Stomach Meridian Disharmonies - TCM Theory

Below you will find the TCM Disharmonies related to the Stomach Meridian. Each pattern contains a brief description of associated signs and symptoms, tongue and pulse diagnosis, and a list of acupuncture points that may be used to treat the disharmony.

Excess Patterns

ST Fire - excess pattern

  • General Signs & Symptoms:
    Constant hunger, painful, swollen a/or bleeding gums, regurgitation a/or vomiting likely after eating, burning sensation in the epigastrium, nausea, constipation
  • Tongue:
    Red, dry w/thick yellow coat
  • Pulse:
    Full, deep, rapid
  • General Treatment Points:
  • Maciocia Treatment Points w/Valaskatagis commentary, modifications and additions
  • PC 6 - descend rebellious Qi, nausea, calm the spirit
  • SP 6 - tonify Yin
  • CV 12 - ST Mu
  • ST 21 - assist CV 12, clear heat
  • CV 13 - descend rebellious Qi
  • ST 44 - ying spring, water point, clear heat from the channel
  • ST 45 - clear heat from the face/mouth, calm the spirit

ST Excess Cold - excess pattern

  • General Signs & Symptoms:
    Usually an acute situation, acute pain in the epigastrium which feels better with warm foods/drinks a/or the application of heat and worse with cold
  • Tongue:
    Thick white coat
  • Pulse:
    Deep, slow, tight
  • General Treatment Points:
  • Maciocia Treatment Points w/Valaskatagis commentary, modifications and additions
  • ST 34 - xi cleft, acute epigastric pain
  • CV 12 - ST Mu
  • ST 21 - assist CV 12
  • SP 4 - severe epigastric a/or abdominal pain

ST Rebellious Qi - excess pattern

  • General Signs & Symptoms:
    Pattern usually appears with ST a/or other organ patterns and is related to the ST not descending the Qi, regurgitation, belching, hiccups, vomiting
  • Tongue:
    Normal
  • Pulse:
    Tight
  • General Treatment Points:
  • Maciocia Treatment Points w/Valaskatagis commentary, modifications and additions
  • CV 12 - ST Mu
  • CV 13 - descend ST Qi
  • CV 10 - descend ST Qi, lower ST issues
  • SP 4 w/PC 6 - yin wei chong mai

ST Food Retention - excess pattern

  • General Signs & Symptoms:
    Vomiting, regurgitation, belching, epigastric pain a/or distention, lack of appetite, insomnia
  • Tongue:
    Thick yellow or white coat
  • Pulse:
    Full, slippery
  • General Treatment Points:
  • Maciocia Treatment Points w/Valaskatagis commentary, modifications and additions
  • CV 12 - ST Mu
  • ST 21 - assist CV 12
  • SP 4 w/PC 6 - yin wei chong mai
  • ST 44 - ying spring, water point, clear heat from the channel
  • ST 45 - clear heat from the face/mouth, calm the spirit

Deficiency Patterns

ST Qi Deficiency

  • General Signs & Symptoms:
    Poor appetite, lack of taste, dull sensation in the epigastrium, weak limbs, tiredness, loose stools
  • Tongue:
    Pale
  • Pulse:
    Empty
  • General Treatment Points:
  • Maciocia Treatment Points w/Valaskatagis commentary, modifications and additions
  • CV 6 - tonify Qi
  • ST 36 - tonify ST/SP
  • CV 12 - ST Mu
  • UB 21 - ST Shu

ST Yin Deficiency

  • General Signs & Symptoms:
    Epigastric pain, poor appetite, heat in the 5 palms, constipation, dry mouth a/or throat, thirst w/no desire to drink
  • Tongue:
    Red or peeled in the ST/SP area
  • Pulse:
    Floating, empty
  • General Treatment Points:
  • Maciocia Treatment Points w/Valaskatagis commentary, modifications and additions
  • SP 6 - nourish Yin
  • CV 4 - nourish Yin
  • ST 44 - clear empty heat
  • PC 6 - calm the spirit
  • CV 12 - ST Mu
  • ST 36 - tonify ST

Sources and More Information

The information on our site is drawn from our own lecture notes and clinical experience.

For a complete list of valuable resources, see our (TCM) Chinese Acupuncture Resources section. The most recommended texts are below: