Theory

Chinese Herbal and Acupuncture Treatment Protocols for Abdominal Pain - Formulas, Protocols, TCM Diagnoses


Abdominal Pain - Basics

Abdominal pain indicates pain in the abdominal area which extends from your rib line down to your groin. Pain within this area can arise by stomach issues as well as problems within any of the other organs in the abdominal cavity. People may experience mild or severe pain and this can indicate any number of health issues.


Abdominal Pain - Diagnostic Patterns

The Chinese Medicine treatment of abdominal pain generally involves arriving at the appropriate TCM diagnosis or pattern. This pattern within the individual is what treatment is based on not the general condition (see treating the cause and not the symptoms).

The following patterns may represent the underlying contributing factors for the development of abdominal pain:



Abdominal Pain - Acupuncture Protocols

The treatment of conditions with acupuncture can be a complicated endeavor that should only be undertaken by individuals with a deep understanding of the underlying Chinese Medicine theory (and/or whatever system being used for treatment). There are many approaches, but generally speaking few viable approaches are involved on a point to condition basis. Rather using proper diagnostic procedures the patients diagnostic pattern is ascertained and that is what is treated. The protocols listed here exemplify some of these clinical approaches.

The following Acupuncture Treatment Protocols May Be Used With Abdominal Pain


Abdominal Pain - Formulas From Our Store

The following herbal formulas are potentially useful in the process of treating abdominal pain. For a complete list from our store with more details see our abdominal pain formula section.


Abdominal Pain - Questions

Need treatment options for abdominal pain and not finding the information you need?

Using our forums our staff and our community may offer guidance with regards to the treatment of abdominal pain.



Abdominal Pain - Related Acupuncture Points

The following (40) acupuncture points may be useful for abdominal pain. A subset of these could potentially be useful with acupressure stimulation and/or tongren therapy methods as well.

Generally treatment would be based on the TCM patterns listed above instead of selecting points by function alone, (see general points selection rules.)



Abdominal Pain - Related Chinese Herbs

The following (30) chinese herbs may be useful for abdominal pain. In most cases, however, treatment with Chinese Herbal Medicine is done with herbal formulas based on the TCM patterns listed above instead of selecting herbs by function alone. When available, relevant formulas will appear below and/or in the store listings above.



The following (17) Formulas TCM Herbal Formulas May Be Useful For Abdominal Pain

Ban Xia Bai Zhu Tian Ma Wan

  • Pinellia, Atractylodis and Gastrodia Combination
    • Nausea with possible vomitting from combination of damp with liver qi stagnation causing rebellious qi.
    • Dizziness, migraines, and vertigo from damp and liver wind rising.
    • Heavy or oppressed sensation of the chest.
  • Treat Phlegm
  • Transform Phlegm and Extinguish Wind
  • Cautions
  • This formula should not be used to treat dizziness or vertigo due to liver yang rising patterns.

Ban Xia Xie Xin Wan

  • Pinellia Drain Epigastrium Pills
    • Distension and fullness of the epigastrium usually without pain.
    • Borborygmus (gurgling sounds), and diarrhea if spleen qi is affected.
    • Vomiting with possible dry heaves due to rebellious stomach qi.
  • Harmonize
  • Harmonize the Stomach and Intestines
  • Cautions
  • Do not use for epigastric distention due to food stagnation.  Use with caution if patient has yin deficiency.

Bao He Wan

  • Preserve Harmony Pills
    • Epigastric and or abdominal fullness or painful distention after meals.
    • Acid reflux, belching, vomiting with possible aversion to food due to food stagnation.
    • This formula can also be used for acute food poisoning.
  • Reduce Food Stagnation
  • Cautions
  • Use with caution with weak or qi deficient patients.

Chen Xiang Hua Qi Wan

  • Aquilaria Qi Transforming Pills
  • For spleen qi deficiency with damp heat accumulation in the lower.  The spleen system is effectively the western version of the digestive system.  The spleen is responsible for extracting the energy from the food and properly breaking the food down.  When the spleen is weak the overall energy tends to drop, the appetite may be poor, and the mood may also be on the down side.  Furthermore, the weakness of the spleen results in the accumulation of byproducts (damp) which tend to accumulate in the lower.

    Symptoms may include diarrhea, constipation, excessive gas, and abdominal distension.  This formula is used to treat belching, acid reflux, poor appetite, abdominal distension, flatulence, constipation, and abdominal cramping and discomfort.

    Tongue: puffy, sticky or greasy coat

    Pulse: slippery, weak

  • Expel Dampness
  • Clear Damp-Heat
  • Cautions
  • Contraindicated during pregnancy

Gan Bing Zhi Ben Wan

Huo Xiang Zheng Qi Wan

  • Agastache Powder to Correct the Qi
  • Fever w/chills, chest oppression, abdominal pain, nausea, possibly vomiting and/or diarrhea, loss of taste, headache.

    The Pulse will be soggy and moderate and the Tongue will have a white greasy coating.

  • Expel Dampness
  • Transform Damp Turbidity

Mu Xiang Shun Qi Wan

Si Jun Zi Tang Wan

Tong Xie Yao Fang Wan

Wu Mei Wan

  • Mume Fruit Pill
  • Generally used with roundworms - abdominal pain, irritability, stifled chest w/heat, vomiting after eating, cold hands and/or feet.  Roundworms may be observed in vomit.

    Also has a broader application in chronic diarrhea, IBS, or other digestive disorders characterized by both heat and cold.  Symptoms may be chronic diarrhea, abdominal pain (often that is better w/heat).

    With parasites the tongue and pulse are less critical, with chronic conditions the Tongue may be red with a white coating.

  • Expel Parasites

Xiang Sha Liu Jun Zi Wan

  • Aucklandia, Amomi & Six Gentlemen Pills
    • A modified version of the base, zhi zhu wan, which is used to treat qi stagnation and food retention from qi deficiency.  This modification includes herbs which add more movement and damp drying.
    • Distention and fullness in the epigastric area - bloating, indigestion, gastritis, gastric prolapse.
    • Poor appetite (from Spleen Qi Deficiency), anorexia.
  • Tonify
  • Tonify the Qi
  • Cautions
    • Avoid raw and cold food when taking this formula (and generally for Spleen Qi Deficiency).

Yi Guan Jian Wan

  • Linking Decoction
    • GI issues from yin deficiency (liver and kidney) with liver qi stagnation leading to stomach yin issues - gastritis, ulcers, reflux, bloating.
    • The underlying factors lead to dryness of the blood, that coupled with liver qi stagnation and yin deficiency may lead to PMS, inosmnia, etc.
    • With the right underlying factors useful for a range of liver conditions - hepatitis, fatty liver.
    • Essential hypertension, preeclampsia.
  • Tonify
  • Tonify the Yin



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