Abdominal distension according to Chinese Medicine

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Abdominal distension can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.

Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like abdominal distension here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.

A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here abdominal distension is often associated with dizziness, scanty periods and loose stools in the pattern “Damp-Phlegm in the Uterus”. As you will see below, we have in record five patterns that can cause abdominal distension.

Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of abdominal distension we’ve identified five herbal formulas that may help treat patterns behind the symptom.

We’ve also selected below the five medicinal herbs that we think are most likely to help treat abdominal distension.

The five "patterns of disharmony" that can cause abdominal distension

In Chinese Medicine abdominal distension is a symptom for 5 patterns that we have on record. Below is a small explanation for each of them with links for more details.

Coco-Grass Rhizomes (Xiang Fu) is the king ingredient for Cang Fu Dao Tan Wan, a formula used for Damp-Phlegm in the Uterus

Damp-Phlegm in the Uterus

Pulse type(s): Slippery (Hua)

In addition to abdominal distension, other symptoms associated with Damp-Phlegm in the Uterus include dizziness, scanty periods and loose stools.

From a Western Medicine standpoint Damp-Phlegm in the Uterus is associated with health issues such as Late Menstruation, Scanty Menstruation or Absence Of Menstruation.

Damp-Phlegm in the Uterus is often treated with Cang Fu Dao Tan Wan, a herbal formula made of 8 herbs (including Coco-Grass Rhizomes - Xiang Fu - as a key herb). Cang Fu Dao Tan Wan belongs to the category of "formulas that dry dampness and transform phlegm", which might be why it is often recommended for this pattern. Its main action as a formula is: "Resolves Dampness and Phlegm".

Read more about Damp-Phlegm in the Uterus here

Peach Kernels (Tao Ren) is the king ingredient for Xue Fu Zhu Yu Tang, a formula used for Qi And Blood Stagnation

Qi And Blood Stagnation

Pulse type(s): Choppy (Se), Deep (Chen), Fine (Xi)

In addition to abdominal distension, other symptoms associated with Qi And Blood Stagnation include dizziness, scanty periods and depression.

From a Western Medicine standpoint Qi And Blood Stagnation is associated with health issues such as Menstrual Cramps, Absence Of Menstruation or Menopausal Syndrome.

Qi And Blood Stagnation is often treated with Xue Fu Zhu Yu Tang, a herbal formula made of 11 herbs (including Peach Kernels - Tao Ren - as a key herb). Xue Fu Zhu Yu Tang belongs to the category of "formulas that invigorate blood and dispel blood stagnation", which might be why it is often recommended for this pattern. Its main action as a formula is: "Invigorates the Blood".

Read more about Qi And Blood Stagnation here

The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine

Liver Qi Stagnation

Pulse type(s): Wiry (Xian)

Tongue color: Normal (light red)

When Liver Qi does not flow smoothly or regularly, it becomes Stagnant and in Excess. This leads to Heat accumulating in the Liver. The feeling of ‘Distension’ (zhang 胀) is the main symptom of Liver Qi Stagnation.

In addition to abdominal distension, other symptoms associated with Liver Qi Stagnation include poor appetite, scanty periods and depression.

From a Western Medicine standpoint Liver Qi Stagnation is associated with health issues such as Low Breast Milk Supply, Mastitis or Breast Engorgement.

Liver Qi Stagnation is often treated with Xiao Yao San, a herbal formula made of 6 herbs (including Bupleurum Roots - Chai Hu - as a key herb). Xiao Yao San belongs to the category of "formulas that harmonize liver-spleen", which might be why it is often recommended for this pattern. Its main action as a formula is: "Harmonizes the function of Liver and Spleen".

Read more about Liver Qi Stagnation here

Crow-Dipper Rhizomes (Ban Xia) is the king ingredient for Er Chen Tang, a formula used for Phlegm

Phlegm

Pulse type(s): Slippery (Hua), Wiry (Xian)

Tongue coating: Sticky coating, Thick coating

Tongue shape: Swollen

The concept of Phlegm is much wider and important in Chinese Medicine than in the West. Broadly speaking, Phlegm is a substance produced when the body fails to handle Body Fluids properly.

In addition to abdominal distension, other symptoms associated with Phlegm include poor appetite, dizziness and depression.

From a Western Medicine standpoint Phlegm is associated with health issues such as Low Breast Milk Supply, Menopausal Syndrome or Morning Sickness.

Phlegm is often treated with Er Chen Tang, a herbal formula made of 5 herbs (including Crow-Dipper Rhizomes - Ban Xia - as a key herb). Er Chen Tang belongs to the category of "formulas that dry dampness and transform phlegm", which might be why it is often recommended for this pattern. Its main action as a formula is: "Dries Damp and dispels Phlegm".

Read more about Phlegm here

The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine

Stomach Deficiency

Pulse type(s): Weak (Ruo)

Tongue color: Pale

In addition to abdominal distension, other symptoms associated with Stomach Deficiency include poor appetite, depression and feeling of cold.

From a Western Medicine standpoint Stomach Deficiency is associated with health issues such as Morning Sickness.

Stomach Deficiency is often treated with Xiang Sha Liu Jun Zi Tang, a herbal formula made of 9 herbs (including Ginseng - Ren Shen - as a key herb). Xiang Sha Liu Jun Zi Tang belongs to the category of "formulas that dispel phlegm", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Spleen and Stomach Qi".

Read more about Stomach Deficiency here

Five herbal formulas that might help with abdominal distension

Bu Zhong Yi Qi Tang

Source date: 1247

Number of ingredients: 10 herbs

Key actions: Tonifies Qi of the Spleen and Stomach (Middle Burner). Raises the Yang. Detoxifies. Lifts what has sunken.

Why might Bu Zhong Yi Qi Tang help with abdominal distension?

Because it is a formula often recommended to treat the pattern 'Damp-Phlegm in the Uterus' of which abdominal distension is a symptom.

According to Chinese Medicine, Damp-Phlegm in the Uterus can contribute to many health issues, including Scanty Menstruation.

Read more about Bu Zhong Yi Qi Tang here

Xiang Sha Liu Jun Zi Tang

Source date: 1675 AD

Number of ingredients: 9 herbs

Key actions: Tonifies Spleen and Stomach Qi. Removes Dampness. Moves Qi. Alleviates pain.

Why might Xiang Sha Liu Jun Zi Tang help with abdominal distension?

Because it is a formula often recommended to treat the pattern 'Stomach Deficiency' of which abdominal distension is a symptom.

According to Chinese Medicine, Stomach Deficiency can contribute to many health issues, including Morning Sickness.

Read more about Xiang Sha Liu Jun Zi Tang here

Xiao Yao San

Source date: 1107 AD

Number of ingredients: 6 herbs

Key actions: Harmonizes the function of Liver and Spleen. Relieves Liver Qi stagnation. Nourishes the Blood.

Why might Xiao Yao San help with abdominal distension?

Because it is a formula often recommended to treat the pattern 'Qi And Blood Stagnation' of which abdominal distension is a symptom.

According to Chinese Medicine, Qi And Blood Stagnation can contribute to many health issues, including Prolonged Periods.

Read more about Xiao Yao San here

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.

Why might Chai Hu Shu Gan San help with abdominal distension?

Because it is a formula often recommended to treat the pattern 'Liver Qi Stagnation' of which abdominal distension is a symptom.

According to Chinese Medicine, Liver Qi Stagnation can contribute to many health issues, including Irregular Menstruation.

Read more about Chai Hu Shu Gan San here

Yue Ju Wan

Source date: 1481 AD

Number of ingredients: 5 herbs

Key actions: Promotes the movement of Qi. Releases all types of Stagnation (Qi, Blood, Phlegm, Fire, Food and Dampness).

Why might Yue Ju Wan help with abdominal distension?

Because it is a formula often recommended to treat the pattern 'Phlegm' of which abdominal distension is a symptom.

According to Chinese Medicine, Phlegm can contribute to many health issues, including Morning Sickness.

Read more about Yue Ju Wan here

Acupuncture points used for abdominal distension

The five Chinese Medicinal herbs most likely to help treat abdominal distension

Why might Liquorice (Gan Cao) help with abdominal distension?

Because Liquorice is an ingredient in several formulas indicated to treat abdominal distension as a symptom, like Bu Zhong Yi Qi Tang or Xiang Sha Liu Jun Zi Tang for instance.

Liquorice is a Neutral herb that tastes Sweet. It targets the Heart, the Lung, the Spleen and the Stomach.

Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.

Read more about Liquorice here

Why might Atractylodes Rhizome (Bai Zhu) help with abdominal distension?

Because Atractylodes Rhizome is an ingredient in several formulas indicated to treat abdominal distension as a symptom, like Yue Ju Wan or Bu Zhong Yi Qi Tang for instance.

Atractylodes Rhizomes is a Warm herb that tastes Bitter and Sweet. It targets the Spleen and the Stomach.

Its main actions are: Tonifies the Spleen Qi. Fortifies the Spleen Yang and dispels Damp through urination. Tonifies Qi and stops sweating. Calms restless fetus when due to Deficiency of Spleen Qi.

Read more about Atractylodes Rhizomes here

Why might Poria-Cocos Mushroom (Fu Ling) help with abdominal distension?

Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat abdominal distension as a symptom, like Wu Pi Yin or Ling Gui Zhu Gan Tang for instance.

Poria-Cocos Mushrooms is a Neutral herb that tastes Sweet. It targets the Heart, the Kidney, the Lung and the Spleen.

Its main actions are: Encourages urination and drains Dampness. Tonic to the Spleen/Stomach. Assists the Heart and calms the Spirit.

Read more about Poria-Cocos Mushrooms here

Why might Szechuan Lovage Root (Chuan Xiong) help with abdominal distension?

Because Szechuan Lovage Root is an ingredient in several formulas indicated to treat abdominal distension as a symptom, like Ge Xia Zhu Yu Tang or Shao Fu Zhu Yu Tang for instance.

Szechuan Lovage Roots is a Warm herb that tastes Pungent. It targets the Gallbladder, the Liver and the Pericardium.

Its main actions are: Regulates and moves the Blood. Relieves Wind-Cold and pain. Circulates the Qi in the Upper Burner, relieving headaches.

Read more about Szechuan Lovage Roots here

Why might Crow-Dipper Rhizome (Ban Xia) help with abdominal distension?

Because Crow-Dipper Rhizome is an ingredient in several formulas indicated to treat abdominal distension as a symptom, like Er Chen Tang or Wen Dan Tang for instance.

Crow-Dipper Rhizomes is a Warm herb that tastes Pungent. It targets the Lung, the Spleen and the Stomach.

Its main actions are: Drains Dampness and reduces Phlegm. Reverses the flow of Rebellious Qi. Reduces hardenings and relieves distention.

Read more about Crow-Dipper Rhizomes here