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Abdominal Heat Sensation

How Chinese medicine differentiates a burning or hot sensation localized to the abdomen into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Epigastric Pain and Afternoon Heat Sensation 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. New or severe abdominal burning, especially with fever, bleeding, or a rigid abdomen, needs prompt medical evaluation before assuming a simple pattern.
General Acupuncture Points

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

PointKey action
ST-44Clears Heat. Regulates the Intestines and resolves Damp-Heat. Calms the Mind.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm. Regulates Stomach-Qi.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages. Benefits the Lower Burner.
LR-2Drains Liver-Fire and subdues Liver-Yang. Cools Blood and stops bleeding. Resolves Damp-Heat.
GB-34Promotes the smooth flow of Liver-Qi. Resolves Damp-Heat in Liver and Gall Bladder.
SP-6Strengthens the Spleen. Nourishes Blood and Yin. Cools Blood.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Regulates the Intestines.
ST-25Regulates the Intestines. Regulates Stomach and Spleen. Clears Heat in the Stomach and Intestines.
REN-4Regulates the Small Intestine. Nourishes Blood and Yin. Strengthens the Kidneys.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Stomach Fire (Stomach-Heat) View full pattern →

Clinical manifestations: Burning pain in the upper stomach, excessive hunger or constant appetite, bad breath, swollen or bleeding gums, intense thirst with desire for cold drinks, constipation with dry, hard stools.
Tongue: Red body, often with a redder centre and prickles, thick dry yellow coat. Pulse: Rapid, slippery, and forceful, especially strong at the right middle position.
Treatment principle: Clears Stomach-Heat, cools the Blood, nourishes Yin.
Note: no moxa. Direct match with this site's own Stomach-Heat-(or-Phlegm-Heat) slide.

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

Clinical manifestations: Bloating and fullness in the upper abdomen, sticky or bitter taste in the mouth, nausea or vomiting, heavy feeling in the body and limbs, loose, sticky, or incomplete bowel movements.
Tongue: Red body, possibly swollen with teeth marks, thick yellow greasy coating, especially centre and root. Pulse: Soggy and rapid, often slippery.
Treatment principle: Clears Heat, drains Dampness, regulates Qi, harmonizes the middle burner.
Note: no moxa. Linked to this site's own Damp-Heat-invading-the-Spleen slide, its general Stomach-and-Spleen Damp-Heat match.

3. Stagnant Liver Qi Turning into Fire View full pattern →

Clinical manifestations: Burning sensation that flares with emotional upset, bitter taste in the mouth, acid regurgitation and heartburn, rib-side distension or tightness, irritability and quick temper.
Tongue: Red body, especially along the sides, with a yellow dry coating. Pulse: Wiry and rapid, like a taut guitar string that beats faster than normal.
Treatment principle: Courses the Liver, resolves constraint, clears Heat from Liver and Blood, nourishes Blood.
Note: no moxa. Direct exact-name match with this site's own Stagnant-Liver-Qi-turning-into-Heat slide.

4. Stomach Yin Deficiency View full pattern →

Clinical manifestations: Dull burning pain in the upper abdomen, dry mouth and throat with thirst for small sips, feeling hungry but not wanting to eat, worse when the stomach is empty, gnawing, empty discomfort in the stomach.
Tongue: Red with little or no coating, dry in the centre, and possible cracks. Pulse: Fine and rapid, especially weak at the right middle position.
Treatment principle: Nourishes Lung and Stomach Yin, generates fluids, moistens Dryness.
Note: no moxa. Direct exact-name match with this site's own Stomach-Yin-deficiency slide.

5. Food Stagnation in the Stomach View full pattern →

Clinical manifestations: Bloating and distension with a warm, stuffy discomfort, not sharp burning, worsens after eating, especially heavy or greasy meals, sour, rotten-smelling belching and acid regurgitation, aversion to food and its smell.
Tongue: Normal body, thick greasy or curd-like coating, thickest in the centre. Pulse: Slippery and full, especially at the right middle position.
Treatment principle: Promotes digestion, resolves food stagnation, harmonizes the Stomach, moves Qi.
Note: no moxa. Direct match with this site's own Retention-of-Food-in-the-Stomach slide.

6. Full-Heat in the Small Intestine View full pattern →

Clinical manifestations: Burning sensation in the lower abdomen, scanty dark urine with burning, mouth or tongue ulcers, mental restlessness and irritability, thirst with desire for cold drinks.
Tongue: Red body with a redder, possibly swollen tip, yellow coating, dry. Pulse: Rapid and overflowing, especially strong at the left Cun position.
Treatment principle: Clears Heart-Fire, nourishes Yin, promotes urination, relieves Stranguria.
Note: no moxa. Direct exact-name match with this site's own Full-Heat-in-the-Small-Intestine slide — this pattern's lower-abdominal burning is more pelvic than epigastric, but the source names it as part of this condition's differential.
Related conditions

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