Feeling of distension according to Chinese Medicine

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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.

The two "patterns of disharmony" that can cause 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

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".

Read more about Qi 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 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".

Read more about Liver Qi Stagnation here

Five herbal formulas that might help with feeling of distension

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 feeling of distension?

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

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 feeling of distension?

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

Read more about Chai Hu Shu Gan San here

Si Mo Tang

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.

Why might Si Mo Tang help with feeling of distension?

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

Read more about Si Mo Tang here

Qi Ge San

Source date: 1732 AD

Number of ingredients: 8 herbs

Key actions: Regulates Qi and removes Stagnation. Moistens Dryness. Transforms Phlegm.

Why might Qi Ge San help with feeling of distension?

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

Read more about Qi Ge San here

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 feeling of distension?

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

Read more about Jia Wei Xiao Yao San here

Acupuncture points used for feeling of distension

The five Chinese Medicinal herbs most likely to help treat feeling of distension

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

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.

Read more about Atractylodes Rhizomes here

Why might Dong Quai (Dang Gui) help with feeling of distension?

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.

Read more about Dong Quai here

Why might Liquorice (Gan Cao) help with feeling of distension?

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.

Read more about Liquorice here

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

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.

Read more about Poria-Cocos Mushrooms here

Why might Coco-Grass Rhizome (Xiang Fu) help with feeling of distension?

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.

Read more about Coco-Grass Rhizomes here