Abdominal Pain
In Chinese medicine, the “abdomen” indicates the area below the epigastrium and above the pubic bone.
Abdominal pain is caused by internal organ pathologies that include such biomedically defined conditions as gastrointestinal tract ulcer, enteritis, appendicitis, cholecystopathy, peritonitis, pancreatitis, urolithiasis, intestinal intussusception, intestinal adhesion and gynecological pathology, etc.
Abdominal pain due to excessive pathogenic factor: acute onset, severe pain which is resistant to pressure or touch.
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Differentiation |
Symptoms |
Formula |
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E x c e s s |
Excess heat in Yang Ming Fu |
severe abdominal pain which is resistant to touch, focal distention and abdominal fullness, severe constipation and flatulence, tense and firm abdomen, thirst, afternoon tidal fever possible, delirious speech, profuse sweating; dry black tongue coating, deep and forceful pulse |
Da Cheng Qi Tang |
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Food stagnation |
abdominal pain and distention which is worse after eating and relieved by bowel movement; rotten- smelling belching; acid regurgitation, nausea and vomiting, aversion to food, yellow greasy tongue coating, slippery pulse |
Bo He Wan |
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Blood stagnation |
with heat |
Acute lower abdominal pain, night fevers, delirious speech, irritability, restlessness, thirst, possible manic behavior; dysmenorrhea or amenorrhea in female patients, red tongue with yellow coating, forceful, deep and choppy pulse |
Tao He Cheng Qi Tang |
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with cold |
lower abdominal pain with sensation of cold, irregular menstruation, dysmenorrhea or amenorrhea, pale and purple tongue with white coating, wiry and choppy pulse |
not pregnant |
Wen Jing Tang |
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pregnant |
Gui Zhi Fu Ling Wan |
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Excess cold accumulation |
excruciating epigastric and abdominal pain, patient cannot tolerate being touched, strong sensation of cold; vomiting, patient unable to eat; cold limbs, white slippery tongue coating, tight and wiry or slow and wiry pulse |
Da Jian Zhong Tang |
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Cold-damp in the Stomach with wind-cold attack |
epigastric and abdominal pain alleviated by warmth; fullness and distention in the chest and epigastric region; nausea, vomiting, cold extremities, diarrhea, may have chills and fever, pale moist tongue coat, floating and slippery pulse |
Huo Xiang Zheng Qi San |
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Abdominal Pain, cont.
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Differentiation |
Symptoms |
Formula |
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E x c e s s |
Qi stagnation |
abdominal pain which comes and goes, no fixed location, pain sometimes radiates to the hypochondriac region and lower abdomen, pain can be induced by emotional stress; wiry pulse |
Si Ni San |
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Dampness accumulation |
abdominal distention and pain with diarrhea or vomiting; heavy sensation in the body; scanty urination, white thick tongue coating, slippery pulse |
Wu Ling San |
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Six kinds stagnation |
epigastric and abdominal pain; distention and fullness; nausea, vomiting, poor digestion, acid regurgitation, white or yellow greasy coating, wiry pulse |
Yue Ju Wan |
Abdominal pain caused by internal organ deficiency: chronic abdominal pain, dull ache, relieved by pressure or warmth.
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D e f i c i e n c y |
Middle-Jiao deficiency with cold |
chronic abdominal pain which is relieved by pressure or warmth; induced by hunger or exertion, loose stools, abdominal distention, poor appetite, nausea or vomiting, pale tongue, |
Li Zhong Wan |
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Spleen and Stomach Qi deficiency |
chronic indeterminate dull abdominal pain with feeling of emptiness, relieved by pressure, no appetite, pain surrounding or below the naval after a meal, pale face, fatigue, lassitude, shortness of breath, soft stools but with difficult bowel movement, weak pulse |
Bu Zhong Yi Qi Tang, Si Jun Zi Tang |
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Blood deficiency |
dull and vague abdominal pain, pale face, palpitations, dizziness, thin pulse, patient has history of profuse bleeding; in female patients, pain can be induced by menses |
Si Wu Tang Gui Pi Tang |
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Yang deficiency |
abdominal pain with sensations of cold, aversion to cold, loose stools, no thirst, a pale and sallow complexion, pale tongue with moist coating, deep and weak pulse |
early morning diarrhea |
Si Shen Wan |
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difficult urination, edema |
Zhen Wu Tang |
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fatigue, weakness and spermatorrhea |
Jin Gui Shen Qi Wan |
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extremely cold extremities |
Si Ni Tang |
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