What Is Gastralgia?

Stomach pain, TCM disease name. Mostly caused by exogenous cold evils, injuries caused by diet, poor mood and deficiency of spleen and stomach. The stomach is the main diseased viscera and is often closely related to the liver and spleen. Stagnation of qi, stagnation and fall are the main pathogenesis of stomach pain. Treatment is based on qi and stomach, and according to different syndromes, corresponding treatment methods are adopted.

Chinese Medicine Name: Stomachache
Disease site: Epigastric
Related Western Medicine Diseases: Acute and chronic gastritis

Other name: Stomach pain
Multiple groups: Everyone
Disease classification: Internal Medicine-Spleen and Stomach
Contagious: no

Stomach pain nouns explained

Stomach pain, also known as epigastric pain, refers to the symptoms above the abdominal cavity near the heart socket.

History of stomach pain

1. The name of stomach pain was first recorded in the Internal Classic, such as "Lingshu · Xiqi Zangfu Disease Form" states: "Stomach disease, abdominal distension, epigastric pain beware and painful." The Internal Classic first proposed that the occurrence of gastric pain is related to the liver and spleen. , Also put forward the cold evil, hurt food disease.

2. Documents in the Tang and Song dynasties often confided heartaches that belonged to epigastric pain and heartaches that belonged to the heart's own meridians. Until the Jin and Yuan dynasties, Li Zhi's "The Secret of the Blue Chamber" first established "Stomach Pain", which made it clear Distinguish it from heartache, making stomach pain an independent symptom.

3. In the Ming and Qing dynasties, a treatment for stomach pain was further proposed. "The True Story of Medicine" said: "Nine kinds of heart pain in ancient prescriptions, ... the reason is all in the stomach, but it is not in the heart." Those who are rushing, those who are clear will be mentioned below, those who are cold, those who are warm, those who are cold, those who are cultivating, those who are diarrhea, those who are scattered, those who are staying. " It pointed out that we should understand and apply the "general rules do not hurt" method from dialectics.

Relationship between stomach pain and western medicine disease name

Acute gastritis, chronic gastritis, gastric ulcer, duodenal ulcer, functional dyspepsia, gastric mucosal prolapse and other abdominal pain are the main symptoms of western medicine, which belongs to the category of stomach pain in Chinese medicine.

Causes of stomach pain

1.Stomach of outside evildoer

Exogenous feelings of cold, dampness, and heat, and internal customers in the stomach, can cause blockages in the stomach and qi, which can cause pain. Most of them are cold evil.

2. Eating stomach

Insufficient diet, hunger and satiety, damage to the spleen and stomach, stagnation of qi, and pain if not connected.

3. Unhappy mood

Worrying and annoying, hurting the liver, spleen, liver loss, draining the stomach, turning the spleen out of health, gas block, all cause stomach loss and depression, and stomach pain.

4. Element body spleen deficiency

The spleen and stomach are the officials of the Cangjie. The main recipient is Yunhua Mizutani. If the spleen and stomach of the body is weak, the dysfunction of the spleen and stomach is unsatisfactory.

Stomach pain pathogenesis

Stomach pain is located in the stomach and is closely related to liver and spleen. The basic pathogenesis is gastric qi block, stomach loss and drop, and pain if it does not pass. The main pathological factors are Qi stagnation, cold coagulation, heat depression, dampness, and blood stasis. Pathological properties: Most of the evidence is early; the latter is often weak in the spleen and stomach, but often mixed with deficiency and solid.

Checkpoints for stomach pain

Diagnosis of stomach pain

1. Pain occurs in the epigastric region near the heart fossa, and the pain has different properties such as swelling, tingling, hidden pain, and severe pain.

2, often accompanied by loss of appetite, nausea and vomiting, noisy pantothenic acid, belching, rot and other upper gastrointestinal symptoms.

3. Onset characteristics: Most of the young and middle-aged people have a history of recurrent attacks, and there are obvious incentives before the onset, such as weather changes, anger, fatigue, overeating, hunger, cold and dry diet, spicy tobacco or alcohol damage Spleen and stomach drugs.

Differentiation of Stomach Pain Syndrome

1. Stomach pain and heartache

True heart pain is a symptom of heart pain caused by pathological changes of the heart system. It is more common in the elderly, and it hurts when it is a chest. It is tingling, it becomes agitated, and it hurts the shoulders and back. The lesion location, pain degree and characteristics, concomitant symptoms and prognosis are significantly different from gastric pain.

2. Stomach pain and threatening pain

Threat pain is a symptom of pain in the thorax, which can be accompanied by fever and chills, or yellow skin and yellow eyes, or chest tightness, which is rarely accompanied by noisy pantothenic acid, and belching and vomiting. Stomach pain with liver qi and stomach can sometimes be aggravated, but it is still symptomatic of pain in the stomach. There is a clear difference between the two.

3. Stomach and abdominal pain

Abdominal pain is the symptom of pain in the entire area below the iliac crest and above the hair border of the pubic bone. Stomach pain is a symptom of pain in the abdominal cavity near the heart. There is a difference between the two only in terms of pain. However, in the abdomen of the stomach, it is connected to the intestine. Therefore, in some special diseases, stomach pain can affect the abdomen, and abdominal pain can also be involved in the stomach. This must be distinguished from the main part of the pain and how it starts.

Differentiation and Treatment of Stomach Pain

Symptoms of Stomach Pain

Should be distinguished between real cold and heat, qi and blood. The real person is more painful, fixed, refusing to press, and the pulse is strong; the weak person is more painful, the pain is uncertain, happy to press, and the pulse is weak. When it is cold, it is very painful, when it is warm, it is reduced, and it is a cold syndrome; when the epigastric pain is burning, the pain is urgent, when it is hot, it is very painful, and when it is cold, it is a fever syndrome. Generally, the initial illness is in the qi, and the chronic illness is in the blood.

Stomach pain treatment principles

Treatment is mainly based on qi and stomach analgesia, and then treatment is divided into points. Those who belong to stomach cold, scattered cold is called Tong; those who stop eating, digestion means so-called Tong; those who have qi stagnation, qi is called Tong; those who are hot stagnation, soothing heat is called Tong; The so-called Tong; belongs to Yin deficiency, Yiwei Yangyin is called Tong; those belonging to yang deficiency, Wen Yun spleen and Yang is called Tong. Only by adopting corresponding treatment methods according to different pathogenesis can we make good use of the "pass" method.

Stomach pain classification

(1) Cold evil guest stomach

Symptoms: Stomach pain is overwhelming, aversion to cold and hilarity, a decrease in temperature and pain, aggravation of cold, lack of thirst, or hot drinks, pale tongue, thin white fur, and tight pulse strings.

Governing method: warming the stomach and dispersing cold, and qi to relieve pain.

Recipe: Xiangsu San Heliang Fu pill.

Commonly used medicines: Galangal, Evodia, Xiangfu, Wuya, Chenpi, Muxiang.

(B) diet hurts the stomach

Symptoms: stomach pain, fullness, refusal to press, rotten acid, or vomiting and indigestion of food, its taste is rancid, pain after vomiting is reduced, diet does not feel good, stool is unpleasant, and the qi and stool are slightly relieved. , Slippery pulse.

Governing law: digestion and stagnation, and stomach analgesia.

Recipe: Baohe Pills.

Commonly used drugs: Divine Comedy, Hawthorn, Lai Gardenia, Poria, Pinellia, Chenpi, Forsythia.

Symptoms: epigastric swelling and pain, two consecutive threats, pain or pain in case of troubles, suffocation, qi and pain, chest tightness, suffocation, long sigh, poor stool, thin white tongue coating, pulse string.

Governing Law: Shuganjieyu, qi and pain.

Recipe: Chaihu Shugan Powder plus or minus.

Commonly used medicines: Bupleurum, Paeonia lactiflora, Chuanxiong, Yujin, Xiangfu, Chenpi, Coriander Shell, Bergamot, Licorice.

(Four) damp heat resistance

Symptoms: stomach pain, urgency, stagnation and burning, dry mouth and bitterness, thirst but not want to drink, tiredness, nausea, yellow urine, poor stool, yellow tongue greasy, slippery pulse

Governing Law: Qinghua damp heat, qi and stomach.

Recipe: Qingzhong Decoction.

Commonly used drugs: Coptis chinensis, Gardenia jasminoides, Pinellia ternata, Poria, Herba cardamom, Chenpi, Licorice.

(V) Blood Stasis

Symptoms: epigastric pain, such as acupuncture, cutting like a knife, pain has a fixed place, according to the pain, lasting when the pain, exacerbation after eating, especially at night, or see vomiting, black stools, dark purple tongue or bruising , Pulse.

Treatment: Huayu Tongluo, qi and stomach.

Recipe: Adding and reducing Danshen Sanhe Danshen drink.

Commonly used drugs: Puhuang, Wulingzhi, Salvia, Sandalwood, Amomum.

(Six) stomach yin loss

Symptoms: Stomach palpitations are faint burning, hunger and do not want to eat, dry mouth and dry throat, five upsets and fever, weight loss and fatigue, thirst for drinking, dry stool, red tongue, less pulse, pulse count.

Governing Law: Nourish Yin and stomach, and stop pain.

Recipe: Consistently decoction of peony and licorice decoction.

Commonly used drugs: Ginseng, Ophiopogon, Habitat, Lycium barbarum, Angelica, Chuanxiongzi, Paeonia lactiflora, Licorice.

(7) Deficiency in the spleen and stomach

Symptoms: Stomach pain is faint, endless, like warming and pressing, fasting pain is very painful, eating slowly, seizures or aggravation after exhaustion or cold, vomiting water, tiredness, limbs burnout, warm hands and feet, thin stools, The tongue is pale and white with weak or slow pulses.

Governing method: warm the spleen, and stomach analgesic.

Recipe: Huangqi Jianzhong Decoction.

Commonly used drugs: Astragalus, Guizhi, Ginger, Paeonia lactiflora, Zhigancao, Zhitang, Jujube. ^[1]

Other therapies for stomach pain

Acupuncture

1. Acupuncture: Neiguan, Zhongli, Zusanli. Suitable for a variety of stomach pains. Empirical use of diarrhea method, deficiency pain with tonic method.

2. Moxibustion: Zhongyu, Zusanli, Shen Jue. Applicable to Deficiency Cold Stomach.

Prognosis of stomach pain

Stomach pain can be derived from symptoms such as hot stomach and forced blood; or stasis and blood that does not follow menstrual flow; or weak spleen and inability to control blood, can cause blood in the stool and vomiting. Excessive bleeding can cause qi to shed with the blood and endanger life.

If the spleen and stomach are dereliction of duty, endogenous dampness, depression and heat, and fiery internal knots, resulting in dyspnea, severe abdominal pain, refusal to press, sweating, and extremity dysfunction; or as long as the stasis becomes stasis , Qi congestion, stomach loss and fall, stomach gas upside down, causing nausea with vomiting. If the stomach pain lasts for a long time, it will be deepened from the qi points to the blood, and the chronic pain will cause stasis, and the stasis will form the stomach.

Stomach pain prevention and treatment

In the prevention of this disease, attention should be paid to the adjustment of spirit and diet. Patients should pay attention to regular living and eating habits, avoid overeating, uneven hunger and fullness; those with persistent stomach pain should enter a liquid or semi-liquid diet within a certain period, eat less and eat more, and use light, digestible food as It is advisable to avoid rough and multi-fiber diet, try to avoid eating strong tea, coffee, tobacco and alcohol, and spicy, etc. When eating, you should chew slowly, and be cautious with salicylic acid, adrenal cortex hormones and other western medicine. At the same time, maintaining optimism and avoiding overwork and tension are the keys to preventing the recurrence of the disease.

Stomach Pain Literature Abstract

1. "Lingshu · Xiqi Zangfu Disease Form": "Stomach disease, abdominal distension, epigastric pain beware and painful, two upper limbs threatened, choking and dysphagia, food and drink, three miles away."

2. "Three Causes and One Disease Syndrome and Nine Pain Narratives": "A man with a heartache, ... with his pain in the middle, so in a nutshell, it is not heartache, but if the twelve meridians are exogenous, six Fornication, its qi is blocked, stagnation in the middle coke, qi and evil fight, the pain is caused by external factors; if the internal organs move, and the seven emotions are combined, the qi is suffocated and gathers in the qi, blood and blood It is caused by internal pain, and it is caused by internal pain. It is caused by internal and external eating and drinking.

3. "Book of Jingyue · Heavy and Abdominal Pain": "Stomach-pain pain syndromes are mostly caused by food, cold, and irritability, but because of cold, there is also all about qi. When you stop eating, you have stagnation. Cold stay is qi condensate. Therefore, it is necessary to treat pain, but to check its fruit is real evil, all should be based on qi. " ^[2]

4. "Clinical Guideline Medical Case · Stomach Pain": "The first disease is in the menstruation, and the pain lasts for a long time. The main qi and the blood are the main points of the blood. Also because of illness, the veins of the process are self-sufficient, and the aroma of fragrant spirit and the method of softness and blood are really the treatment of necessity.

5. "Gu's Medical Mirror · Stomach Pain": "It should be noted that those who refuse to press are true, and those who can press are false; those who are painful and swollen are more solid, those who are not swollen and swollen are more virtual; The heat is more deficient; the full is more solid, and the hungry is more destitute; the pulse is more solid and the Qi is more solid, the pulse is less than the Qi is weak; Those who are not effective are more real, and those who are more attacking are more imaginary. You must distinguish by looking, smelling, asking, and cutting.

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