Abdominal Fullnessaccording to TCM

What is Abdominal Fullness?

Abdominal fullness is a common yet complex symptom that manifests as a sensation of tightness, bloating, or swelling in the abdomen. This condition, often associated with discomfort or a lack of appetite, can significantly impact daily activities and overall well-being. Within the spectrum of digestive complaints, abdominal fullness stands out for its ability to hint at underlying health issues, ranging from minor dietary indiscretions to more serious gastrointestinal disorders.

How does TCM view abdominal fullness?

Traditional Chinese Medicine (TCM) offers a unique perspective on abdominal fullness, viewing it not just as a symptom but as a sign of imbalance within the body's energetic pathways. According to TCM, this condition often arises from disruptions in the flow of Qi (vital energy) or the accumulation of Dampness, Heat and Phlegm within the digestive system.

TCM practitioners aim to diagnose the underlying pattern of disharmony causing the symptom, whether it be related to the Spleen, Stomach, Liver, or Kidneys, and treat it accordingly to restore balance and alleviate discomfort.

Root Causes of Abdominal Fullness in TCM

TCM identifies several patterns of imbalance that can lead to abdominal fullness. Two primary causes include the Stagnation of Qi and the accumulation of Dampness within the body. Qi Stagnation, particularly in the Liver, can lead to a disruption in the smooth flow of energy and Blood, causing pressure and fullness in the abdomen.

On the other hand, Dampness, often related to the Spleen's inability to transform and transport bodily fluids, can manifest as a sensation of heaviness and bloating. These conditions highlight the intricate relationship between the body's organs and the flow of Qi as understood in TCM.

Explore below more details about what might cause Abdominal fullness according to TCM.

  • By Syndrome
  • By Organ
  • Heat
  • Dampness
  • Phlegm
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 Fullness

Common Symptoms: Thirst Feeling Of Heaviness Bitter Taste In The Mouth Lack Of Appetite Feeling Of Heat Nausea Fever Upper Abdominal Fullness

Pattern Name Relevant Symptoms Relevant Formulas
Bright Yang Fire in Stomach and Intestines Abdominal fullness, Afternoon fever, Excessive sweating, Sweating on limbs, Abdominal pain, Constipation, Dry stools, Thirst, Dark urine, Anal burning, Irritability, Delirium... see more Tiao Wei Cheng Qi Tang | Xiao Cheng Qi Tang
Damp-Heat in the Large Intestine Abdominal fullness, Abdominal pain, Diarrhea, Hematochezia, Mucous in feces, Smelly stools, Anal burning, Scanty and dark urine, Fever, Excessive sweating, Feeling of heat, Thirst, Feeling of heaviness... see more Ge Geng Huang Qin Huang Lian Tang | Shao Yao Tang
Damp-Heat in the Liver Abdominal fullness, Hypochondrial fullness and distention with pain alleviated by warmth, Lower abdominal fullness, Bitter taste in the mouth, Sticky taste in the mouth, Lack of appetite, Nausea, Feeling of heaviness, Yellow vaginal discharge, Vaginal itching, Vulvar eczema, Vulvar sores, Bleeding between periods, Midcycle bleeding pain, Red and swollen scrotum, Red and swelling genital, Papules, Itchy vesicular rashes, Urinary dysfunction, Urinary burning, Dark urine... see more Long Dan Xie Gan Tang | Yin Chen Hao Tang
Damp-Heat Abdominal fullness, 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 invading the Spleen Abdominal and epigastric fullness, Lack of appetite, Feeling of heaviness, Dry mouth without desire to drink, Nausea or vomiting, Malodorous diarrhea, Anal burning, Feeling of heat, Scanty and dark urine, Low grade fever, Dull headache, Dull yellow complexion, Yellow sclera, Oily sweat, Itchy rashes, Bitter taste in the mouth, Upper abdominal fullness, Upper abdominal pain... see more Lian Po Yin
Heat in the Blood Abdominal distention and fullness, Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia, Hematuria, Vomiting blood, Cough of blood, Nosebleeds, Excessive menstruation... see more Xi Jiao Di Huang Tang
Damp-Heat in the Stomach Epigastrium fullness, Upper abdominal pain, Upper abdominal fullness, Feeling of heaviness, Face pain, Congested nose, Thick nasal discharge, Dry mouth without desire to drink, Nausea, Feeling of heat, Dull yellow complexion, Sticky taste in the mouth... see more Lian Po Yin | Ge Hua Jie Cheng San
Gallbladder Heat Epigastrium fullness, Alternating sensation of hot and cold, Bitter taste in the mouth, Thirst, Dry throat, Hypochondriac pain, Nausea, Upper abdominal fullness... see more Hao Qin Qing Dan Tang
Obstruction Of the Spleen By Dampness with Liver Qi Stagnation Feeling of oppression and fullness of the epigastrium, Upper abdominal oppression, Nausea, Lack of appetite, Diarrhea, Feeling of heaviness, Dry mouth without desire to drink, Dull shallow face, Irritability, Upper abdominal distension, Hypochondriac distention, Hypochondriac pain... see more Ping Wei San | Dang Gui Shao Yao San
Phlegm-Heat in the Middle Burner Abdominal fullness, Upper abdominal focal distention, Dry heaving, Borborygmi with diarrhea, Lack of appetite, Peptic ulcer, Gastroesophageal reflux disease, Gastritis, Chronic cholecystitis, Colitis, Hepatitis... see more Ban Xia Xie Xin Tang
Heat in Yang brightness Organs Abdominal fullness, Severe constipation, Excessive gas and flatulence, Focal distention, Abdominal pain worsened by pressure, Abdominal tightness, Pancreatitis, Appendicitis, Cholecystitis, Bacillary dysentery, Icteric hepatitis... see more Da Cheng Qi Tang
Heat in Gall Bladder Epigastrium fullness, Mild chills with high fever, Bitter taste in the mouth, Stifling sensation in the chest, Vomiting of sour fluids, Thirst, Hypochondriac pain and discomfort, Nausea, Upper abdominal fullness, Cholecystitis, Icteric hepatitis... see more Hao Qin Qing Dan Tang

TCM Herbal Formulas for Abdominal Fullness

To address abdominal fullness, TCM relies on a variety of herbs and formulas designed to move Qi, transform Dampness, and harmonize the body's internal organs. Formulas such as Xiao Yao San, for Liver Qi Stagnation, and Ping Wei San, for Cold-Damp invading the Spleen, are commonly prescribed. These treatments not only aim to alleviate the immediate symptom of fullness but also target the root cause of the imbalance, offering a holistic approach to healing.

In crafting a treatment plan for abdominal fullness, TCM practitioners carefully consider the individual's unique pattern of disharmony, lifestyle, and dietary habits. This personalized approach ensures that treatment not only relieves the symptom of fullness but also promotes long-term health and balance within the body. Through a combination of herbal medicine, acupuncture, and dietary adjustments, TCM offers a comprehensive strategy for overcoming abdominal fullness and restoring digestive harmony.

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

  • By Cause
  • By Formula Type
  • Heat
  • Dampness
  • Phlegm

All Formulas Recommended for Abdominal Fullness Caused by Heat

Formula Patterns Suitable For
Lian Po Yin Damp-Heat invading the Spleen, Damp-Heat in the Stomach
Hao Qin Qing Dan Tang Gallbladder Heat, Heat in Gall Bladder
Ban Xia Xie Xin Tang Phlegm-Heat in the Middle Burner
Xiao Yao San Damp-Heat
Ping Wei San Obstruction Of the Spleen By Dampness with Liver Qi Stagnation
Tiao Wei Cheng Qi Tang Bright Yang Fire in Stomach and Intestines
Xiao Cheng Qi Tang Bright Yang Fire in Stomach and Intestines
Da Cheng Qi Tang Heat in Yang brightness Organs
Ge Geng Huang Qin Huang Lian Tang Damp-Heat in the Large Intestine
Shao Yao Tang Damp-Heat in the Large Intestine
Long Dan Xie Gan Tang Damp-Heat in the Liver
Yin Chen Hao Tang Damp-Heat in the Liver
Er Miao San Damp-Heat
Qing Re Tiao Xue Tang Damp-Heat
Xi Jiao Di Huang Tang Heat in the Blood
Ge Hua Jie Cheng San Damp-Heat in the Stomach
Dang Gui Shao Yao San Obstruction Of the Spleen By Dampness with Liver Qi Stagnation

Acupoints for Abdominal Fullness

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

  • By Meridian
  • Stomach Channel
  • Kidney Channel
  • Spleen Channel
Burong ST-19

Burong ST-19

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

Chengman ST-20

Chengman ST-20

5 cun above the umbilicus and 2 cun lateral to the anterior midline, or 1 cun below Burong ST-19.

Guanmen ST-22

Guanmen ST-22

3 cun above the umbilicus and 2 cun lateral to the anterior midline.

Daju ST-27

Daju ST-27

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

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.

Jiexi ST-41

Jiexi ST-41

At the junction of the dorsum of the foot and leg, between the tendons of extensor digitorum and the extensor hallucis longus muscle. Approximately at the level of the tip of the external malleolus.

Xiangu ST-43

Xiangu ST-43

On the dorsum of the foot, in the depression between the 2nd and 3rd metatarsal bones, at the level of the junction of the shafts and the heads of these metatarsal bones.

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