Nausea in Traditional Chinese Medicine

Understanding different nausea patterns according to TCM theory

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Condition Categories

10
TCM Patterns
56
Formulas
Overview
What causes it 10 TCM patterns documented
How to recognize Symptoms specific to each nausea pattern
Classical remedies 56 herbal formulas documented

Traditional Chinese Medicine (TCM) perceives nausea as a manifestation of disharmony within the body's internal landscape. TCM identifies various patterns of disharmony responsible for nausea, emphasizing the importance of diagnosing the underlying cause to tailor treatment effectively.

According to TCM, nausea often arises from imbalances in the stomach's Qi, indicating either a disturbance in the direction of its flow or an effect of external pathological factors like Dampness or Heat affecting the digestive system.

TCM Patterns for Nausea

Dampness

Heavy, sticky moisture that obstructs body functions and creates sluggishness

Causes: Nausea

13 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-Phlegm in the Uterus
How it presents with nausea

Nausea

Along with: Late menstruation, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Stifling sensation in the chest,

Cold-Damp invading the Spleen
How it presents with nausea

Nausea

Along with: Loss of appetite, Epigastric coldness, Head and body heaviness, Sweet taste in mouth, Absence of thirst, Diarrhea,

Traditional Herbal Formulas
Damp-Heat in Stomach and Spleen
How it presents with nausea

Nausea

Along with: Head and body heaviness, Upper abdominal oppression, Diarrhea, Fever not reduced by sweating

Damp-Heat in the Liver
How it presents with nausea

Nausea

Along with: Hypochondrial fullness and distention with pain alleviated by warmth, Abdominal fullness, Lower abdominal fullness, Bitter taste in the mouth, Sticky taste in the mouth, Loss of appetite,

Traditional Herbal Formulas
Damp-Heat in the Stomach
How it presents with nausea

Nausea

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

Traditional Herbal Formulas
Damp-Phlegm
How it presents with nausea

Nausea

Along with: Profuse white sputum, Focal distention of the chest, Upper abdominal focal distention, Sticky taste in the mouth, Absence of thirst, Obesity,

Damp-Phlegm in the Lungs
How it presents with nausea

Nausea

Along with: Coughing, Pale face, Sputum, Stifling sensation in the chest, Shortness of breath, Discomfort when lying down,

Traditional Herbal Formulas
Damp-Wind
How it presents with nausea

Nausea

Along with: Aversion to cold, Fever, Neck gland swelling, Excessive sweating, Occipital stiffness, Body pain,

Exterior Cold with Interior Dampness in Summer
How it presents with nausea

Nausea

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

Traditional Herbal Formulas
Obstruction Of the Spleen By Dampness with Liver Qi Stagnation
How it presents with nausea

Nausea

Along with: Upper abdominal oppression, Loss of appetite, Diarrhea, Feeling of heaviness, Dry mouth without desire to drink, Dull shallow face,

Traditional Herbal Formulas
Damp-Cold Phlegm
How it presents with nausea

Nausea

Along with: Vomit, Tight feeling in chest and stomach, Palpitations, Dizziness, Focal distention, Profuse white sputum,

Traditional Herbal Formulas
Painful Obstruction with Wind-Cold-Damp
How it presents with nausea

Nausea

Along with: Swollen and painful joints worsening at night, Joint stiffness, Chills without sweating, Weight loss, Headaches, Dizziness,

Traditional Herbal Formulas
Phlegm-Dampness in the Middle-Burner
How it presents with nausea

Nausea

Along with: Vomit, Tight feeling in chest and stomach, Focal distention, Profuse white sputum, Anorexia, Peptic ulcer,

Traditional Herbal Formulas

Phlegm

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

Causes: Nausea

8 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."

Damp-Phlegm in the Uterus
How it presents with nausea

Nausea

Along with: Late menstruation, Amenorrhea, Scanty menstruation, Lower abdominal pain, Abdominal heaviness, Stifling sensation in the chest,

Cold-Phlegm
How it presents with nausea

Nausea

Along with: White and watery sputum, Stifling sensation in the chest, Cold extremities, Loss of appetite

Damp-Phlegm
How it presents with nausea

Nausea

Along with: Profuse white sputum, Focal distention of the chest, Upper abdominal focal distention, Sticky taste in the mouth, Absence of thirst, Obesity,

Damp-Phlegm in the Lungs
How it presents with nausea

Nausea

Along with: Coughing, Pale face, Sputum, Stifling sensation in the chest, Shortness of breath, Discomfort when lying down,

Traditional Herbal Formulas
Phlegm
How it presents with nausea

Nausea

Along with: Stifling sensation in the chest, Head fog, Dizziness

Phlegm-Heat
How it presents with nausea

Nausea

Along with: Upper abdominal oppression, Mucous in feces, Depression

Traditional Herbal Formulas
Damp-Cold Phlegm
How it presents with nausea

Nausea

Along with: Vomit, Tight feeling in chest and stomach, Palpitations, Dizziness, Focal distention, Profuse white sputum,

Traditional Herbal Formulas
Phlegm-Dampness in the Middle-Burner
How it presents with nausea

Nausea

Along with: Vomit, Tight feeling in chest and stomach, Focal distention, Profuse white sputum, Anorexia, Peptic ulcer,

Traditional Herbal Formulas

Heat

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

Causes: Nausea

8 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 in Stomach and Spleen
How it presents with nausea

Nausea

Along with: Head and body heaviness, Upper abdominal oppression, Diarrhea, Fever not reduced by sweating

Damp-Heat in the Liver
How it presents with nausea

Nausea

Along with: Hypochondrial fullness and distention with pain alleviated by warmth, Abdominal fullness, Lower abdominal fullness, Bitter taste in the mouth, Sticky taste in the mouth, Loss of appetite,

Traditional Herbal Formulas
Damp-Heat in the Stomach
How it presents with nausea

Nausea

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

Traditional Herbal Formulas
Gallbladder Heat
How it presents with nausea

Nausea

Along with: Alternating sensation of hot and cold, Bitter taste in the mouth, Thirst, Dry throat, Hypochondriac pain, Upper abdominal fullness

Traditional Herbal Formulas
Obstruction Of the Spleen By Dampness with Liver Qi Stagnation
How it presents with nausea

Nausea

Along with: Upper abdominal oppression, Loss of appetite, Diarrhea, Feeling of heaviness, Dry mouth without desire to drink, Dull shallow face,

Traditional Herbal Formulas
Phlegm-Heat
How it presents with nausea

Nausea

Along with: Upper abdominal oppression, Mucous in feces, Depression

Traditional Herbal Formulas
Stomach Heat or Fire
How it presents with nausea

Nausea

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

Heat in Gall Bladder
How it presents with nausea

Nausea

Along with: Mild chills with high fever, Bitter taste in the mouth, Stifling sensation in the chest, Vomiting of sour fluids, Thirst, Hypochondriac pain and discomfort,

Traditional Herbal Formulas

Cold

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

Causes: Nausea

6 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.

Cold invading the Stomach
How it presents with nausea

Nausea

Along with: Severe upper abdominal pain, Chills, Cold extremities, Desire for hot beverages and foods, Vomiting clear liquid, Feeling worse after drinking cold drinks

Cold-Damp invading the Spleen
How it presents with nausea

Nausea

Along with: Loss of appetite, Epigastric coldness, Head and body heaviness, Sweet taste in mouth, Absence of thirst, Diarrhea,

Traditional Herbal Formulas
Cold-Phlegm
How it presents with nausea

Nausea

Along with: White and watery sputum, Stifling sensation in the chest, Cold extremities, Loss of appetite

Exterior Cold with Interior Dampness in Summer
How it presents with nausea

Nausea

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

Traditional Herbal Formulas
Damp-Cold Phlegm
How it presents with nausea

Nausea

Along with: Vomit, Tight feeling in chest and stomach, Palpitations, Dizziness, Focal distention, Profuse white sputum,

Traditional Herbal Formulas
Painful Obstruction with Wind-Cold-Damp
How it presents with nausea

Nausea

Along with: Swollen and painful joints worsening at night, Joint stiffness, Chills without sweating, Weight loss, Headaches, Dizziness,

Traditional Herbal Formulas

Qi Stagnation

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

Causes: Nausea

4 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.

Heart Qi Stagnation
How it presents with nausea

Nausea

Along with: Palpitations, Chest distension, Stifling sensation in the chest, Depression

Traditional Herbal Formulas
Liver Qi Stagnation
How it presents with nausea

Nausea

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

Obstruction Of the Spleen By Dampness with Liver Qi Stagnation
How it presents with nausea

Nausea

Along with: Upper abdominal oppression, Loss of appetite, Diarrhea, Feeling of heaviness, Dry mouth without desire to drink, Dull shallow face,

Traditional Herbal Formulas
Stomach Qi Stagnation
How it presents with nausea

Nausea

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

Traditional Herbal Formulas

Qi Rebellion

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

Causes: Nausea

3 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 Lung Qi
How it presents with nausea

Nausea

Along with: Coughing, Asthma, Vomit, Dizziness, Headaches, Loss of consciousness

Traditional Herbal Formulas
Rebellious Qi
How it presents with nausea

Nausea

Along with: Hiccups, Belching, Vomit, Coughing, Asthma

Rebellious Stomach Qi
How it presents with nausea

Nausea

Along with: Dysphagia, Belching, Vomit, Hiccups

Wind

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

Causes: Nausea

2 variations 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.

Damp-Wind
How it presents with nausea

Nausea

Along with: Aversion to cold, Fever, Neck gland swelling, Excessive sweating, Occipital stiffness, Body pain,

Painful Obstruction with Wind-Cold-Damp
How it presents with nausea

Nausea

Along with: Swollen and painful joints worsening at night, Joint stiffness, Chills without sweating, Weight loss, Headaches, Dizziness,

Traditional Herbal Formulas

Yin Deficiency

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

Causes: Nausea

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 and Spleen Yin Deficiency
How it presents with nausea

Nausea

Along with: Loss of appetite, Dry mouth, Preference for sipping, Dry stools, Dry lips, Generalized fatigue,

Traditional Herbal Formulas

Blood Stasis

Blood that is no longer flowing smoothly through the vessels

Causes: Nausea

1 variation 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.

Stomach Blood Stagnation
How it presents with nausea

Nausea

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

Traditional Herbal Formulas

Yin Excess

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

Causes: Nausea

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 nausea

Nausea

Along with: Absence of thirst, Slow and forceful movement, Epigastric pain worsen by pressure, Polyuria, Feeling of chest oppression, Excessive vaginal discharge,

Traditional Herbal Formulas

Herbal Formulas for Nausea

Traditional Chinese Medicine formulas used to address nausea

Ban Xia Hou Pu Tang

Addresses these nausea patterns:

Qi Stagnation Phlegm Qi Rebellion

Er Chen Tang

Addresses these nausea patterns:

Dampness Phlegm Cold

Hao Qin Qing Dan Tang

Addresses these nausea patterns:

Heat Phlegm

Chai Hu Shu Gan San

Addresses these nausea patterns:

Qi Stagnation Qi Rebellion

Ge Hua Jie Cheng San

Addresses these nausea patterns:

Dampness Heat

Huo Xiang Zheng Qi San

Addresses these nausea patterns:

Cold Qi Rebellion

Lian Po Yin

Addresses these nausea patterns:

Dampness Heat

Liu Jun Zi Tang

Addresses these nausea patterns:

Dampness Phlegm

Ping Wei San

Addresses these nausea patterns:

Dampness Cold Heat Qi Stagnation