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Borborygmi

How Chinese medicine differentiates borborygmi (loud intestinal rumbling and gurgling sounds) — distinct from Excessive Gas and Flatulence, Bloating After Eating and Diarrhea 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. Loud rumbling with severe pain, vomiting, or an inability to pass gas or stool needs prompt medical evaluation (a bowel obstruction must be ruled out) before assuming a simple pattern.
General Acupuncture Points

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

PointKey action
ST-36Tonifies Qi and Blood. Tonifies the Stomach and Spleen.
BL-20Tonifies the Spleen Qi and Yang. Resolves Dampness.
REN-12Tonifies the Stomach and strengthens the Spleen.
SP-9Regulates the Spleen. Resolves Dampness.
ST-25Regulates the Intestines, Stomach and Spleen.
LR-3Subdues Liver-Yang. Clears Interior Wind.
P-6Opens the chest and descends rebellious Stomach-Qi.
BL-23Tonifies Kidney-Yang and nourishes Kidney-Yin.
DU-4Tonifies Kidney-Yang and warms the Gate of Life.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen and Stomach Qi Deficiency View full pattern →

Clinical manifestations: Mild, persistent gurgling worse after eating, poor appetite, bloating and fullness increasing after meals, loose or unformed stools, fatigue and physical weakness, pale sallow complexion.
Tongue: Pale, puffy, with tooth marks on the sides and a thin white coating. Pulse: Weak and soft overall.
Treatment principle: Tonify Qi, strengthen the Spleen, harmonize the Stomach.
Note: moxa applicable throughout. Direct exact-name match with this site's own Stomach-and-Spleen-Qi-deficiency slide.

2. Spleen Deficiency With Dampness

Clinical manifestations: Loud gurgling resembling water sloshing, heavy limbs and body, abdominal bloating worse after eating, loose or watery diarrhea.
Tongue: Pale, swollen body with teeth marks, white greasy coating, moist surface. Pulse: Soggy and slowed-down, soft and lacking force.
Treatment principle: Tonify Qi, strengthen the Spleen, drain Dampness.
Note: moxa applicable on ST-36. This site has no combined Spleen-deficiency-with-Dampness slide, a gap confirmed absent many times over (most recently Hydrocele, this same batch) — no pattern link is given here; points still link fine individually.

3. Liver-Qi Stagnation Invading the Stomach View full pattern →

Clinical manifestations: Gurgling worsens with stress or anger, belching and rib-side distension, irritability and frequent sighing, pain radiating from stomach to ribs.
Tongue: Normal light red body with slightly redder sides, thin white coat. Pulse: Wiry, like a taut string, strongest at the left middle position.
Treatment principle: Course the Liver and resolve constraint, move Qi and alleviate pain.
Note: no moxa. Matched to this site's own Rebellious-Liver-Qi-invading-the-Stomach slide via the stress-triggered belching/rib-distension symptom set.

4. Food Stagnation in the Stomach View full pattern →

Clinical manifestations: Loud borborygmi with foul-smelling flatulence, sour rotten belching and acid regurgitation, epigastric bloating worse after eating and relieved by vomiting, foul breath and aversion to food smell.
Tongue: Normal body with a thick, greasy or curd-like coating, thickest in the center. Pulse: Slippery and full, especially forceful at the right middle position.
Treatment principle: Promote digestion and resolve food stagnation, harmonize the Stomach.
Note: no moxa. Direct match with this site's own Retention-of-Food-in-the-Stomach slide, the same match used for Night Terrors in batch 40.

5. Kidney and Spleen Yang Deficiency View full pattern →

Clinical manifestations: Early-morning diarrhea around 5 AM, borborygmi worse with cold and better with warmth, cold hands and feet especially below the knees, sore cold lower back and knees, watery stools with undigested food.
Tongue: Pale, swollen, puffy with teeth marks, white slippery coating. Pulse: Deep, weak, and slow, especially feeble at the rear positions.
Treatment principle: Warm Yang and disperse Cold, tonify Qi and strengthen the Spleen.
Note: moxa applicable throughout. Direct exact-name match with this site's own Kidney-and-Spleen-Yang-deficiency slide.
Related conditions

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