Integrated Treatment of Epigastric Pain in Traditional Chinese and Western Medicine

Gansu Science and Technology Press

Treatment of Gastric Pain with Integrated Traditional Chinese and Western Medicine Edited by Pei Zhengxue, Compiled by D.

Gansu Science and Technology Press · 66 chapter entries · Updated March 22, 2026

Integrated Treatment of Epigastric Pain in Traditional Chinese and Western Medicine

Table of Contents

  1. 1. Morphological Structure of the Stomach

    The stomach is sac-like in shape, and its form, size, and position can vary greatly depending on a person’s physique, posture, gastric wall tension, degree of distension, and pressure from neighboring organs. Generally s

  2. 1 Wind-Cold Invading the Stomach Type

    ① Symptoms: Sudden onset of stomach pain, severe pain, possibly accompanied by nausea and vomiting, aversion to cold and preference for warmth, pain relieved by warmth, worsened by cold, no thirst, preference for hot foo

  3. 2 External Cold and Internal Injury Type

    ① Symptoms: Chills and fever, headache and body aches, fullness and oppression in the chest and epigastric region, nausea and vomiting, belching with a foul odor, pain in the epigastric region, possibly accompanied by ab

  4. 3 Gastrointestinal Damp-Heat Type

    ① Symptoms: Sudden onset, nausea and vomiting, distension and pain in the epigastric region extending to the abdomen, fever and chills, loose stools, reduced urine output with yellow color, thick or slightly yellow and g

  5. 4 Dietary Stagnation Type

    ① Symptoms: Fullness and pain in the epigastric region, belching with a foul odor, acid regurgitation, nausea and vomiting, vomit consisting of undigested food, symptom relief after vomiting, loss of appetite, acidic and

  6. 5 Liver-Stomach Disharmony Type

    ① Symptoms: Epigastric distension and pain, radiating to the chest and ribs, unbearable pressure, bitter taste, acid regurgitation, vomiting, belching, frequent sighing, or irritability and anger. Episodes of stomach pai

  7. 1. Remove the Cause

    Stop consuming foods that irritate the stomach, such as overly cold, overly hot, spoiled, or toxic foods, as well as tobacco, alcohol, strong tea, and coffee. For those who develop the condition due to certain irritating

  8. 2. Symptomatic Treatment

    ① Stomach or abdominal pain: can use antispasmodics, such as belladonna compound 10ml, 3 times daily, oral; atropine 0.3–0.6mg, 3 times daily, oral; propantheline 15mg, 3 times daily, oral; 654-2 10mg, 3 times daily, ora

  9. 1 Diagnostic Points

    (1) Based on the course of the disease, clinical symptoms, and physical signs, and after excluding other causes of chronic upper abdominal pain, most patients can be clinically diagnosed.

  10. 2 Differential Diagnosis

    1. Gastric and duodenal ulcers: The upper abdominal pain experienced by most patients with chronic gastritis differs markedly from the rhythmic nature of pain in gastric and duodenal ulcers; however, some patients with c

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