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Abdominal Fullness

How Chinese medicine differentiates a chronic sense of abdominal fullness, the six patterns you'll actually meet in practice, and the points for each. 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. Fullness with unintended weight loss, vomiting, or a hard mass needs medical evaluation before assuming it is a simple digestive pattern.
General Acupuncture Points

Acupuncture points traditionally used for abdominal fullness — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Tonifies Spleen Qi, resolves Dampness, promotes movement of food.
SP-9Resolves Dampness, regulates the Spleen.
BL-20Tonifies Spleen Qi, strengthens digestion.
ST-40Transforms Dampness and Phlegm.
LR-3Subdues stagnant Liver Qi, calms irritability.
BL-18Regulates Liver function, spreads constrained Qi.
LR-14Relieves rib-side and abdominal distension locally.
REN-12Targets the epigastric region to descend Stomach Qi.
ST-25Regulates the intestines and relieves abdominal bloating.
ST-44Clears food stagnation, reduces sour belching and acid reflux.
T.B.-6Key distal point for all types of constipation, especially with dryness.
SP-6Nourishes Yin and fluids to moisten the intestines.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen Deficiency with Dampness

Clinical manifestations: Bloating that worsens after eating, loose, unformed stools, heaviness of the body and limbs, poor appetite or lack of taste, fatigue.
Tongue: Pale, swollen body with teeth marks, white greasy coating, moist surface. Pulse: Soggy and slow, may feel slippery.
Treatment principle: Strengthen Spleen Qi, drain Dampness, restore transformation and transportation.
Note: moxa applicable on the tonifying points. No deck on this site combines Spleen deficiency with Dampness in one slide, so no pattern link is given here.

2. Liver Qi Stagnation View full pattern →

Clinical manifestations: Distension that moves or radiates to the ribs and flanks, worse with stress, frequent sighing and belching, irritability or mood swings, feeling of a lump in the throat.
Tongue: Normal or slightly dark body with red or slightly purple sides, thin white coat. Pulse: Wiry, taut like a guitar string, most noticeable at left middle.
Treatment principle: Course the Liver, resolve constraint, move Qi, prevent invasion of the Spleen.
Note: no moxa except tonifying points. Direct match on the core distension/irritability/sighing picture.

3. Food Stagnation in the Stomach View full pattern →

Clinical manifestations: Upper abdominal bloating, worse after meals, sour, rotten-smelling belching, acid regurgitation, relief after vomiting, aversion to food or its smell.
Tongue: Normal body with thick, greasy, curd-like coating, thickest in centre. Pulse: Slippery, full, most prominent at right middle.
Treatment principle: Promote digestion, resolve food stagnation, descend Stomach Qi.
Note: no moxa. Direct match with this site's own Retention-of-Food-in-the-Stomach slide.

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

Clinical manifestations: Bitter or sticky taste in mouth, loose, sticky, or incomplete bowel movements, thirst with little desire to drink, heavy, foggy sensation in head or limbs.
Tongue: Red body, possibly swollen with teeth marks, thick yellow greasy coating heaviest in centre and back. Pulse: Soggy and rapid, often also slippery.
Treatment principle: Clear Heat, drain Dampness, harmonize the middle burner.
Note: no moxa. Direct match with this site's own Damp-Heat-in-the-Stomach slide.

5. Spleen Yang Deficiency View full pattern →

Clinical manifestations: Bloating worse after eating, relieved by warmth and pressure, cold hands and feet, loose stools with undigested food, bland taste in mouth.
Tongue: Pale, puffy, tender body with teeth marks, white slippery coating. Pulse: Deep, slow, weak, especially at right Guan.
Treatment principle: Warm the middle burner, disperse cold, tonify Qi and Yang.
Note: moxa strongly indicated throughout. Direct name match with this site's own Spleen-Yang deficiency slide.

6. Large Intestine Dryness View full pattern →

Clinical manifestations: Dry, hard, pellet-like stools, fullness that improves after a bowel movement, dry mouth and throat, thin body or weight loss, bad breath.
Tongue: Red, thin, and dry with cracks, often thin dry yellowish coat. Pulse: Fine, possibly slightly rapid or choppy.
Treatment principle: Moisten the intestines, nourish fluids, unblock the bowels gently.
Note: no moxa. Direct name match with this site's own Large-Intestine-Dry slide.
Related conditions

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