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Abdominal Distention

How Chinese medicine differentiates abdominal distention (bloating) into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Upper Abdominal Distension, Abdominal Fullness and Excessive Gas pages. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Progressive distention with weight loss, vomiting, blood in the stool, jaundice or severe pain needs medical assessment.
General Acupuncture Points

Acupuncture points traditionally used for abdominal distention — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm. Regulates Stomach-Qi.
ST-25Regulates the Intestines. Regulates Stomach and Spleen. Moves Qi and invigorates Blood.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver Qi Stagnation View full pattern →

Clinical manifestations: Emotional bloating that fluctuates with mood; rib-side distention; frequent sighing; irritability.
Tongue: Normal or slightly dark, red or purplish sides, thin white coat. Pulse: Wiry.
Treatment principle: Soothes Liver Qi, resolves constraint and moves Qi.
Note: no moxa.

2. Food Stagnation in the Stomach View full pattern →

Clinical manifestations: Post-meal bloating; sour belching; aversion to food; thick greasy coat.
Tongue: Normal body, thick greasy curd-like coat. Pulse: Slippery and full, prominent at the right middle position.
Treatment principle: Promotes digestion, resolves food stagnation and harmonizes the Stomach.
Note: no moxa.

3. Damp-Heat in the Stomach and Spleen View full pattern →

Clinical manifestations: Persistent heavy bloating; sticky, incomplete stools; bitter taste; poor appetite with nausea.
Tongue: Red, possibly swollen and tooth-marked, thick yellow greasy coat. Pulse: Soggy and rapid, often slippery.
Treatment principle: Clears Heat, drains Dampness, regulates Qi and harmonizes the Middle Burner.
Note: no moxa. Linked to this site's own Damp-Heat-in-the-Stomach slide.

4. Spleen Deficiency with Dampness

Clinical manifestations: Heavy, dragging sensation; worse after small meals; loose stools; fatigue; sticky mouth.
Tongue: Pale, swollen, tooth-marked, white greasy moist coat. Pulse: Soggy and slow, soft and weak at the right middle position.
Treatment principle: Tonifies Qi, strengthens the Spleen and drains Dampness.
Note: Mixed Deficiency/Excess. No deck slide combines Spleen deficiency with Dampness — no pattern link is given here.

5. Stomach Yang Deficient and Cold View full pattern →

Clinical manifestations: Bloating relieved by warmth and pressure; poor appetite; craving for heat; vomiting clear fluid; cold extremities; fatigue.
Tongue: Pale, puffy, tender, tooth-marked, white slippery coat. Pulse: Deep, slow and weak, especially at the right middle position.
Treatment principle: Warms the Middle Burner, disperses Cold and tonifies Qi.
Note: moxa is essential (REN-8 by moxa only).

6. Large Intestine Dryness View full pattern →

Clinical manifestations: Dry, hard pellet stools; long intervals between bowel movements; dry mouth and throat; sensation of incomplete evacuation; dry skin.
Tongue: Red, thin, dry with cracks, thin dry slightly yellow coat. Pulse: Fine, choppy, possibly slightly rapid.
Treatment principle: Nourishes Yin, generates fluids and moistens dryness.
Note: no moxa.
Related conditions

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