Clinical Information For the Treatment Of Epigastric Pain

What Is Epigastric Pain?


Epigastric Pain - Basics

Epigastric pain occurs in the area of the abdomen located between the bottom of the ribcage and the navel. It can be associated with several different medical issues, ranging from indigestion to the gastrointestinal manifestation of lupus.

Below you will find alternative and natural treatment options including those from a Chinese Medicine perspective for epigastric pain.

What Patterns Are Related To Epigastric Pain?


Epigastric Pain - Diagnostic Patterns

The Chinese Medicine treatment of epigastric 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 epigastric pain:

Blood StagnationLiver Attacking the SpleenSpleen Qi DeficiencySpleen and Stomach Damp HeatStomach ColdStomach FireStomach Food StagnationStomach Qi Deficiency

Related Posts From Our Blog

Which Acupuncture Point Protocols May Be Applied For Epigastric Pain?


Epigastric 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 epigastric pain:

7 Points Are Empirically Important For Epigastric Pain

7 TCM Herbs Are Potentially Used With Epigastric Pain

Formulas and Products @ Our Store Associated With Epigastric Pain

The Following (7)Formulas TCM Herbal Formulas May Be Useful For Epigastric Pain

Ban Xia Xie Xin Wan (Pinellia Drain Epigastrium Pills)

Clinical Usages

  • 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.

    Clinical Categorization


      Do not use for epigastric distention due to food stagnation.  Use with caution if patient has yin deficiency.

        Fu Fang Dan Shen Wan (Saliva Compound Pill)

        Clinical Usages

        • For a range of stagnation issues in the stomach/epigastric/heart region - gastritis, epigastric pain, peptic ulcer disease.
        • A range of liver issues including hepatitis and cirrhosis.
        • For stasis of the chest (zhong bi syndrome).

          Clinical Categorization


            • Use with caution with patients who present with blood deficiency.

              Jian Pi Wan (Strengthen Spleen Pills)

              Clinical Usages

              • For stomach and spleen qi deficiency with dampness that has potentially generated mild interior-heat - diarrhea, abdominal pain, poor appetite, epigastric pain.
              • May be used in early pregnancy for more deficient patients particularly with a tendency towards miscarriage.
              • May be used with pediatric patients for poor appetite and looser stools.

                Clinical Categorization

                San Huang Xie Xin Wan (Drain The Epigastrium Decoction)

                Clinical Usages

                • Damp-heat excess with interior climbing - fever, restlessness, red eyes, constipation, possibly in severe cases delirium from high fever.
                • A range of digestive/epigastric issues from damp-heat - gastroenteritis, hepatitis, dysentary, hemorrhoids, etc.
                • Certain psychological conditions with damp-heat background - schizophrenia, anxiety, as well as obstructive conditions such as sleep apnea.
                • Due to the "clear heat in the blood" aspect, possible usages for digestive bleeding, vascular headaches, trigeminal neuralgia, epistaxis, dental abscesses, mouth sores, etc.
                • Has a broad anti-inflammatory effect, accordingly with the right underlying patterns may be used for atherosclerosis, upper respiratory infections and issues such as diabetic nephropathy.

                  Clinical Categorization


                  • Generally not meant for long-term use.  Once desired results are achieved the formula should be stopped.
                  • Not for use during pregnancy or during nursing.

                    Sha Shen Mai Dong Wan (Glehnia and Ophiopogonis Decoction)

                    Clinical Usages

                    • Important formula for stomach yin deficiency - benefits the stomach and the lungs - a range of digestive issues (gastritis, epigastric pain), possibly with dry throat, thirst and/or cough.
                    • Diabetes - particularly with signs of dryness.
                    • A range of lung related issues - lung cancer, pneumonia, cough/wheezing.

                      Clinical Categorization

                      Yi Guan Jian Wan (Linking Decoction)

                      Clinical Usages

                      • 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.

                        Clinical Categorization

                        Yue Ju Wan (Escape Restraint Pill)

                        Clinical Usages

                        • An important formula for plum pit qi and related issues arising from qi stagnation (from many factors) - an oppressive sensation in the chest and/or diaphgram, gerd, reflux, indigestion, nausea, belching with a fetid odor.
                        • Gastritis, peptic ulcer disease, intercostal neuralgia, cholecystitis, cholelithiasis.
                        • Infectious hepatitis.
                        • Migraines when the underlying factor is that of stagnation.
                        • Besides a range of digestive issues, the formula may be used for a wide range of psychiatric conditions including depression, schizophrenia, panic disorder, etc. when the underlying factor is chiefly stagnation.

                          Clinical Categorization


                            • Generally should be avoided in cases where the issues are arising from predominately deficiency syndromes (weakness, loose stools, no appetite).

                              Where Do I Go Next?

                              Recent Questions From Our Forum...

                              Follow, Join, and Participate

                              Get Our App

                              Get it on Google Play

                              Join Our Email List (3-5 email updates/yr)



                              Our Sites

                              Yin Yang House, Logos and All Content © 1999-2021 Chad Dupuis
                              Store Operated by Yin Yang House Chattanooga LLC
                              Website Design and Managment by Yin Yang House Media Services Group