| Stomach ache Western medicine - GI complaints, acute or chronic  Liver attack Stomach  Liver Qi stagnation causes wandering distending chest/abdominal/hypochondriac pain  P/T - soothe Liver, harmonize Stomach  Acupuncture  - foot jueyin , ST 36 & Ren 12, LR 3 & 14  - belching - PC 6, Ren 17  Cold invades Stomach  acute severe cold pain, cold symptoms, T- white coat, P- wiry tense  P/T - warm Stomach, expel Cold, harmonize Stomach Qi  Acupuncture  - sedate, moxa , Ren, foot yangming , Ren 12 & ST 36 (Stomach pain), SP 4 & PC 6 (abdomen)  - severe pain - ST 34  Accumulation of Stomach Heat  acute attack feels like painful fullness is pressing from the inside outwards, chronic attacks feel like fullness and distension, difficult for patient to describe (just say feels irritable or heart burn), acid reflux, bitter taste or sticky, T- red with yellow coat, P- rapid  P/T  - purge Heat, relieve pain  Acupuncture  - sedate, foot yangming , Ren 13 ( cardia sphincter, meeting of Stomach and Ren),  ST 34 (Xi-cleft), ST 44, LI 4 & LR 2 (purge Stomach Fire)  - more Heat - HT 8  Food stagnation  distended pain, belching, poor diet, acid reflux, nausea, bloating, vomiting, dislike pressure,  bowel movement helps pain, T- thick dirty fur, P- strong  P/T  - promote digestion, regulate Stomach Qi  Acupuncture  - foot yangming , ST 36 (lower he- sae ), ST 25, PC 6, Ren 10 (pyloric sphincter, digestion), Li Nei Ting (digestion, under ST 44)  Blood Stasis  ulcer, severe stabbing fixed pain, black tar-like stools, dislike pressure  P/T  - promote blood circulation, move Stasis  Acupuncture  - neutral, Ren, foot yangming , Ren 12, ST 36, PC 6, SP 4, BL 17 & LR 14, SP 6  - black tar-like stools - SP 10  Stomach Yin deficiency  dull pain, heart burn, difficult to describe pain, dry mouth and stools, T- red cracked, scanty coat, P- thin rapid  P/T  - nourish Yin, harmonize Stomach  |