Stomach pain in Chinese medicine and diagnosis and treatment
Stomach pain is very likely to occur, and there is a saying that "nine out of ten people have stomach pain". When you have stomach pain, it means that your stomach may be diseased, and if you do not treat it in time, the original disease will be gradually aggravated. Therefore, stomach pain can not be ignored, should be treated in a timely manner. So, how to treat stomach pain? And see the breakdown of this article.
Identification and typing:
According to the clinical manifestations, this disease can be divided into seven categories of symptoms.
First, the liver gas offending stomach evidence
The stomach and epigastric distension, pain in the back, belching pain light, anger pain heavy, chest and epigastric plagued, noisy acid swallowing, defecation is not smooth, like a good sigh; tongue edge red, moss white, pulse sinking string. The main points of this syndrome are distension and pain in the stomach and epigastrium, pain in the back and abdomen, light belching pain and heavy anger pain. The treatment is to soothe the liver and stomach, regulate qi and stop pain.
Second, the cold evil guest stomach evidence
The cold stomach pain, cold pain in the cold, eat less, like hot food, the taste of the mouth, vomiting water, phlegm and saliva congestion, cold stomach like warmth, the mouth is not thirsty, loose stools, urination, light; tongue pale moss white, pulse tight. The main points of this syndrome are cold stomach pain, heavy pain in cold, preferring hot food and drink, and tastelessness in the mouth. The treatment is to warm the stomach and disperse the cold, regulate the qi and stop the pain.
Third, dietary injury to the stomach evidence
overeating, stomach fullness and distension, anorexia and refusal to press, belching and sour, nausea, vomiting, vomiting indigestible things, vomiting pain relief, stools are unpleasant, vector gas sour; thick and greasy tongue coating, pulse slippery. Overeating, stomach fullness and distension, anorexia and refusal to be pressed, belching, putrefaction and sour odor are the main points of this syndrome. The treatment is to eliminate food stagnation and regulate qi.
Fourth, damp-heat obstruction of the stomach evidence
Stomach and epigastric heat pain, chest and epigastric plumpness, heartburn, bitter mouth, sticky mouth, head and body heavy, less food, noisy, anus burning, stools, urination is not good; yellow tongue, slippery pulse. Heat and pain in the stomach and epigastric region, plumpness in the chest and epigastric region, heartburn, bitter taste in the mouth, sticky feces and burning heat in the anus are the main points of identification of this syndrome. The treatment is to clear away dampness and heat, regulate qi and harmonize the stomach.
V. Blood stasis in the stomach
Stomach pain like a knife cut, the pain for a long time refuses to press, the pain does not move, or vomiting blood and black stools, the pain is very bad in the night, the pain hurts the back of the chest, the pain is heavier after eating; the tongue texture of the dark red or petechiae, the pulse stringy and astringent. The key points of this syndrome are stomach pain like cutting, pain that does not move, and severe pain at night. The treatment is to activate blood circulation and eliminate blood stasis, and regulate qi to stop pain.
Sixth, spleen and stomach cold evidence
stomach cold hidden pain, the empty stomach, like heat and like to press, drink cold pain, eat less loose stools, fear of cold limbs cold, eat pain, cold pain is heavy, fullness and bloating after a meal, the mouth is salivating; tongue pale teeth marks, thin white moss, pulse is thin and slow. The main points of this syndrome are cold and vague pain in the stomach, liking heat and pressing, heavy pain when drinking cold, and low food intake. The treatment should benefit the qi and strengthen the spleen, warm the center and stop the pain.
Seven, stomach yin deficiency
Stomach pain, burning discomfort, dry mouth and tongue, dry stools, hot hands and feet, less food, dry vomiting, heavy abdomen, like hunger, thirst, thirst for drink; tongue red, less fluid with cracks, no moss, fine pulse. Stomach pain, dry mouth and tongue, dry stools, and heat in the hands, feet and heart are the main points of this syndrome. The treatment is to nourish yin and generate fluid, benefit the stomach and relieve pain.
Selection of medicines:
I. Liver qi offending the stomach
Selected medicines
Qi stagnation gastric pain particles; Shu Liver and Stomach Pills; Yue Ju Bao He Pills; Shen Xiang Hua Qi Pills; Stomach Sue Pellets; Wubei Capsules; Muxiang Fenqi Pills; Sinking Xiang Shui Qi Pills; Su Nanshan Belly Pain Pills; Chen Xiang Lubai Lu Tablets.
Compound examples
1. Stomach pain caused by liver qi against the stomach, the symptoms of which are severe, can be used to sink Xiang Hu Qi Pills and Stomach Su Granules. Stomach Su particles with this evidence of "medicinal tea to serve" formula 3 to take juice brewing, sent to serve Shenxiang Huoqi Pills, morning and evening each time to take 1, afternoon to take Stomach Su particles 1 time.
2. Liver qi offending the stomach due to stomach pain, if combined with vomiting acidic water, can be used Yueju Baohewan and Zuojinwan. The two drugs with this evidence "medicinal tea to serve" formula 5 to take the juice to serve, morning and afternoon each served once. Or use Qi Stagnation Stomach Pain Pellet combined with Wu Bei Capsule. The stagnant stomach pain particles with the evidence of the "medicinal tea" formula 3 juice brewing, sent to take the capsule of Wu Bei, morning, afternoon and evening each time to take one.
Medicinal tea delivery
Formula 1: wood butterfly 10g, rose 10g.
Formula 2: tribulus terrestris 10g, orange leaf 10g.
Formula 3: sand nuts 6g (pounded), chuanxiong rhizoma 10g (pounded), 10g (pounded).
Formula 4: Gynostemma 15g.
Formula 5: Malt 15g (pounded).
Second, the cold evil guest stomach evidence
Selected medicines
Shixiang Pain Relieving Pill; Liangshi Pill; Zhongjing Stomach Spirit Pill; Imperial Peace Pill; Compound Tianqi Stomach Pain Capsules; Dinggui Warm Stomach Paste (internal and external); Dinggui Children's Numbilical Cord Paste (external); Shu abdominal patch cream (external).
Examples of the compounding of medicines
1. Stomach and epigastric pain caused by cold evils in the stomach, and the symptoms are severe, can be used to ten Xiang Pain Relieving Pills and Huo Xiang Zheng Qi Granules. Pohoang Zhengqi granules with this evidence of "medicinal tea to serve" formula 3 to take the juice of brewing, sent to serve ten incense painkiller, morning and afternoon each served once.
2. Cold evil guest stomach due to gastric epigastric pain, if you see chest tightness, belching, external cold fever, can be used Liang Fu Pills and afternoon tea particles. Afternoon tea particles with this evidence "medicinal tea to serve" formula 2 and formula 3 to take the juice of brewing, send to serve liangshiwan, morning and afternoon each time to serve 1 time.
3. Cold evil stomach pain caused by the stomach, if due to over-eating cold and food stagnation, can be used Ding Gui Warm Stomach Bulk combined with Jia Wei Bao He Pills. Ding Gui Warm Stomach San with this evidence "medicinal tea to serve" formula 5 juice brewing, sent to serve flavored Baohe Pills, morning and afternoon each time to serve one.
Medicinal tea delivery
Formula 1: 10g of galangal, 6g (crushed), brown sugar.
Formula 2: perilla leaves 10g, 6g (crushed).
Formula 3: patchouli 10g, perilla leaves 10g, ginger 5g (shredded), 3 jujube (cut, remove the core, sliced).
Formula 4: 3g cloves (crushed), 3g woodruff, 3g thick Park (split silk).
Formula 5: 6g of mugwort leaves, 10g of Shenquan, 10g of Chenpi (torn).
Third, dietary injury to the stomach evidence
Selected adult medicines
Sinkiang Huanhuang Pill; Baohe Pill; Stomach Enhancement and Elimination of Food Tablets; Stomach Enhancement Tablets; Dashanzha Pill; Kaikou Shanzha Pill; Betel Nut Sikisai Pill; Kaisaikou Lixiang Pill; Si Mou Tang Oral Liquid; Shanzha Pill.
Examples of combinations of medicines
For stomach pain caused by dietary injury to the stomach, if the symptom is severe, betel nut four elimination pills can be used in combination with hawthorn granules. The hawthorn granules can be brewed with the juice of the formula 3 of "medicinal tea for serving", and the betel nut four-elimination pills can be served once in the morning and once in the evening, and the hawthorn granules can be served once in the afternoon.
Medicinal tea delivery
Formula 1: 6g of Shenqu, 6g of malt (crushed), 6g of hawthorn (crushed).
Formula 2: hawthorn meat 10g (chopped), Chenpi 6g (torn).
Formula 3: 15g of malt (pounded), 5g of Mucuna pruriens (pounded), 10g of betel nut (sliced).
Formula 4: Granules 6g (pounded), Chenpi 6g (torn).
Formula 5: Simmered ginger 30g (pounded), hawthorn meat 24g (sliced).
Fourth, damp-heat obstruction of the stomach evidence
Selected medicines
Sanjiu Gastrointestinal Capsules; Zuojin Pills; Jiawei Zuojin Pills; Gastritis Kang Capsules.
Compound example
Damp-heat obstruction of the stomach due to stomach pain, the symptoms of the heavy, can be used to add flavor Zuojin Pills and gardenia free pill. The two medicines with this evidence "medicine tea to send to serve" formula 2 and formula 4 to take juice to send to serve, morning and afternoon each time to serve 1 time.
Medicinal tea delivery
Formula 1: raw gardenia 10g (pounded), chuanxiongxiong 6g (pounded).
Formula 2: gibberellic acid 15g.
Formula 3: light bamboo leaves 5g, gardenia 5g (pounded).
Formula 4: dandelion 15g, Chenpi 10g (torn), sand nuts 3g (pounded).
Formula 5: Acacia 10g, Lentil Flower 10g, Huperzia 10g (pounded).
V. Blood stasis in the stomach
Selected medicines
Gastric Health Capsule; Yuanhu Pain Relieving Tablets; Compound Yuanhu Pain Relieving Tablets; An Gastric Tablets; Molodan; Hawthorn Internal Elimination Pills.
Examples of the combination of the medicines
1. Stomach pain caused by blood stasis in the stomach, and its symptoms are severe, can be used in gastric health capsule, Yuanhu analgesic tablets combined with the panax ginseng tablets. The three drugs with this evidence of "medicinal tea" formula 2 and formula 3 to take the juice to serve in the morning, afternoon and evening, each served once.
2. Stomach pain caused by blood stasis in the stomach, if you see vomiting blood and black stools and other bleeding phenomena, can be used in gastric capsule with Morodan and Sanqi tablets. The three drugs together with this evidence "medicinal tea to serve" formula 4 to take the juice to serve, morning, afternoon and evening each served once.
Medicinal tea
Formula 1: chuanxiong 10g (crushed), saffron 10g.
Formula 2: Salvia divinorum 15g, rose 10g.
Formula 3: hawthorn meat 15g (chopped), 6g of Shenqu.
Formula 4: angelica sinensis 10g (sliced), chuanxiong 6g (crushed).
Formula 5: 15g of white peony (pounded), 10g of licorice (sliced), 10g of yanhuisuo (pounded).
Sixth, spleen and stomach cold
Selected medicines
Cold stomach pain capsule; Lizhong Pill (Dangshen Lizhong Pill); Xiaojianzhong Combination; Pianzhi Lizhong Pill; GuiShu Lizhong Pill; Xiangsha Lizhong Pill; Gastritis Pellets.
Examples of combinations
1. Stomach pain caused by coldness of the spleen and stomach, and its symptoms are severe, can be used with the combination of the cold stomach pain particles with the medicinal herbs and the medicinal herbs. The cold stomach pain particles with this evidence of "medicinal tea to serve" formula 1 and formula 2 to take juice brewing, sent to serve with the medicinal pill, morning, afternoon and evening each served 1 time.
2. Spleen and stomach cold due to stomach pain, if you see the vomiting of acidic water, can be used to Dingkou Lizhong Pill and Wu Bei capsule. The two drugs with this evidence "medicinal tea" formula 3 to take the juice to serve, morning and evening each served 1 time, lunchtime to serve U Bei capsule 1 time. Alternatively, combining the Hypochondriac Gastroparesis Granules with Xiangsha Lizhong Pills can be used. The cold stomach pain particles with this evidence "medicinal tea to serve" formula 2 juice brewing, sent to serve Xiangsha Lizhong Pills, morning and evening each served once, afternoon to take the cold stomach pain particles 1 time.
Medicinal tea
Formula 1: Gui Zhi 10g (pounded), ginger 5g (shredded), red dates 5 (cut, remove the core, sliced).
Formula 2: 6g of sand nuts (crushed), 5g of ginger (shredded), 5 jujubes (cut, core removed, sliced).
Formula 3: Cornu Cervi Pantotrichum 5g (pounded), ginger 5g (shredded), red dates 5 (cut, core removed, sliced).
Formula 4: licorice 10g (sliced), Chenpi 6g (torn), honey 30g (after the next brew).
Formula 5: Epimedium 10g, galangal 6g.
VII. Stomach Yin deficiency
Selected medicines
Yin deficiency gastric pain granules; gastric an capsule; nourish the stomach and Shu capsule.
Compound examples
1. Stomach pain caused by deficiency of stomach yin, the symptoms of which are severe, can be used in combination with Yin deficiency stomach pain granules, stomach an capsule and Chinese wolfberry cream. Yin deficiency stomach pain particles, Chinese wolfberry cream with the evidence of "medicinal tea" formula 1 and formula 2 to take the juice of brewing, sent to the stomach capsule, morning, afternoon and evening each served 1 time.
2. Stomach pain caused by deficiency of stomach yin, if accompanied by stomach noisy or acid swallowing, can be used with Yin deficiency stomach pain particles and Zuojin Pills. Yin deficiency stomach pain particles with this evidence "medicinal tea to serve" formula 4 juice brewing, sent to serve Zuojinwan, morning and evening each served 1 time, lunch to take Yin deficiency stomach pain particles 1 time.
3. Stomach pain caused by deficiency of stomach Yin, if combined with constipation, can be used in the Yin deficiency stomach pain particles combined with Wu Ren Run intestinal pill. Yin deficiency stomach pain particles with the evidence of "medicinal tea to serve" formula 2 to take juice brewing, sent to serve the five kernel bowel pills, morning and evening each served 1 time, lunch to take Yin deficiency stomach pain particles 1 time.
Tea and medicine delivery
Formula 1: wolfberry 30g, neem 10g (pounded).
Formula 2: 10g of Radix Panax Ginseng, 10g of Ophiopogon.
Formula 3: 15g of Ophiopogon, 10g of Prunus Mume (broken).
Formula 4: 10g of umeboshi (broken), 5g of licorice (sliced).
Formula 5: 30g of wolfberry.