Causes of stomach qi not descending include uncontrolled diet, emotional disorders, external evils injuring the stomach, and weakness of the spleen and stomach, etc. It is recommended that the cause be clarified by a medical professional in conjunction with the medical history and systemic symptoms. If there is overeating, overeating cold, greasy, unclean food, or excessive drinking, it can injure the spleen and stomach, the diet is stagnant, and the stomach qi can not descend, and the stomach qi is upwardly reversed (the stomach qi rises instead of descending). Such a patient may be accompanied by bad breath, acid and water flooding, diarrhea and abdominal pain, post-diarrhea pain reduction, stool odor and other manifestations. If there are emotional problems such as depression and anger, which lead to liver qi stagnation (liver qi is not flowing smoothly) and transverse attack on the stomach (liver qi is not flowing smoothly so that it violates the function of the stomach), stomach qi will be reversed, and such patients may suffer from distension and pain of the ribs and the abdomen, sighing, and aggravation of symptoms after emotional stimulation, and so on. If wind, cold, summer, dampness and other evil qi are felt, and the evil qi enters the stomach and injures the stomach, there may also be a loss of harmony in the stomach (obstruction of the stomach’s function of ventilation and descent), resulting in the stomach qi not being able to go down. Symptoms vary according to the evil qi received. For example, if wind-cold is felt externally, there may be malignant cold (fear of cold), fever, no sweating, nasal congestion and runny nose, headache, body pain and other manifestations. If over-exertion or prolonged illness damages the spleen and stomach, resulting in a deficiency of the spleen that cannot transport water-dampness, water-drinking stays in the middle jiao, leading to a drop in stomach qi and the appearance of upward reversal of stomach qi, such a patient may be accompanied by diarrhea, fatigue (mental exhaustion, physical weakness), and loss of appetite. The above are the common causes of stomach qi not descending, whether it is the root cause depends on the specific situation, it is recommended to ask the doctor, after the doctor’s diagnosis to clarify the cause of the disease, and then the treatment of the cause.