Gastric Neurosis (Gastrointestinal Neurosis)

Cold-Damp Distresses The Spleen

Clinical Manifestations	Distention and fullness of epigastrium and abdomen Nausea Vomiting Anorexia Loose stools Diarrhea Reduced sensation of taste No thirst or preference for hot drinks Sticky sensation in mouth Borborygmus Lassitude Yin jaundice Heavy head Maybe edema Maybe copious white vaginal discharge Maybe cold limbs, fear of Cold or feeling chilled T: Pink C: Thick, white and greasy or sticky P: Deep and slow
Treatment Principle	Warm Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen
Herb Formulas	Ping Wei San Wei Ling Tang
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20 Cold-Damp Dysentery: Moxa or moxa needle LI-4, REN-6, REN-12, SP-6, ST-25, ST-37 Cold-Damp Diarrhea: Moxa or moxa needle REN-6, REN-12, ST-25, ST-36, ST-37, UB-25 Cold-Damp Vaginal Discharge: Moxa or moxa needle GB-26, REN-4, REN-6, SP-6, ST-36, UB-30 Cold-Damp Jaundice (Yin Jaundice): Moxa or moxa needle DU-9, GB-24, LIV-13, SP-9, ST-36, UB-19, UB-20 , UB-48

Damp Stagnation In The Spleen And Stomach

Clinical Manifestations	Indigestion A sensation of oppression in the chest Abdominal pain Nausea Vomiting Diarrhea Postpartum abdominal fullness and distention Abdominal fullness and distention with nausea and vomiting T: Pale and swollen C: Thick, white and greasy P: Slippery and even or Slow or Moderate
Treatment Principle	Strengthen the Spleen and Stomach Harmonize the Middle Jiao
Herb Formulas	Jia Wei Ping Wei San
Points

Phlegm-Damp In The Spleen And Stomach

Clinical Manifestations	Vomiting Abdominal distention and fullness Fever and chills Diarrhea with mucus Headache Melaena T: Pink C: Thick, white and greasy P: Soft or Floating tight and soft or Weak
Treatment Principle	Activate Qi Dry Dampness Transform Phlegm Descend Qi Harmonize the Stomach Stop vomiting
Herb Formulas	Bu Huan Jin Zheng Qi Tang
Points

Spleen Qi Deficiency

Clinical Manifestations	Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even, forceless and deficient
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Si Jun Zi Tang Xiang Sha Liu Jun Zi Tang
Points	LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Stomach Qi Deficiency With Turbid Phlegm Obstruction

Clinical Manifestations	Unremitting belching Unremitting Hiccup Unremitting regurgitation Unremitting nausea and vomiting of saliva and Phlegm Vomiting soon after eating Hard epigastric distention Abdominal firmness and distention Frequent salivation Frequent urination T: Normal C: White and Slippery or White and smooth P: Wiry and deficient or Wiry, taut and feeble
Treatment Principle	Descend Qi Transform Phlegm Augment Qi Harmonize the Stomach
Herb Formulas	Xuan Fu Dai Zhe Tang
Points

Stomach Yin Deficiency

Clinical Manifestations	No appetite or Famished but with no desire to eat Abdominal distention after meals Dry stools Irritability with low grade fever Maybe dry retching or Hiccups T: Red C: Little and dry P: Thready and rapid
Treatment Principle	Nourish Yin Nourish the Stomach
Herb Formulas	Sha Shen Mai Men Dong Tang Yi Wei Tang modified
Points	KI-3, REN-12, SP-6, ST-36, UB-21

Liver Qi Stagnation: Phlegm And Qi Stagnant And Blocked

Clinical Manifestations	Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle	Spread Qi Resolve Phlegm
Herb Formulas	Ban Xia Hou Po Tang
Points	LI-18, LIV-3, PC-5, SI-17, SJ-6

Liver Qi Stagnation Invading The Spleen With Concurrent Wind-Cold Invasion

Clinical Manifestations	Recurrent borborygmus Diarrhea with pain (starts with the urge to defecate and subsides on completion) Patient is more comfortable after each bowel movement Recurs during times of stress Diarrhea is small in amount Recurrent abdominal pain T: Pink C: Thin and white P: Wiry and even or Thready and wiry (maybe transposed)
Treatment Principle	Spread Liver Qi Tonify the Spleen Expel Dampness Expel Wind Stop diarrhea
Herb Formulas	Tong Xie Yao Fang
Points

Liver Qi Stagnation Invades The Stomach

Clinical Manifestations	Epigastric pain (worse when emotionally upset) Belching with acid regurgitation Nausea Vomiting Anorexia Epigastric distention Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Harmonize the Stomach
Herb Formulas	Yue Ju Wan
Points	LIV-3, LIV-14, PC-6, REN-12

Liver Qi Stagnation Turning To Heat With Underlying Qi And Blood Deficiency

Clinical Manifestations	Irritability Short temper Restlessness Fever or tidal fever Red eyes Dry mouth and throat Palpitations Lower abdominal pain Difficult urination Painful urination Increased menstrual flow Uterine bleeding Early menstruation Aching in limbs Dizziness Mental instability Red face Thirst Turbid urine Alternating chills and fever Red cheeks Wheezing Nervousness Headache Red eyes Dry mouth Anorexia Infertility Abdominal pain Spontaneous sweating or night sweats with fever Anxiety Dry eyes Hypochondriac pain Anorexia Somnolence Insomnia Aching shoulders Five sole Heat Earache Premenstrual tension Hot flashes Fatigue Lassitude Depression Restlessness Constipation with flushing up Pale complexion Bitter taste in mouth Vertigo Abdominal distention near the umbilicus Epistaxis Irregular menstruation Heaviness in the lower abdomen T:Red or Red edges C: Thin and yellow P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle	Pacify the Liver Spread Liver Qi Strengthen the Spleen Nourish the Blood and Yin Regulate menstruation Sedate the Heart Clear Heat
Herb Formulas	Jia Wei Xiao Yao San
Points

Liver Yin Deficiency

Clinical Manifestations	Dizziness Blurred vision Impaired vision Dry eyes Night blindness Tinnitus Headache Nervousness Insomnia with much dreaming Dry throat Thirst Five sole Heat Night sweats Light menses or Late menses or Amenorrhea T: Red C: Little P: Thready, wiry and rapid
Treatment Principle	Nourish Yin Nourish the Liver
Herb Formulas	Yi Guan Jian
Points	KI-3, LIV-3, UB-18, UB-23

Phlegm-Damp Retention (Shi Tan)

Clinical Manifestations	Dizziness Vertigo Mental cloudiness Heavy head Heavy sensation in the body Cough with Excess sputum Chest and epigastric distention Suffocating sensation in the chest and epigastrium Nausea Profuse sputum Vomiting Anorexia Fatigue Borborygmus Tinnitus Mouth glutinous No thirst Likes to sleep Maybe palpitations T: Thick C: White and greasy or Sticky and white P: Rolling or Wiry and slippery
Treatment Principle	Strengthen the Spleen Harmonize the Stomach Eliminate Dampness Resolve Phlegm
Herb Formulas	Er Chen Tang
Points	GB-34, LIV-13, REN-12, ST-36, ST-40 PC-6, REN-12, ST-8, ST-40, UB-20 DU-20, DU-23, GB-20, GB-34, LI-4, REN-12, ST-36, ST-40, ST-41 REN-12, PC-6, ST-41

Qi And Phlegm Stagnation

Clinical Manifestations	General edema of the body and extremities Dysuria Oliguria Orthopnea Pitting edema Dyspnea Anorexia Abdominal fullness and pain T: Thick C: White and thick P: Slow or Wiry
Treatment Principle	Dispel Stagnant Water Dry Dampness Eliminate water from the Lungs Harmonize the Spleen Relieve edema Move Qi
Herb Formulas	Dao Shui Fu Ling Tang
Points