Stomach Deficient and Cold

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At a glance

Key attributes

Chinese name: 胃阳虚      Pinyin name: Wèi Yáng Xū

Pattern nature: Empty

Pattern hierarchy: Specific pattern under Yang Deficiency

Causes

Precursor patterns: Spleen Yang Deficiency Cold invading the Stomach

Common causes: 1. Diet, 2. External environment

Diagnosis

Common symptoms: No thirst Tiredness Weak limbs Cold limbs Poor appetite and four other symptoms

Pulse type(s): Deep (Chen), Slow (Chi), Weak (Ruo)

Tongue description: Pale and wet

Treatment

Treatment principle: Tonify and warm Stomach and Spleen Qi.

Common formulas: Xiao Jian Zhong Tang Huang Qi Jian Zhong Tang

Pathology

Also called Stomach Yang Deficiency, this pattern is normally associated with Spleen-Yang Deficiency, which leads to Internal Cold, resulting in cold limbs, loose stools, vomiting of clear fluids, no thirst, preference for warm drinks and foods and a Weak pulse.

When Stomach Qi is deficient, it may be made worse by the bowel movement, hence the aggravation of the feeling of discomfort in the epigastrium after a bowel movement.

Because the discomfort is caused by a Deficiency condition, it is better with eating and better after pressure or massage.

Causes

Precursor patterns: Stomach Deficient and Cold can derive from Spleen Yang Deficiency Cold invading the Stomach

Diet: A diet lacking in nourishing foods such as proteins or an excessive consumption of cold foods such as ice-creams, salads, fruits and iced drinks.

External environment: Exterior Cold can invade the Stomach, and if it is not expelled, after some time it will interfere with the Stomach function and cause Stomach Yang Deficiency.

Diagnosing Stomach Deficient and Cold

Pulse type(s): Deep (Chen), slow (Chi) or weak (Ruo)

Tongue description: Pale and wet

Main symptoms: No thirst Tiredness Weak limbs Cold limbs Poor appetite Pale complexion Vomiting of clear fluids Preference for warm drinks and foods Epigastric pain relieved with pressure or eating

Diagnosis commentary: The pulse is Deep-Weak-Slow, especially on the Right-Middle position. The key characteristic symptoms are the discomfort in the epigastrium (which is better after eating), the tiredness and the cold limbs.

Treating Stomach Deficient and Cold

Treatment principle

Tonify and warm Stomach and Spleen Qi.

Herbal formulas used to treat Stomach Deficient and Cold

Xiao Jian Zhong Tang

Source date: 220 AD

Number of ingredients: 6 herbs

Key actions: Warms and tonifies the Middle Burner (Spleen and Stomach). Tonifies Qi. Relieves spasmodic pain.

Formula summary

Xiao Jian Zhong Tang is a 6-ingredient Chinese Medicine formula. Invented in 220 AD, it belongs to the category of formulas that warm the middle and dispel Cold.

Besides Stomach Deficient and Cold, Xiao Jian Zhong Tang is also used to treat Small Intestine Deficient and Cold.

Read more about Xiao Jian Zhong Tang

Huang Qi Jian Zhong Tang

Source date: 220 AD

Number of ingredients: 7 herbs

Key actions: Warms and tonifies the Middle Burner (Spleen and Stomach). Tonifies Qi. Relieves spasmodic pain.

Formula summary

Huang Qi Jian Zhong Tang is a 7-ingredient Chinese Medicine formula. Invented in 220 AD, it belongs to the category of formulas that warm the middle and dispel Cold.

Besides Stomach Deficient and Cold, Huang Qi Jian Zhong Tang is also used to treat Empty-Cold.

Read more about Huang Qi Jian Zhong Tang

Consequence patterns

Heart Yang Deficiency

The Stomach influences the Heart directly so a Deficiency of Stomach-Yang is a frequent cause of Heart-Yang deficiency.

Phlegm

If left untreated Stomach Deficient and Cold can lead to Phlegm

Stomach Yin Deficiency

If left untreated Stomach Deficient and Cold can lead to Stomach Yin Deficiency

Stomach Qi Deficiency

If left untreated Stomach Deficient and Cold can lead to Stomach Qi Deficiency

Stomach Blood Stagnation

If left untreated Stomach Deficient and Cold can lead to Stomach Blood Stagnation