Stomach Cancer

General

Clinical Manifestations	Early stage: Often no symptoms Upper abdominal pain Discomfort in the upper abdomen Middle stage: Anorexia Progressive dysphagia Nausea Weight loss Melaena Late stage: Vomiting after eating Edema Ascites Anemia Hepatomegaly Abdominal tumor The tumor is firm and irregular
Treatment Principle
Herb Formulas	Stomach Cancer #39 Anti-cancer herbs: Ba Qia - Rz. Smilacis Chinensis Bai Hua She She Cao - Hb. Hedyotis Diffusae E Zhu - Rz. Curcumae San Leng - Rz. Sparganii Shi Jian Chuan - Hb. Salviae Chinensis Xi Shu - Fr. et Cx. Camptothecae Teng Li Gen - Rx. Actinidiae Wa Leng Zi - Concha Arcae Pu Tao Teng Ye - Caulis Vitis Viniferae Decoct 20g of dried Fr. Fici Pumilae Bi Li and drink or eat five fruits after meals every day. Grind 30-60g of the shell or kernel of Fr. Trappae Bispinosae Ling Jiaointo a powder. Take 6g raw or with honey at a time. Steep 20 Scolopendra Wu Gongand 6g Flos Carthami Hong Hua in 0.5kg wine and 60% alcohol for twenty days, filter and dilute with cold, boiled water at a ratio of 6:4 water to wine. Take the 0.5kg of decoction over the period of one week. Decoct 500 kilos into a thick syrup. Take 4g twice a day. Wash and decoct 120g of Pseudobulbus Cremastrae/Pleiones Shan Ci Gu then mix with120g white honey and make a paste. Take 9-15g orally twice a day. Stew 12.5kg Venenum Bufonis Chan Su  in 6kg wheat flour to make a paste. Take orally two to three times per day. Decoct 2.5g Hb. Chelidonii Bai Qu Cai in 300ml of water and take three times a day. Decoct 3g of Radix Alocasiae seu Euphorbiae Lang Du in 200ml of water, filter, add two eggs and boil, drink the broth and eat the eggs. Prepare 30g of Rz. Polygoni Cuspidati Hu Zhang as a syrup and take 20-30ml two to three times a day. Extract the juice from 750g of the leaves of Sm. Lablab Bai Bian Dou. Take frequently without dosage restriction. Make Fol. et Ram. Sarcandrae Zhong Jie Feng into 0.3g tablets and take 4-6 tablets three times per day. Stew 9g Alumen Ming Fan with 180g vinegar for five minutes and drink (said to be very effective immediately). Boil 1150g Flos Gossampini Mu Mian Hua and 150g lean pork in 5kg water for 7-8 hours. Boil down to the volume of one bowl. Take once daily. Usually the pain is alleviated after one week, but continue until recovery is complete. Decoct 120g Hb. et Rx. Gei Lu Bian Qing and 30g Hb. Pteris Feng Wei Cao and take daily. Decoct the stem and pulp of Caulis Helianthi Annui Xiang Ri Gui Jing Sui  and take 4.5-6g daily for one year. Remove the pit from Fr. Zizyphi Jujube Da Zao, stuff it with the body of Mylabris Ban Mao (with the head and wings removed), roast it. remove the Ban Mao and eat the date on an empty Stomach. Grind equal portions of Rz. Pinelliae Preparatum Zhi Ban Xia and Fr. Piperis Hu Jiao into a powder. Blend with Succus Zingiberis Jiang Zhi and make into small pills. Take 30-60 pills each time with Ginger soup. Take one dose a day of 6-12g Hb. Sedi Chui Pen Cao  combined with 9-16g Hb. Capsellae Ji Cai. Take 3g Wine-fried and charred Endothelium Corneum Gigeriae Galli Ji Nei Jin. Decoct 10-20g Endothelium Corneum Gigeriae Galli Ji Nei Jin in 200 ml water and divide int three equal portions for oral consumption. For early-stage Stomach cancer: Stomach Cancer #49 For advanced Stomach cancer: Stomach Cancer #12 For fullness and distention due to Qi Stagnation: Ping Wei San modified For fullness and distention in the chest with throat obstruction: Take a decoction of Rx. Aucklandiae Mu Xiang, Fr. Amomi Sha Ren, Fr. Aurantii Immaturus Zhi Shi and CX. Magnoliae Officinalis Hou Po first to disperse Accumulation and Stagnation then take (Wu Wei) Yi Gong San modified. For pain: 1. Decoct 40g Hb. Agrimoniae Xian He Cao and 30g Fr. Jujube Da Zao, into a thick broth and take four times a day for forty days. 2. Decoct Hb. Aristolochiae Mollissimae Xun Gu Feng and take 9g daily. 3. Dry 6g Hb. Aristolochiae Mollissimae Xun Gu Feng, 15g Rx. Schisandrae Sphenantherae Bei Wu Wei Zi and 15g Os Sepiae seu Sepiellae Hai Piao Xiao in the sun and grind into a powder. Take 6g three times per day. For gastralgia: Roast and powder equal parts of Rz. Alpiniae Officinarum Gao Liang Jiang and Sm. Arecae Bing Lang. Take 6g at a time with millet porridge. For Deficiency type fullness and dull pain in the upper abdomen: Bu Zhong Yi Qi Tang + Ping Wei San For Excess type fullness and dull pain in the upper abdomen: Ge Xia Zhu Yu Tang + Ping Wei San For Cold-type fullness and dull pain in the upper abdomen: Li Zhong Tang + Wu Zhu Yu Tang For Heat type fullness and dull pain in the upper abdomen: Xiang Sha Yang Wei Tang modified For prolonged abdominal pain: Abdominal Tumor Pain #1 For Cold type vomiting: Wu Zhu Yu Tang+ Da Ban Xia Tang For Heat type vomiting: Ju Pi Zhu Ru Tang + Chai Ping Tang + Xiang Sha Yang Wei Tang or Rz. Imperatae Bai Mao Gen or Rz. Phragmitis Lu Gen taken at short intervals For vomiting immediately after eating: Take a decoction of Rz. Imperatae Bai Mao Gen and Rz. Phragmitis Lu Gen For regurgitation of food twelve to twenty-four hours after eating due to Stomach Qi Deficiency with Phlegm: Er Chen Tang modified For Deficiency type vomiting: Xiao Ban Xia Tang + Li Zhong Tang For regurgitation and vomiting: mix 1/2 processed and 1/2 unprocessed Alumen Ming Fan with cold water for oral ingestion. For hematemesis: Hematemesis #2 For Deficiency-Cold type hematochezia: Huang Tu Tang modified Bu Zhong Yi Qi Tang + stop bleeding herbs For Excess-Heat type hematochezia: Ge Gen Huang Qin Liang Huang Tang modified For Middle Jiao Qi Deficiency: Si Jun Zi Tang modified For continuous salivation after eating followed by vomiting: Si Jun Zi Tang modified For Deficiency of Ming Men Fire: Ba Wei Di Huang Wan modified or Alternate with Hei Xi Dan For a dying patient with regurgitation and lassitude: take a decoction of 30-60g Ginseng Ren Shen and Ginger Juice Jiang Zhi For ulcerative gastric cancer: Wu Ji San #2 For infiltrative gastric cancer: Stomach Cancer #26 With low-grade metastasis of the lymph nodes: Stomach Cancer #35 For lymph node metastasis: Stomach Cancer #47 For hematemesis: Cancer #2 For ulcerative Stomach cancer: Stomach Cancer #50 For post-operative reinforcement: Stomach Cancer #51 For unceasing hiccups: Shi Di Tang  modified Topical: Xiao Pi Gao Cancer #31 Crush equal portions of Sm. Armeniacae Xing Ren, Sm. Sojae Preparatum Dan Dou Chi, Massa Medicata Fermentata Shen Qu, Rz. Zingiberis Gan Jiang, Fr. Corni Shan Zhu Yu, Per. Zanthoxyli Chuan Jiao into a powder, mix with honey and rub it on the chest several times a day.
Points	For cancer of the cardiac orifice: REN-14, REN-17, REN-22, ST-36

Spleen Deficiency Edema With Phlegm Stagnation

Clinical Manifestations	Upper abdominal discomfort and pain Edema Edema in limbs, especially lower limbs Maybe anasarca Maybe abdominal distention Nausea Vomiting Loose stools Physical and mental fatigue T: Pale C: White and moist P: Soft and even
Treatment Principle	Warm Yang Strengthen the Spleen Benefit Qi Move water Soften mass
Herb Formulas	Shen Ling Bai Zhu San+ Er Chen Tang modified Stomach Cancer #8 Stomach Cancer #10 With Food Stagnation: Stomach Cancer #31
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

Spleen Yang Deficiency With Retention Of Cold-Dampness

Clinical Manifestations	A sallow, withered complexion Anorexia Lassitude Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Vomiting of undigested food Loose stools or watery stools containing undigested food Shortness of breath Pain in the epigastrium with cold sensations (pain is relieved by warmth) Cold limbs Feeling chilled Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white P: Taut or Tense
Treatment Principle	Tonify Spleen Yang Warm the Middle Dispel Dampness
Herb Formulas	Li Zhong Tang Fu Zi Li Zhong Wan Wu Zhu Yu Tang Bu Zhong Yi Qi Tang Wei Ling Tang For Dampness in the Lower Jiao and Dryness in the Upper Jiao: Lian Li Tang modified For advanced-stage with damage to Yin and Yang: Ba Wei Di Huang Wan Ba Zhen Tang
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Spleen And Stomach Deficiency Cold

Clinical Manifestations	Upper abdominal discomfort and pain which is better with warmth and pressure Anorexia Anemia White facial color Lassitude Listlessness Nausea Vomiting of watery fluid Vomiting in the evening the food that was eaten in the morning Loose stools Diarrhea Constipation Cold extremities Edema of the legs T: Pale with teethmarks C: White or Thin and slippery P: Deep and thready or Soft or Deep and slow or Thready, wiry and weak
Treatment Principle	Warm the Middle Jiao Warm Yang Relieve Cold Invigorate the Spleen
Herb Formulas	Li Zhong Tang modified Liu Jun Zi Tang modified Liu Jun Zi Tang + Li Zhong Tang Huang Qi Jian Zhong Tang Stomach Cancer #11 Kang Ai Er Hao Fang
Points	PC-6, SP-4, moxa or moxa-needle REN-6, REN-12, ST-36, UB-20, UB-21

Cold-Damp Distresses The Spleen

Clinical Manifestations	Upper abdominal pain Discomfort in the upper abdomen Anorexia Nausea Vomiting Weight loss Melaena Edema Ascites Anemia Hepatomegaly Abdominal tumor The tumor is firm and irregular Distention and fullness of epigastrium and abdomen 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	Stomach Cancer #9 Li Ge 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

Stomach Qi Deficiency

Clinical Manifestations	Epigastric fullness and distention No desire for food and drink Frequent belching Borborygmus Loss of sensation of taste Stools not solid Urine clear and abundant T: Pale C: Thin and white P: Weak and Deficient
Treatment Principle	Strengthen Qi Invigorate the Spleen and Stomach
Herb Formulas	Liu Jun Zi Tang Si Jun Zi Tang + anti-cancer herbs Xuan Fu Dai Zhe Tang + anti-cancer herbs
Points	REN-6, REN-12, SP-6, ST-21, ST-36, UB-20, UB-21

Stomach Yin Deficiency

Clinical Manifestations	Incessant, dull pain with a cutting sensation in the Stomach A vague, dull , burning epigastric pain, worse when the Stomach is empty and may improve with pressure The pain is worse at night The patient may wake with pain in the early hours of the morning Discomfort in the upper abdomen Anorexia or Indeterminate, gnawing hunger with no desire to eat May desire Cold, bland foods or a liquid diet Mild nausea, worse in the morning when hungry Maybe dry retching or Hiccups Vomiting Hematemesis (fresh Blood) Weight loss Dry skin, hair and mucus membranes Melaena Edema Ascites Anemia Hepatomegaly Abdominal tumor The tumor is firm and irregular A wan, sallow complexion No appetite or Famished but with no desire to eat Abdominal distention after meals Dry throat, mouth, mucus membranes and skin Thirst with a desire for cool drinks Dry, tarry or pellet-like stools Constipation Irritability with low grade fever Malar flush Night sweats Five-sole Heat With Kidney Yin Deficiency Dizziness Tinnitus Low back pain Weak and painful knees T: Red with a peeled center or Red and dry or Shiny and dry or Dry and cracked C: Little and dry P: Thready and rapid or Thready and wiry
Treatment Principle	Nourish Yin Nourish the Stomach Clear Deficiency Heat Cool the Blood Stop bleeding
Herb Formulas	Stomach Cancer #15 Xie Ding Yang Wei Tang Yi Wei Tang modified For Excess Heat: Stomach Cancer #16 For Deficiency Fire: Sha Shen Mai Men Dong Tang modified With dysphoria, fever and intense thirst: Stomach Cancer #32 With dysphoria and a stifling sensation: Stomach Cancer #46
Points	KI-3, REN-12, SP-6, ST-36, UB-21 For epigastric pain: KI-3, KI-6, REN-4, REN-12, SP-6, ST-36, UB-20, UB-21, UB-23 With deficient Heat: + KI-2, ST-43 With sharp pain: + KI-2 With nausea: + PC-6 For Dysphagia: REN-17, SP-6, ST-36, UB-20, UB-21, UB-46 With distinct Yang Deficiency: REN-6, SP-4 With vomiting immediately after eating: moxa Zhongkui Ear: Stomach, Spleen, Abdomen, Kidney, Shenmen, Sympathetic

Stomach Heat Damages Yin

Clinical Manifestations	Burning sensation in the Stomach Abdominal pain especially after eating Acid regurgitation Stomach upset Dry mouth Anorexia Thirst with a desire to drink Prefers cold food and drinks Five sole Heat Dry stools If Excess Heat is predominant: Excess hunger Eats a lot If Deficiency Heat is predominant: Anorexia Discomfort after eating T: Deep red C: None or Peeled P: Thready and rapid or Slippery and rapid
Treatment Principle	Nourish Yin Clear Heat Eliminate toxins
Herb Formulas	Yu Nu Jian modified Yi Wei Tang modified
Points	PC-6, REN-12, SP-4, SP-6, SP-9, ST-36 With hemafecia: KI-3, KI-6, REN-4, REN-12, SP-6, ST-25, ST-36, UB-20, UB-21, UB-23, UB-25 Ear: Stomach, Kidney, Large Intestine, Distal Segment Rectum, Shenmen, Sympathetic With hematemesis: KI-3, KI-6, REN-4, REN-12, SP-6, ST-36, UB-20, UB-21, UB-23 Ear: Stomach, Duodenum, Adrenal, Esophagus , Shenmen, Subcortex

Stomach Fire

Clinical Manifestations	Burning Heat and pain in the epigastrium Irritating thirst: drinks copious fluids and prefers cold drinks Excessive appetite: hungry again quickly after eating (as if food vanishes) Swelling, pain, ulceration and bleeding of gums Foul breath Toothache Maybe vomiting right after eating Vomiting acid or undigested food Constipation Maybe scanty, red urine T: Red C: Thick, yellow and dry P: Slippery, big, Excess and rapid
Treatment Principle	Clear and Purge Stomach Fire
Herb Formulas	Qing Wei San Zi Yin Jiang Huo Tang
Points	LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, UB-21

Stomach Cold

Clinical Manifestations	General signs and symptoms: Epigastrium Cold with pain Mild cases: Constant pain Severe cases: Sudden bouts of sharp pain Pain is aggravated by Cold and relieved by warmth and hot drinks Cold hands and feet Cold Penetrates the Stomach and Intestines: Pain is sudden and sharp Pain is relieved by warmth Nausea Diarrhea Loose stools T: Pink C: White P: Deep and tight Retention of Fluid in the Stomach due to Cold: Pain is dull Pain is relieved by warmth Succussion sound in the epigastrium on palpation Vomiting of clear, watery fluid T: Pink C: White and sticky P: Thready or Thready and slow Stomach Deficiency with Stagnation of Cold: Pain is dull Pain is relieved by warmth and pressure Vomiting clear, watery fluid T: Pale C: Thin and white P: Deep and slow or Deep and thready
Treatment Principle	Warm the Stomach Warm Cold
Herb Formulas	Xiang Su Yin
Points	Moxa or moxa needle PC-6, REN-6, REN-12, SP-4, ST-21, ST-36, UB-20, UB-21

Blood Stagnation In The Stomach

Clinical Manifestations	Sharp, stabbing epigastric pain with fixed location Epigastric or abdominal pain and distention The pain may start intermittently but becomes more constant Pain is severe after eating The pain may radiate to the back Dislike of pressure and Heat on the epigastrium Pain predominates over distention or Pain but no distention Dysphagia Epigastric rumbling May be abdominal or epigastric lumps or masses Nausea Vomiting purple/black blood or "coffee grounds" Indeterminate gnawing hunger Anorexia Weight loss Weakness Dry stools with blood like tar (melaena) Hemafecia with dark, purple Blood or mixed dark and fresh Blood Constipation Dry, rough skin Darkish, purplish or a blotchy complexion, lips and conjunctiva Dark rings around the eyes Spider naevi on the cheeks, epigastrium, trunk and around the inner ankle and knee Maybe hemorrhoids Maybe irregular menstruation with dark, purple, clotted Blood With significant Deficiency from chronic Blood loss: A pale or sallow complexion Dizziness T: Dark purple with purple spots or dots and dark, distended sublingual veins C: White or Grayish white or Yellow P: Wiry and choppy or Wiry or Choppy or Thready and choppy or Deep and thready
Treatment Principle	Invigorate the Blood Adjust Qi Transform Stagnation Soften the Liver Stop pain Stop bleeding
Herb Formulas	Ge Xia Zhu Yu Tang modified Dan Shen Yin + anti-cancer herbs Shi Xiao San + modified Shi Xiao San + Tao Hong Si Wu Tang modified Shi Xiao San + Dan Shen Yin modified Stomach Cancer #33 Stomach Cancer #37 Stomach Cancer #43 Early-stage: Stomach Cancer #41 For hematemesis: Hematemesis #1 Hematemesis #2 Xue Fu Zhu Yu Tang modified For hematemesis with Heat: Da Huang Huang Qin Xie Xin Tang For epigastric pain and hemafecia: Shi Xiao San + Dan Shen Yin modified Ge Xia Zhu Yu Tang With Toxic Heat: Stomach Cancer #1 Stomach Cancer #2 Stomach Cancer #14 Qi Qiao Shou Gong Wan With Toxic Heat and bleeding: Stomach Cancer #3 Stomach Cancer #4 With Toxic Heat and Phlegm: Stomach Cancer #40 With Toxic Heat and Food Stagnation: Stomach Cancer #42 With Damp-Heat: Long She Xiao Liu Wan With Blood-Heat and Deficiency of Yin and Blood: Stomach Cancer #27 With Phlegm Accumulation: Ban Xia Di Yu Tang Stomach Cancer #17 San Zhong Kui Jian Tang With Deficiency Cold: Huang Tu Tang With hemafecia and abdominal masses: Ge Xia Zhu Yu Tang modified With hemafecia and Cold in the lower abdomen: Shao Fu Zhu Yu Tang modified With hemafecia and severe Blood Stagnation in the Intestines and Heat: Tao He Cheng Qi Tang modified With Phlegm Accumulation, pain and bleeding: Stomach Cancer #45 With indeterminate gnawing hunger: Dang Gui Si Ni Tang modified For hypertrophic Stomach cancer: Stomach Cancer #36 Topical: Xiao Pi Gao
Points	PC-6, REN-12, SP-4, SP-10, ST-36, UB-17 SP-4, SP-6, SP-10, ST-21, ST-34, UB-17 PC-6, SP-4, SP-6, ST-36, UB-17 Jab Jianei six or seven times with a sharp scalpel while holding vinegar in the mouth then spit it out (do it again three or four days later), DU-11, KI-7, PC-6, REN-17, REN-22, ST-36, UB-20, UB-21 PC-6, REN-10, REN-12, put three needles into the palpable growth, one at each end and one in the middle. then moxa the needles, needle SP-4, ST-44, moxa REN-8, REN-10, moxa UB-21 once a week For vomiting: + REN-12, ST-25, moxa Zhongwei (on the dorsum of the hand, on the third phalanx, between the proximal and middle joint), moxa the palpable growth For epigastric pain: Ahshi, DU-8, REN-12, SP-4, SP-6, SP-10, ST-21, ST-34, ST-36, UB-17, UB-18, UB-21 With nausea and vomiting: + PC-6 With Liver Qi Invading the Stomach: + LIV-13 With irritability or depression: + LIV-1 or LIV-3 With severe pain: LI-4, LIV-5 Ear: Shenmen, Stomach, Duodenum, Liver, Sympathetic For hematemesis: Ahshi points, PC-4, PC-6, REN-12, SP-4, SP-10, ST-21, UB-17, UB-21 With severe pain: LI-4, LIV-5 With irritability or depression: + LIV-1, Taiyang or LIV-3 Ear: Stomach, Duodenum, Large Intestine, Small Intestine, Liver, Adrenal, Subcortex, Shenmen For hemafecia: Ahshi points between ST-36 and ST-39 and between UB-17 and UB-25, SP-6, SP-8, SP-10, ST-25, UB-25 With spider naevi: prick the vessels to bleed Ear: Stomach, Duodenum, Large Intestine, Small Intestine, Liver, Adrenal, Subcortex, Shenmen For indeterminate gnawing hunger: REN-12, SP-6, SP-10, ST-21, ST-36, UB-17, UB-18, UB-21 With nausea and vomiting: + PC-6 With Liver Qi Invading the Stomach: + LIV-13 With irritability or depression: + LIV-1, Taiyang or LIV-3 Ear: Stomach, Liver, Sympathetic, Subcortex, Shenmen For regurgitation: Ahshi points between ST-36 and ST-39 and between UB-17 and UB-25, REN-12, REN-14, REN-17, SP-6, SP-8, SP-10, ST-36, UB-17, UB-18 Ear: Esophagus, Pylorus, Stomach, Spleen, Liver, Sympathetic, Shenmen

Phlegm Obstructing The Stomach

Clinical Manifestations	Frequent epigastric and abdominal distention and fullness which is worse after eating Vomiting of partially digested food about twelve hours after eating Vomiting relieves the abdominal discomfort The vomitus may have thick or thin frothy mucus Maybe epigastric masses and/or splash on palpation Copious salivation Stuffiness in the chest T: Normal C: Greasy and white P: Slippery or Wiry
Treatment Principle	Transform and eliminate Phlegm Harmonize the Stomach Descend Rebellious Qi
Herb Formulas	Dao Tan Tang modified Stomach Cancer #20 With Heat: Stomach Cancer #21 For robust patients with copious Phlegm and Heat: Gun Tan Wan For difficult or persistent regurgitation: Xuan Fu Dai Zhe Tang
Points	For regurgitation: PC-6, REN-12, REN-14, REN-17, ST-40, UB-20, UB-21 With Phlegm-Fluids or epigastric splash: + LU-7, REN-9, moxa points on the trunk With Phlegm-Heat: + LIV-2, LU-6, PC-8 With epigastric masses: + LIV-13, SP-4 Ear: Esophagus, Pylorus, Stomach, Spleen, Sympathetic, Shenmen

Food Stagnation In The Stomach

Clinical Manifestations	Epigastric fullness, distention and pain with dislike of pressure Belching with rotten food smell Acid regurgitation Detests food or Vomits after eating Distention is reduced after vomiting Unformed stools or Knotted constipation T: Pink C: Thick and greasy P: Slippery
Treatment Principle	Clear Food Conduct Stagnation
Herb Formulas	Stomach Cancer #52
Points	LIV-13, LIV-14, PC-6, REN-11, REN-12, SP-4, ST-21, ST-36, ST-44 Epigastric pain due to Food Stagnation in the Stomach: 1. LIV-13, PC-6, REN-12, ST-36, ST-44 2. LIV-13, ST-21, ST-44 3. PC-6, REN-11, ST-36 4. PC-6, REN-10, REN-12, SP-4, ST-21, ST-36 Vomiting due to Food Stagnation in the Stomach: PC-6, REN-12, SP-4, ST-25, ST-36

Liver Qi Stagnation Attacks The Stomach

Clinical Manifestations	Distention and pain in the Stomach Epigastric distention and pain (worse when emotionally upset) Distention and pain in the sides or flanks Weakness Weight loss Fetid belching or hiccuping Acid regurgitation Difficulty swallowing Nausea Vomiting Anorexia 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 or Thready and wiry or Deep and thready
Treatment Principle	Soothe the Liver Harmonize the Stomach Descend Rebellious Qi Stop pain
Herb Formulas	Shu Gan Tang modified Xiao Yao San modified Xuan Fu Dai Zhe Tang modified Stomach Cancer #22
Points	LIV-3, LIV-14, PC-6, REN-12, SP-4, ST-36 LIV-3, LIV-14, PC-6, REN-12

Liver Qi Stagnation With Spleen Qi Deficiency, Blood Stagnation And Dryness

Clinical Manifestations	Upper abdominal pain Discomfort in the upper abdomen Anorexia Nausea Vomiting Weight loss Melaena Edema Ascites Anemia Hepatomegaly Abdominal tumor The tumor is firm and irregular Flushed face or Dim complexion T: Dark purplish C: Thick, greasy and yellowish P: Weak, wiry and choppy
Treatment Principle	Regulate Qi Invigorate the Blood Tonify Spleen Qi Nourish Stomach Yin
Herb Formulas	Stomach Cancer #13 With Blood Stagnation and Dryness: Ba Zhen Tang modified
Points

Liver Qi And Blood Stagnation

Clinical Manifestations	Epigastric distention and vague pain Dysphagia Belching Salivation Dry mouth and throat A hard, palpable lump in the epigastrium Facial color dark and dull or pale Emaciation Sides and ribs distended on both sides (maybe with sharp pain) Enlargement of the Liver and Spleen Suffocating sensation in chest Tendency to sigh Vomit that looks like bean juice Melancholy Depression Irritability Black stool Inappropriate anger Mental fatigue Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Dark purple (maybe purple spots on edge of tongue) or Red C: Normal or Greasy P: Wiry, choppy and slow or Small and choppy or Thready and rapid or Thready and taut
Treatment Principle	Activate Blood circulation Soften hardness
Herb Formulas	Ge Xia Zhu Yu Tang modified Shi Xiao San Xue Fu Zhu Yu Tang Stomach Cancer #28 Stomach Cancer #29 With Toxic Heat and Phlegm: Cancer #1 Stomach Cancer #6 Stomach Cancer #18 With Cold and Heat: Stomach Cancer #19 With dysphagia: Qi Ge San With burning and pain due to Cold Stagnation with Phlegm: Xiao Jin Dan Topical: Xiao Pi Gao Chinese Patent Medicines: Mu Xiang Shun Qi Wan
Points	LIV-3, LIV-13, LIV-14, SP-6, UB-17 With dysphagia: REN-14, REN-17, UB-17, UB-18, UB-21, UB-46

Liver And Stomach Disharmony

Clinical Manifestations	Upper abdominal discomfort and pain Anorexia Nausea Vomiting T: Light colored C: Thin P: Wiry
Treatment Principle	Harmonize the Liver and Stomach Eliminate discomfort Stop pain
Herb Formulas	Chai Hu Shu Gan Tang + Xuan Fu Dai Zhe Tang modified Yi Wei Tang
Points

Qi And Blood Deficiency

Clinical Manifestations	Upper abdominal pain Large tumor Fatigue General lassitude Loose stools Poor appetite Dizziness Blurred vision Pale or sallow face Weak voice Shortness of breath Reluctance to speak Sweating with little or no exertion Night sweats Palpitations Restlessness Insomnia Irritability Dry skin Dry hair Poor memory Paleness Scanty periods Severe cases: Edema of the limbs T: Pale or Pale, thin and dry C: Thin and white or Little P: Weak or Thin and choppy or Deep and thready
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Shi Quan Da Bu Tang Ba Zhen Tang Stomach Cancer #25
Points	PC-6, REN-12, REN-17, SP-4, ST-36, UB-17, UB-20, UB-21 KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

Blood Stagnation Due To Accumulation Of Toxins

Clinical Manifestations	Stabbing pain in the epigastrium which is worse with pressure Substantial or insubstantial mass beneath the Heart which is painful on palpation Vomiting food mixed with Blood Dry, black stools Melaena Dry skin T: Purple or Purple spots C: White P: Deep and thready or Choppy
Treatment Principle	Dissolve toxins Resolve Stagnation Invigorate the Blood Stop pain
Herb Formulas	Shi Xiao San modified Tao Hong Si Wu Tang modified Zhu Yu Tang modified Stomach Cancer #23 Da Huang Zhe Chong Wan Hypertrophic Stomach cancer (topical): Stomach Cancer #38 Topical: Xiao Pi Gao
Points

Damp-Heat

Clinical Manifestations	Upper abdominal pain Discomfort in the upper abdomen Anorexia Nausea Vomiting Weight loss Melaena Epigastric focal distention Fullness and tightness with very slight or no pain Dry heaves Borborygmus Diarrhea Edema Ascites Anemia Hepatomegaly Abdominal tumor The tumor is firm and irregular Subcardiac distention Heartburn Resistance below the Heart Soft epigastrium Ascites T: Normal or with a red tip C: Thin, yellow and greasy P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle
Herb Formulas	Stomach Cancer #5 Stomach Cancer #7 Ban Xia Xie Xin Tang+ anti-cancer herbs Shuang Bai San
Points

Toxic Heat

Clinical Manifestations	Local redness, swelling and pain Maybe fever and chills T: Normal C: Thin white or yellow P: Rapid and forceful
Treatment Principle	Clear Heat Eliminate toxins Reduce swelling Soften hardness Invigorate Blood circulation Stop pain
Herb Formulas	Stomach Cancer #23 Stomach Cancer #24 Kang Ai San Hao Fang Cancer #6 Cancer #9 With Phlegm: Cancer #4 With Blood Stagnation and Phlegm: Yan Zhong Wan Yi Hao
Points

Toxic Damp-Heat

Clinical Manifestations	Local redness, swelling and pain Maybe fever and chills Upper abdominal pain Discomfort in the upper abdomen Anorexia Nausea Vomiting Weight loss Melaena Epigastric focal distention Fullness and tightness with very slight or no pain Dry heaves Borborygmus Diarrhea Edema Ascites Anemia Hepatomegaly Abdominal tumor The tumor is firm and irregular Subcardiac distention Heartburn Resistance below the Heart Soft epigastrium Ascites T: Normal or with a red tip C: Thin, yellow and greasy P: Rapid and forceful or Wiry and rapid or Wiry, tight and rapid
Treatment Principle	Clear Heat Eliminate Dampness Reduce abscesses Dissipate nodules Relieve Fire toxicity Inhibit the growth of cancer cells
Herb Formulas	Stomach Cancer #55
Points

Toxic Damp-Heat With Blood Stagnation

Clinical Manifestations	Upper abdominal pain Discomfort in the upper abdomen Anorexia Nausea Vomiting Weight loss Melaena Epigastric focal distention Fullness and tightness with very slight or no pain Dry heaves Borborygmus Diarrhea Edema Ascites Anemia Local redness Swelling and pain Maybe fever and chills Hepatomegaly Abdominal tumor The tumor is firm and irregular Subcardiac distention Heartburn Resistance below the Heart Soft epigastrium Ascites T: Normal or with a red tip C: Thin, yellow and greasy P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle	Clear Heat Resolve toxicity Promote diuresis Activate the Blood Disperse Blood Stagnation Reduce swellings Inhibit the growth of cancer cells
Herb Formulas	Cancer #7 Stomach Cancer #53 Topical: Xiao Pi Gao
Points

Phlegm-Heat

Clinical Manifestations	Edema Cough with sticky, yellow, difficult to expectorate sputum Rapid breathing with a harsh voice Restless fever Sore throat Constipation Dry stools Mania Shortness of breath Dyspnea Nausea Vomiting Chest and/or epigastric fullness Pain in the ribs Ascites C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and smooth or Slippery and rapid
Treatment Principle	Clear Heat Resolve Phlegm
Herb Formulas	Stomach Cancer #54
Points	LI-11, LU-5, ST-40, UB-13

Phlegm Obstruction

Clinical Manifestations	Loss of appetite, especially for meat Stomach distention Dull pain Difficulty swallowing Vomiting of saliva and undigested food A rancid taste in the mouth T: Normal C: Thick and white P: Tense and smooth or Tense and small
Treatment Principle	Resolve Phlegm Dissolve hardenings
Herb Formulas	Hai Zao Yu Hu Tang San Huang Gu Wan With Qi Stagnation: Stomach Cancer #48 With Blood Stagnation: Stomach Cancer #12 Ge Xia Zhu Yu Tang With Blood Stagnation and Yin Deficiency: Stomach Cancer #30 With Blood Stagnation and Kidney Deficiency: Stomach Cancer #34
Points

Food Stagnation With Phlegm

Clinical Manifestations	Hard, immovable lumps anterior or posterior to the ear Soft, painless lumps Fullness in the chest Hypochondriac pain Epigastric fullness, distention and pain with dislike of pressure Difficulty swallowing Sighing Anxiety Insomnia Belching with rotten food smell Acid regurgitation Detests food or Vomits after eating Distention is reduced after vomiting Expectoration of sticky sputum Unformed stools or Knotted constipation T: Pink C: Sticky or Thick and greasy P: Wiry or Wiry and slippery
Treatment Principle	Clear Food Conduct Stagnation Resolve Phlegm Dissolve hardenings
Herb Formulas	Hai Zao Yu Hu Tang Bao He Wan Zi Gen Mu Li Tang
Points	LIV-13, LIV-14, PC-6, REN-11, REN-12, SP-4, ST-21, ST-36, ST-44 Epigastric pain due to Food Stagnation in the Stomach: 1. LIV-13, PC-6, REN-12, ST-36, ST-44 2. LIV-13, ST-21, ST-44 3. PC-6, REN-11, ST-36 4. PC-6, REN-10, REN-12, SP-4, ST-21, ST-36 Vomiting due to Food Stagnation in the Stomach: PC-6, REN-12, SP-4, ST-25, ST-36