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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Feeling of 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 feeling of 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 feeling of distension is often associated with irritability, depression and mood swings in the pattern “Qi Stagnation”. As you will see below, we have in record two patterns that can cause feeling of distension.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of feeling of 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 feeling of distension.
In Chinese Medicine feeling of distension 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.
Bupleurum Roots (Chai Hu) is the king ingredient for Xiao Yao San, a formula used for Qi Stagnation
Pulse type(s): Tight (Jin), Wiry (Xian)
Tongue coating: Thin white coating
Tongue color: Red sides
Qi Stagnation refers to Qi becoming stuck or stagnant, a bit like a traffic jam on the freeway. This restricted flow of Qi can be body-wide or happen in any specific Organ.
In addition to feeling of distension, other symptoms associated with Qi Stagnation include irritability, depression and mood swings.
From a Western Medicine standpoint Qi Stagnation is associated with health issues such as Late Menstruation.
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
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 feeling of distension, other symptoms associated with Liver Qi Stagnation include irritability, depression and mood swings.
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 top herbs in Xiao Yao San are Bupleurum Roots (Chai Hu), Dong Quai (Dang Gui) and White Peony Roots (Bai Shao)
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.
Because it is a formula often recommended to treat the pattern 'Qi Stagnation' of which feeling of distension is a symptom.
The top herbs in Chai Hu Shu Gan San are Bupleurum Roots (Chai Hu), Szechuan Lovage Roots (Chuan Xiong) and Coco-Grass Rhizomes (Xiang Fu)
Source date: 1602
Number of ingredients: 7 herbs
Key actions: Disperses Stagnant Liver Qi and Blood. Alleviates pain. Harmonizes Blood.
Because it is a formula often recommended to treat the pattern 'Qi Stagnation' of which feeling of distension is a symptom.
The top herbs in Si Mo Tang are Lindera Roots (Wu Yao), Agarwood (Chen Xiang) and Ginseng (Ren Shen)
Source date: 1253 AD
Number of ingredients: 4 herbs
Key actions: Promotes the movement of Qi. Directs rebellious Qi downward. Expands the chest and dissipates clumping.
Because it is a formula often recommended to treat the pattern 'Qi Stagnation' of which feeling of distension is a symptom.
The top herbs in Qi Ge San are Glehnia Roots (Bei Sha Shen), Fritillary Bulbs (Chuan Bei Mu) and Turmeric Tubers (Yu Jin)
Source date: 1732 AD
Number of ingredients: 8 herbs
Key actions: Regulates Qi and removes Stagnation. Moistens Dryness. Transforms Phlegm.
Because it is a formula often recommended to treat the pattern 'Qi Stagnation' of which feeling of distension is a symptom.
The top herbs in Jia Wei Xiao Yao San are Bupleurum Roots (Chai Hu), Dong Quai (Dang Gui) and White Peony Roots (Bai Shao)
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.
Because it is a formula often recommended to treat the pattern 'Liver Qi Stagnation' of which feeling of distension is a symptom.
Because Atractylodes Rhizome is an ingredient in several formulas indicated to treat feeling of distension as a symptom, like Yue Ju Wan or Xiao Yao San 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.
Because Dong Quai is an ingredient in several formulas indicated to treat feeling of distension as a symptom, like Xiao Yao San or Jia Wei Xiao Yao San for instance.
Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Heart, the Liver and the Spleen.
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.
Because Liquorice is an ingredient in several formulas indicated to treat feeling of distension as a symptom, like Xiao Yao San or Jia Wei Xiao Yao San 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.
Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat feeling of distension as a symptom, like Xiao Yao San or Jia Wei Xiao Yao San 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.
Because Coco-Grass Rhizome is an ingredient in several formulas indicated to treat feeling of distension as a symptom, like Yue Ju Wan or Chai Hu Shu Gan San for instance.
Coco-Grass Rhizomes is a Neutral herb that tastes Bitter, Pungent and Sweet. It targets the Liver, the Sanjiao and the Spleen.
Its main actions are: Unblocks Stagnant Liver Qi and relieves pain. Regulates the Liver and Spleen. Assists the regulation of menses and relieves pain.
Irritability Depression Mood swings Irregular menstruation Menstrual cramps Breast lumps Hypochondriac pain Nausea Vomiting Abdominal pain