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Bearing Down Sensation in Abdomen

How Chinese medicine differentiates a bearing-down or dragging sensation in the abdomen into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Abdominal Distention and Hemorrhoids 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. A bearing-down sensation with visible organ prolapse, severe pain, or bleeding needs medical assessment.
General Acupuncture Points

Acupuncture points traditionally used for a bearing-down sensation in the abdomen — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
REN-4Nourishes Blood and Yin. Strengthens the Kidneys. Strengthens the Uterus and regulates menstruation.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen Qi Sinking View full pattern →

Clinical manifestations: A dragging sensation worse with standing or exertion, improving with rest; fatigue, heaviness, organ prolapse, bloating after eating, loose stools.
Tongue: Pale, puffy, teeth-marked. Pulse: Weak, especially at the right middle position.
Treatment principle: Tonifies Spleen Qi and raises sinking Yang.
Note: moxa is strongly indicated.

2. Liver Qi Stagnation View full pattern →

Clinical manifestations: A distending pressure that fluctuates with mood or stress; irritability, sighing, rib-side discomfort; the sensation moves around rather than staying fixed.
Tongue: Normal or light red with red sides. Pulse: Wiry, taut.
Treatment principle: Courses Liver Qi, resolves constraint and moves Qi to alleviate pain.
Note: no moxa.

3. Cold-Dampness in the Lower Burner

Clinical manifestations: A cold, heavy dragging sensation, worse in cold or damp weather, improving with warmth; profuse pale discharge, loose stools, cold limbs, pelvic swelling.
Tongue: Pale, swollen, teeth-marked, thick white greasy coating. Pulse: Deep, slow, soggy.
Treatment principle: Warms the interior, dispels Cold, transforms Dampness and strengthens the Spleen.
Note: moxa is strongly indicated. This site's decks have no generalized Cold-Dampness-in-the-Lower-Burner slide distinct from Damp-Cold-in-the-Bladder — no pattern link is given here.

4. Spleen Deficiency with Dampness

Clinical manifestations: A heavy dragging sensation with bloating after eating; loose or unformed stools, heaviness in the limbs, poor appetite.
Tongue: Pale, swollen, teeth-marked, white greasy coating. Pulse: Soggy and slow.
Treatment principle: Tonifies the Spleen, strengthens digestion and drains accumulated Dampness.
Note: moxa is appropriate. No standalone Spleen-Deficiency-with-Dampness slide exists on this site's decks — no pattern link is given here.

5. Kidney Yang Deficiency View full pattern →

Clinical manifestations: A cold, sinking sensation with lower back soreness and cold pain; frequent nighttime urination, fatigue, a cold body especially in the lower half.
Tongue: Pale, puffy, wet coating, teeth-marked. Pulse: Deep, slow, weak, at the rear position.
Treatment principle: Tonifies Kidney Yang, warms the Gate of Life Fire and restores foundational warmth.
Note: moxa is strongly indicated.

6. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing bearing-down pain worsening at night and with pressure; dark menstrual clots, a purple tongue with stasis spots.
Tongue: Purple or dusky, stasis spots. Pulse: Choppy or wiry.
Treatment principle: Invigorates Blood, dispels stasis, warms the channels and moves Qi to stop pain.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide per the discoloration-marker rule.
Related conditions

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