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Esophagitis

How Chinese medicine differentiates esophagitis into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's own GERD and Acid Reflux 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. Difficulty swallowing, chest pain, or unintended weight loss needs prompt medical evaluation before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for esophagitis — 11 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.
LR-2Drains Liver-Fire and subdues Liver-Yang.
REN-12Tonifies Stomach and Spleen. Harmonizes the Stomach, directs rebellious Qi downward.
P-6Opens the chest and moves Qi and Blood. Harmonizes the Stomach.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
ST-40Resolves Phlegm and Dampness. Opens the chest and subdues rebellious Qi.
REN-22Stimulates the descending of Lung-Qi. Resolves Phlegm. Benefits the throat and voice.
SP-4Harmonizes the Middle Burner. Regulates the Penetrating Vessel.
KI-3Tonifies the Kidneys (both Yin and Yang). Benefits Essence.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

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

Clinical manifestations: Burning chest pain, acid reflux with sour taste, bitter taste in the mouth, irritability and explosive anger, distending pain in the ribcage.
Tongue: Red body, especially at the sides, yellow coating. Pulse: Wiry and rapid, often forceful.
Treatment principle: Soothes Liver-Qi, clears Heat, and harmonizes the Stomach, addressing the root of stagnation and Heat.
Note: no moxa. Direct exact-name match with this site's own Stagnant-Liver-Qi-turning-into-Heat slide.

2. 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, irritability with frequent sighing, sensation of a lump or blockage in the throat.
Tongue: Normal to slightly red body with possible red sides, thin white coat. Pulse: Wiry, like a taut guitar string.
Treatment principle: Soothes the Liver, regulates Qi, and harmonizes the Stomach to reduce acid reflux, belching, and epigastric distension.
Note: no moxa. Direct match with this site's own Rebellious-Liver-Qi-invading-the-Stomach slide.

3. Spleen Deficiency With Dampness

Clinical manifestations: Sensation of a lump in the throat, chest oppression and fullness, greasy or sticky mouth sensation, loose stools or diarrhea, heaviness in the body and limbs, poor appetite with bloating after eating.
Tongue: Pale, swollen body with teeth marks, white greasy coating, moist surface. Pulse: Soggy and slow, possibly slippery.
Treatment principle: Strengthens Spleen-Qi and resolves Dampness, addressing the root deficiency while regulating Qi to prevent reflux.
Note: moxa applicable on ST-36. This site has no combined Spleen-deficiency-with-Dampness slide, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

4. Qi-Phlegm

Clinical manifestations: Sensation of a lump in the throat that cannot be swallowed, chest stuffiness and oppression, frequent belching or sighing, moodiness or irritability.
Tongue: Normal-colored body, possibly slightly swollen, white greasy or slippery coating. Pulse: Wiry and slippery.
Treatment principle: Moves stagnant Qi and transforms Phlegm to relieve the throat obstruction and chest oppression.
Note: no moxa. This is the classical Plum-Pit-Qi (梅核气) presentation, with no corresponding slide on any deck here — no pattern link is given here; points still link fine individually.

5. Rebellious Stomach Qi View full pattern →

Clinical manifestations: Belching difficult to control, hiccups, sensation of Qi rising from the stomach to the throat, acid regurgitation after eating, nausea, feeling of fullness or blockage in the upper stomach area.
Tongue: Normal body color with white coating, may become yellow if Heat is present. Pulse: Wiry and possibly slippery, especially at the right middle position.
Treatment principle: Directs Stomach-Qi downward and relieves epigastric fullness.
Note: moxa applicable on ST-36. Direct exact-name match with this site's own Stomach-Qi-rebelling-upwards slide.

6. Stomach Yin Deficiency View full pattern →

Clinical manifestations: Burning pain in the chest and throat worse at night, dry mouth and throat, thirst preferring small sips, sensation of hunger without desire to eat, dry stools.
Tongue: Red, dry, especially at the center, little or no coating with possible cracks. Pulse: Fine and rapid, weak at the right middle position.
Treatment principle: Nourishes Stomach-Yin, generates fluids, and descends rebellious Qi, soothing the dry esophagus.
Note: no moxa. Direct exact-name match with this site's own Stomach-Yin-deficiency slide.
Related conditions

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