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Bile Reflux Gastritis

How Chinese medicine differentiates bile reflux gastritis into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Gastritis and GERD 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. Vomiting dark or coffee-ground material, black tarry stools, or unexplained weight loss needs urgent medical assessment.
General Acupuncture Points

Acupuncture points traditionally used for bile reflux gastritis — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
P-6Opens the chest and moves Qi and Blood. Calms the Mind. Moves Liver-Qi.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm. Regulates Stomach-Qi.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver Qi Stagnation Invading the Stomach View full pattern →

Clinical manifestations: Distending pain in the upper abdomen radiating to the ribs; frequent belching and acid reflux, worse with emotional stress; irritability and sighing; a lump-in-the-throat sensation.
Tongue: Normal or slightly red with redder sides, thin white coat. Pulse: Wiry, especially at the left middle position.
Treatment principle: Soothes Liver Qi, relieves stagnation and harmonizes the Stomach to prevent upward bile reflux.
Note: no moxa.

2. Qi Stagnation in Gall Bladder and Stomach with Phlegm-Heat

Clinical manifestations: Burning epigastric pain with a bitter taste; restless sleep with vivid, disturbing dreams; easily startled or anxious; nausea or vomiting; yellow greasy tongue coating.
Tongue: Red with redder sides, yellow greasy coat. Pulse: Wiry and slippery, possibly rapid.
Treatment principle: Regulates Qi and transforms Phlegm; clears Gall Bladder and Stomach Heat.
Note: no moxa. This site's decks have no Qi-stagnation-in-Gallbladder-and-Stomach-with-Phlegm-Heat slide — no pattern link is given here.

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

Clinical manifestations: Upper-abdominal bloating and heaviness; a bitter, sticky taste with foul belching; loose, sticky stools with a feeling of incompleteness; a heavy, foggy head and limbs; bad breath; thirst with little desire to drink.
Tongue: Red, possibly swollen and tooth-marked, thick yellow greasy coat. Pulse: Soggy and rapid, often slippery.
Treatment principle: Clears Heat, transforms Phlegm and descends rebellious Stomach Qi.
Note: no moxa. Linked to this site's own Damp-Heat-in-the-Stomach slide.

4. Spleen and Stomach Qi Deficiency View full pattern →

Clinical manifestations: Bloating that worsens after eating; loose or poorly formed stools; fatigue and physical weakness; poor appetite with mild dull discomfort; a sallow or pale complexion.
Tongue: Pale, puffy, tooth-marked, thin white coat. Pulse: Weak and soft, especially at the right middle position.
Treatment principle: Tonifies the Middle Burner and augments Qi; strengthens the Spleen's transforming function.
Note: moxa is appropriate. Linked to this site's own Stomach-and-Spleen-Qi-deficiency slide.

5. Stomach Yin Deficiency View full pattern →

Clinical manifestations: A dull, burning pain in the upper abdomen; feeling hungry but not wanting to eat; a dry mouth and throat, especially at night; dry retching or hiccups; preference for small sips of water.
Tongue: Red, thin, little or no coat, dry, possible cracks in the centre. Pulse: Fine and rapid, weak at the right middle position.
Treatment principle: Nourishes Stomach Yin, soothes the Liver, regulates Qi and calms Empty-Heat.
Note: no moxa.

6. Stomach Blood Stagnation

Clinical manifestations: Sharp, stabbing pain in the upper abdomen, fixed in one spot; pain worse with pressure and after eating; vomiting of dark or coffee-ground material; black, tarry stools; a dark purplish tongue with possible stasis spots.
Tongue: Dark purple or dusky, possible stasis spots, distended sublingual veins, thin white coat. Pulse: Choppy or wiry, rough and uneven.
Treatment principle: Invigorates Blood, dispels stasis, dissipates nodules and stops internal bleeding.
Note: MEDICAL EMERGENCY if there is active bleeding — seek urgent care first. no moxa.
Related conditions

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