Small Intestine Qi Pain

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At a glance

Key attributes

Chinese name: 小肠气痛      Pinyin name: Xiǎo Cháng Qì Tòng

Pattern nature: Full

Causes

Precursor patterns: Liver Qi Stagnation

Common causes: 1. Excessive consumption of cold and raw foods, 2. Emotional strain

Diagnosis

Common symptoms: Borborygmi Flatulence Testicular pain Abdominal distension Lower abdominal twisting pain and two other symptoms

Pulse type(s): Deep (Chen), Wiry (Xian)

Tongue description: White coating

Treatment

Treatment principle: Move Small Intestine-Qi, promote the smooth flow of Liver-Qi.

Common formulas: Chai Hu Shu Gan San

Pathology

The "Qi pain" involved in this pattern is due to Qi Stagnation in the Small Intestine.

It is usually associated with Liver Qi Stagnation invading the Spleen (giving rise to Spleen Qi Deficiency).

The symptoms, such as the twisting abdominal pain with distension, are due to Qi Stagnation preventing the smooth flow of Liver Qi and the transformation of Fluids by the Small Intestine.

Causes

Precursor patterns: Small Intestine Qi Pain can derive from Liver Qi Stagnation

Excessive consumption of cold and raw foods: Excessive consumption of cold and raw foods interferes with the Small Intestine transforming function.

Emotional strain: Since this pattern is closely associated with Liver Qi Stagnation, it is affected by the same emotions: anger, frustration and resentment.

Diagnosing Small Intestine Qi Pain

Pulse type(s): Deep (Chen) or wiry (Xian)

Tongue description: White coating

Main symptoms: Borborygmi Flatulence Testicular pain Abdominal distension Lower abdominal twisting pain Dislike of pressure on the abdomen Abdominal pain relieved by flatulence

Diagnosis commentary: Abdominal twisting pain is enough in and of itself to diagnose Small Intestine Qi pain. Together with borborygmi and the Deep-Wiry pulse it is the key symptom for this pattern.

Treating Small Intestine Qi Pain

Treatment principle

Move Small Intestine-Qi, promote the smooth flow of Liver-Qi.

Herbal formulas used to treat Small Intestine Qi Pain

Chai Hu Shu Gan San

Source date: 1602

Number of ingredients: 7 herbs

Key actions: Disperses Stagnant Liver Qi and Blood. Alleviates pain. Harmonizes Blood.

Formula summary

Chai Hu Shu Gan San is a 7-ingredient Chinese Medicine formula. Invented in 1602, it belongs to the category of formulas that promote Qi movement.

Besides Small Intestine Qi Pain, Chai Hu Shu Gan San is also used to treat Rebellious Qi or Liver Blood Stagnation.

Read more about Chai Hu Shu Gan San

Diet recommendations

Stay clear from cold and raw foods, eat only cooked foods.

Consequence patterns

Liver Qi Stagnation

This pattern is usually associated with Liver Qi Stagnation, which it can cause or result from.

Spleen Qi Deficiency

Stagnation of Qi in the Small Intestine often lead to both Qi Stagnation and Qi Deficiency of the Spleen