Rebellious Liver Qi invading the Stomach

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At a glance

Key attributes

Chinese name: 肝气横逆犯胃      Pinyin name: Gān Qì Hèng Nì Fàn Wèi

Pattern nature: Full combined pattern

Pattern(s) it combines from: Rebellious Liver Qi

Causes

Precursor patterns: Rebellious Liver Qi

Common causes: 1. Emotional stress, 2. Bad eating habits

Diagnosis

Common symptoms: Belching Hiccuping Weak Limbs Irritability Epigastric pain and seven other symptoms

Pulse type(s): Weak (Ruo), Wiry (Xian)

Tongue description: Normal-coloured or slightly Red on the sides

Treatment

Treatment principle: Subdue rebellious Liver Qi, tonify the Stomach.

Common formulas: Xuan Fu Dai Zhe Tang Ban Xia Hou Pu Tang Si Mo Tang and two other formulas

Pathology

Liver Qi is said to be rebellious when its horizontal movement is accentuated. This interferes with the descending of Stomach Qi, making it ascend instead. Hence the symptoms of belching, nausea and vomiting. It is one of the reason causing Rebellious Stomach Qi

Rebellious Liver Qi also impairs the Stomach's function of rotting and ripening of food, resulting in distension in the epigastrium and sour regurgitation.

There are typically two types of presentations for this pattern.

The first is when the Excess of the Liver is more predominant. It is said that the Liver's overactivity invades the Stomach. In this presentation the symptoms related to Rebellious Liver Qi are more pronounced: distension, pain and irritability.

In the second presentation the Stomach is weak and ‘allows’ itself to be invaded by the Liver, even when the Liver Excess is relatively mild. In this scenario the Stomach-related symptoms are more important.

Those two presentations are the reason why the tongue can either be Red on the sides (first presentation) or normal coloured (second presentation).

Causes

Precursor patterns: Rebellious Liver Qi invading the Stomach can derive from Rebellious Liver Qi

Emotional stress: Anger, frustration or resentment are all emotions that affect the Liver and which, if felt for a prolonged period of time (or very intensively over a short period), cause Liver Qi to stagnate. Stagnant Liver Qi may become Rebellious, accentuating its horizontal movement towards the Stomach.

Bad eating habits: Irregular eating, eating in a hurry, when worried, when angry or while working can cause Liver Qi to rebel towards the Stomach.

Diagnosing Rebellious Liver Qi invading the Stomach

Pulse type(s): Weak (Ruo) or wiry (Xian)

Tongue description: Normal-coloured or slightly Red on the sides

Main symptoms: Belching Hiccuping Weak Limbs Irritability Epigastric pain Frequent sighing Hypochondrial pain Sour regurgitation Nausea or vomiting Epigastric distension Hypochondrial distention A feeling of oppression in the epigastrium

Diagnosis commentary: Key characteristic symptoms of this pattern are the epigastric and hypochondrial distension and pain as well as belching, nausea and vomiting.

Treating Rebellious Liver Qi invading the Stomach

Treatment principle

Subdue rebellious Liver Qi, tonify the Stomach.

Herbal formulas used to treat Rebellious Liver Qi invading the Stomach

Ban Xia Hou Pu Tang

Source date: 220 AD

Number of ingredients: 5 herbs

Key actions: Regulates the flow of Qi, treats esophageal spasm. Clears Phlegm.

Formula summary

Ban Xia Hou Pu Tang is a 5-ingredient Chinese Medicine formula. Invented in 220 AD, it belongs to the category of formulas that promote Qi movement.

Besides Rebellious Liver Qi invading the Stomach, Ban Xia Hou Pu Tang is also used to treat Stomach Qi Stagnation or Heart Qi Stagnation.

Read more about Ban Xia Hou Pu Tang

Xuan Fu Dai Zhe Tang

Source date: 220 AD

Number of ingredients: 7 herbs

Key actions: Regulates the downward flow of Stomach Qi. Expectorant, treats hiccups.

Formula summary

Xuan Fu Dai Zhe Tang is a 7-ingredient Chinese Medicine formula. Invented in 220 AD, it belongs to the category of formulas for a rebellious Qi.

Besides Rebellious Liver Qi invading the Stomach, Xuan Fu Dai Zhe Tang is also used to treat Rebellious Qi or Phlegm-Fluids in the Stomach and Small intestine.

Read more about Xuan Fu Dai Zhe Tang

Si Mo Tang

Source date: 1253 AD

Number of ingredients: 4 herbs

Key actions: Promotes the movement of Qi. Directs rebellious Qi downward. Expands the chest and dissipates clumping.

Formula summary

Si Mo Tang is a 4-ingredient Chinese Medicine formula. Invented in 1253 AD, it belongs to the category of formulas that promote Qi movement.

Besides Rebellious Liver Qi invading the Stomach, Si Mo Tang is also used to treat Qi Stagnation.

Read more about Si Mo Tang

Ju Pi Zhu Ru Tang

Source date: Essentials from the Golden Cabinet

Number of ingredients: 6 herbs

Key actions: Directs rebellious Qi downward. Stops hiccup. Augments Qi. Clears heat.

Formula summary

Ju Pi Zhu Ru Tang is a 6-ingredient Chinese Medicine formula. Invented in Essentials from the Golden Cabinet, it belongs to the category of formulas for a rebellious Qi.

Besides Rebellious Liver Qi invading the Stomach, Ju Pi Zhu Ru Tang is also used to treat Rebellious Qi.

Read more about Ju Pi Zhu Ru Tang

Ding Xiang Shi Di Tang

Source date: 1706 AD

Number of ingredients: 4 herbs

Key actions: Augments the Qi. Warms the Middle Burner. Directs Rebellious Qi downward. Stops hiccup.

Formula summary

Ding Xiang Shi Di Tang is a 4-ingredient Chinese Medicine formula. Invented in 1706 AD, it belongs to the category of formulas for a rebellious Qi.

Besides Rebellious Liver Qi invading the Stomach, Ding Xiang Shi Di Tang is also used to treat Rebellious Stomach Qi.

Read more about Ding Xiang Shi Di Tang

Diet recommendations

Adopting good eating habits are very important to prevent this pattern. Eat at regular intervals and take the time to eat. Avoid working or other stressful activities while eating.

To calm the Liver work with the emotions of anger, frustration and resentment by finding constructive outlets to express and release them. Above all, do not repress or stuff your emotions. Avoid excessive physical activity, such as sex or exercise. Regularity of habits helps to regulate Liver Qi.

Consequence patterns

Stomach Yin Deficiency

If it lasts a long time, this pattern may weaken the Stomach and injure Stomach Yin