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Excessive Gas and Flatulence

How Chinese medicine differentiates excessive, frequent flatulence into the 3 patterns behind it, and the points for each. Distinct from this site's Foul-Smelling Flatulence and Bloating After Eating pages. Acupuncture only — no herbs.

Excessive gas with severe pain, vomiting, or an inability to pass gas or stool needs urgent medical evaluation to rule out an obstruction.
General Acupuncture Points

Acupuncture points traditionally used for excessive gas and flatulence — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-25Regulates the Intestines. Regulates Stomach and Spleen. Moves Qi and invigorates Blood.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
LIV-3Subdues Liver-Yang. Extinguishes interior Wind. Promotes the smooth flow of Liver-Qi.
The Three Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Large Intestine Qi Stagnation View full pattern →

Clinical manifestations: Excessive, frequent flatulence; abdominal distension that shifts location; cramping pain relieved by passing gas or a bowel movement; belching and loud stomach rumbling.
Tongue: Normal light red body, thin white coating. Pulse: Wiry, especially tense at the left middle position.
Treatment principle: Restore downward Qi movement by unblocking stagnation and strengthening the digestive organs.

2. Liver Qi Stagnation invading the Stomach View full pattern →

Clinical manifestations: Frequent belching and flatulence, distending upper abdominal pain radiating to the ribs, irritability and moodiness with frequent sighing, a lump-or-blockage sensation in the throat.
Tongue: Normal or slightly red, may have redder sides, thin white coat. Pulse: Wiry, especially at the left middle position.
Treatment principle: Soothe stagnant Liver-Qi and harmonize the Stomach to restore its downward movement.

3. Heat in the Large Intestine View full pattern →

Clinical manifestations: Foul-smelling flatulence, constipation with hard dry stools, a burning sensation at the anus, abdominal pain worse with pressure, an afternoon fever.
Tongue: Red body with a thick dry yellow coating, possibly brownish or black in severe cases. Pulse: Deep, full, rapid, may feel slippery.
Treatment principle: Clear accumulated heat from the Large Intestine and restore bowel function through cooling.
Related conditions

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