Vomit in Traditional Chinese Medicine

Understanding different vomit patterns according to TCM theory

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Condition Categories

13
TCM Patterns
65
Formulas
Overview
What causes it 13 TCM patterns documented
How to recognize Symptoms specific to each vomit pattern
Classical remedies 65 herbal formulas documented

In Traditional Chinese Medicine (TCM), understanding vomiting goes beyond simply addressing the symptom; it involves recognizing the unique 'pattern' of imbalance within the body. A pattern in TCM reflects a comprehensive picture of disharmony that may involve aspects of Qi, Yin, Yang, and bodily fluids. Identifying this pattern is crucial because it directs the treatment strategy, ensuring that both the symptom and its root cause are addressed. This holistic approach allows for more personalized and effective remedies, tailored to each individual's specific imbalance.

TCM Patterns for Vomit

Heat

Causes: Vomiting, Vomiting of fluids soon after drinking, Haematemesis, Vomiting of blood, Spitting up bitter or sour fluids, Vomiting of food

9 variations documented
Damp-Heat in the Liver
How it presents with vomit

Vomiting

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,

Half Exterior Half Interior
How it presents with vomit

Vomiting

Along with: Chest distension, Bitter taste in the mouth, Dry cough, Anxiety, Restlessness, Vomit,

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

Vomiting of fluids soon after drinking

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

Liver Fire Blazing
How it presents with vomit

Haematemesis

Along with: Irritability, Anger, Tinnitus, Deafness, Temporal headache, Dizziness,

Liver Wind agitating Internally due to Liver Fire
How it presents with vomit

Haematemesis

Along with: Tremors, Irritability, Anger, Tinnitus, Deafness, Temporal headache,

Heat in the Blood
How it presents with vomit

Vomiting of blood

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

Heat victorious agitating Blood
How it presents with vomit

Vomiting of blood

Along with: Restlessness, High fever, Mania, Macules, Vomiting blood, Nosebleeds,

Traditional Herbal Formulas
Heat in Gall Bladder
How it presents with vomit

Spitting up bitter or sour fluids

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
Stomach Fire or Stomach Heat
How it presents with vomit

Vomiting of food

Along with: Toothache, Headaches, Loose teeth, Bleeding gums, Irritability, Thirst,

Traditional Herbal Formulas

Phlegm

Causes: Vomiting, Vomiting of watery fluids, Regurgitation

7 variations documented
Phlegm
How it presents with vomit

Vomiting

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

Phlegm Misting the Heart
How it presents with vomit

Vomiting

Along with: Confusion, Loss of consciousness, Hypersomnia, Incoherent or confused speech, Slurred speech, Aphasia,

Phlegm-Fluids
How it presents with vomit

Vomiting of watery fluids

Along with: Abdominal distention, Vomiting clear liquid, Feeling of heaviness, Shortness of breath, Hypochondrial pain that is worse on coughing and breathing, Coughing,

Phlegm-Fluids in the Stomach and Small intestine
How it presents with vomit

Vomiting of watery fluids

Along with: Abdominal distention, Vomiting clear liquid, Dry tongue, Dry mouth without desire to drink, Stomach splashing sound, Chest distension,

Damp-Cold Phlegm
How it presents with vomit

Vomiting

Along with: Nausea, Vomit, Tight feeling in chest and stomach, Palpitations, Dizziness, Focal distention,

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

Vomiting

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

Traditional Herbal Formulas
Stomach Qi Deficiency with Phelgm
How it presents with vomit

Regurgitation

Along with: Persistent belching, Hiccups, Vomit, Nausea or vomiting, Upper abdominal focal distention, Chronic gastritis,

Traditional Herbal Formulas

Cold

Causes: Vomiting, Vomiting of clear fluids

5 variations documented
Exterior Cold with Interior Dampness in Summer
How it presents with vomit

Vomiting

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

Traditional Herbal Formulas
Greater Yin stage
How it presents with vomit

Vomiting

Along with: Loss of appetite, Vomit, Abdominal fullness, Chills, Diarrhea, Absence of thirst,

Traditional Herbal Formulas
Cold invading the Stomach
How it presents with vomit

Vomiting of clear fluids

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

Stagnation of Cold in the Liver Channel
How it presents with vomit

Vomiting of clear fluids

Along with: Hypochondrial fullness and distention with pain alleviated by warmth, Testicular pain, Scrotal contraction, Vertical headaches, Chills, Cold extremities,

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

Vomiting

Along with: Nausea, Vomit, Tight feeling in chest and stomach, Palpitations, Dizziness, Focal distention,

Traditional Herbal Formulas

Qi Stagnation

Causes: Vomiting, Vomiting of food

4 variations documented
Liver Qi Stagnation
How it presents with vomit

Vomiting

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

Stomach Qi Stagnation
How it presents with vomit

Vomiting

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

Traditional Herbal Formulas
Qi Stagnation
How it presents with vomit

Vomiting

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

Traditional Herbal Formulas
Liver Qi Stagnation invading the Stomach
How it presents with vomit

Vomiting of food

Along with: Belching, Abdominal distention, Upper abdominal distension, Depression, Irritability, Dry mouth,

Traditional Herbal Formulas

Dampness

Causes: Vomiting

4 variations documented
Damp-Heat in the Liver
How it presents with vomit

Vomiting

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,

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

Vomiting

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 vomit

Vomiting

Along with: Nausea, Vomit, Tight feeling in chest and stomach, Palpitations, Dizziness, Focal distention,

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

Vomiting

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

Traditional Herbal Formulas

Yang Deficiency

Causes: Vomiting, Vomiting of clear fluids

3 variations documented
Greater Yin stage
How it presents with vomit

Vomiting

Along with: Loss of appetite, Vomit, Abdominal fullness, Chills, Diarrhea, Absence of thirst,

Traditional Herbal Formulas
Stomach Yang Deficient and Cold
How it presents with vomit

Vomiting of clear fluids

Along with: Epigastric pain relieved with pressure or eating, Loss of appetite, Desire for hot beverages and foods, Vomiting clear liquid, Absence of thirst, Weak limbs,

Spleen or Kidney Yang Deficiency
How it presents with vomit

Vomiting

Along with: Abdominal pain that worsens with cold, Urinary dysfunction, Deep pain and heaviness in limbs, Dizziness, Heavy sensation in the head, Edema,

Traditional Herbal Formulas

Qi Rebellion

Causes: Vomiting, Vomiting of blood

3 variations documented
Rebellious Lung Qi
How it presents with vomit

Vomiting, Vomiting of blood

Along with: Coughing, Asthma, Nausea, Vomit, Dizziness, Headaches,

Traditional Herbal Formulas
Rebellious Qi
How it presents with vomit

Vomiting

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

Rebellious Stomach Qi
How it presents with vomit

Vomiting

Along with: Nausea, Dysphagia, Belching, Vomit, Hiccups

Mind Disturbance

Causes: Vomiting, Vomiting of blood

2 variations documented
Phlegm Misting the Heart
How it presents with vomit

Vomiting

Along with: Confusion, Loss of consciousness, Hypersomnia, Incoherent or confused speech, Slurred speech, Aphasia,

Heat victorious agitating Blood
How it presents with vomit

Vomiting of blood

Along with: Restlessness, High fever, Mania, Macules, Vomiting blood, Nosebleeds,

Traditional Herbal Formulas

Qi Deficiency

Causes: Vomiting, Regurgitation

2 variations documented
Spleen and Stomach Qi Deficiency
How it presents with vomit

Vomiting

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

Traditional Herbal Formulas
Stomach Qi Deficiency with Phelgm
How it presents with vomit

Regurgitation

Along with: Persistent belching, Hiccups, Vomit, Nausea or vomiting, Upper abdominal focal distention, Chronic gastritis,

Traditional Herbal Formulas

Blood Stasis

Causes: Vomiting, Vomiting of blood, Possible vomiting of blood

2 variations documented
Stomach Blood Stagnation
How it presents with vomit

Vomiting, Vomiting of blood, Possible vomiting of blood

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

Liver Blood Stagnation
How it presents with vomit

Vomiting of blood

Along with: Hypochondriac pain, Abdominal pain, Vomiting blood, Nosebleeds, Menstrual cramps, Irregular periods,

Wind

Causes: Vomiting of fluids soon after drinking, Haematemesis

2 variations documented
Greater Yang Accumulation of Water
How it presents with vomit

Vomiting of fluids soon after drinking

Along with: Aversion to cold, Fever, Urinary retention, Slight thirst, Vomiting after eating

Traditional Herbal Formulas
Liver Wind agitating Internally due to Liver Fire
How it presents with vomit

Haematemesis

Along with: Tremors, Irritability, Anger, Tinnitus, Deafness, Temporal headache,

Blood Deficiency

Causes: Vomiting of blood

1 variation documented
Loss of Blood
How it presents with vomit

Vomiting of blood

Along with: Nosebleeds, Uterine hemorrhage, Hematuria, Hematochezia, Cough of blood, Vomiting blood,

Traditional Herbal Formulas

Summer Heat

Causes: Vomiting

1 variation documented
Summer-Heat
How it presents with vomit

Vomiting

Along with: Fever, Aversion to cold, Excessive sweating, Headaches, Feeling of heaviness, Upper abdominal discomfort,

Traditional Herbal Formulas

Herbal Formulas for Vomit

Traditional Chinese Medicine formulas used to address vomit

Er Chen Tang

Addresses these vomit patterns:

Phlegm Cold Dampness

Chai Hu Shu Gan San

Addresses these vomit patterns:

Qi Stagnation Qi Rebellion Blood Stasis

Xuan Fu Dai Zhe Tang

Addresses these vomit patterns:

Qi Rebellion Phlegm Qi Deficiency

Xi Jiao Di Huang Tang

Addresses these vomit patterns:

Heat Mind Disturbance Blood Deficiency

Wen Dan Tang

Addresses these vomit patterns:

Phlegm Mind Disturbance Heat

Long Dan Xie Gan Tang

Addresses these vomit patterns:

Heat Dampness

Xiang Ru San

Addresses these vomit patterns:

Cold Dampness

Liu Jun Zi Tang

Addresses these vomit patterns:

Phlegm Dampness

Xiao Yao San

Addresses these vomit patterns:

Qi Stagnation Blood Stasis