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.
Feeling of bearing down 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 feeling of bearing down 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 feeling of bearing down is often associated with pale face, frequent urination and tiredness in the pattern “Spleen Qi Sinking”.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of feeling of bearing down we’ve identified that a herbal formula called Bu Zhong Yi Qi Tang can help treat the patterns behind the symptom.
In Chinese Medicine feeling of bearing down is a symptom for the pattern "Spleen Qi Sinking". Below is a small explanation for it with links for more details.
The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine
Pulse type(s): Weak (Ruo)
Tongue color: Pale
The causes and symptoms of Spleen Qi Sinking is quite similar to the ones of Spleen Qi Deficiency. It happens more to people who have unhealthy diet and eating habits, emotional stress, damp living environment or these have to stand up long hours.
Spleen Qi Sinking is often treated with Bu Zhong Yi Qi Tang, a herbal formula made of 10 herbs (including Milkvetch Roots - Huang Qi - as a key herb). Bu Zhong Yi Qi Tang belongs to the category of "formulas that tonify qi", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Qi of the Spleen and Stomach (Middle Burner)".
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.
Because it is a formula often recommended to treat the pattern 'Spleen Qi Sinking' of which feeling of bearing down is a symptom.
Its main actions are: Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation.
Its main actions are: Tonifies the Blood and preserves the Yin. Nourishes the Liver and assists in the smooth flow of Qi. Regulates the meridians and eases the pain.
Its main actions are: Regulates and moves the Blood. Relieves Wind-Cold and pain. Circulates the Qi in the Upper Burner, relieving headaches.
Its main actions are: Very strongly tonifies the Qi. Tonifies the Lungs and Spleen. Assists the body in the secretion of Fluids and stops thirst. Strengthens the Heart and calms the Shen (mind/spirit).
Its main actions are: Tonifies the Blood. Tonifies the Yin of the Kidneys.