Chest distention according to Chinese Medicine
The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
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Chest distention 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 chest distention 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 chest distention is often associated with irritability, nausea and poor appetite in the pattern “Liver Qi Stagnation”. As you will see below, we have in record two patterns that can cause chest distention.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of chest distention 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 chest distention.
The two "patterns of disharmony" that can cause chest distention
In Chinese Medicine chest distention is a symptom for 2 patterns that we have on record. Below is a small explanation for each of them with links for more details.
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 chest distention, other symptoms associated with Liver Qi Stagnation include irritability, nausea and poor appetite.
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".
The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine
Liver Fire insulting the Lungs
Pulse type(s): Wiry (Xian)
In addition to chest distention, other symptoms associated with Liver Fire insulting the Lungs include bitter taste in the mouth, constipation and dizziness.
Liver Fire insulting the Lungs is often treated with Long Dan Xie Gan Tang, a herbal formula made of 10 herbs (including Chinese Gentian - Long Dan Cao - as a key herb). Long Dan Xie Gan Tang belongs to the category of "formulas that clear heat from the organs", which might be why it is often recommended for this pattern. Its main action as a formula is: "Clears Heat and Fire from the Liver and Gallbladder".
Five herbal formulas that might help with chest distention
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 chest distention?
Because it is a formula often recommended to treat the pattern 'Liver Qi Stagnation' of which chest distension is a symptom.
Jia Wei Xiao Yao San
Source date: Ming dynasty
Number of ingredients: 10 herbs
Key actions: Clears Liver and Spleen Qi Stagnation. Tonifies Spleen. Clears Deficient Heat. Nourishes the blood.
Why might Jia Wei Xiao Yao San help with chest distention?
Because it is a formula often recommended to treat the pattern 'Liver Qi Stagnation' of which chest distension is a symptom.
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 chest distention?
Because it is a formula often recommended to treat the pattern 'Liver Qi Stagnation' of which chest distension is a symptom.
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 chest distention?
Because it is a formula often recommended to treat the pattern 'Liver Qi Stagnation' of which chest distension is a symptom.
Long Dan Xie Gan Tang
Source date: 1682 AD
Number of ingredients: 10 herbs
Key actions: Clears Heat and Fire from the Liver and Gallbladder. Clears and drains Damp-Heat from the Lower Burner.
Why might Long Dan Xie Gan Tang help with chest distention?
Because it is a formula often recommended to treat the pattern 'Liver Fire insulting the Lungs' of which distention and pain in the chest and hypochondria is a symptom.
Acupuncture points used for chest distention
The five Chinese Medicinal herbs most likely to help treat chest distention
Why might Liquorice (Gan Cao) help with chest distention?
Because Liquorice is an ingredient in several formulas indicated to treat chest distention as a symptom, like Er Chen 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.
Why might Poria-Cocos Mushroom (Fu Ling) help with chest distention?
Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat chest distention as a symptom, like Er Chen Tang or Xiang Sha Liu Jun Zi 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.
Why might Cape Jasmine Fruit (Zhi Zi) help with chest distention?
Because Cape Jasmine Fruit is an ingredient in several formulas indicated to treat chest distention as a symptom, like Dan Zhi Xiao Yao San or Ke Xie Fang for instance.
Cape Jasmine Fruits is a Cold herb that tastes Bitter. It targets the Gallbladder, the Heart, the Lung and the Sanjiao.
Its main actions are: Clears Heat and calms spirit. Drains Damp-Heat affecting the Liver and Gallbladder. Clears Heat in the Blood and stops bleeding. Anti-inflammatory.
Why might Crow-Dipper Rhizome (Ban Xia) help with chest distention?
Because Crow-Dipper Rhizome is an ingredient in several formulas indicated to treat chest distention 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.
Why might Tangerine Peel (Chen Pi) help with chest distention?
Because Tangerine Peel is an ingredient in several formulas indicated to treat chest distention as a symptom, like Er Chen Tang or Wen Dan Tang for instance.
Tangerine Peel is a Warm herb that tastes Bitter and Pungent. It targets the Lung and the Spleen.
Its main actions are: Warms the Spleen and regulates the Middle Burner Qi. Dries Dampness and disperses Phlegm from the Lungs and Middle Burner. Reduces the potential for Stagnation caused by tonifying herbs.
Other symptoms often associated with chest distention
Bitter taste in the mouth Irritability Nausea Poor appetite Constipation hypochondriac pain Insomnia Dizziness Bloodshot eyes Headaches