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Acid Reflux

How Chinese medicine differentiates acid reflux — the symptom of sour or bitter regurgitation, distinct from the diagnosis-level GERD already covered — the five 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. Reflux with difficulty swallowing, weight loss, or chest pain needs medical evaluation before assuming a simple pattern.
General Acupuncture Points

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

PointKey action
LR-3Subdues Liver-Yang. Promotes the smooth flow of Liver-Qi.
P-6Opens the chest and moves Qi and Blood. Harmonizes the Stomach.
REN-12Tonifies Stomach and Spleen. Regulates Stomach-Qi.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
ST-40Resolves Phlegm and Dampness.
BL-19Resolves Damp-Heat in Liver and Gall Bladder. Subdues rebellious Qi.
BL-20Tonifies Spleen and Stomach. Resolves Dampness.
SP-6Strengthens the Spleen. Resolves Dampness.
REN-4Strengthens the Kidneys. Benefits Original Qi.
REN-17Opens the chest, regulates Qi and promotes the descending of Qi.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver-Qi Stagnation That Transforms Into Heat View full pattern →

Clinical manifestations: Sour or bitter acid reflux, bitter taste in the mouth, irritability and explosive anger, distending rib-cage pain, red face and eyes.
Tongue: Red body with redder sides and yellow coating. Pulse: Wiry and rapid, especially at the left middle position.
Treatment principle: Cool Liver-Fire and restore the Stomach's natural downward movement.
Note: no moxa. Matched to this site's own Stagnant-Liver-Qi-turning-into-Heat slide, the same paraphrase-link convention used throughout this site.

2. Qi Stagnation in Gallbladder and Stomach With Phlegm Heat

Clinical manifestations: Bitter taste with reflux, chest fullness and frequent sighing, restless sleep with vivid dreams, nausea or vomiting.
Tongue: Red body with thick yellow greasy coating. Pulse: Wiry and slippery, possibly rapid.
Treatment principle: Clear Gallbladder Heat, transform Phlegm, harmonize the Stomach to stop reflux.
Note: no moxa. This combined Gallbladder-and-Stomach Phlegm-Heat picture has no matching slide anywhere on this site — a new confirmed-absent category — so no pattern link is given here; points still link fine individually.

3. Rebellious Stomach-Qi View full pattern →

Clinical manifestations: Forceful belching or uncontrollable hiccups, sensation of Qi surging upward, acid rising into the mouth, fullness or blockage in the upper stomach.
Tongue: Normal body colour with thin white coating, may become yellow if Heat present. Pulse: Wiry, often prominent at the right middle position.
Treatment principle: Direct rebellious Qi downward and harmonize Stomach function.
Note: no moxa. Direct match with this site's own Stomach-Qi-rebelling-upwards slide.

4. Spleen-Qi Deficiency View full pattern →

Clinical manifestations: Sour or watery regurgitation, bloating after eating, poor appetite, fatigue and heaviness, loose stools, dull epigastric discomfort.
Tongue: Pale, puffy, tender body with tooth marks and thin white coating. Pulse: Deficient, soft, weak at the right middle position.
Treatment principle: Tonify Spleen-Qi and strengthen the Stomach's descending capacity.
Note: moxa applicable on the tonifying points. Direct exact-name match with this site's own Spleen-Qi-deficiency slide.

5. Qi-Phlegm

Clinical manifestations: Persistent throat lump sensation, acid reflux worsening with emotional stress, chest and upper abdominal stuffiness, frequent sighing and irritability.
Tongue: Normal pink-red body, possibly slightly swollen, with white greasy or slippery coating. Pulse: Wiry and slippery.
Treatment principle: Transform Phlegm, move stagnant Qi, and address the emotional root.
Note: no moxa. This site has no organ-nonspecific Phlegm slide and no Liver-Qi-stagnation-with-Phlegm combination slide (same gap noted for Thyroid Nodules and Neck Lumps), so no pattern link is given — points still link fine individually.
Related conditions

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