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Abdominal Masses

How Chinese medicine differentiates a palpable abdominal mass, 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. A new or growing abdominal mass always needs medical evaluation to determine its cause before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for abdominal masses — 10 key points, used across the patterns below rather than tied to just one.

PointKey action
LR-3Smooths Liver-Qi, moves Liver Qi and Blood.
LR-14Regulates Liver-Qi in the hypochondrium and abdomen.
REN-12Harmonizes the middle burner, moves Qi stagnation.
SP-10Invigorates Blood and dispels stasis.
BL-17Influential point of Blood, promotes circulation and removes stasis.
SP-6Invigorates Blood and harmonizes the lower abdomen.
ST-40Master point for Phlegm, reduces all types of accumulation.
BL-18Clears Liver-Heat, regulates Liver-Qi.
G.B.-34Harmonizes Liver and Gall Bladder.
ST-36Strengthens Spleen and Stomach to support Blood production.
P-6Opens the chest and diaphragm, moves Qi and Blood in the upper abdomen.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver-Qi Stagnation View full pattern →

Clinical manifestations: Movable abdominal lump that appears and disappears, abdominal distension and bloating, worsens with emotional stress or anger, frequent sighing, irritability or mood swings, belching.
Tongue: Normal or slightly dark body, red or slightly purple sides, thin white coat. Pulse: Wiry, especially at left middle position.
Treatment principle: Soothe the Liver, move Qi, and relieve abdominal distension for early-stage movable masses.
Note: no moxa. Direct match with this site's own Liver-Qi-stagnation slide.

2. Liver-Blood Stagnation View full pattern →

Clinical manifestations: Fixed stabbing pain in the abdomen, hard immovable mass, dark menstrual blood with clots in women.
Tongue: Dark purple body with stasis spots on the sides, distended sublingual veins. Pulse: Wiry and choppy, like a knife scraping bamboo.
Treatment principle: Invigorate Blood and dispel stasis to transform fixed hard lumps into movable, then dissolved, masses.
Note: no moxa. Direct match with this site's own Liver-Blood-stasis slide.

3. Qi and Blood Stagnation View full pattern →

Clinical manifestations: Fixed stabbing pain, abdominal distension and bloating, pain worsens with pressure, hard immovable mass, irritability or mood swings, dark purplish complexion or lips.
Tongue: Dark purple body with stasis spots and distended sublingual veins. Pulse: Wiry and choppy.
Treatment principle: Move stagnant Qi and invigorate Blood simultaneously, dissolving fixed masses and relieving stabbing pain.
Note: no moxa. Same underlying Liver-Blood-stasis slide as pattern 2 — the source distinguishes a pure-Blood-stasis variant from a combined Qi-and-Blood variant, but this site's single slide covers both.

4. Phlegm in the Lower Burner

Clinical manifestations: Heavy fixed mass in the lower abdomen, cold sensation in the lower belly, cloudy turbid urine or thick white vaginal discharge, loose sticky stools.
Tongue: Pale, swollen body with teeth marks, thick white greasy coating concentrated at the root, wet slippery surface. Pulse: Slippery and deep, may be slow, especially at the rear position.
Treatment principle: Dry Dampness, transform Phlegm, and move Qi to dissolve Phlegm-Damp masses in the lower abdomen.
Note: moxa applicable given the Cold. No deck on this site has a dedicated Phlegm-in-the-Lower-Burner slide, so no pattern link is given here.

5. Damp-Heat in the Lower Burner View full pattern →

Clinical manifestations: Lower abdominal mass that feels tender and warm, burning or painful urination, foul-smelling yellow vaginal discharge or scrotal dampness and itching, heavy dragging sensation in the lower body.
Tongue: Red body, slightly swollen, with a yellow greasy coating thickest at the root. Pulse: Slippery and rapid, more pronounced at the rear positions.
Treatment principle: Drain Damp-Heat from the Liver and Gallbladder, clear Damp-Heat from the Lower Burner, invigorate Blood to shrink the mass.
Note: no moxa. This site's Damp-Heat-in-the-Gall-Bladder-and-Liver slide is the closest genital/urinary-symptom match on this site, already reused for Lower-Burner Damp-Heat presentations with the same discharge markers.

6. Stomach Blood Stagnation View full pattern →

Clinical manifestations: Sharp stabbing pain in the upper abdomen fixed in one spot, pain worsens with pressure and after eating, vomiting of dark or coffee-ground material, black tarry stools, feeling of fullness or blockage in the upper abdomen.
Tongue: Purple or dark dusky body, possible purple stasis spots, distended sublingual veins, thin white coat. Pulse: Choppy or wiry.
Treatment principle: Drive out Blood stasis from below the diaphragm, dissolve the epigastric mass and relieve stabbing pain.
Note: no moxa. Direct match with this site's own Stasis-of-Blood-in-the-Stomach slide.
Related conditions

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