*redirected from Dislike of pressure on epigastric area
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.
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.
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.
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
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 |
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
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 |
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
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 |
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
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 |
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
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 |
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
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 |
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
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 |
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
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 |
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
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 |
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.
Suitable for Blood Stasis patterns that may cause abdominal pain worsened by pressure, such as Stomach Blood Stagnation
Learn moreFormula | 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 |
Suitable for Heat patterns that may cause abdominal pain worsened by pressure, such as Heat in Yang brightness Organs
Learn moreFormula | Patterns Suitable For |
---|---|
Da Cheng Qi Tang | Heat in Yang brightness Organs |
Da Huang Mu Dan Pi Tang | Blood Stagnation with Heat |
Suitable for Qi Stagnation patterns that may cause abdominal pain worsened by pressure, such as Small Intestine Qi Pain
Learn moreSuitable for Yin Excess patterns that may cause abdominal pain worsened by pressure, such as Yin Excess
Learn moreFormula | Patterns Suitable For |
---|---|
Wu Ling San | Yin Excess |
Wu Pi Yin | Yin Excess |
Suitable for Phlegm patterns that may cause abdominal pain worsened by pressure, such as Blood Stagnation and Phlegm in the Uterus
Learn moreThese formulas are suitable for some abdominal pain worsened by pressure-causing patterns like Stomach Blood Stagnation.
One such formula is Shi Xiao San, with cattail pollen as a key herb.
Other formulas of this category are listed in the table below.
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 |
These formulas are suitable for some abdominal pain worsened by pressure-causing patterns like Yin Excess.
One such formula is Wu Ling San, with water plantain as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Wu Ling San | Yin Excess |
Wu Pi Yin | Yin Excess |
These formulas are suitable for some abdominal pain worsened by pressure-causing patterns like Heat in Yang brightness Organs.
One such formula is Da Cheng Qi Tang, with rhubarb as a key herb.
These formulas are suitable for some abdominal pain worsened by pressure-causing patterns like Small Intestine Qi Pain.
One such formula is Chai Hu Shu Gan San, with bupleurum root as a key herb.
These formulas are suitable for some abdominal pain worsened by pressure-causing patterns like Blood Stagnation with Heat.
One such formula is Da Huang Mu Dan Pi Tang, with rhubarb as a key herb.
Explore below some TCM herbs used to address abdominal pain worsened by pressure, organized by herb category.
Abdominal pain worsened by pressure can be treated by these herbs when it stems from stagnation or poor circulation of blood, helping to improve blood flow and alleviate related discomfort.
One such herb is Flying Squirrel Faeces (Wu Ling Zhi), a key herb in some formulas recommended for abdominal pain worsened by pressure, like Shi Xiao San.
Other herbs of this category are listed in the table below.
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 |
Abdominal pain worsened by pressure can be treated by these herbs when caused by excessive dampness in the body, aiding in eliminating damp through diuretic action.
One such herb is Poria-Cocos Mushrooms (Fu Ling), a key herb in some formulas recommended for abdominal pain worsened by pressure, like Wu Pi Yin.
Other herbs of this category are listed in the table below.
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 |
Abdominal pain worsened by pressure can be treated by these herbs in cases of severe constipation or internal heat, using strong downward movement to purge accumulation.
One such herb is Rhubarb (Da Huang), a key herb in some formulas recommended for abdominal pain worsened by pressure, like Da Cheng Qi Tang.
Abdominal pain worsened by pressure can be treated by these herbs in cases where it is due to internal or external bleeding, working to stabilize and constrict blood flow.
One such herb is Cattail Pollen (Pu Huang), a key herb in some formulas recommended for abdominal pain worsened by pressure, like Shi Xiao San.
Abdominal pain worsened by pressure can be treated by these herbs when the body needs to harmonize with external environmental changes, particularly when there's a need to expel pathogenic factors like wind or cold without overly cooling the body.
One such herb is Bupleurum Roots (Chai Hu), a key herb in some formulas recommended for abdominal pain worsened by pressure, like Chai Hu Shu Gan San.
Abdominal pain worsened by pressure can be treated by these herbs when it is a consequence of excess heat in the blood, helping to cool and detoxify the blood.
One such herb is Mulberry Bark (Sang Bai Pi), a key herb in some formulas recommended for abdominal pain worsened by pressure, like Wu Pi Yin.
Abdominal pain worsened by pressure can be treated by these herbs when there is a need to dispel external cold and warm the body, especially in cases where there is insufficient Yang energy internally.
One such herb is Cinnamon Twigs (Gui Zhi), a key herb in some formulas recommended for abdominal pain worsened by pressure, like Gui Zhi Fu Ling Wan.