Gastroparesis, also known as gastroparesis, is a condition in which pain in the stomach and epigastric region is the main symptom and is one of the most common clinical conditions. It is one of the most common clinical conditions. It roughly includes modern medicine’s acute and chronic gastritis, gastric and duodenal ulcer disease, gastric cancer, gastric neurosis and other diseases with upper abdominal pain as the main symptom.
The medical doctors of all generations have elaborated more on the identification and treatment of gastric pain and have a lot of experience. For example, in Zhang Zhongjing – “The Essentials of the Golden Knot”, large and small Chengqi Tang, Radix Paeoniae Japonicae, Radix Paeoniae Glycyrrhiza, Wu Zhuyu Tang, Huangqi Jianzhong Tang, etc. are all commonly used in the treatment of stomach pain in later generations; Li Dongyuan – “The Secret Collection of the Orchid Room” discusses its pathology, which is mostly due to the deficiency of the spleen and stomach caused by diet and fatigue, and the injury caused by cold evil; its method of medicine, the benefit of the spleen and stomach Qi mostly uses ginseng, astragalus, roasted licorice, and warming the middle mostly uses puzzle nut, Wu Zhuyu, white cardamom. The method of its use of medicine, to benefit the spleen and stomach qi mostly used ginseng, astragalus, roasted licorice, warming the middle mostly used puzzle nut, cornelian, cardamom, regulate the qi mostly used xiang, green peel, Chen Pi, thick park, wickerberry, and stomach mostly used wheat sprout tune, Fa Xianxia, Chen Pi, and blood mostly used angelica, peach kernel, safflower, Wang Han upsetting – “pen flower medical mirror” is more cold and heat deficiency to identify the treatment;
The medicine with tonic diarrhea warm and cool, each “main”, “secondary”, such as its tonic stomach fierce general for atractylodes, astragalus, jujube, secondary general for lentils, yam, roasted licorice cinnamon meat, warm stomach fierce general for dry ginger, good general, puzzle nut, nutmeg, grass fruit, cloves, wood, pepper The second generals are Huo Xiang, Sha Ren, Cardamom, Han Xia, Simmered Ginger, Hou Pu, and Sichuan Pepper; Gu Jingyuan – Gu’s Medical Mirror, for those with liver and stomach disharmony, take Paeonia Glycyrrhizae Tang as the basic formula and add or subtract according to the symptoms; for Qi stagnation, use Si Mo Tang, for blood stasis, use Lost Smile San, for food stagnation, use Bao He Wan, and for heat, use Huang Qin Tang; Wang Qing Ren – Medical Lin Zai Er, Tang Rong Chuan – Blood Disorders Wheel, for those with blood stasis in the middle jiao, bloating and stabbing pain, use Blood Mansions and Blood Stasis Tang To activate blood circulation and remove blood stasis; Gao Gufeng – “Medical Zong Ji Ren Chapter”, for those whose stomach pain is due to yin deficiency, irritability, heat and thirst, they use Free and Easy San plus Sheng Di, Dan Pi, Mountain Gardenia, etc., to name a few.
Although the location of the stomach pain is in the stomach, but the relationship with the liver and spleen is as close as possible, and its causes are mostly emotional and emotional disorders, poor diet, mental tension and fatigue, etc.; for a long time, qi depression and fire, cold and heat are mixed, or qi disease and blood, gradually to spleen and stomach yang deficiency or liver and stomach yin deficiency, with phlegm, stasis and stagnation. The basic pathogenesis is the dysfunction of the spleen and stomach, and the obstruction of the flow of qi and blood, which is called “pain if it does not pass”.
The main symptom of this disease is pain in the stomach and epigastrium, often accompanied by spleen and stomach symptoms such as distention and fullness, belching and acid swallowing, nausea and vomiting, lack of food and drink, loose or knotted stools, and general symptoms such as fatigue, thinness and swelling, but clinically it should be distinguished from heart pain, “true heart pain” and abdominal pain. Heart pain is located in the chest, with cramping pain like cutting, pain through the chest and back, accompanied by palpitations, suffocation, a sense of frequent death, and even “true heart pain”, every time “once issued, once dead”, or even critical waiting, abdominal pain includes pain in the abdomen, large abdomen, less abdomen and other parts.
The treatment mostly adopts the method of ventilation, so that the qi and blood can be regulated and normalized, and “ventilation is not painful”. However, the treatment is based on the recognition of urgency, cold and heat, deficiency and actuality, and qi and blood respectively. Specifically
Cold stagnation
Symptoms: violent stomach pain, severe pain, fearing cold and preferring warmth, decreasing pain with heat, no thirst in the mouth, preferring hot drinks, white tongue coating, tight or late pulse.
Treatment: Warming the stomach to disperse cold, promoting Qi circulation and relieving pain.
Remedies: Liang Fu Wan with flavor
Dietary stagnation
Symptoms: Stomach and epigastric distension and pain, refusing to press, belching and swallowing acid, or vomiting undigested food, more comfortable after vomiting, not thinking of eating, unpleasant stools, thick and greasy tongue coating, slippery pulse
Treatment: Eliminating stagnation, harmonizing the stomach and relieving pain.
Prescription: Baohe Pill
Stagnation of Qi due to liver stagnation
Symptoms: distension and fullness of the stomach and epigastrium, painful attack, pain even in the two hypochondrium, chest tightness and belching, good breath, painful due to anger and depression, thin white fur, stringent pulse.
Treatment: Dredging liver and Qi, harmonizing stomach and relieving pain.
Formula: Chai Hu Dredging Liver San with addition and subtraction
Blood stasis blocking the ligaments
Symptoms: Stomach and epigastric pain like needles or knives, fixed pain, refusal to press or vomiting of blood, black stool, purple tongue or petechiae, astringent pulse.
Treatment: Invigorate blood circulation and remove blood stasis
Remedy: Loss of Smile San with added flavor
Deficiency cold in the spleen and stomach
Symptoms: vague and continuous stomach pain, preferring warmth and pressure, relieved by food, sometimes vomiting clear water, little energy, fatigue, lack of warmth in the hands and feet, loose stools, pale tongue, weak pulse.
Treatment: Warming Yang and benefiting Qi to build up the middle.
Radix: Huangqi Jianzhong Tang with reduction
Yin deficiency in the spleen and stomach
Symptoms: vague burning pain in the stomach and epigastrium, irritability and thirst for drinking, dry mouth and throat, little food, dry stool, red tongue with little coating, thin pulse or thin string.
Treatment: Nourish the stomach and benefit the stomach
Recipe: Beneficial Stomach Soup with Bamboo Leaf and Gypsum Soup
In clinical practice, although stomach pain is manifested as different symptoms, each symptom is often interrelated and affects each other, even as a result of each other, so attention should be paid to observation and analysis, to seize the key points and to provide targeted treatment in order to receive good results. The occurrence of gastric pain is mostly related to emotional and mental disorders and dietary disorders, therefore, in prevention, special attention should be paid to the regulation of these two aspects, regulation of emotional and mental disorders, careful diet, prevention before it happens, and after the disease, early treatment should be given to prevent the aggravation or deterioration of the disease, if the disease can be treated and cared for in a timely and correct manner, the prognosis is generally better.