Duodenal Ulcersaccording to TCM

Symptom family: Gastrointestinal Ulcers

Parent symptom: Peptic Ulcer

What is Duodenal Ulcers?

Duodenal ulcers represent a specific type of peptic ulcer, occurring in the first part of the small intestine known as the duodenum. This medical condition is characterized by the development of sores on the lining of the duodenum, often causing abdominal pain, bloating, and other gastrointestinal symptoms. The presence of these ulcers can significantly impact an individual's quality of life, leading to discomfort and, in more severe cases, serious health complications. Understanding the causes, including factors like Helicobacter pylori infection and the excessive use of nonsteroidal anti-inflammatory drugs (NSAIDs), is crucial for effective treatment and prevention.

How does TCM view Duodenal Ulcers?

In contrast to Western medicine's focus on infection and inflammation, Traditional Chinese Medicine (TCM) perceives duodenal ulcers through the lens of internal disharmony and imbalance. TCM theory suggests that ulcers result from disruptions in the body's energy flow, or Qi, and imbalances in the fundamental forces of Yin and Yang.

According to this perspective, the health of the digestive system is closely linked to the state of the body's internal environment, and treating duodenal ulcers requires restoring harmony and balance, rather than solely addressing the physical manifestations of the condition.

Causes of Duodenal Ulcers according to TCM

From the TCM standpoint, duodenal ulcers are seen as a manifestation of underlying disharmonies within the body, such as Qi Stagnation, Blood stasis, or imbalances in Yin and Yang. For instance, a common TCM diagnosis might involve patterns of Empty-Cold, often due to a Deficiency in the Stomach's Yang energy, leading to coldness and stagnation that can manifest as ulcers.

Another possible cause could be Stomach Yang Deficient, where a lack of warm, active energy in the stomach creates a conducive environment for ulcer formation. These patterns underscore the TCM principle that symptoms like duodenal ulcers are surface expressions of deeper systemic imbalances.

TCM Herbal Formulas for Duodenal Ulcers

In addressing duodenal ulcers, TCM turns to a variety of herbal formulas designed to correct the specific patterns of disharmony identified in the patient. For conditions categorized under Empty-Cold, the formula Da Jian Zhong Tang, featuring Sichuan pepper (Hua Jiao) for its warming and stimulating properties, is commonly prescribed to replenish the body's Yang energy and dispel cold from the interior.

Similarly, Huang Qi Jian Zhong Tang, with Milkvetch Roots (Huang Qi) as a key component, is recommended for patterns like Stomach Yang Deficient and Cold, aiming to warm the middle, augment Qi, and fortify the stomach's Yang. These treatments reflect TCM's holistic approach, focusing on restoring equilibrium and enhancing the body's natural healing abilities.

Explore below some TCM herbal formulas used to address duodenal ulcers, organized by formula type.

  • By Formula Type
  • Formulas that warm the middle and dispel cold

All "formulas that warm the middle and dispel cold" recommended for duodenal ulcers

Formula Key herbs
Da Jian Zhong Tang Sichuan Pepper (Hua Jiao)
Huang Qi Jian Zhong Tang Milkvetch Roots (Huang Qi), Maltose (Yi Tang)

TCM Herbs for Duodenal Ulcers

Explore below some TCM herbs used to address duodenal ulcers, organized by herb category.

  • By Herb Category
  • Tonic herbs for qi deficiency
  • Herbs that warm the interior and/or expel cold

"Tonic herbs for Qi Deficiency" recommended for duodenal ulcers

Herb Formulas they belong to (if applicable)
Milkvetch Roots (Huang Qi) Huang Qi Jian Zhong Tang
Maltose (Yi Tang) Huang Qi Jian Zhong Tang