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Home > Education > Zang Fu > Stomach Qi Deficiency

Stomach Qi Xu - (deficiency)

From "Zang Fu Syndromes," by McDonald and Penner

Etiology

    Asthenia damages ST Qi.

    Fatigue and overwork can deplete ST Qi.

    Unrestrained diet injures ST Qi.

    Internal injury can damage SP / ST QI.

Clinical Manifestations
Epigastric fullness and distention Borborygmus
No desire for food and drink Loss of sensation of taste
Frequent belching Stools not solid
Urine clear and abundant

T: Pale
C: Thin and white
P: Weak and Xu

Complications

ST Qi Xu can be complicated by Cold attack, creating ST Xu with Stagnation of Cold.

ST Qi Xu can lead to Food Stagnation in ST due to poor digestion.

ST Qi Xu can lead to ST Yang Xu, which by convention is called ST Xu Cold. If SP Yang Xu is also involved, the condition is called SP and ST Xu Cold or MJ Xu Cold.

ST Qi Xu can lead to Stagnation of Qi in ST and Blood Stagnation in ST.

ST Qi Xu combined with SP Qi Xu or SP Yang Xu can lead to the formation of Dampness and Phlegm.

Associated Western Conditions
Dyspepsia

Anorexia

Chronic gastritis
Differential Diagnosis

ST Qi Xu is very similar to ST Xu Cold but lacks the obvious Cold signs such as:

  • Epigastric pain relieved by warmth
  • Cold limbs
  • Vomiting clear fluid
  • P: Deep

ST Qi Xu is very similar to SP Qi Xu and these two conditions may co-exist. The most distinctive features of SP Qi Xu are:

  • Sallow complexion
  • Four limbs tired and heavy
  • Maybe prolapse (Central Qi Sinking)
  • Bleeding (SP Not Governing Blood)
  • Edema (SP Xu Edema)

The combination of ST and SP Qi Xu is also called Central Qi Xu or Central Qi Insufficiency.

Treatment Principle

    Strengthen Qi and Invigorate SP / ST.

Common Acupuncture Points

    UB-21 / Weishu

    Back-Shu point for ST.

    REN-12 / Zhongwan Front-Mu point for ST.

    ST-36 / Zusanli He-Sea point of the ST channel.

    UB-20 / Pishu Back-Shu point for SP.

    ST-21 / Liangmen Promotes function of SP / ST.

    REN-6 / Qihai Reinforces Qi.

    SP-6 / Sanyinjiao Strengthens SP / ST.

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