Abdominal Pain Worsened By Pressureaccording to TCM

*redirected from Dislike of pressure on epigastric area

What is Abdominal Pain Worsened by Pressure?

Abdominal pain worsened by pressure is a symptom characterized by an increase in discomfort or pain in the abdominal region when it is physically pressed or touched. This condition suggests an underlying sensitivity or pathology that reacts negatively to external forces.

The symptom can vary widely in intensity and may be localized to a specific area or spread across the abdomen. It's a common complaint among individuals with various gastrointestinal and abdominal issues.

How Does TCM View Abdominal Pain Worsened by Pressure?

From the Traditional Chinese Medicine (TCM) perspective, abdominal pain that worsens with pressure is indicative of deeper imbalances within the body's Qi (energy), Blood, Yin, and Yang. TCM theory suggests that such pain arises when the smooth flow of Qi and Blood is obstructed or when there is an accumulation of Cold or Heat in the abdominal area.

Understanding and treating this symptom involves identifying the underlying pattern of disharmony and correcting it to restore balance and alleviate pain.

Root Causes of Abdominal Pain Worsened By Pressure in TCM

In TCM, abdominal pain exacerbated by pressure is often linked to specific patterns of disharmony such as Blood Stasis and Qi Stagnation. Stomach Blood Stagnation, for example, can lead to a strong aversion to pressure due to the Stagnation of Blood flow, resulting in sharp, localized pain that intensifies upon touch.

Similarly, Qi Stagnation, particularly in the small intestine, manifests as twisting pain that is aggravated by pressure, reflecting the blocked flow of energy. These patterns highlight the intricate relationships between the body's energetic systems and physical symptoms.

Explore below more details about what might cause Abdominal pain worsened by pressure according to TCM.

  • By Syndrome
  • By Organ
Detailed description of the cause

Blood Stasis

Blood Stasis in TCM is a concept where the blood flow in the body is not as smooth or efficient as it should be. Imagine a river that's supposed to flow freely, but instead, it's getting blocked or moving too slowly in some parts. This can lead to various health issues, like pain that feels sharp or stabbing, dark bruises, and a complexion that looks purplish. TCM believes that good health relies on the smooth and vibrant flow of Qi and blood throughout the body, so when blood gets stuck, it's like a traffic jam in your body, leading to discomfort or health problems.... see more

Blood Stasis Patterns That Can Lead to Abdominal Pain Worsened By Pressure

Common Symptoms: Lower Abdominal Distension And Pain That Increases With Pressure Pelvic Inflammatory Disease Nocturnal Epigastric Pain Nausea Or Vomiting Potential Vomiting Of Blood Hematochezia Upper Abdominal Pain Nausea

Pattern Name Relevant Symptoms Relevant Formulas
Stomach Blood Stagnation Dislike of pressure on epigastric area, Nocturnal epigastric pain, Abdominal pain worsened by pressure, Nausea or vomiting, Potential vomiting of blood, Hematochezia... see more Shi Xiao San | Ge Xia Zhu Yu Tang
Blood Stagnation with Heat Lower abdominal distension and pain that increases with pressure, Guarding of the abdominal musculature, Groin pain, Alternating fever and chills, Appendicitis, Pelvic inflammatory disease, Iliac abscess, Subcutaneous abscess, Renal abscess, Liver abscess, Lung abscess... see more Da Huang Mu Dan Pi Tang
Blood Stagnation and Phlegm in the Uterus Lower abdominal distension and pain that increases with pressure, Persistent uterine bleeding of purple or dark blood, Lower abdominal fibroids and cysts, Menstrual cramps, Irregular periods, Abdominal pain, Prolonged lochia, Infertility, Postpartum hemorrhage, Retained placenta, Cervical erosion... see more Gui Zhi Fu Ling Wan
Detailed description of the cause

Heat

In TCM "Heat" signifies an excess of Yang energy, leading to an imbalance where heat predominates over the body's cool Yin aspects. This condition is metaphorically akin to an internal over-heating. Symptoms indicative of Heat can include feelings of warmth, fever, sweating, irritability, red face, thirst with a preference for cold drinks, and a rapid pulse. The tongue may appear red with a yellow coating. Unlike the common interpretation of heat in terms of temperature, in TCM, it represents a state of hyperactivity or inflammation in the body.... see more

Heat Patterns That Can Lead to Abdominal Pain Worsened By Pressure

Common Symptoms: Appendicitis Bacillary Dysentery Severe Constipation Excessive Gas And Flatulence Focal Distention Abdominal Fullness Abdominal Tightness Pancreatitis

Pattern Name Relevant Symptoms Relevant Formulas
Heat in Yang brightness Organs Abdominal pain that increases upon pressure, Severe constipation, Excessive gas and flatulence, Focal distention, Abdominal fullness, Abdominal pain worsened by pressure, Abdominal tightness, Pancreatitis, Appendicitis, Cholecystitis, Bacillary dysentery... see more Da Cheng Qi Tang
Blood Stagnation with Heat Lower abdominal distension and pain that increases with pressure, Guarding of the abdominal musculature, Groin pain, Alternating fever and chills, Appendicitis, Pelvic inflammatory disease, Iliac abscess, Subcutaneous abscess, Renal abscess, Liver abscess, Lung abscess... see more Da Huang Mu Dan Pi Tang
Detailed description of the cause

Qi Stagnation

Qi Stagnation in TCM is like having a traffic jam in your body's energy system. Qi, the vital life force that flows through your body, is supposed to move smoothly to maintain health and balance. But with Qi Stagnation, this flow gets blocked or slowed down, like cars stuck on a highway. This can lead to symptoms like feeling stressed, emotional mood swings, and physical discomfort, often described as a feeling of fullness or tightness, especially in the chest or abdomen. It's as though the body's internal energy circulation is disrupted, causing various issues. TCM sees this as an energy flow problem, different from modern medicine's focus on specific physiological processes.... see more

Qi Stagnation Patterns That Can Lead to Abdominal Pain Worsened By Pressure

Pattern Name Relevant Symptoms Relevant Formulas
Small Intestine Qi Pain Dislike of pressure on the abdomen, Lower abdominal twisting pain, Abdominal distention, Abdominal pain worsened by pressure, Borborygmi, Excessive gas and flatulence, Abdominal pain relieved by flatulence, Testicular pain... see more Chai Hu Shu Gan San
Detailed description of the cause

Yin Excess

Yin Excess in TCM is a pattern of disharmony characterized by an overabundance of Yin energy, leading to symptoms of dampness and coldness in the body. This condition often results from an imbalance where the cooling, moistening aspects of Yin overshadow the warm, active qualities of Yang energy. Symptoms can include a feeling of heaviness, lethargy, cold sensations, pale complexion, and possibly edema or fluid retention. Digestive issues such as poor appetite, bloating, and loose stools may also be present, reflecting the impact of excess Yin on the body's metabolic processes. Treatment in TCM for Yin Excess focuses on reducing the excess Yin and stimulating Yang energy to restore balance. ... see more

Yin Excess Patterns That Can Lead to Abdominal Pain Worsened By Pressure

Pattern Name Relevant Symptoms Relevant Formulas
Yin Excess Epigastric pain worsen by pressure, Absence of thirst, Slow and forceful movement, Polyuria, Feeling of chest oppression, Nausea, Excessive vaginal discharge, Lack of appetite, Pain relieved by heat, Chills, Cold extremities, Pale urine... see more Wu Ling San | Wu Pi Yin
Detailed description of the cause

Phlegm

In TCM "Phlegm" as a pattern of disharmony is a complex concept that extends beyond the physical manifestation of mucus. It represents a pathological factor that can disrupt the flow of Qi (vital energy) and blood, leading to various health issues. Phlegm in TCM is seen as a sticky, turbid substance arising from the body's inability to metabolize fluids properly, often due to a dysfunction of the spleen. It's not only associated with respiratory problems like cough and congestion but also with systemic issues. Symptoms can include a feeling of heaviness, mental cloudiness, dizziness, and in some cases, the formation of lumps or masses. Phlegm can even be "invisible," contributing to emotional disturbances like depression or stress. ... see more

Phlegm Patterns That Can Lead to Abdominal Pain Worsened By Pressure

Pattern Name Relevant Symptoms Relevant Formulas
Blood Stagnation and Phlegm in the Uterus Lower abdominal distension and pain that increases with pressure, Persistent uterine bleeding of purple or dark blood, Lower abdominal fibroids and cysts, Menstrual cramps, Irregular periods, Abdominal pain, Prolonged lochia, Infertility, Postpartum hemorrhage, Retained placenta, Cervical erosion... see more Gui Zhi Fu Ling Wan
Detailed description of the cause

Stomach

In TCM the Stomach is regarded as the "sea of nourishment," pivotal for digesting food and transforming it into Qi and blood. It works closely with the Spleen to distribute these essential nutrients throughout the body. When the Stomach is out of balance or malfunctions in TCM, it often leads to digestive problems such as bloating, nausea, vomiting, poor appetite, or a feeling of fullness. There may also be issues like acid reflux or a sour taste in the mouth. Emotionally, an imbalanced Stomach can contribute to excessive worry and overthinking, reflecting the TCM belief that physical and emotional well-being are deeply interconnected.... see more

Stomach Patterns That Can Lead to Abdominal Pain Worsened By Pressure

Common Symptoms: Cor Pulmonale Hypertension Severe Constipation Excessive Gas And Flatulence Focal Distention Abdominal Fullness Abdominal Tightness Pancreatitis

Pattern Name Relevant Symptoms Relevant Formulas
Stomach Blood Stagnation Dislike of pressure on epigastric area, Nocturnal epigastric pain, Abdominal pain worsened by pressure, Nausea or vomiting, Potential vomiting of blood, Hematochezia... see more Shi Xiao San | Ge Xia Zhu Yu Tang
Heat in Yang brightness Organs Abdominal pain that increases upon pressure, Severe constipation, Excessive gas and flatulence, Focal distention, Abdominal fullness, Abdominal pain worsened by pressure, Abdominal tightness, Pancreatitis, Appendicitis, Cholecystitis, Bacillary dysentery... see more Da Cheng Qi Tang
Detailed description of the cause

Small Intestine

In TCM the Small Intestine plays a critical role in receiving partially digested food from the Stomach and further separating the clear from the turbid, essentially distinguishing nutrients from waste. This process is vital for proper absorption and assimilation of food. The Small Intestine is also associated with clarity of judgment and decision-making. When it malfunctions or is imbalanced in TCM, it can lead to digestive issues such as abdominal pain, bloating, poor appetite, or irregular bowel movements. Additionally, a malfunctioning Small Intestine may manifest as mental confusion or difficulty in making decisions, reflecting its role in discernment and clarity in both physical and mental realms. ... see more

Small Intestine Patterns That Can Lead to Abdominal Pain Worsened By Pressure

Common Symptoms: Excessive Gas And Flatulence Severe Constipation Focal Distention Abdominal Fullness Abdominal Tightness Pancreatitis Appendicitis Cholecystitis

Pattern Name Relevant Symptoms Relevant Formulas
Small Intestine Qi Pain Dislike of pressure on the abdomen, Lower abdominal twisting pain, Abdominal distention, Abdominal pain worsened by pressure, Borborygmi, Excessive gas and flatulence, Abdominal pain relieved by flatulence, Testicular pain... see more Chai Hu Shu Gan San
Heat in Yang brightness Organs Abdominal pain that increases upon pressure, Severe constipation, Excessive gas and flatulence, Focal distention, Abdominal fullness, Abdominal pain worsened by pressure, Abdominal tightness, Pancreatitis, Appendicitis, Cholecystitis, Bacillary dysentery... see more Da Cheng Qi Tang
Detailed description of the cause

Large Intestine

In TCM the Large Intestine is primarily seen as responsible for the absorption of fluids and the excretion of waste. It is closely related to the Lung in terms of energy flow and function, reflecting the interconnectedness of organ systems in TCM. When the Large Intestine malfunctions, it can lead to issues such as constipation or diarrhea, abdominal pain, and an inability to let go of emotional waste, like holding onto grief or stress. This is in line with the TCM view that the physical and emotional aspects of health are deeply connected. An imbalanced Large Intestine can also manifest as skin problems, signifying the organ’s role in eliminating toxins and maintaining balance in the body’s internal environment.... see more

Large Intestine Patterns That Can Lead to Abdominal Pain Worsened By Pressure

Pattern Name Relevant Symptoms Relevant Formulas
Heat in Yang brightness Organs Abdominal pain that increases upon pressure, Severe constipation, Excessive gas and flatulence, Focal distention, Abdominal fullness, Abdominal pain worsened by pressure, Abdominal tightness, Pancreatitis, Appendicitis, Cholecystitis, Bacillary dysentery... see more Da Cheng Qi Tang
Detailed description of the cause

Uterus

In TCM the Uterus (or "Bao Gong") is not just a reproductive organ but a vital system closely linked to Kidney energy, responsible for menstrual health, fertility, and pregnancy. It's also connected to the Heart and Liver, reflecting the importance of emotional and blood health in reproductive wellness. In TCM, the Uterus is seen as a reservoir of Blood and Qi, crucial for reproductive health and general vitality. When the Uterus malfunctions or is imbalanced, it can lead to menstrual irregularities, infertility, miscarriages, or menopausal symptoms. Additionally, there might be symptoms like lower abdominal pain or emotional disturbances such as mood swings, often linked to Liver Qi stagnation. These manifestations highlight the TCM perspective that the health of the Uterus is intertwined with the overall balance of energy and blood in the body, as well as emotional well-being.... see more

Uterus Patterns That Can Lead to Abdominal Pain Worsened By Pressure

Pattern Name Relevant Symptoms Relevant Formulas
Blood Stagnation and Phlegm in the Uterus Lower abdominal distension and pain that increases with pressure, Persistent uterine bleeding of purple or dark blood, Lower abdominal fibroids and cysts, Menstrual cramps, Irregular periods, Abdominal pain, Prolonged lochia, Infertility, Postpartum hemorrhage, Retained placenta, Cervical erosion... see more Gui Zhi Fu Ling Wan

TCM Herbal Formulas for Abdominal Pain Worsened By Pressure

To address abdominal pain worsened by pressure, TCM employs various formulas aimed at invigorating Blood, promoting Qi movement, and balancing Yin and Yang. For Blood Stagnation, formulations like Shi Xiao San and Ge Xia Zhu Yu Tang are utilized to dispel stagnation and alleviate pain. For Qi Stagnation, Chai Hu Shu Gan San serves to soothe the Liver and regulate Qi, easing the discomfort associated with this condition.

Additionally, for conditions of Heat or Yin Excess leading to abdominal pain, TCM recommends cooling and dampness-expelling formulas such as Wu Ling San and Wu Pi Yin, targeting the root causes of pain and restoring internal harmony. These treatments underscore TCM's holistic approach, focusing on restoring balance to relieve symptoms.

Explore below some TCM herbal formulas used to address abdominal pain worsened by pressure, organized by cause and by formula type.

  • By Cause
  • By Formula Type
  • Formulas that invigorate blood and dispel blood stagnation
  • Formulas that promote urination and leach out dampness
  • Formulas that purge heat accumulation
  • Formulas that promote qi movement
  • Formulas that clear internal abscesses and sores

All Formulas Recommended for Abdominal Pain Worsened By Pressure Caused by Blood Stasis

Formula Patterns Suitable For
Shi Xiao San Stomach Blood Stagnation
Ge Xia Zhu Yu Tang Stomach Blood Stagnation
Da Huang Mu Dan Pi Tang Blood Stagnation with Heat
Gui Zhi Fu Ling Wan Blood Stagnation and Phlegm in the Uterus

All Formulas Recommended for Abdominal Pain Worsened By Pressure Caused by Heat

Formula Patterns Suitable For
Da Cheng Qi Tang Heat in Yang brightness Organs
Da Huang Mu Dan Pi Tang Blood Stagnation with Heat

All Formulas Recommended for Abdominal Pain Worsened By Pressure Caused by Yin Excess

Formula Patterns Suitable For
Wu Ling San Yin Excess
Wu Pi Yin Yin Excess

All "formulas that invigorate blood and dispel blood stagnation" recommended for abdominal pain worsened by pressure

Formula Patterns Suitable For (if applicable)
Shi Xiao San Stomach Blood Stagnation
Ge Xia Zhu Yu Tang Stomach Blood Stagnation
Gui Zhi Fu Ling Wan Blood Stagnation and Phlegm in the Uterus

All "formulas that promote urination and leach out dampness" recommended for abdominal pain worsened by pressure

Formula Patterns Suitable For (if applicable)
Wu Ling San Yin Excess
Wu Pi Yin Yin Excess

TCM Herbs for Abdominal Pain Worsened By Pressure

Explore below some TCM herbs used to address abdominal pain worsened by pressure, organized by herb category.

  • By Herb Category
  • Herbs that invigorate the blood
  • Herbs that drain dampness
  • Purgative herbs that drain downward
  • Herbs that stop bleeding
  • Cool/Acrid herbs that release the exterior
  • Herbs that cool the blood
  • Warm/Acrid herbs that release the exterior

"Herbs that invigorate the Blood" recommended for abdominal pain worsened by pressure

Herb Formulas they belong to (if applicable)
Flying Squirrel Faeces (Wu Ling Zhi) Shi Xiao San
Szechuan Lovage Roots (Chuan Xiong) Ge Xia Zhu Yu Tang
Safflowers (Hong Hua) Ge Xia Zhu Yu Tang
Peach Kernels (Tao Ren) Ge Xia Zhu Yu Tang

"Herbs that drain Dampness" recommended for abdominal pain worsened by pressure

Herb Formulas they belong to (if applicable)
Poria-Cocos Mushrooms (Fu Ling) Wu Pi Yin | Gui Zhi Fu Ling Wan
Water Plantain (Ze Xie) Wu Ling San
Ginger Peel (Sheng Jiang Pi) Wu Pi Yin