Lower Abdominal Painaccording to TCM

*redirected from Hypogastrium pain

What is Lower Abdominal Pain?

Lower abdominal pain is a discomfort or ache located below the belly button, a common symptom that can stem from various causes, ranging from benign to serious medical conditions. This type of pain may manifest in different forms, such as sharp, dull, intermittent, or constant, and can be associated with other symptoms like bloating, digestive changes, or alterations in bowel habits. Accurate diagnosis of the underlying cause of lower abdominal pain is essential for effective treatment and management, highlighting the need for a comprehensive medical evaluation.

How does TCM view Lower Abdominal Pain?

Traditional Chinese Medicine (TCM) approaches lower abdominal pain not just as a symptom, but as a signal of underlying disharmony within the body’s energetic system. TCM identifies various patterns of disharmony that can lead to abdominal discomfort, emphasizing the importance of diagnosing the specific pattern to tailor treatment effectively.

Unlike Western medicine, which often targets the symptom directly, TCM seeks to address the root cause of pain by restoring the balance of Qi, Blood, Yin, and Yang, thereby alleviating the symptom through holistic healing.

Root Causes of Lower Abdominal Pain in TCM

Within the Traditional Chinese Medicine framework, lower abdominal pain is frequently linked to Qi And Blood Stagnation, where the vital energy and blood flow become obstructed, leading to pain that might be sharp, stabbing, and often localized.

Another prevalent cause is Damp-Heat in the Lower Burner, characterized by a sensation of heaviness, feverishness in the lower abdomen, and possibly accompanied by symptoms such as urinary difficulty or a burning sensation during urination. These conditions illustrate the intricate relationship between the body's natural energies and the manifestation of pain, emphasizing the need for a tailored approach to diagnosis and treatment in TCM.

Explore below more details about what might cause Lower abdominal pain according to TCM.

  • By Syndrome
  • By Organ
  • Blood Stasis
  • Qi Stagnation
  • Blood Deficiency
  • Dampness
  • Heat
  • Qi Deficiency
  • Cold
  • Phlegm
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 Lower Abdominal Pain

Common Symptoms: Menstrual Cramps Amenorrhea Irregular Periods Dark Menstrual Clots Prolonged Lochia Irritability Restlessness Abdominal Masses

Pattern Name Relevant Symptoms Relevant Formulas
Qi And Blood Stagnation Lower abdominal pain, Chest distension, Chest pain, Stabbing fixed pain, Dark face, Purple lips, Purple nails, Irritability, Mood swings, Depression, Mottled skin, Foot edema, Abdominal masses, Melena black tarry stool, Menstrual cramps, Amenorrhea, Dark menstrual clots, Dark menstrual blood, Prolonged lochia, Irregular periods... see more Xiao Yao San | Tao Hong Si Wu Tang | Ge Xia Zhu Yu Tang
Blood Stagnation in the Directing and Penetrating Vessels Lower abdominal pain, Umbilical pain, Irregular periods, Brown vaginal discharge, Dark menstrual clots, Menstrual cramps, Dark menstrual blood, Prolonged lochia, Breast engorgement, Breast pain, Anxiety, Irritability... see more Gui Zhi Fu Ling Wan
Blood Stagnation in the Lower Burner caused by Cold Lower abdominal pain, Abdominal masses, Lower abdominal distension, Lower back pain, Abnormal uterine bleeding, Menstrual cramps, Dark menstrual clots... see more Shao Fu Zhu Yu Tang
Blood Deficiency and Stagnation Lower abdominal pain, Dizziness, Blurry vision, Lackluster complexion and nails, Muscle tension, Insomnia, Palpitations, Poor constitution, Irregular periods, Amenorrhea, Muscle contractions... see more Si Wu Tang | Tao Hong Si Wu Tang
Heat and Blood Stagnation in the Lower Burner Lower abdominal pain, Nighttime fever, Incoherent or confused speech, Irritability, Restlessness, Thirst, Amenorrhea, Menstrual cramps, Uterine fibroids, Retained placenta, Prolonged lochia... see more Tao He Cheng Qi 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 Lower Abdominal Pain

Common Symptoms: Abdominal Distention Chest Distension Depression Mood Swings Irregular Periods Pre Menstrual Tension Menstrual Cramps Irritability

Pattern Name Relevant Symptoms Relevant Formulas
Liver Qi Stagnation Lower abdominal pain, Hypochondriac distention, Chest distension, Upper abdominal distension, Abdominal distention, Sighing, Melancholia, Depression, Mood swings, Irregular periods, Globus sensation, Pre menstrual breast distension, Pre menstrual tension, Anxiety, Anger... see more Xiao Yao San | Wu Yao Tang
Qi And Blood Stagnation Lower abdominal pain, Chest distension, Chest pain, Stabbing fixed pain, Dark face, Purple lips, Purple nails, Irritability, Mood swings, Depression, Mottled skin, Foot edema, Abdominal masses, Melena black tarry stool, Menstrual cramps, Amenorrhea, Dark menstrual clots, Dark menstrual blood, Prolonged lochia, Irregular periods... see more Xiao Yao San | Tao Hong Si Wu Tang | Ge Xia Zhu Yu Tang
Small Intestine Qi Pain 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

Blood Deficiency

Blood Deficiency in TCM is like when your body's tank runs low on the vital energy that blood provides. It's not exactly the same as anemia in modern medicine, which is about having too few red blood cells. Instead, Blood Deficiency in TCM is about your body not having enough of the life-giving qualities that blood brings, like nourishment and moisture. This can make you feel tired, look pale, and even feel dizzy or have blurry vision. It's like a garden not getting enough water to stay lush and vibrant. TCM sees this as an imbalance where the body isn't being nourished as it should be, impacting overall health and well-being.... see more

Blood Deficiency Patterns That Can Lead to Lower Abdominal Pain

Common Symptoms: Dizziness Scanty Menstruation Amenorrhea Insomnia Blurry Vision Palpitations Pale Lips Poor Memory

Pattern Name Relevant Symptoms Relevant Formulas
Blood Deficiency Lower abdominal pain, Dizziness, Scanty menstruation, Amenorrhea, Dull shallow face, Pale lips, Poor memory, Insomnia... see more Ren Shen Yang Rong Tang | Da Bu Yuan Jian | Liu Wei Di Huang Wan | Si Wu Tang | Gui Pi Tang
Qi and Blood Deficiency Lower abdominal pain, General weakness, Generalized fatigue, Weak voice, Pale face, Shortness of breath, Palpitations, Dizziness, Poor memory, Insomnia, Reluctance to speak, Lack of appetite, Limb numbness, Skin numbness... see more Sheng Yu Tang
Blood Deficiency and Stagnation Lower abdominal pain, Dizziness, Blurry vision, Lackluster complexion and nails, Muscle tension, Insomnia, Palpitations, Poor constitution, Irregular periods, Amenorrhea, Muscle contractions... see more Si Wu Tang | Tao Hong Si Wu Tang
Detailed description of the cause

Dampness

"Dampness" in TCM is a concept that describes a pattern of disharmony where the body accumulates excess moisture. Imagine the heavy, sticky feeling you get on a very humid day; that's similar to what dampness feels like internally. It can manifest as a sense of heaviness, bloating, sluggishness, or even a foggy mind. This condition is often thought to arise from environmental factors like living in a damp place, dietary habits that promote moisture in the body, or internal imbalances that hinder the body's ability to process fluids properly. In TCM, dampness can obstruct the normal flow of energy and fluids in the body, leading to various symptoms.... see more

Dampness Patterns That Can Lead to Lower Abdominal Pain

Common Symptoms: Lower Back Pain Scanty And Dark Urine Dry Mouth Late Menstruation Stifling Sensation In The Chest Generalized Fatigue Diarrhea Feeling Of Heaviness

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm in the Uterus Lower abdominal pain, Late menstruation, Amenorrhea, Scanty menstruation, Abdominal heaviness, Stifling sensation in the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Obesity, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Cang Fu Dao Tan Wan | Wei Ling Tang | Wan Dai Tang | Xiong Gui Er Chen Tang
Damp-Heat Lower abdominal pain, Fever, Neck gland swelling, Headaches, Tight feeling in chest and stomach, Sticky taste in the mouth, Absence of thirst, Feeling of heat, Feeling of heaviness, Bitter taste in the mouth, Acne... see more Xiao Yao San | Er Miao San | Qing Re Tiao Xue Tang
Damp-Heat in the Lower Burner Lower abdominal pain, Scanty and yellow urine, Lower back pain, Weakness of lower extremities, Red and swollen feet, Swollen knee, Thick greasy vaginal secretions, Ulcers on the lower limbs, Scanty and dark urine, Painful urination, Dry mouth... see more Ba Zheng San
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 Lower Abdominal Pain

Common Symptoms: Lower Back Pain Scanty And Dark Urine Dry Mouth Cystitis Prostatitis Thirst Restlessness Menstrual Cramps

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Heat Lower abdominal pain, Fever, Neck gland swelling, Headaches, Tight feeling in chest and stomach, Sticky taste in the mouth, Absence of thirst, Feeling of heat, Feeling of heaviness, Bitter taste in the mouth, Acne... see more Xiao Yao San | Er Miao San | Qing Re Tiao Xue Tang
Damp-Heat in the Lower Burner Lower abdominal pain, Scanty and yellow urine, Lower back pain, Weakness of lower extremities, Red and swollen feet, Swollen knee, Thick greasy vaginal secretions, Ulcers on the lower limbs, Scanty and dark urine, Painful urination, Dry mouth... see more Ba Zheng San
Heat and Blood Stagnation in the Lower Burner Lower abdominal pain, Nighttime fever, Incoherent or confused speech, Irritability, Restlessness, Thirst, Amenorrhea, Menstrual cramps, Uterine fibroids, Retained placenta, Prolonged lochia... see more Tao He Cheng Qi Tang
Detailed description of the cause

Qi Deficiency

Qi Deficiency in TCM is like running low on battery power. Qi is the vital energy that powers every function in your body. When there's a Qi Deficiency, it means your body doesn't have enough of this essential energy. This can make you feel tired all the time, weak, or even cause shortness of breath. It's similar to how you feel when you haven't had enough sleep or nutritious food. Your body just doesn't have the energy it needs to perform at its best. Unlike modern medicine, which often focuses on specific physical causes for fatigue and weakness, TCM views Qi Deficiency as an overall energy depletion that affects your entire well-being, and it seeks to replenish and balance this vital energy.... see more

Qi Deficiency Patterns That Can Lead to Lower Abdominal Pain

Common Symptoms: Generalized Fatigue Weak Voice Pale Face Shortness Of Breath Dizziness Lack Of Appetite Low Milk Supply Pale Lips

Pattern Name Relevant Symptoms Relevant Formulas
Qi and Blood Deficiency Lower abdominal pain, General weakness, Generalized fatigue, Weak voice, Pale face, Shortness of breath, Palpitations, Dizziness, Poor memory, Insomnia, Reluctance to speak, Lack of appetite, Limb numbness, Skin numbness... see more Sheng Yu Tang
Spleen and Stomach Qi Deficiency Lower abdominal pain, Dizziness, Unsteadiness, Blurry vision, Deafness, Tinnitus, Shortness of breath, Weak voice, Pale face, Lack of appetite, Diarrhea... see more Xiang Sha Liu Jun Zi Tang
Detailed description of the cause

Cold

In TCM "Cold" as a pattern of disharmony refers to a specific type of imbalance within the body's systems, often linked to a deficiency or weakness. It's not about feeling physically cold or having a common cold, but rather a metaphorical description of certain symptoms and underlying conditions. When a TCM practitioner says someone suffers from "Cold," it usually implies that the body's Yang energy, which is warm and active, is insufficient or overpowered by Yin energy, which is cool and passive. Symptoms of Cold in TCM can include a general feeling of coldness, cold limbs, pale complexion, low energy, slow metabolism, and a preference for warmth. ... see more

Cold Patterns That Can Lead to Lower Abdominal Pain

Common Symptoms: Menstrual Cramps Dark Menstrual Clots Diarrhea Lack Of Appetite Generalized Fatigue General Weakness Thin Vaginal Discharge Infertility

Pattern Name Relevant Symptoms Relevant Formulas
Cold in the Uterus Lower abdominal pain, Diarrhea, Lack of appetite, Generalized fatigue, General weakness, Thin vaginal discharge... see more Si Wu Tang | Wen Jing Tang | Da Ying Jian | Shao Fu Zhu Yu Tang | Wen Qi Hua Shi Tang
Blood Stagnation in the Lower Burner caused by Cold Lower abdominal pain, Abdominal masses, Lower abdominal distension, Lower back pain, Abnormal uterine bleeding, Menstrual cramps, Dark menstrual clots... see more Shao Fu Zhu Yu Tang
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 Lower Abdominal Pain

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm in the Uterus Lower abdominal pain, Late menstruation, Amenorrhea, Scanty menstruation, Abdominal heaviness, Stifling sensation in the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Obesity, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Cang Fu Dao Tan Wan | Wei Ling Tang | Wan Dai Tang | Xiong Gui Er Chen 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 Lower Abdominal Pain

Common Symptoms: Late Menstruation Amenorrhea Scanty Menstruation Generalized Fatigue Diarrhea Infertility General Weakness Abdominal Heaviness

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Phlegm in the Uterus Lower abdominal pain, Late menstruation, Amenorrhea, Scanty menstruation, Abdominal heaviness, Stifling sensation in the chest, Generalized fatigue, Diarrhea, Dull pale complexion, Obesity, Infertility, Ovarian cysts, Ovarian fibroids, Polycystic ovary syndrome, Pseudocyesis, Sputum, Feeling of heaviness... see more Cang Fu Dao Tan Wan | Wei Ling Tang | Wan Dai Tang | Xiong Gui Er Chen Tang
Cold in the Uterus Lower abdominal pain, Diarrhea, Lack of appetite, Generalized fatigue, General weakness, Thin vaginal discharge... see more Si Wu Tang | Wen Jing Tang | Da Ying Jian | Shao Fu Zhu Yu Tang | Wen Qi Hua Shi Tang
Detailed description of the cause

Liver

In TCM the Liver is viewed as the organ responsible for the smooth flow of Qi, Blood, and emotions throughout the body. It plays a key role in regulating mood, storing blood, supporting digestion, and ensuring the health of tendons and eyes. When the Liver malfunctions or is imbalanced in TCM, it can lead to a range of issues such as irritability, mood swings, menstrual irregularities, eye problems, and muscular stiffness or pain. A malfunctioning Liver in TCM reflects not only physical disturbances but also emotional and mental disharmony, emphasizing the holistic approach of TCM in addressing health and wellness.... see more

Liver Patterns That Can Lead to Lower Abdominal Pain

Pattern Name Relevant Symptoms Relevant Formulas
Liver Qi Stagnation Lower abdominal pain, Hypochondriac distention, Chest distension, Upper abdominal distension, Abdominal distention, Sighing, Melancholia, Depression, Mood swings, Irregular periods, Globus sensation, Pre menstrual breast distension, Pre menstrual tension, Anxiety, Anger... see more Xiao Yao San | Wu Yao Tang
Detailed description of the cause

Triple Burner

In TCM the Triple Burner (or San Jiao) is a unique concept rather than a physical organ. It's seen as a system that oversees the flow and balance of Qi and bodily fluids across three regions of the body: the upper (respiratory and cardiovascular systems), middle (digestive system), and lower (urinary and reproductive systems). The Triple Burner facilitates the interaction between these systems, ensuring harmony in bodily functions. When it malfunctions in TCM, it can lead to a variety of symptoms depending on the affected region, such as respiratory issues, digestive problems, or urinary and reproductive disorders. The malfunction can also manifest as general imbalances in energy flow, temperature regulation, and fluid metabolism, reflecting the Triple Burner's role as a coordinator of the body's various processes and its importance in maintaining overall balance and health.... see more

Triple Burner Patterns That Can Lead to Lower Abdominal Pain

Pattern Name Relevant Symptoms Relevant Formulas
Heat and Blood Stagnation in the Lower Burner Lower abdominal pain, Nighttime fever, Incoherent or confused speech, Irritability, Restlessness, Thirst, Amenorrhea, Menstrual cramps, Uterine fibroids, Retained placenta, Prolonged lochia... see more Tao He Cheng Qi Tang
Detailed description of the cause

Spleen

In TCM the Spleen plays a vital role in digestion and transformation, converting food into energy and nutrients, and overseeing the distribution of Qi and Blood. It's also crucial in maintaining the health of muscles and limbs and ensuring the blood remains within the vessels. When the Spleen malfunctions in TCM, it can lead to a variety of issues such as digestive disorders, fatigue, weak muscles, bloating, and a feeling of heaviness. It can also cause a pale complexion, poor appetite, and a tendency to bruise easily. Emotionally, a Spleen imbalance is often associated with excessive worry or overthinking, reflecting its role in the interplay between physical and mental health.... see more

Spleen Patterns That Can Lead to Lower Abdominal Pain

Pattern Name Relevant Symptoms Relevant Formulas
Spleen and Stomach Qi Deficiency Lower abdominal pain, Dizziness, Unsteadiness, Blurry vision, Deafness, Tinnitus, Shortness of breath, Weak voice, Pale face, Lack of appetite, Diarrhea... see more Xiang Sha Liu Jun Zi Tang
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 Lower Abdominal Pain

Pattern Name Relevant Symptoms Relevant Formulas
Spleen and Stomach Qi Deficiency Lower abdominal pain, Dizziness, Unsteadiness, Blurry vision, Deafness, Tinnitus, Shortness of breath, Weak voice, Pale face, Lack of appetite, Diarrhea... see more Xiang Sha Liu Jun Zi 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 Lower Abdominal Pain

Pattern Name Relevant Symptoms Relevant Formulas
Small Intestine Qi Pain 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

TCM Herbal Formulas for Lower Abdominal Pain

For addressing Qi And Blood Stagnation, Xiao Yao San, a formula incorporating Bupleurum Roots (Chai Hu), effectively soothes Liver Qi, harmonizes the Blood, and alleviates pain, reflecting TCM's holistic strategy in resolving the stagnation that contributes to lower abdominal discomfort.

When treating Damp-Heat in the Lower Burner, a different approach is required, focusing on formulas that can clear Heat and leach out Dampness, thereby restoring balance and reducing symptoms. These tailored herbal strategies demonstrate TCM's nuanced approach to treating lower abdominal pain, focusing on the individual's unique pattern of disharmony.

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

  • By Cause
  • By Formula Type
  • Blood Stasis
  • Qi Stagnation
  • Blood Deficiency
  • Dampness
  • Heat
  • Qi Deficiency
  • Cold
  • Phlegm
  • Formulas that invigorate blood and dispel blood stagnation
  • Formulas that tonify blood
  • Formulas that clear heat and expel dampness
  • Formulas that dry dampness and transform phlegm
  • Formulas that expel dampness
  • Formulas that promote qi movement
  • Formulas that nourish yin and tonify
  • Formulas that secure irregular uterine bleeding and stop vaginal discharge
  • Formulas that harmonize liver-Spleen
  • Formulas that tonify
  • Formulas that tonify qi and blood
  • Formulas that warm the middle and dispel cold
  • Formulas that dispel phlegm

All Formulas Recommended for Lower Abdominal Pain Caused by Blood Stasis

Formula Patterns Suitable For
Tao Hong Si Wu Tang Qi And Blood Stagnation, Blood Deficiency and Stagnation
Xiao Yao San Qi And Blood Stagnation
Si Wu Tang Blood Deficiency and Stagnation
Shao Fu Zhu Yu Tang Blood Stagnation in the Lower Burner caused by Cold
Gui Zhi Fu Ling Wan Blood Stagnation in the Directing and Penetrating Vessels
Ge Xia Zhu Yu Tang Qi And Blood Stagnation
Tao He Cheng Qi Tang Heat and Blood Stagnation in the Lower Burner

All Formulas Recommended for Lower Abdominal Pain Caused by Qi Stagnation

Formula Patterns Suitable For
Xiao Yao San Liver Qi Stagnation, Qi And Blood Stagnation
Tao Hong Si Wu Tang Qi And Blood Stagnation
Wu Yao Tang Liver Qi Stagnation
Ge Xia Zhu Yu Tang Qi And Blood Stagnation
Chai Hu Shu Gan San Small Intestine Qi Pain

All Formulas Recommended for Lower Abdominal Pain Caused by Blood Deficiency

Formula Patterns Suitable For
Si Wu Tang Blood Deficiency, Blood Deficiency and Stagnation
Tao Hong Si Wu Tang Blood Deficiency and Stagnation
Ren Shen Yang Rong Tang Blood Deficiency
Da Bu Yuan Jian Blood Deficiency
Liu Wei Di Huang Wan Blood Deficiency
Gui Pi Tang Blood Deficiency
Sheng Yu Tang Qi and Blood Deficiency

All Formulas Recommended for Lower Abdominal Pain Caused by Dampness

Formula Patterns Suitable For
Xiao Yao San Damp-Heat
Ba Zheng San Damp-Heat in the Lower Burner
Cang Fu Dao Tan Wan Damp-Phlegm in the Uterus
Wei Ling Tang Damp-Phlegm in the Uterus
Wan Dai Tang Damp-Phlegm in the Uterus
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus
Er Miao San Damp-Heat
Qing Re Tiao Xue Tang Damp-Heat

All Formulas Recommended for Lower Abdominal Pain Caused by Heat

Formula Patterns Suitable For
Xiao Yao San Damp-Heat
Ba Zheng San Damp-Heat in the Lower Burner
Er Miao San Damp-Heat
Qing Re Tiao Xue Tang Damp-Heat
Tao He Cheng Qi Tang Heat and Blood Stagnation in the Lower Burner

All Formulas Recommended for Lower Abdominal Pain Caused by Qi Deficiency

Formula Patterns Suitable For
Sheng Yu Tang Qi and Blood Deficiency
Xiang Sha Liu Jun Zi Tang Spleen and Stomach Qi Deficiency

All Formulas Recommended for Lower Abdominal Pain Caused by Cold

Formula Patterns Suitable For
Shao Fu Zhu Yu Tang Cold in the Uterus, Blood Stagnation in the Lower Burner caused by Cold
Si Wu Tang Cold in the Uterus
Wen Jing Tang Cold in the Uterus
Da Ying Jian Cold in the Uterus
Wen Qi Hua Shi Tang Cold in the Uterus

All Formulas Recommended for Lower Abdominal Pain Caused by Phlegm

Formula Patterns Suitable For
Cang Fu Dao Tan Wan Damp-Phlegm in the Uterus
Wei Ling Tang Damp-Phlegm in the Uterus
Wan Dai Tang Damp-Phlegm in the Uterus
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus

All "formulas that invigorate blood and dispel blood stagnation" recommended for lower abdominal pain

Formula Patterns Suitable For (if applicable)
Shao Fu Zhu Yu Tang Cold in the Uterus, Blood Stagnation in the Lower Burner caused by Cold
Gui Zhi Fu Ling Wan Blood Stagnation in the Directing and Penetrating Vessels
Wen Jing Tang Cold in the Uterus
Ge Xia Zhu Yu Tang Qi And Blood Stagnation
Tao He Cheng Qi Tang Heat and Blood Stagnation in the Lower Burner

All "formulas that tonify blood" recommended for lower abdominal pain

Formula Patterns Suitable For (if applicable)
Si Wu Tang Blood Deficiency, Cold in the Uterus, Blood Deficiency and Stagnation
Tao Hong Si Wu Tang Qi And Blood Stagnation, Blood Deficiency and Stagnation
Da Ying Jian Cold in the Uterus
Sheng Yu Tang Qi and Blood Deficiency

All "formulas that clear heat and expel dampness" recommended for lower abdominal pain

Formula Patterns Suitable For (if applicable)
Ba Zheng San Damp-Heat in the Lower Burner
Qing Re Tiao Xue Tang Damp-Heat

All "formulas that expel dampness" recommended for lower abdominal pain

Formula Patterns Suitable For (if applicable)
Wei Ling Tang Damp-Phlegm in the Uterus
Er Miao San Damp-Heat

All "formulas that promote qi movement" recommended for lower abdominal pain

Formula Patterns Suitable For (if applicable)
Wu Yao Tang Liver Qi Stagnation
Chai Hu Shu Gan San Small Intestine Qi Pain

All "formulas that dry dampness and transform phlegm" recommended for lower abdominal pain

Formula Patterns Suitable For (if applicable)
Cang Fu Dao Tan Wan Damp-Phlegm in the Uterus
Xiong Gui Er Chen Tang Damp-Phlegm in the Uterus

All "formulas that nourish yin and tonify" recommended for lower abdominal pain

Formula Patterns Suitable For (if applicable)
Da Bu Yuan Jian Blood Deficiency
Liu Wei Di Huang Wan Blood Deficiency

Acupoints for Lower Abdominal Pain

In TCM, acupuncture plays a vital role in the treatment of lower abdominal pain, especially when caused by Qi and Blood Stagnation or Damp-Heat in the Lower Burner. Specific acupoints, such as Yingu KID-10 for nourishing Kidney Yin and clearing Damp-Heat, and Dachangshu BL-25 for regulating the Large Intestine and alleviating pain, are strategically targeted.

The selection and combination of acupoints are carefully considered to directly address the underlying pattern of disharmony, showcasing the depth of TCM's holistic approach in facilitating the body's natural healing processes and restoring internal balance.

Explore below some acupoints used to address lower abdominal pain, organized by meridian.

  • By Meridian
  • Kidney Channel
  • Directing Vessel
  • Stomach Channel
  • Bladder Channel
  • Liver Channel
  • Spleen Channel
  • Gall Bladder Channel
Yongquan KID-1

Yongquan KID-1

In the depression between the 2nd and 3rd metatarsal bones on the sole when the foot is in plantar flexion, approximately at the junction of the anterior and middle third of the sole.

Zhaohai KID-6

Zhaohai KID-6

Approximately 1 cun below the medial malleolus tip, over the joint space between the talus and the calcaneus.

Yingu KID-10

Yingu KID-10

On the medial side of the popliteal fossa, level with Weizhong BL-40, between the tendons of semitendinosus and semimenbranosus muscle when the knee is flexed.

Henggu KID-11

Henggu KID-11

5 cun below the umbilicus, on the upper border of symphysis pubis, 0.5 cun lateral to the anterior midline. It is at the same level as Qugu REN-2 which is at the anterior midline.

Siman KID-14

Siman KID-14

2 cun below the umbilicus, 0.5 cun lateral to the anterior midline.

Huangshu KID-16

Huangshu KID-16

0.5 cun lateral to the center of the umbilicus.

Youmen KID-21

Youmen KID-21

6 cun above the umbilicus and 2 cun below the sternocostal angle, 0.5 cun lateral to the anterior midline.

Guanyuan REN-4

Guanyuan REN-4

On the midline of the abdomen, 3 cun below the umbilicus.

Shimen REN-5

Shimen REN-5

On the midline of the abdomen, 2 cun below the umbilicus.

Qihai REN-6

Qihai REN-6

On the midline of the abdomen, 1.5 cun below the umbilicus.

Yinjiao REN-7

Yinjiao REN-7

On the midline of the abdomen, 1 cun below the umbilicus.

Jianli REN-11

Jianli REN-11

On the midline of the abdomen, 3 cun above the umbilicus and 5 cun below the sternocostal angle.

Zhongting REN-16

Zhongting REN-16

On the midline of the chest, on the level of the 5th intercostal space. On the sternocostal angle, where the two lower borders of the ribcage meet.

Tianshu ST-25

Tianshu ST-25

2 cun lateral to the center of the umbilicus.

Shuidao ST-28

Shuidao ST-28

3 cun below the umbilicus, 2 cun lateral to anterior midline.

Qichong ST-30

Qichong ST-30

5 cun below the umbilicus, 2 cun lateral to the anterior midline, superior to the inguinal groove, on the medial side of the femoral artery, nerve and vein.

Shangjuxu ST-37

Shangjuxu ST-37

6 cun below Dubi ST-35, on finger-breadth from the anterior crest of the tibia.

Xiajuxu ST-39

Xiajuxu ST-39

9 cun below Dubi ST-35, about one middle finger-width lateral to the anterior crest of the tibia.

Ganshu BL-18

Ganshu BL-18

1.5 cun lateral to the lower border of the spinous process of the 9th thoracic vertebra (T9).

Dachangshu BL-25

Dachangshu BL-25

1.5 cun lateral to the lower border of the spinous process of the 4th lumber vertebra (L4).

Xialiao BL-34

Xialiao BL-34

In the 4th posterior sacral foramen, between the posterior superior iliac spine and the midline.

Yixi BL-45

Yixi BL-45

3 cun (about 4 finger-breadths) lateral to the lower border of the spinous process of the 6th thoracic vertebra (T6).

Zhongfeng LIV-4

Zhongfeng LIV-4

1 cun anterior to the tip of medial malleolus, in the depression on the medial side of the tendon of the tibialis anterior.

Zhongdu LIV-6

Zhongdu LIV-6

7 cun above the tip of the medial malleolus, or 2 cun above Ligou LIV-5, on the medial aspect and posterior to the medial crest of the tibia.

Ququan LIV-8

Ququan LIV-8

On the medial aspect of the knee join. Flex the knee and locate the point above the medial end of the popliteal crease, posterior to the medial condyle of the tibia, on the anterior border of the insertion of semimembranosus and semitendinosus muscle, about 1 cun anterior to Yingu KID-10.

Jimai LIV-12

Jimai LIV-12

Interior and lateral to the pubic spine, 2.5 cun lateral to the Qugu REN-2 on the anterior midline and 1 cun inferior to the upper border of the symphysis.

Sanyinjiao SP-6

Sanyinjiao SP-6

3 cun directly above the tip of the medial malleolus, on the posterior border of the tibia, on the line drawn from the medial malleolus to Yinlingquan SP-9.

Jimen SP-11

Jimen SP-11

6 cun above Xuehai SP-10, on the line draw from Xuehai SP-10 to Chongmen SP-12.

Fujie SP-14

Fujie SP-14

On the mamillary line which is 4 cun lateral to the anterior midline. 3 cun above Fushe SP-13, 1.3 cun below Daheng SP-15, on the lateral side of rectus abdominis muscle.

Fuai SP-16

Fuai SP-16

3 cun above the umbilicus center and 4 cun lateral to the anterior midline, on the mamillary line.

Daimai GB-26

Daimai GB-26

Level with the umbilicus, directly below Zhangmen LIV-13 which is on the free end of the 11th rib.

Wushu GB-27

Wushu GB-27

In the lateral side of the abdomen, in the front of the anterior superior iliac spine (ASIS), 3 cun below the level of the umbilicus.

Weidao GB-28

Weidao GB-28

Anterior and Inferior to the anterior superior iliac spine (ASIS), 0.5 cun anterior and inferior to Wushu GB-27.