The treatment principle is to soothe the liver qi and strengthen the spleen, remove phlegm and blood stasis. At the late stage, the treatment principle is to nourish stomach qi and stomach yin, treat the symptoms and the causes, strengthen the antipathogenic factors and expel the pathogenic factors simultaneusly.
Syndrome Differentiation and Treatment
1. Incoordination Between the Liver and Stomach
Chief Manifestations: Distention in the gastric area, intermittent dull pain radiating to the hypochondriac regions, belching with foul smell of undigested food, anorexia, or vomiting, nausea, pale tongue with thin and white coating, thready and wiry pulse.
Therapeutic Methods: To soothe the liver and regulate the function of the stomach, subdue the adverse flow of qi and relieve pain.
2. Stomach Heat Damaging Yin
Chief Manifestations: Burning pain in the gastric area aggravated after meals, gastric discomfort, dryness in the mouth, feverish sensation in the soles, palms and chest, dry stools, anorexia, red tongue with little coating, thready and rapid pulse.
Therapeutic Methods: To nourish yin, clear away heat, regulate the stomach and remove toxic substance.
3. Internal Stagnation of Blood and Toxic Substance
Chief Manifestations: Localized pricking pain in the gastric area and even cutting pain, abdominal mass with tenderness, or haematemesis, hematochezia, squamous and dry skin, purple tongue or dark spots on the tongue, deep, thready and unsmooth pulse.
Therapeutic Methods: To remove toxic substance and blood stasis, activate blood circulation and relieve pain.
4. Accumulation of Phlegm and Dampness
Chief Manifestations: Fullness and pain in the chest, vomiting of phlegm, abdominal distention, diarrhea, swelling of the lymph nodes, pale tongue with smooth and greasy coating and deep, thready and soft-superficial pulse.
Therapeutic Methods: To strengthen the spleen, dry dampness, expel phlegm and disperse mass.
5. Yang Deficiency of the Spleen
Chief Manifestations: Dull gastric pain which is relieved by warmth and pressure, or vomiting of retained food, vomiting of clear fluid, pale complexion, lassitude, cold limbs, loose stools, edema, pale and swollen tongue with teeth marks and white, moist and smooth coating, deep and slow or deep, thready and soft-superficial pulse.
Therapeutic Methods: To warm the middle energizer and expel cold, strengthen the spleen and regulate the stomach.
6. Deficiency of Qi and Blood
Chief Manifestations: Gastric carcinoma with severe anemia, lassitude, palpitation, shortness of breath, dizziness, lusterless complexion, restlessness, insomnia, spontaneous sweating, night sweating, anorexia, emaciation, pronounced mass in the epigastric area, pale and swollen tongue, thready and feeble pulse.
Therapeutic Methods: To nourish qi and blood, strengthen the spleen and kidney.