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Food Stagnation in Stomach

From "Zang Fu Syndromes," by McDonald and Penner

• Etiology
• Clinical Manifestations
• Complications
• Associated Western Conditions
• Differential Diagnosis
• Treatment Principle
• Common Acupuncture Points
• Common Herbal Formulae

Irregular meals.

Unrestrained diet or overeating.

T: Pink
C: Thick and greasy
P: Slippery

Food Stagnation in ST may occur combined with LIV Qi Invades ST, a form of LIV Qi Stagnation. In such cases, pain may also affect the ribs and sides, and symptoms will be precipitated or exacerbated by emotional distress. Due to LIV involvement, the pulse will be wiry as well as slippery.

Dyspepsia

Food Stagnation in ST may be identified as a Shi condition by the dislike of pressure on the epigastrium, the adverse reaction to eating and the improvement after vomiting. Differentiation of Shi ST conditions with vomiting and epigastric pain is as follows:

Clear Food and Conduct Stagnation.

ST-44 / Neiting Clears ST and promotes digestion.

LIV-13 / Zhangmen Relieves Food Stagnation.

LIV-14 / Qimen Relieves Food Stagnation.

PC-6 / Neiguan Regulates MJ and stops vomiting: with SP-4 / Gongsun couples Yinwei Mai and Chong Mai - for fullness and distention.

SP-4 / Gongsun With PC-6 / Neiguan, couples Yinwei Mai and Chong Mai: for fullness and distention.

ST-36 / Zusanli Readjusts ST and corrects contravecting Qi (makes ST Qi descend as it should); promotes digestion.

REN-12 / Zhongwan Regulates ST Qi, suppresses contravection and relieves Food Stagnation.

REN-11 / Jianli Alternative to REN-12 / Zhongwan.

ST-21 / Liangmen Alternative to REN-12 / Zhongwan.

Sample Point Prescription:

Epigastric pain due to Food Stagnation in ST:

1. ST-36 / Zusanli

REN-12 / Zhongwan

PC-6 / Neiguan

plus

LIV-13 / Zhangmen

ST-44 / Neiting (from "Essentials of Chinese Acupuncture")

2. ST-44 / Nei Ting

LIV-13 / Zhangmen

ST-21 / Liangmen (from a seminar by Giovanni Maciocia)

3. PC-6 / Neiguan

ST-36 / Zusanli

plus

REN-11 / Jianli (from "Acupuncture: a Comprehensive Text")

4. REN-12 / Zhongwan

PC-6 / Neiguan

ST-36 / Zusanli

SP-4 / Gongsun

plus

REN-10 / Xiawan

ST-21 / Liangmen (from "Zhen Jiu Xue" Jiangsu Province translated by Yimmy Chan and Garry Seifert)

Vomiting due to Food Stagnation in ST:

1. ST-36 / Zusanli

REN-12 / Zhongwan

PC-6 / Neiguan

SP-4 / Gongsun

ST-25 / Tianshu (from "Essentials of Chinese Acupuncture")

Bao He Wan / Preserve and Harmonize Pill

Zhi Shi Dao Zhi Wan / Immature Bitter Orange Pill to Guide Out Stagnation

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