Abdominal Pain in Traditional Chinese Medicine

Understanding different abdominal pain patterns according to TCM theory

Educational content Consult qualified practitioners for medical advice

13
TCM Patterns
101
Formulas

Traditional Chinese Medicine (TCM) approaches abdominal pain with a holistic lens, focusing on the underlying imbalances within the body's energy system. TCM suggests that pain is a manifestation of disharmony among the body's vital energies, identifying specific patterns of this disharmony is essential for treatment.

This approach contrasts with Western medicine by emphasizing the restoration of balance through natural methods and personalized treatments. Identifying the root cause, or pattern, is crucial as it informs the selection of herbs, formulas, and acupuncture points used to alleviate the pain.

TCM Patterns for Abdominal Pain

Heat

Intense, ascending pathogenic force that consumes body fluids, disturbs the mind, and accelerates all physiological processes

Causes: Abdominal and epigastric pain, Abdominal pain, Burning abdominal pain, Lower abdominal pain, Epigastric pain, Burning epigastric pain, Intermittent epigastric pain

15 variations documented
Onset Can be sudden
Location Can be local or systemic
Features Red face/eyes • Thirst for cold drinks • Restlessness • Yellow/dark secretions

Heat is a major pathogenic factor in Traditional Chinese Medicine that can arise from external invasion or internal generation. Heat has the characteristics of burning intensity, rising upward, consuming qi and fluids, and generating wind and disturbing blood. In TCM philosophy, normal physiological warmth is called "minor fire" (少火) which maintains life functions, while pathological heat is "major fire" (壮火) which damages the body.

Damp-Heat invading the Spleen
How it presents with abdominal pain

Abdominal and epigastric pain

Along with: Loss of appetite, Feeling of heaviness, Dry mouth without desire to drink, Nausea or vomiting, Malodorous diarrhea, Anal burning,

Traditional Herbal Formulas
Toxic-Heat
How it presents with abdominal pain

Abdominal pain

Along with: Fever, Edema, Pus and discharge, Boils, Carbuncles, Pustule,

Traditional Herbal Formulas
Bright Yang Fire in Stomach and Intestines
How it presents with abdominal pain

Abdominal pain

Along with: Afternoon fever, Excessive sweating, Sweating on limbs, Abdominal fullness, Constipation, Dry stools,

Damp-Heat in the Large Intestine
How it presents with abdominal pain

Abdominal pain

Along with: Abdominal fullness, Diarrhea, Hematochezia, Mucous in feces, Smelly stools, Anal burning,

Traditional Herbal Formulas
Heat in the Blood
How it presents with abdominal pain

Abdominal pain

Along with: Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia,

Full-Heat in the Small Intestine
How it presents with abdominal pain

Abdominal pain

Along with: Restlessness, Insomnia, Tongue ulcers, Mouth ulcers, Throat pain, Deafness,

Traditional Herbal Formulas
Heat in Lessor Yang
How it presents with abdominal pain

Abdominal pain, Burning abdominal pain

Along with: Fever, Bitter taste in the mouth, Diarrhea, Sticky taste in the mouth, Malodorous diarrhea, Anal irritation,

Traditional Herbal Formulas
Stagnant Liver Qi turning into Fire
How it presents with abdominal pain

Abdominal pain

Along with: Hypochondriac distention, Upper abdominal distension, Stifling sensation in the chest, Irritability, Melancholia, Depression,

Damp-Heat
How it presents with abdominal pain

Lower abdominal pain

Along with: Fever, Neck gland swelling, Headaches, Tight feeling in chest and stomach, Sticky taste in the mouth, Absence of thirst,

Damp-Heat in the Stomach
How it presents with abdominal pain

Epigastric pain

Along with: Upper abdominal pain, Upper abdominal fullness, Feeling of heaviness, Face pain, Congested nose, Thick nasal discharge,

Traditional Herbal Formulas
Phlegm-Heat in the Lungs
How it presents with abdominal pain

Epigastric pain

Along with: Coughing, Shortness of breath, Wheezing, Stifling sensation in the chest, Sputum, Feeling of heat,

Traditional Herbal Formulas
Stomach Heat or Fire
How it presents with abdominal pain

Burning epigastric pain

Along with: Upper abdominal burning pain, Excessive thirst, Craving for cold beverages, Restlessness, Dry stools, Dry mouth,

Damp-Heat in the Lower Burner
How it presents with abdominal pain

Lower abdominal pain

Along with: Scanty and yellow urine, Lower back pain, Weakness of lower extremities, Red and swollen feet, Swollen knee, Thick greasy vaginal secretions,

Traditional Herbal Formulas
Heat and Blood Stagnation in the Lower Burner
How it presents with abdominal pain

Lower abdominal pain

Along with: Nighttime fever, Incoherent or confused speech, Irritability, Restlessness, Thirst, Amenorrhea,

Traditional Herbal Formulas
Liver Qi Stagnation that transforms into Heat
How it presents with abdominal pain

Intermittent epigastric pain

Along with: Intermittent upper abdominal pain, Hernia-Related pain, Dysmenorrhea exacerbated by hot food or drinks, Irritability, Bitter taste in the mouth, Peptic ulcer,

Traditional Herbal Formulas

Cold

Congeals body fluids, damages Yang Qi, and causes pain with fixed location

Causes: Abdominal pain, Lower abdominal pain, abdominal pain relieved by presure and warmth, Postpartum abdominal pain, Abdominal pain alleviated by pressure, Severe epigastric pain, Abdominal pain after childbirth

13 variations documented
Onset Sudden
Location Can be local or systemic
Features Aversion to cold • Prefers warmth • Pain relieved by heat • Tight/contracted feeling

Cold is the predominant pathogenic factor of winter in Traditional Chinese Medicine. Cold represents an environmental pathogen that, when excessive, causes disease characterized by its cold, congealing, and contracting nature. While Cold is the main pathogen of winter, it can cause illness in any season through exposure to cold temperatures, getting caught in rain, sweating followed by wind exposure, or excessive air conditioning.

Bright Yang Fire in Stomach and Intestines
How it presents with abdominal pain

Abdominal pain

Along with: Afternoon fever, Excessive sweating, Sweating on limbs, Abdominal fullness, Constipation, Dry stools,

Cold in the Uterus
How it presents with abdominal pain

Abdominal pain, Lower abdominal pain

Along with: Diarrhea, Loss of appetite, Generalized fatigue, General weakness, Thin vaginal discharge

Cold invading the Large Intestine
How it presents with abdominal pain

Abdominal pain

Along with: Diarrhea, Chills, Abdominal cold sensation

Traditional Herbal Formulas
Damp-Cold
How it presents with abdominal pain

Abdominal pain

Along with: Mouth ulcers, White and watery sputum, Nasal discharge, Sneezing, Chills, Cold extremities,

Traditional Herbal Formulas
Exterior Cold with Interior Dampness in Summer
How it presents with abdominal pain

Abdominal pain

Along with: Chills with warm skin, Lack of sweating, Heavy sensation in the head, Headaches, Vomit, Diarrhea,

Traditional Herbal Formulas
Large Intestine Cold
How it presents with abdominal pain

Abdominal pain

Along with: Diarrhea, Borborygmi, Clear urination, Cold extremities

Traditional Herbal Formulas
Interior Cold
How it presents with abdominal pain

abdominal pain relieved by presure and warmth, Postpartum abdominal pain

Along with: Abdominal cold sensation, Hernia-Related pain, Flank pain, Abdominal pain relieved by pressure and warmth

Kidney and Spleen Yang Deficiency with Empty Cold
How it presents with abdominal pain

abdominal pain relieved by presure and warmth

Along with: Chronic dysentery, Dark blood in stool, Mucous in feces, Abdominal pain relieved by pressure and warmth

Traditional Herbal Formulas
Small Intestine Deficient and Cold
How it presents with abdominal pain

Abdominal pain alleviated by pressure

Along with: Borborygmi, Abdominal pain relieved by pressure or eating, Craving for hot beverages, Diarrhea, Pale and abudant urination, Cold extremities

Cold invading the Stomach
How it presents with abdominal pain

Severe epigastric pain

Along with: Severe upper abdominal pain, Chills, Cold extremities, Desire for hot beverages and foods, Vomiting clear liquid, Nausea,

Exterior Cold invading the Interior
How it presents with abdominal pain

Abdominal pain

Along with: Constipation, Hypochondriac pain, Chills, Low grade fever, Cold extremities, Sweating that doesn't reduce fever,

Traditional Herbal Formulas
Blood Stagnation in the Lower Burner caused by Cold
How it presents with abdominal pain

Lower abdominal pain

Along with: Abdominal masses, Lower abdominal distension, Lower back pain, Abnormal uterine bleeding, Menstrual cramps, Dark menstrual clots,

Traditional Herbal Formulas
Full Cold in the Directing and Penetraing Vessels
How it presents with abdominal pain

Abdominal pain after childbirth

Along with: Menstrual cramps, Cold sensation in lower abdomen, Infertility, Late menstruation, Dark menstrual clots, Postpartum abdominal pain,

Traditional Herbal Formulas

Blood Stasis

Blood that is no longer flowing smoothly through the vessels

Causes: Abdominal pain, Lower abdominal pain, Epigastric pain, Umbilical pain

9 variations documented
Onset Gradual (trauma=sudden)
Location Often local, can be systemic
Features Fixed/stabbing pain • Purple/dark coloration • Masses/tumors • Pain worse at night

Blood Stasis represents blood that is no longer flowing smoothly through the vessels, either moving too slowly, pooling in certain areas, or congealing into clots. It's one of the most important pathological conditions in Traditional Chinese Medicine and can be both a result of disease and a cause of further illness.

Qi And Blood Stagnation
How it presents with abdominal pain

Abdominal pain, Lower abdominal pain

Along with: Chest distension, Chest pain, Stabbing fixed pain, Dark face, Purple lips, Purple nails,

Blood Stagnation
How it presents with abdominal pain

Abdominal pain

Along with: Dark face, Purple lips, Stabbing fixed pain, Abdominal masses, Purple nails, Menstrual cramps,

Liver Blood Stagnation
How it presents with abdominal pain

Abdominal pain

Along with: Hypochondriac pain, Vomiting blood, Nosebleeds, Menstrual cramps, Irregular periods, Dark menstrual clots,

Stomach Blood Stagnation
How it presents with abdominal pain

Epigastric pain

Along with: Nocturnal epigastric pain, Abdominal pain worsened by pressure, Nausea or vomiting, Potential vomiting of blood, Hematochezia

Traditional Herbal Formulas
Blood Stagnation and Phlegm in the Uterus
How it presents with abdominal pain

Abdominal pain

Along with: Persistent uterine bleeding of purple or dark blood, Lower abdominal distension and pain that increases with pressure, Lower abdominal fibroids and cysts, Menstrual cramps, Irregular periods, Prolonged lochia,

Traditional Herbal Formulas
Blood Stagnation in the Directing and Penetrating Vessels
How it presents with abdominal pain

Lower abdominal pain, Umbilical pain

Along with: Irregular periods, Brown vaginal discharge, Dark menstrual clots, Menstrual cramps, Dark menstrual blood, Prolonged lochia,

Traditional Herbal Formulas
Blood Stagnation in the Lower Burner caused by Cold
How it presents with abdominal pain

Lower abdominal pain

Along with: Abdominal masses, Lower abdominal distension, Lower back pain, Abnormal uterine bleeding, Menstrual cramps, Dark menstrual clots,

Traditional Herbal Formulas
Blood Deficiency and Stagnation
How it presents with abdominal pain

Lower abdominal pain

Along with: Dizziness, Blurry vision, Lackluster complexion and nails, Muscle tension, Insomnia, Palpitations,

Traditional Herbal Formulas
Heat and Blood Stagnation in the Lower Burner
How it presents with abdominal pain

Lower abdominal pain

Along with: Nighttime fever, Incoherent or confused speech, Irritability, Restlessness, Thirst, Amenorrhea,

Traditional Herbal Formulas

Qi Stagnation

Blocked or disrupted flow of vital energy causing distending pain, emotional distress, and symptoms that worsen with stress

Causes: Abdominal pain, Lower abdominal pain, Epigastic pain, Epigastric pain, Abdominal pain relieved by flatulence, Lower abdominal twisting pain, Intermittent epigastric pain

8 variations documented
Onset Gradual (can be sudden)
Location Can be local or systemic
Features Distending/moving pain • Emotional stress worsens • Sighing • Pain relieved by movement/burping

Qi Stagnation is a fundamental pathological pattern in Traditional Chinese Medicine where the smooth flow of vital energy becomes obstructed, creating areas of pressure, pain, and dysfunction throughout the body.

Qi And Blood Stagnation
How it presents with abdominal pain

Abdominal pain, Lower abdominal pain

Along with: Chest distension, Chest pain, Stabbing fixed pain, Dark face, Purple lips, Purple nails,

Large Intestine Qi Stagnation
How it presents with abdominal pain

Abdominal pain

Along with: Abdominal distention, Constipation, Anxiety, Bitty stools

Traditional Herbal Formulas
Qi Stagnation
How it presents with abdominal pain

Abdominal pain

Along with: General fullness, Moving pain, Depression, Irritability, Mood swings, Sighing

Liver Qi Stagnation
How it presents with abdominal pain

Abdominal pain, Lower abdominal pain, Epigastic pain

Along with: Hypochondriac distention, Chest distension, Upper abdominal distension, Abdominal distention, Sighing, Melancholia,

Stagnant Liver Qi turning into Fire
How it presents with abdominal pain

Abdominal pain

Along with: Hypochondriac distention, Upper abdominal distension, Stifling sensation in the chest, Irritability, Melancholia, Depression,

Stomach Qi Stagnation
How it presents with abdominal pain

Epigastric pain

Along with: Upper abdominal pain, Upper abdominal distension, Belching, Nausea, Vomit, Hiccups,

Traditional Herbal Formulas
Small Intestine Qi Pain
How it presents with abdominal pain

Abdominal pain relieved by flatulence, Lower abdominal twisting pain

Along with: Abdominal distention, Abdominal pain worsened by pressure, Borborygmi, Excessive gas and flatulence, Testicular pain

Traditional Herbal Formulas
Liver Qi Stagnation that transforms into Heat
How it presents with abdominal pain

Intermittent epigastric pain

Along with: Intermittent upper abdominal pain, Hernia-Related pain, Dysmenorrhea exacerbated by hot food or drinks, Irritability, Bitter taste in the mouth, Peptic ulcer,

Traditional Herbal Formulas

Dampness

Heavy, sticky moisture that obstructs body functions and creates sluggishness

Causes: Abdominal and epigastric pain, Abdominal pain, Lower abdominal pain, Epigastric pain

8 variations documented
Onset Gradual
Location Systemic, especially digestive
Features Heavy/foggy feeling • Sticky/turbid discharges • Poor appetite • Bloating

Dampness manifests as swelling, bloating, a feeling of heaviness in the head and limbs, and digestive issues. It's like having waterlogged tissues that make everything feel heavy and slow. Common signs include a thick, greasy tongue coating, sticky mouth sensation, and stools that are difficult to flush.

Damp-Heat invading the Spleen
How it presents with abdominal pain

Abdominal and epigastric pain

Along with: Loss of appetite, Feeling of heaviness, Dry mouth without desire to drink, Nausea or vomiting, Malodorous diarrhea, Anal burning,

Traditional Herbal Formulas
Damp-Cold
How it presents with abdominal pain

Abdominal pain

Along with: Mouth ulcers, White and watery sputum, Nasal discharge, Sneezing, Chills, Cold extremities,

Traditional Herbal Formulas
Damp-Heat in the Large Intestine
How it presents with abdominal pain

Abdominal pain

Along with: Abdominal fullness, Diarrhea, Hematochezia, Mucous in feces, Smelly stools, Anal burning,

Traditional Herbal Formulas
Exterior Cold with Interior Dampness in Summer
How it presents with abdominal pain

Abdominal pain

Along with: Chills with warm skin, Lack of sweating, Heavy sensation in the head, Headaches, Vomit, Diarrhea,

Traditional Herbal Formulas
Damp-Phlegm in the Uterus
How it presents with abdominal pain

Lower abdominal pain

Along with: Late menstruation, Amenorrhea, Scanty menstruation, Abdominal heaviness, Stifling sensation in the chest, Generalized fatigue,

Damp-Heat
How it presents with abdominal pain

Lower abdominal pain

Along with: Fever, Neck gland swelling, Headaches, Tight feeling in chest and stomach, Sticky taste in the mouth, Absence of thirst,

Damp-Heat in the Stomach
How it presents with abdominal pain

Epigastric pain

Along with: Upper abdominal pain, Upper abdominal fullness, Feeling of heaviness, Face pain, Congested nose, Thick nasal discharge,

Traditional Herbal Formulas
Damp-Heat in the Lower Burner
How it presents with abdominal pain

Lower abdominal pain

Along with: Scanty and yellow urine, Lower back pain, Weakness of lower extremities, Red and swollen feet, Swollen knee, Thick greasy vaginal secretions,

Traditional Herbal Formulas

Yang Deficiency

Insufficient yang qi causing coldness, fatigue, and diminished physiological functions throughout the body

Causes: Abdominal pain, abdominal pain relieved by presure and warmth, Abdominal pain and distension relieved by pressure and warmth, Epigastric pain relieved with pressure or eating, Abdominal pain that worsens with cold

6 variations documented
Onset Gradual
Location Systemic
Features Always cold • Fatigue • Pale face • Prefers warmth • Cold limbs

Yang Deficiency represents a fundamental weakness of the body's yang qi in Traditional Chinese Medicine. It manifests as an inability to warm the body, transform substances, and maintain normal physiological activities, resulting in various cold-type symptoms and functional decline.

Kidney Yang Deficiency
How it presents with abdominal pain

Abdominal pain

Along with: Lower back pain, Dizziness, Tinnitus, Weak and cold knees, Lower back coldness, Chills,

Kidney and Spleen Yang Deficiency with Empty Cold
How it presents with abdominal pain

abdominal pain relieved by presure and warmth

Along with: Chronic dysentery, Dark blood in stool, Mucous in feces, Abdominal pain relieved by pressure and warmth

Traditional Herbal Formulas
Yang Deficiency or Empty Yang
How it presents with abdominal pain

abdominal pain relieved by presure and warmth

Along with: Chills, General cold feeling, Pale urine, Undigested food in stools, General weakness, Abdominal pain relieved by pressure and warmth,

Spleen Yang Deficiency
How it presents with abdominal pain

Abdominal pain and distension relieved by pressure and warmth

Along with: Slight abdominal distension after eating, General weakness, Desire to lie down curled up, Pale face, Cold extremities, Chills,

Stomach Yang Deficient and Cold
How it presents with abdominal pain

Epigastric pain relieved with pressure or eating

Along with: Loss of appetite, Desire for hot beverages and foods, Vomiting clear liquid, Absence of thirst, Weak limbs, Cold extremities,

Spleen or Kidney Yang Deficiency
How it presents with abdominal pain

Abdominal pain that worsens with cold

Along with: Urinary dysfunction, Deep pain and heaviness in limbs, Dizziness, Heavy sensation in the head, Edema, Diarrhea,

Traditional Herbal Formulas

Phlegm

Thick, sticky pathological fluid that obstructs body functions and can manifest anywhere in the body

Causes: Abdomen pain, Epigastric pain, Lower abdominal pain, Abdominal pain

4 variations documented
Onset Gradual
Location Local or systemic
Features Nodules/lumps • Heavy sensation • Mucus/expectoration • Mental confusion (if affecting mind)

Phlegm is both a pathological product and a pathogenic factor in Traditional Chinese Medicine. It results from impaired fluid metabolism when the body's transformative functions fail, particularly affecting the Spleen, Lungs, and Kidneys. Classical texts emphasize that "the Spleen is the source of phlegm production, while the Lungs are the storage vessel for phlegm."

Phlegm in Kidneys or Gallbladder
How it presents with abdominal pain

Abdomen pain, Epigastric pain

Along with: Frequent and urgent urination, Urinary dysfunction, Hematuria

Traditional Herbal Formulas
Damp-Phlegm in the Uterus
How it presents with abdominal pain

Lower abdominal pain

Along with: Late menstruation, Amenorrhea, Scanty menstruation, Abdominal heaviness, Stifling sensation in the chest, Generalized fatigue,

Phlegm-Heat in the Lungs
How it presents with abdominal pain

Epigastric pain

Along with: Coughing, Shortness of breath, Wheezing, Stifling sensation in the chest, Sputum, Feeling of heat,

Traditional Herbal Formulas
Blood Stagnation and Phlegm in the Uterus
How it presents with abdominal pain

Abdominal pain

Along with: Persistent uterine bleeding of purple or dark blood, Lower abdominal distension and pain that increases with pressure, Lower abdominal fibroids and cysts, Menstrual cramps, Irregular periods, Prolonged lochia,

Traditional Herbal Formulas

Qi Deficiency

Insufficient vital energy causing fatigue, weakness, poor digestion, and reduced function of organs and protective systems

Causes: Lower abdominal pain, Slight abdominal pain, Abdominal pain

3 variations documented
Onset Gradual
Location Systemic
Features Fatigue • Weak voice • Shortness of breath • Spontaneous sweating • Poor appetite

Qi Deficiency is a fundamental pattern in Traditional Chinese Medicine where the body's vital energy is insufficient to maintain normal physiological functions, leading to weakness, fatigue, and various organ dysfunctions.

Qi and Blood Deficiency
How it presents with abdominal pain

Lower abdominal pain

Along with: General weakness, Generalized fatigue, Weak voice, Pale face, Shortness of breath, Palpitations,

Traditional Herbal Formulas
Spleen Qi Deficiency
How it presents with abdominal pain

Slight abdominal pain

Along with: Slight abdominal distension after eating, General weakness, Desire to lie down, Excessive gas and flatulence, Bloated abdomen, Dyspepsia,

Spleen and Stomach Qi Deficiency
How it presents with abdominal pain

Abdominal pain, Lower abdominal pain

Along with: Dizziness, Unsteadiness, Blurry vision, Deafness, Tinnitus, Shortness of breath,

Traditional Herbal Formulas

Blood Deficiency

Insufficient blood to nourish the body, causing paleness, dizziness, and dryness throughout the system

Causes: Lower abdominal pain

3 variations documented
Onset Gradual
Location Systemic
Features Pale face/lips/nails • Blurred vision • Dizziness • Scanty menses • Numbness

Blood Deficiency represents a fundamental lack of blood volume or quality in the body, resulting in organs, tissues, and the mind being undernourished. In Traditional Chinese Medicine, blood not only refers to the red fluid in our vessels but encompasses the body's entire nourishing and moistening functions.

Blood Deficiency
How it presents with abdominal pain

Lower abdominal pain

Along with: Dizziness, Scanty menstruation, Amenorrhea, Dull shallow face, Pale lips, Poor memory,

Qi and Blood Deficiency
How it presents with abdominal pain

Lower abdominal pain

Along with: General weakness, Generalized fatigue, Weak voice, Pale face, Shortness of breath, Palpitations,

Traditional Herbal Formulas
Blood Deficiency and Stagnation
How it presents with abdominal pain

Lower abdominal pain

Along with: Dizziness, Blurry vision, Lackluster complexion and nails, Muscle tension, Insomnia, Palpitations,

Traditional Herbal Formulas

Qi Rebellion

Qi flowing against its natural direction, typically surging upward when it should descend

Causes: Abdominal pain, Epigastric pain

2 variations documented
Onset Sudden
Location Upper body/upward
Features Upward movement • Nausea/vomiting • Hiccups • Cough/asthma • Headache

Qi Rebellion represents a fundamental disruption in the body's energy flow, where qi moves against its proper direction - like water flowing uphill or smoke sinking downward. In Traditional Chinese Medicine, each organ has a natural directional flow for its qi, and when this flow reverses, it creates a cascade of symptoms that shoot upward through the body.

Rebellious Liver Qi invading the Spleen
How it presents with abdominal pain

Abdominal pain

Along with: Irritability, Abdominal distention, Alternating diarrhea and constipation, Dry stools, Excessive gas and flatulence, Generalized fatigue

Traditional Herbal Formulas
Rebellious Liver Qi invading the Stomach
How it presents with abdominal pain

Epigastric pain

Along with: Irritability, Upper abdominal pain, Upper abdominal distension, Hypochondriac pain, Hypochondriac distention, Upper abdominal oppression,

Yin Deficiency

Depletion of cooling, moistening fluids causing dryness, false heat rising, and restless agitation throughout the body

Causes: Epigastric pain, Epigastic pain

1 variation documented
Onset Gradual
Location Systemic
Features Night sweats • Dry mouth/throat • Heat in afternoon/evening • Malar flush

Yin Deficiency represents a fundamental pattern in Traditional Chinese Medicine where the body's yin fluids - blood, essence, and body fluids - become depleted, losing their ability to cool, moisten, and anchor the yang energy, resulting in relative hyperactivity of yang and internal heat manifestations.

Stomach Yin Deficiency
How it presents with abdominal pain

Epigastric pain, Epigastic pain

Along with: Loss of appetite, Preference for sipping, Slight abdominal distension after eating

Yin Excess

Pathological accumulation of cold, heavy substances causing stagnation, obstruction, and suppression of yang energy with internal cold manifestations

Causes: Epigastric pain worsen by pressure

1 variation documented
Onset Gradual
Location Systemic
Features Pathological cold from internal Yin • Accumulation of cold fluids • Slow metabolism

Yin Excess represents patterns in Traditional Chinese Medicine where yin-natured pathological substances - cold, phlegm, dampness, and fluids - accumulate excessively in the body, overwhelming yang energy and causing obstruction, stagnation, and cold manifestations throughout the system.

Yin Excess
How it presents with abdominal pain

Epigastric pain worsen by pressure

Along with: Absence of thirst, Slow and forceful movement, Polyuria, Feeling of chest oppression, Nausea, Excessive vaginal discharge,

Traditional Herbal Formulas

Wind

Causes sudden symptoms, movement disorders, and serves as the vehicle for other pathogens

Causes: Abdominal pain

1 variation documented
Onset Sudden
Location Often upper body/exterior
Features Rapid onset • Moving/migrating symptoms • Itching • Symptoms change location

Wind is the predominant pathogenic factor of spring in Traditional Chinese Medicine and is considered the leader of the six external pathogens. Wind is described as "the leader of the hundred diseases" (百病之长), serving as the primary factor in external pathogenic invasions. Wind represents a pathogen characterized by constant movement, changeability, and a tendency to affect the upper and outer portions of the body.

Bright Yang Fire in Stomach and Intestines
How it presents with abdominal pain

Abdominal pain

Along with: Afternoon fever, Excessive sweating, Sweating on limbs, Abdominal fullness, Constipation, Dry stools,

Herbal Formulas for Abdominal Pain

Traditional Chinese Medicine formulas used to address abdominal pain

Xiao Yao San

Addresses these abdominal pain patterns:

Qi Stagnation Blood Stasis Qi Rebellion Heat Dampness

Chai Hu Shu Gan San

Addresses these abdominal pain patterns:

Qi Stagnation Blood Stasis

Si Wu Tang

Addresses these abdominal pain patterns:

Blood Stasis Qi Stagnation Blood Deficiency Cold

Jia Wei Xiao Yao San

Addresses these abdominal pain patterns:

Blood Stasis Qi Stagnation Heat

Shao Fu Zhu Yu Tang

Addresses these abdominal pain patterns:

Blood Stasis Qi Stagnation Cold

Ge Xia Zhu Yu Tang

Addresses these abdominal pain patterns:

Blood Stasis Qi Stagnation

Gui Zhi Fu Ling Wan

Addresses these abdominal pain patterns:

Blood Stasis Phlegm Qi Stagnation

Liang Fu Wan

Addresses these abdominal pain patterns:

Cold

Shen Ling Bai Zhu San

Addresses these abdominal pain patterns:

Yin Deficiency Qi Deficiency Cold