlegm, which is a guest in the stomach, and phlegm rises and falls with the fire, and the fire attracts the phlegm to move across the body, resulting in an imbalance of yin and yang in the spleen and the stomach, which leads to belching.
{Symptoms of the disease} red face and heat, chest congestion, dry mouth and lips, thirst, coughing and spitting of hot phlegm, belching of hot odors, yellow and greasy tongue, slippery pulse.
{Diagnostic points} Red and hot face, thirst for water, belching of hot odor, slippery pulse.
{Treatment}Clearing Qi and resolving phlegm.
3, deficiency
Cyclops
{Causes}Dietary disorders.
{Pathogenesis}The spleen and stomach are weak, and transport and digestion are out of order, due to the internal obstruction of phlegm and turbidity, and the stomach qi is upwardly reversed, so belching is not eliminated.
{Symptoms}Yellow face and thin muscles, plumpness and hardness under the heart, poor diet, belching at times, constipation. The tongue is cloudy and greasy, and the pulse is stringy and weak.
{Diagnostic Points}Yellow face, thin muscles, poor diet, belching at times, stringy and weak pulse.
{Treatment}Tonify the middle and lower the rebelliousness.
{Prescription}Three qian of Cynanchum officinale, three qian of Ochre, two qian of Ginseng, three qian of Semixia, one qian of Glycyrrhiza glabra, one qian of Ginger, and four jujubes.}
4, solidity
{Causes} Dietary irregularities.
{Pathogenesis}Injury to the diet, damage to the spleen and stomach, the food is not transformed, food stagnation and congestion, blockage of qi, stomach qi upward reversal, and then belching.
{Symptoms}Plumpiness in the chest and epigastrium, abdominal distension and pain, not being able to keep food down, belching and acid swallowing, vomiting and diarrhea, not wanting to eat and drink, with yellow and greasy fur on the tongue and a slippery stringy pulse.
{Diagnostic points} Distension and pain in the epigastric region, belching and swallowing of acid, vomiting and diarrhea, fear of food, and slippery pulse.
{Treatment}Harmonize the stomach and eliminate food.
Belching formula; two qian of Nanxing, three qian of Semixia, five qian of Gypsum, three qian of Xiangshu, **** as pills or make soup to take.
Backup prescription
1, ginger and honey decoction; treatment of prolonged coughing and yelping. Ginger juice half, a spoonful of honey, decoction warm sip, three services to heal.
Half-summer
2, Sun's formula; treatment of gas yelping; orange peel two two, one catty of water, decoction of five, take, or add Citrus aurantium especially good.
3, experience formula; treatment of yelping more than. Sichuan pepper four two fried research, batter pills, sycamore big, each serving ten pills, vinegar soup under the high efficacy.
4, this formula; treatment of typhoid fever yelping. Citrus shell half two, wood incense one money, for the end, each white soup to serve one money, unknown and then into.
Edit Pathology
The pathogenesis of belching is mainly due to spleen and stomach disharmony, gastric qi upward reversal. The stomach is the sea of water and grain, nothing is not subject to, if due to dietary disorders, living from time to time, the spleen and stomach yin and yang disharmony, the spleen's clear yang does not rise, the stomach's turbid yin does not descend, or the stomach of phlegm fire, or the spleen and stomach weakness, resulting in gastric qi upward for belchingBelching of Chinese medicine classification? Belching in Chinese medicine is generally divided into the following three cases:
Belching
A. Stagnant stomach belching: belching with (undigested) sour and putrid odor, belching sound muffled or nausea, belching is not a continuous attack, chest and epigastric plagiarism, do not think of eating, stools have (undigested) sour and putrid odor or constipation, the tongue coating is greasy and the pulse is smooth and solid. Treatment treatment with Citrus Aurantium Pill or Baohe Pill. Chinese dietary therapy: please visit Dietary Treatment for Food Accumulation and Food Stagnation Evidence.
B. Liver-qi belching in the stomach: frequent belching, loud belching, chest tightness and discomfort, hidden pain in the chest and ribs, thin white tongue coating and stringy pulse.
C. Spleen and stomach weak belching: belching intermittent, belching sound weak, vomit pan water, do not think of food, face _ white or yellow, tongue pale moss thin white, weak pulse. Chinese medicine dietary treatment: please visit Dietary Treatment for Spleen Deficiency.
Diseases that may cause belching
Acute and chronic gastrointestinal inflammation, gastric dilatation, malabsorption syndrome, pyloric obstruction, intestinal obstruction, dyspepsia, hepatitis, cirrhosis of the liver, cholecystitis, gallstones, pancreatitis, hepatocellular carcinoma, intestinal mesenteric thrombosis, peritonitis, asthma, hypokalemia, connective tissue disease, and mucous edema.
1. with belching, acid reflux, epigastric discomfort, diarrhea - the first gastroenterology
2. with the whole abdominal pain, progressive aggravation, abdominal muscle tension, refusal to press, vomiting - emergency general surgery
3. with the Obvious abdominal mass, poor appetite, weight loss - first oncology or general surgery
4. With bitter mouth, loss of appetite, palpitation, weakness, convulsions - first general surgery
5. With anorexia greasy food, fatigue --First consult gastroenterology, liver disease specialists.
Clinical diagnosis
1. Routine blood, urine and stool examination;
2. Gastric fluid analysis
3. Bile examination;
4. Blood biochemistry examination
5. Abdominal imaging (X-ray, ultrasound, CT)
6. Endoscopy and so on.
Diagnosis in Chinese medicine
The Shuowen Jiezi (Explaining and Analysing Characters in Chinese) considers yelping to be "the breathing of satiety", and in the Nei Jing (The Book of Nei Jing - Xuan Ming Five Qi)
it is pointed out that "yelping is in the heart". In the literature, some people also attribute these symptoms to the stomach and spleen, arguing that "the heart, spleen, and stomach are all involved in this syndrome. The heart is yelping, but it is closely related to the stomach, mainly because of the stagnation of the qi, which is stagnant and undeclared and manifests itself as warmth.
Most GERD patients have this clinical symptom, some belching is particularly loud. Its mostly due to the liver and stomach disharmony, gastric qi upward reversal, the spleen does not transport causes, often choose the drugs are Yu Jin, Su Ye, Huanglian, Wu Zhu, etc.. Among them, Su Ye and Yu Jin promote stagnation; Huang Lian and Wu Zhu and lower the stomach qi. This disease is mostly due to the weakness of the spleen and stomach, or stomach phlegm obstruction food stagnation, so that the gas stagnation in the middle of the jiao upstream or liver qi stagnation, the long time to cause the spleen and stomach elevation disorders caused by the chest and abdomen bloating and fullness, frequent warmth, belching out the beginning of the Shu.
Qi stagnation and phlegm obstruction
The symptoms are intermittent warmth, belching is not very loud, with vomiting, pharyngeal obstruction and discomfort; the tongue is pale, the moss is white, the pulse is thin and smooth. The treatment is to eliminate dampness and phlegm, and to harmonize the stomach to stop belching.
Liver qi is in conflict with the stomach
Frequent belching, loud belching with discomfort in the chest and ribs, or hidden pain in the ribs. The treatment is to dredge the liver and the stomach; the formula is to use the Four Reversed San plus subtractions. If the gas depression fire, upset and irritability, can add Huanglian, gardenia; coercive pain in the ribs, can be added Yu Jin, adenosine.
Spleen and stomach weakness
The symptoms of belching intermittent, warm sound weak, with white or yellow face, do not think of food; tongue pale, thin moss, thin pulse. Treatment is recommended to strengthen the spleen and tonify the middle, through the descending and stomach.
Editorial information
See Danxi Xinfa - Belching
Refers to the upward reversal of Qi from the stomach. The stomach comes out and makes a sound, mostly seen after satiation.
"Typhoid Finger Palm"
"Typhoid Finger Palm" Volume 3, cited Shao Xiangen, said: "Belching, due to the gas inhibition is not declared, the upward reversal of the voice and belching, every satiety and the author, can be known to be due to the stomach qi stagnation also." The sound of belching is deep and long, often accompanied by a feeling of fullness in the epigastrium. Mostly due to the deficiency of the middle, stomach gas disharmony, or hosting gas, fire, phlegm, food, resulting in clear gas subsidence, turbid gas upward and belching; can also be due to the lung qi does not descend due to.
Treatment
Tea therapy
Carrot 250 grams, decoction, add a little brown sugar, drink tea, belching, abdominal distension, food accumulation and so on.
Dietary
1. chicken gold porridge: the appropriate amount of chicken gold with the fire fried to yellow-brown, research for fine powder, spare. Take 100 grams of polished round-grained rice, add 500-800 ml of water, cook until the rice grains are cooked, add 3-5 grams of chicken gold powder, cook for a few moments can be served with a small amount of sugar, served in batches of warm, served for 5 days.
2. turnip seed congee: fried turnip seed (turnip seed) 10 grams, 50 grams of round-grained rice, first fried turnip seed decoction, and then add round-grained rice, cooked into thin porridge, 1 time a day, served for 3 days.
3. Hawthorn malt congee: raw hawthorn, fried malt 10 grams each, 50 grams of round-grained rice, the first hawthorn, malt decoction, and then add this water into the round-grained rice porridge, add the right amount of sugar, 1 to 2 times a day, served for several days.
4. Elimination of food porridge: lotus meat, Gorgon fruit, Shenqu, malt 10 grams each, 30 grams of yam, lentil 20 grams, hawthorn 15 grams, add a little round-grained rice porridge, 1 time a day, even served for 3 days, long-term consumption of the spleen, the elimination of the effects of food.
5. Huaishan gold porridge: 15-20 grams of Chinese yam, 9 grams of gold, millet or rice 150 grams of Chinese yam, gold research into fine powder, and rice *** with porridge, to be cooked rice, add the right amount of sugar seasoning to eat.
Massage method
1. Mo abdominal: with the palm of one hand on the upper abdomen, the palm of the other hand is close to the back of that hand, overlap the hands, clockwise kneading 3 to 5 minutes.
2. Massage Neiguan Point: Massage Neiguan Point (2 inches above the transverse wrist line) with the tip of the thumb for 3 to 5 minutes.
3. Shiatsu Sanli Point: use the fingertips of the fingers to press and knead Sanli Point (3 inches below the eye of the outer knee of both legs, 1 transverse finger from the anterior ridge of the tibia bone) for 3 to 5 minutes twice a day.
4. The treatment of heartburn, belching to finger pressure on the sternum and navel connecting line in the center of the "epigastric point", quite effective. Exhale while using the thumb in this strong pressure for 6 seconds, repeat 5 times, the chest of the unbearable feeling disappeared.
5. Pressure "third Li Tui" point. The third Litui point is located between the first and second joints of the third toe of the foot, using the previous points, thumb and forefinger force downward pressure, so repeat three times.
Should try to avoid abdominal cold, but also to develop good eating habits, such as: diet should be regular, can not overeat in the fall and winter, should drink a few mouthfuls of warm boiled water before meals; do not eat too cold or too hot; chewing and swallowing slowly when eating, to avoid eating while talking; meals to maintain a pleasant and calm mood.
Chinese medicine
Dietary inappropriateness, food stagnation in the stomach and intestines, gastric qi upturning, can be seen after eating belching putrefaction, abdominal distension and malnutrition, the treatment of the proposed elimination of food and stagnation, and gastric downturning. The formula is Baohe Pill plus reduction: hawthorn grams, 20 grams of Shenqu, 12 grams of malt, 12 grams of Laixianzi, 12 grams of Chenpi, Semixia grams, Poria 15 grams, Citrus aurantium 12 grams, Atractylodes macrocephala 12 grams, Forsythia 12 grams, 1 dose per day, boiled in water. Adult medicines can be used Baohe pill, chicken gold tablets.
Phlegm obstruction, spleen and stomach disharmony, gastric qi upward, visible belching chest tightness, nausea and dizziness, the treatment proposed to resolve phlegm and smooth the qi, and the stomach to lower the reverse. The formula is Er Chen Tang plus reduction: Chen Pi grams, 12 grams of half-summer, Poria 15 grams, 12 grams of Atractylodes macrocephala, 12 grams of Atractylodes cangzhu, 3 grams of sand nuts, 12 grams of Hou Pu, 30 grams of ochre, 12 grams of Hovenia citriodora, 9 grams of licorice, 1 dose per day, decocted with water. Adult medicines can be used Er Chen pill, Huo Xiang Zheng Qi capsule.
Phlegm-heat is embedded within the body, the middle jiao is obstructed, and the stomach is out of harmony, which can be seen as warmth and bitterness in the mouth, chest tightness and abdominal distension, and the treatment is to clear away the heat and resolve the phlegm, and to harmonize the stomach and reduce the rebelliousness. The formula is Huanglian Wen gallbladder soup plus reduction: 12 grams of Chen Pi, 12 grams of Pinellia, Poria 15 grams, Citrus aurantium 12 grams, Bamboo Roots 12 grams, Houpu grams, Chuanlian 3 grams, 3 grams of sand nuts, 12 grams of Eryngium, licorice 9 grams, daily dose, water decoction. Adult medicines can be used to clear the stomach punch.
Liver qi offending the stomach, liver and stomach disharmony, stomach qi upward reversal, can be seen frequently warm gas, abdominal distension and coercive pain, the treatment proposed to dredge the liver and regulate qi, and the stomach to lower the reverse. The formula is Chai Hu Shun Liver San plus reduction; 12 grams of Chai Hu, 12 grams of Citrus aurantium, 12 grams of Paeonia lactiflora, 9 grams of licorice, 9 grams of green peppermint, Chen Piqi, 12 grams of Xiangshu, 12 grams of Atractylodes macrocephala, 12 grams of Cynomolgus, 30 grams of ochre, daily dose, decocted with water. Adult medicines can be used qi stagnation stomach pain punch, stomach su punch.
Weakness of the spleen and stomach, transport and transformation failure, turbid gas upward reversal, can be seen belching low voice, dull and weak, treatment proposed to benefit the qi and strengthen the spleen, and the stomach to lower the reversal. The formula is Xiangsha Six Gentlemen Tang plus subtraction:
20 grams of Codonopsis, 12 grams of Atractylodes macrocephala, 15 grams of Poria, 12 grams of Chenpi, 12 grams of Semenxia, 12 grams of Mucuna pruriens, 3 grams of Saxifraga, 12 grams of Hovenia citriodora, 12 grams of Cynanchum officinale, 30 grams of ochre, 1 dose per day, with water to be boiled. Adult medicines can be used as Xiangsha stomach-raising pill and stomach-raising punch.
Dietary taboos and care
Dietary taboos are cold and indigestible things, for sweet food, sour food should also pay attention to less good, because sweet can fill up the center for full, easy to cause belching. Life should pay attention to cold and moisture, can not be cold, especially to protect the stomach, so that the sun is not damaged. In addition, pay attention to temperament regulation, can not sulk, pay attention to the cheerful temperament, for the life encountered in the trivial matters, pay attention to row open, do not always bored in the heart. At the same time to actively treat the spleen and stomach disease, so that its early recovery, which is also a positive measure to prevent belching.