Stomach Ache


Role of SE - Acupuncture

Acupuncture has a concrete impact in GI disorders. Functional stomach disorders are positively controlled and some mild ulcers can be influenced as well.

Conditions:

  1. Non-erosive gastritis
  2. Gastric Peptic ulcer
  3. Bulbar or duodenal peptic ulcer
  4. Hiatal hernia
  5. Gastric reflux - heart burn
  6. Lack of appetite
  7. Slow digestion

 

TCM Classification

 

Liver attack Stomach

  • Liver Qi stagnation causes wandering distending chest/abdominal/hypochondriac pain
  • P/T – soothe Liver, harmonize Stomach
  • Acupuncture – foot jueyin, ST 36 & RN 12, LR 3 & 14
    • belching – MH 6, RN 17

Cold invades Stomach

  • acute severe cold pain, cold symptoms, T- white coat, P- wiry tense
  • P/T – warm Stomach, expel Cold, harmonize Stomach Qi
  • Acupuncture – sedate, moxa, Ren, foot yangming, RN 12 & ST 36 (Stomach pain), SP 4 & MH 6 (abdomen)
    • severe pain – ST 34

Accumulation of Stomach Heat

  • acute attack feels like painful fullness is pressing from the inside outwards, chronic attacks feel like fullness and distension, difficult for patient to describe (just say feels irritable or heart burn), acid reflux, bitter taste or sticky, T- red with yellow coat, P- rapid
  • P/T – purge Heat, relieve pain
  • Acupuncture – sedate, foot yangming, Ren 13 (cardia sphincter, meeting of Stomach and Ren), ST 34 (Xi-cleft), ST 44, LI 4 & LR 2 (purge Stomach Fire)
    • more Heat – HT 8

Food stagnation

  • distended pain, belching, poor diet, acid reflux, nausea, bloating, vomiting, dislike pressure, bowel movement helps pain, T- thick dirty fur, P- strong
  • P/T – promote digestion, regulate Stomach Qi
  • Acupuncture – foot yangming, ST 36 (lower he-sae), ST 25, MH 6, RN 10 (pyloric sphincter, digestion), Li Nei Ting (digestion, under ST 44)

Blood Stasis

  • ulcer, severe stabbing fixed pain, black tar-like stools, dislike pressure
  • P/T – promote blood circulation, move Stasis
  • Acupuncture – neutral, Ren, foot yangming, RN 12, ST 36, MH 6, SP 4, BL 17 & LR 14, SP 6

Stomach Yin deficiency

  • dull pain, heart burn, difficult to describe pain, dry mouth and stools, T- red cracked, scanty coat, P- thin rapid
  • P/T – nourish Yin, harmonize Stomach
  • Acupuncture – Shen, Mu, BL 20, 21, LR 13, RN 12, ST 36, MH 6, SP 6, 10
    • black tar-like stool – SP 1, BL 17

Spleen Stomach deficient Cold

  • dull mild ache, worse on empty stomach- better after eating, like warmth and pressure, cold body, soft stool, nausea, vomiting clear fluids, T- pale, P- deep thin
  • P/T – warm mid Jiao, strengthen Spleen Stomach
  • Acupuncture – tonify, moxa, Shu, Mu, BL 20, 21, LR 13, RN 12, MH 6 & SP 4 (confluent, abdomen), RN 4

 

Alternative treatment methods

  • auricular – SP, ST, LR, sympathetic, shenmen, subcortex
  • 7 star – T5-T12, medium to strong stimulation
  • injection – Huang Qi, Dang Gui/Chuan Xiong
  • electro – ST 36, SP 4 & MH 6, BL 20, 21, low continuous sedating frequency
  • acupressure – clockwise