Is it cold stomach or hot stomach if the stomach qi goes up?

Reflux of stomach qi (stomach qi rising instead of falling) may be due to stomach cold or stomach heat. Reflux of stomach qi is clinically common and manifests as vomiting and eructation. Vomiting with cold stomach is characterized by vomiting of watery phlegm and saliva, lack of warmth in the limbs, a preference for warmth, loose stools, and a pale tongue with white veins. On the other hand, vomiting with stomach heat is characterized by vomiting of bitter water, thirst, abdominal distension, short and red urine (small amount of urine with dark yellow color), and constipation. Upset (hiccups) can be characterized by cold in the stomach or stomach fire. Cold in the stomach is often seen in the form of a deep and powerful sound, which is slowed down by heat and aggravated by cold. There is no desire to eat or drink, and the mouth is not thirsty. Warming the center and dispersing the cold (dispersing the cold with medicines that warm the spleen and stomach), and lowering the rebelliousness and stopping vomiting are usually needed. The symptoms of Stomach Fire Upsurge are strong and loud ergative sounds, bad breath, thirst for cold drinks, constipation, short and red urine, and red tongue with yellow greasy coating. It is necessary to clear the fire and harmonize the stomach, lower the rebelliousness and stop vomiting. If there is any discomfort, please consult a doctor immediately to avoid delay.