What is the reason for the heat and pain in the stomach?

Stomach heat is stomach fire. Many causes are pathogenic heat; Or because of drinking, eating spicy food, eating too much cream, helping fire and clearing heat; Or qi stagnation, blood stasis, phlegm-dampness, food stagnation and other stasis. , can lead to stomach heat (stomach fire); Fire in the liver and gallbladder can also cause stomach heat (stomach fire).

Its pathological manifestations are: if the stomach heat is excessive, the decomposition function is too strong, there may be symptoms such as noisy stomach and hunger, and excessive loss of body fluid due to heat, resulting in stagnation of dry heat, imbalance of stomach balance, bitter taste, thirst, constipation and other symptoms. What's more, it consumes yin fluid, resulting in insufficient stomach yin. Inflammation of stomach fire can lead to stomach qi upwelling, and symptoms such as nausea, vomiting and bitter yellow water can be seen. Stomach fire goes up along the meridians, or toothache, swollen gums, or epistaxis, which burns the veins of the stomach, so blood overflows and is hematemesis.

Related definitions of TCM dictionaries:

Stomach heat (stomach heat) refers to the stomach suffering from pathogenic heat, or overeating fried things, resulting in thirst and bad breath. Hungry and noisy, short urine and constipation. When stomach heat turns into fire, oral erosion and periodontal swelling and pain can be seen. See the article "Stomach Fire Rising".

Stomach heat kills five grains, which shows that five grains of food are easy to disappear. The function of the stomach is mainly to decompose Shui Gu, and the heat in the stomach will lead to excessive decomposition. You will feel hungry soon after eating, which is called stomach heat killing food. For example, if you eat too much, your body will lose weight if it is not nourished. This phenomenon is called "eliminating hunger". See this article.

Excessive stomach heat (excessive stomach fire) describes the severity of stomach heat. The main symptoms are excessive drinking, aversion to cold drinks, bad breath, bright lips, periodontal swelling and pain, stomach heat, short and yellow urine, constipation, red tongue and thick yellow fur. If fever manifests as excessive stomach heat, that is, excess heat of Yangming, delirium, delirium, mania and other symptoms may occur.

The rise of stomach fire refers to the pathology that stomach heat turns into fire and oral inflammation occurs. Such as bad breath, swollen gums, and even bleeding gums. See "Stomach Heat".

Stomach pain, also known as epigastric pain, is a disease mainly caused by upper abdominal pain near the heart socket. The "heartache" and "hypochondriac pain" mentioned in the literature of past dynasties mostly refer to stomachache. For example, "Su Wen. Six Jacky Ji Da Lun said: "A person's stomach hurts when he is sick." "Medicine True Story" said: "There are nine kinds of heartache in ancient prescriptions. The detailed reasons are in the stomach, not in the heart. " As for the heartache caused by heart disease, Neijing once pointed out: "The real heartache is that the hands and feet are blue to the joints, and the heartache is very serious, which is different from the clinical stomachache."

Stomach pain is a common clinical symptom, which is more common in acute and chronic gastritis, gastric and duodenal ulcer diseases and gastric nerve dysfunction. It can also be seen in gastric mucosal prolapse, gastroptosis, pancreatitis, cholecystitis and gallstones.

Etiology and pathogenesis

The common causes of stomach pain are cold pathogen attacking the stomach, food hurting the stomach, liver qi attacking the stomach, and spleen and stomach weakness. The stomach is responsible for receiving and rotting Shui Gu. If the cold pathogen stays in the stomach, the cold will not disperse and block the qi movement, then the stomach and qi will be discordant and painful. Or because of improper diet, excessive hunger, or overeating, food stagnation, qi stagnation, stomach disharmony caused by stomach pain; Liver can soothe the spleen and stomach. For example, if the liver is damaged due to anger and depression, and there is something wrong with the liver, stomach pain can also occur. If you are tired and have internal injuries, the spleen and stomach are weak after a long illness, or you are born with insufficient natural endowment and insufficient middle yang, your stomach loses warm nourishment, internal cold breeds, and the middle jiao is cold and painful. There is also qi stagnation for a long time, blood stasis inside the knot, qi stagnation and blood stasis, blocking the middle energizer, causing stomach pain. In short, the pathogenesis of stomach pain is divided into two ends: deficiency and excess. If it passes, it is qi stagnation; if it fails, it will hurt. Deficiency syndrome refers to the loss of temperature and nutrition of stomach fu-organs, which is painful.

There are two reasons for stomach pain: first, it is caused by anxiety, anger, liver-qi imbalance and stomach dissatisfaction, so the treatment is mainly to soothe the liver and regulate qi. First, the spleen is unhealthy and the stomach is out of balance. It is advisable to use methods such as warming and replenishing the middle energizer to restore the spleen and stomach function.

Distinguish the symptoms of a disease

1. Demonstration

The main symptom is sudden pain in the upper abdominal cavity, which is intense and unwilling to press the pain point. The pain is relieved when you are hungry and aggravated after taking it.

At the same time, it can be seen that the stomach pain is severe, the abdominal pain is relieved, and the pain is aggravated when it is cold. Aversion to cold and warm, thirst-free mouth, preference for hot drinks, or aversion to cold, thin and white fur, and tight pulse are cold pathogens invading the stomach; Stomach pain, acid swallowing, noisy discomfort, pain relief after vomiting or suffocation, unpleasant stool, thick and greasy fur, and slippery pulse as food retention; The epigastric fullness, epigastric pain, frequent belching, acid swallowing, poor stool, irritability, irritability, thin white fur and thready pulse caused by emotional factors are liver-qi invading the stomach; Stomach pain is refused, the pain is local, and it is very painful after eating, or hematemesis is black, the tongue is purple or dark, and the pulse is fine and astringent, which is qi stagnation and blood stasis.

2. Deficiency syndrome

The main symptoms are dull pain in the upper abdominal cavity, a sense of oppression at the pain point, and severe abdominal pain, which is relieved after taking it.

At the same time, it can be seen that people spit clean water, like warm, thin stools, feel tired and weak, or their hands and feet are not warm, their tongue is pale and coated, and their pulse is weak or slow, which is spleen and stomach deficiency and cold; Heartburn, dull pain, hunger without food, dry throat and mouth, dry stool, red tongue and little body fluid, and thin or thin pulse are the symptoms of stomach yin deficiency.

(Etiology and Pathology)

1. Liver-qi attacks the stomach, causing anxiety, liver injury due to qi stagnation, liver imbalance, stomach attack due to qi stagnation and stomach disharmony, just as Shen Jinbiao said, "Stomach diseases are also caused by pathogenic dryness. However, those who multiply liver qi are particularly heavy and violent. " If qi stagnation turns into fire, it can aggravate the pain; Long-term stagnation of fire leads to yin deficiency of liver and stomach, and the more lingering the course of disease; If long-term pain enters the collaterals and the collaterals are damaged, there will be symptoms such as vomiting blood and bloody stool.

2. Don't overeat or eat raw, cold, fat and sweet products, so that the spleen and stomach are injured, the food stagnation is moderate, and the qi is unfavorable, resulting in stomachache. Or because of cold injury, stomach yang is suppressed, and the battle between righteousness and evil causes stomach pain.

3. After the spleen and stomach are weak, the spleen and stomach are damaged or weak, the middle yang is weak, and the cold is endogenous, so that the spleen does not transport, the stomach loses harmony and falls, and pain occurs. Pain can also occur due to insufficient stomach yin or chronic yin injury, stomach dystrophy and disharmony between stomach and qi.

The above-mentioned causes can not only cause diseases independently, but also often influence each other. The syndromes such as deficiency and excess of cold and heat, yin and yang damage must be mastered flexibly in clinic.

(Syndrome Differentiation and Treatment) To treat stomachache, we must first distinguish the nature of pain from deficiency and excess, cold and heat, and the disease lies in qi and blood, and then carry out syndrome examination to find the cause and give corresponding treatment. Generally speaking, the sudden onset of new diseases, pain, and refusal to press the pain points are mostly empirical; Chronic pain and persistent pain are mostly deficiency syndrome; Cold syndrome pain, just like warm ironing hot drinks, cold will aggravate the pain; Heat causes pain, just like cold drinks, and heat is a painful drama; Pain is mainly flatulence, or pain leads to chest and hypochondrium. Every time the pain is aggravated or alleviated due to emotional changes, it is mostly qi stagnation. Pain is fixed, mostly stinging, often due to long-term illness and blood stasis; If you are hot and hungry, your tongue is red without coating or your body fluid is insufficient, it is mostly a syndrome of insufficient stomach yin.

Although there was a saying in ancient times that "general principles do not hurt", it was by no means limited to a method of "communication". In clinical practice, according to the different conditions of patients, four diagnoses and eight categories should be used for detailed examination to establish appropriate treatment methods.

1. Liver-qi attacking the stomach

According to different conditions, this syndrome can be divided into three types: qi stagnation, fire depression and blood stasis.

(1) qi stagnation

The main symptoms are fullness in the stomach, pain on both sides, frequent belching, slight pain or shortness of breath after belching, thin and white tongue coating and heavy pulse.

Analyze emotional disorder, qi stagnation, liver qi invading the stomach, stomach disharmony and depressed pain; Qi disease often occurs, and the hypochondrium is the dividing line of the liver, so the pain leads to two hypochondriacs; Stomach qi rushes up, which leads to frequent hiccups. After losing qi, the qi goes down, so the pain is slightly reduced, the coating is white, and the pulse is heavy, which is the image of liver depression.

The principle of treatment is soothing the liver and regulating qi, regulating stomach and relieving pain.

Take Ganshu, Pishu, Shu Wei, Zhongwan, Ermen, Zhangmen, Shousanli and Zusanli. It can be used repeatedly to massage back and waist to relieve pain, shake Shu points to promote blood circulation, pinch back muscles to regulate blood, and massage abdomen and France.

If the pain even leads to nausea and vomiting, both Neiguan and Neiguan can promote qi and relieve pain; If you spit sour water, you are always noisy; And the liver and gallbladder are divided into exterior and interior, and liver heat is better than gallbladder fire, so it is bitter to see dry mouth; Yellow fur pulse string is caused by liver and stomach stagnation.

The principle of treatment is soothing liver, clearing heat and regulating stomach.

Take Ganshu, Shu Wei, Sanjiaoshu, Dachangshu, Zhangmen, Shousanli and Zusanli. It can be repeatedly used to massage the back and waist to relieve pain, lift the back to help transport, massage the abdomen to eliminate food stagnation, massage the yin and yang to clear away heat, and massage the chest and hypochondrium to soothe the liver (see fever).

In the case of severe pain, you can hold both sides of Xue Hai and Liang Qiu with your thumb and forefinger respectively. If the pain is relieved and the liver and spleen are not adjusted, you can massage the two sides of Sanjiao Shu with your thumb and massage the middle jiao with your thumb to regulate Sanjiao.

(3) Blood stasis

The pain of the main symptom is local, and it is often stinging, aggravated after eating, or black when vomiting blood, or even purple tongue and astringent pulse.

Analysis of long-term pain into the collateral, collateral damage, so vomiting blood will be black; Blood stasis is a tangible thing, so the pain is fixed and refuses to press; Eating is combined with blood stasis, so it hurts after eating; Blood stasis blocks blood circulation, so the tongue is purple and the pulse is astringent.

The principle of treatment is to promote blood circulation to remove blood stasis, dredge collaterals and relieve pain.

Take Ganshu, Pishu, Shu Wei, Zhangmen, Neiguan, Laogong, Liang Qiu and Neiting. Reuse the methods of rubbing back and waist to relieve pain, shaking Shu points to promote qi, pinching back muscles and regulating qi, rubbing upper abdomen to dispel cold; Combined with the method of kneading Yangming to clear away heat, plus the method of inducing pain at the far end (take both sides of Neiguan, Laogong, Liang Qiu and Neiting with both thumbs).

If hematemesis and hematochezia persist, medication is the main treatment, and surgery can be performed only after the condition is stable.

2. Pathogenic mass

(1) diet block

The main symptoms are upper abdominal pain, abscess, anorexia or vomiting. After vomiting, the pain is relieved, the tongue coating is thick and greasy, and the pulse is smooth and firm.

Analysis of food stopped in the stomach, conduction is abnormal, so epigastric pain is swollen; Diet stagnation, stomach qi rising instead of falling, so spoilage or vomiting; After vomiting, the pain is relieved due to stagnation; The fur is thick and greasy because of eating turbid fumigation; Stomach qi and food stagnation pulsate with each other, so the pulse condition is stable and powerful.

Treatment leads to digestive stagnation.

Take Pishu, Sanjiaoyu, Sanmen, Shu Tian, Shousanli and Zusanli. You can reuse the methods of strengthening the spine, rubbing the abdomen to eliminate food stagnation, shaking and guiding stagnation, pressing the back and waist to relieve pain, and pressing Yangming to clear away heat.

If the pain is severe, you can press the bilateral Shu Tian with your thumbs to promote qi circulation and guide stagnation; Stagnation of food accumulation and heat can shake the large intestine meridian and both sides of Shu.

(2) Cold hurts stomach yang.

The main symptoms are cold and cold drinks with stomachache, severe pain, preference for warm and hot drinks, spitting clear water, or aversion to cold and fever, white fur and tight pulse.

Analysis of sudden contact with cold pathogens, the yang in the stomach can not be connected, and the righteous and evil contend, so the stomach pain is severe; Aversion to cold and fever, white fur caused by exogenous cold pathogen; Tight pulse governs cold and pain.

Treatment principle: Warming stomach, dispelling cold and relieving pain.

Acupoints Shu Wei, Pishu, Zhongwan, Liang Qiu and Neiting. The methods of massaging back and waist to relieve pain, pinching back muscles to benefit qi, rubbing stomach, warming stomach and massaging abdomen and middle part can be repeatedly used. It is used in combination with the back-suppressing exercise method and the three cold methods of rubbing the upper abdomen.

3. Spleen and stomach weakness

(1) Deficiency and cold of spleen and stomach

The main symptoms are faint stomachache, watery vomiting, asthenia of warm pressure, no temperature in limbs, pale tongue with white fur and slow and weak pulse.

Analysis of spleen and stomach weakness, cold stagnation, so stomach pain is faint; The sun doesn't move, the water stops gathering, and the pain is not very good, so spit water and like warm pressure; Deficiency of spleen-yang leads to hypothermia in limbs, mental fatigue, pale tongue and slow and weak pulse.

Treatment principle: warming spleen and strengthening stomach.

Selection of points: Ganshu, Pishu, Sanjiaoshu, ermen, Zhongwan, Zhangmen, Shousanli and Zusanli. All the above basic methods can be used except shaking and stagnation-inducing method and pressing Yangming to clear heat.

When the pain occurs, you can rub the stomach Shu with your thumbs, press the beam door and warm the middle epigastrium to relieve the pain. After the pain stops, you can perform the operation according to the basic technique. For example, spleen and stomach deficiency and cold, liver depression and internal heat. Besides a stomachache, you can also see vomiting. When you feel hungry, your food is uncomfortable, your limbs are warm, your tongue is crimson, your fur is white and yellow, and your pulse is thin. You can use your thumb to take a double-door boxing and roll in the abdomen to treat cold and heat, liver and stomach.

(2) Deficiency of stomach yin

The main symptoms are dull pain, upset and noisy, dry mouth and thirst, dry stool, little or no fur, red tongue, scanty fluid and thready pulse.

Analysis of stomach yin deficiency, stomach collateral dystrophy, so stomach pain is faint; Yin deficiency produces internal heat, so it is annoying, dry mouth and thirst, and dry stool; Red tongue, little body fluid, thin fur and slight pulse are all manifestations of deficiency of stomach yin.

Nourishing yin and benefiting stomach.

Take Ganshu, Pishu, Shu Wei, Sanjiao Shu and Zhongshu. You can repeatedly use the methods of lifting and kneading the spine, massaging the abdomen, neutralizing and chiropractic for ten times each.

For people with loss of appetite, it is important to open three doors, transport three cups, conceal blood in the stool and use abdominal techniques with caution.

In addition to massage and other methods, the treatment of stomachache also needs to pay attention to diet adjustment and feel comfortable.

(basic technology)

1. On the basis of pushing the back of bladder meridian with one hand, alternately press the inner line of bladder meridian from Shu Ge to Sanjiaoshu with both hands or thumb, and pay attention to local acupoint selection.

2. The method of activating qi by shaking Shu points takes one palm root as the center, and shakes the palm root by relying on the joints of the palm joint to stimulate the liver, spleen, stomach and Shu points respectively, with moderate intensity and even shaking frequency.

3. Lift and hold the spine. The thumb and forefinger are repeatedly lifted from top to bottom along the Du meridian route (Dazhui point to Mingmen point), and the chiropractic method is performed from bottom to top 10 times.

4. On the basis of scapular movement, thumb and forefinger hold the upper segment of sacrospinous muscle (scapular segment, lightly), and middle finger can also be used for torsion.

5. Knead the single palmar root or thenar muscle on both sides of Weishu point with Wei Wenshu method, and then slowly knead it to make the heat sense penetrate.

6. Massage the abdomen and thumb, open three doors, transport three cups, and massage quickly on the left abdomen with one or both palms, which is called stomach pushing method; Palmar push abdominal artery route; Palm root wheel pushes abdomen clockwise; Put your hands together and rub the upper abdomen, mainly the left upper abdomen.

7. Knead the upper abdomen to dispel the cold. Rub the upper abdomen repeatedly with one palm, and the frequency should be fast and warm; Switch to the upper part of the palm.

8. According to the method of rubbing the abdomen to help digestion, alternately press the abdominal ren meridian and stomach meridian route on both sides with two thumbs, and rub the above parts from top to bottom with the palms overlapping; Hold your navel with your palms and rub your abdomen in a wheel shape.

9. Shaking method is to shake the abdominal muscles on the basis of waving and kneading the abdomen with two palms.

10. According to the method of clearing heat by rubbing Yangming Meridian, rub the forearm and calf of Yangming Meridian with thumb or thenar muscle respectively, mainly rubbing hands and Zusanli points.

The symptoms of abdominal pain are: often caused by cold weather and cold food, accompanied by a cold feeling in the stomach, and the symptoms of warming are alleviated.

The main cause of stomach pain is bad eating habits, such as uncontrolled eating, often eating cold drinks or food. Coupled with the fast pace of life and great mental stress, it is more likely to lead to stomach problems. Therefore, to develop good eating habits, patients with stomach cold can eat more Chili pork tripe soup and Jiang Shui. Pepper and ginger are condiments for strengthening and warming the stomach, which can adjust the symptoms of stomach cold and restore a healthy spleen and stomach. Of course, if you have a stomachache, you need to be alert to the organic lesions of the stomach. Had better go to a hospital to do gastroscopy?

Three methods of stomach cold

1. Fresh ginger and white sugar to treat stomach cold pain: 500 grams of fresh ginger (fine powder) and 250 grams of white sugar are marinated together; Take 1 spoon (common spoon) before meals, three times a day; Sticking to eating for a week generally has an effect; If it is not completely cured, continue to eat until it is cured.

② Boiling eggs with white wine to cure stomach cold: Pour 50g of Erguotou white wine into a small cup, beat 65,438+0 eggs evenly, and order wine. The wine is dry, the eggs are cooked and eaten on an empty stomach in the morning. The lighter one can be cured by eating it once or twice. Be careful not to add any seasoning to the eggs.

Eating apples can relieve stomach acid: Some people eat improperly in cold weather or in late winter and early spring, and often have too much stomach acid, which is very uncomfortable. If you eat one or half big apples at this time, your stomach will feel comfortable soon.

The following foods are not suitable for colds and stomachaches.

Kiwi or Kiwi?

Cold in nature and sweet in taste. "Kaibao Materia Medica" points out: "The spleen and stomach are cold." The Dictionary of Traditional Chinese Medicine also says: "People with spleen and stomach deficiency and cold should use it with caution." Anyone with stomach cold and pain should avoid eating.

sugarcane

Cold in nature and sweet in taste. Although it has the effect of clearing away heat and promoting fluid production, it is not suitable for people with cold stomachs. "Herbal Classic Shu" clearly warns: "People who vomit due to stomach cold should avoid it". Therefore, people with stomachaches and colds should avoid eating sugar cane.

water shield

Cold in nature and sweet in taste. "compendium of materia medica" records: "water shield cools the stomach, ... it is not advisable to overeat for a long time, fearing cold, trapping the spleen and stomach, and also harming people." The Compendium of Medical Forests also points out: "Eating too much leads to abdominal cold pain". Anyone with stomach cold and pain should avoid eating.

watermelon

It is cool and can clear stomach fire. Herbs in southern Yunnan are said to cure all fevers and are known as "natural white tiger soup". The dictionary of traditional Chinese medicine points out: "people with moderate colds should not take it." Therefore, people who have a cold and stomachache should not eat it.

Wild rice stem

Commonly known as Zizania latifolia, a famous food doctor in the Tang Dynasty once pointed out: "Zizania latifolia is cold and slippery, so it is not suitable to eat more." "Herbal Yan Hui" also said: "People with spleen and stomach deficiency and cold should not eat." Therefore, people with colds and stomachaches should avoid it.

clam meat

Cold, sweet and salty. Herbal diet says it's "frigidity". "Herbal Yi Yan" said: "Eat more, air supply and air conditioning." "Living is fun" also says: "Eat more cold food." People with colds and stomachaches should especially avoid eating.

Ophiopogon tuber

Cold, so people with cold stomachache should not eat it. Ruming? Li Shizhen warned in Compendium of Materia Medica: "People with weak qi and cold stomach must not be lured."

snail

People with severe colds and stomachaches should avoid it. "Materia Medica Yan Hui" has long warned: "This thing is very cold, and there are cold drinks in the stomach, which is not suitable for eating." Yao Kecheng also said in "Materia Medica of Food": "Eating more makes people have abdominal pain." Don't be careless about snails and snails. People with cold stomachache are also taboo.

sabotage

Cold and salty, it is also a cold thing. It is recorded in the Classic of Materia Medica: "If the blood is frozen due to cold, it is cold and slippery with the husband's spleen and stomach, and abdominal pain likes heat and hates cold, it is not suitable to take salty food." "Daily Diet Spectrum with Interest" also says that "anyone who is deficient in qi and cold in the middle is taboo." Therefore, people with cold stomachache and stomachache due to qi deficiency should not eat it.

persimmon

People with cold nature, sweet taste and cold stomachache should not take it. There is a warning in Compendium of Materia Medica: "... those who are known to have cold accumulation, cold abdominal pain and cold vomiting should not take it." Especially without crabs.

banana

Cool and sweet. Ming? Li Shizhen also said it was "sweet and cold" in Compendium of Materia Medica. Those who have cold stomachache should not take it, otherwise they will feel cold and uncomfortable after eating, and even cause stomachache immediately, so they should avoid taking it.

bitter gourd

Bitter and cold food, people with cold stomach pain should avoid eating. "Southern Yunnan Materia Medica" once said: "People with spleen and stomach deficiency and cold will vomit, diarrhea and abdominal pain when eating."

pear

People with cold fruits and stomachache should not eat more. Just like the warning in the Classic of Materia Medica: "... abdominal pain with cold accumulation, stomach cold vomiting, should be avoided by salty method." For example, the Secret of Supplementary Food and the Dietary Guide also record that eating too much makes people feel cold, so people with stomach cold and pain should not eat raw pears.

water chestnut

Sweet and cold things can clear stomach heat, but those with cold stomachache should not eat it. As Meng Xian, a food doctor in the Tang Dynasty, said, "Do not eat with air conditioners." Wang Mengying, a food doctor in the Qing Dynasty, also said in the "Resting Diet Spectrum": "People with qi deficiency and cold should avoid it."

muskmelon

Commonly known as cantaloupe. Cold in nature and sweet in taste. "Sun Zhenren's food taboos" has long warned: "melons are cold." Herbal Dietotherapy also points out: "Move and stay in cold disease". Anyone suffering from stomach cold should not eat it, otherwise it will easily cause stomach pain.

In addition, people with colds and stomachaches should also avoid eating mung beans, persimmons, raw tomatoes, bamboo shoots, scorpions, raw melons, kelp, raw lettuce, raw radishes, raw lotus roots, raw cucumbers, raw sweet potatoes, honeysuckle, chrysanthemum, mint, duck eggs, clams, water spinach, water spinach and water spinach.

Preventive nursing

Eat well, prevent overeating, eat digestible food, avoid cold, hard, sour and spicy. Try to avoid troubles and worries and stay optimistic.