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Gastroparesis

How Chinese medicine differentiates gastroparesis (delayed stomach emptying), the six 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. Persistent vomiting, weight loss, or dehydration needs medical evaluation before acupuncture is considered.
General Acupuncture Points

Acupuncture points traditionally used for gastroparesis — 11 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen, tonifies Qi and Blood.
Ren-12Tonifies Stomach and Spleen, regulates Stomach-Qi, resolves Dampness and Phlegm.
Ren-6Tonifies Qi and Yang, raises sinking Qi.
BL-20Tonifies Spleen and Stomach, resolves Dampness.
P-6Harmonizes the Stomach, moves Qi and Blood, calms the Mind.
LR-3Subdues Liver-Yang, promotes the smooth flow of Liver-Qi.
LR-14Promotes the smooth flow of Liver-Qi, harmonizes Liver and Stomach.
SP-9Regulates the Spleen, resolves Dampness.
ST-40Resolves Phlegm and Dampness, subdues rebellious Qi.
SP-10Cools Blood, invigorates Blood and eliminates stasis.
BL-17Invigorates Blood, tonifies Qi and Blood.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen and Stomach Qi Deficiency View full pattern →

Clinical manifestations: Poor appetite and early satiety; upper abdominal bloating after eating; loose stools or diarrhea; fatigue and physical weakness; sallow or pale complexion.
Tongue: Pale, puffy, slightly enlarged with tooth marks, thin white coating. Pulse: Weak, soft, forceless.
Treatment principle: Tonify Qi, strengthen Spleen function, restore digestive transformation.
Note: moxa applicable. Direct match with Stomach- and Spleen-Qi deficiency.

2. Rebellious Stomach Qi View full pattern →

Clinical manifestations: Nausea that may lead to vomiting; frequent belching and hiccups; acid reflux or sour regurgitation; a sensation of Qi rising from the stomach to the throat; a feeling of food not going down properly; upper abdominal bloating.
Tongue: Normal body colour, white coating (yellow if Heat, greasy if Phlegm). Pulse: Wiry, possibly slippery.
Treatment principle: Direct rebellious Qi downward, resolve Phlegm, support the underlying Spleen deficiency.
Direct Qi downward
Support Spleen
Note: no moxa. Direct match with Stomach-Qi rebelling upwards.

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

Clinical manifestations: Distending pain in the upper abdomen radiating to the ribs; symptoms worse with emotional stress or frustration; frequent belching or acid reflux; irritability, moodiness, or frequent sighing.
Tongue: Normal or slightly red body, possibly redder sides, thin white coat. Pulse: Wiry, most noticeable at the left middle position.
Treatment principle: Course Liver-Qi, resolve constraint, and regulate the Stomach's downward movement.
Course Liver-Qi
Tonify Stomach
Note: no moxa. Matches Rebellious Liver-Qi invading the Stomach — epigastric distension, sour regurgitation and belching are shared.

4. Spleen Deficiency with Dampness

Clinical manifestations: Heavy sensation in the upper abdomen; bloating after eating; loose stools or diarrhea; heaviness in the body and limbs; sticky or greasy taste; drowsiness, especially after meals; thirst but no real desire to drink; head feels heavy or muzzy.
Tongue: Pale, swollen with teeth marks, white greasy coating, moist surface. Pulse: Soggy and slow, soft and weak at the right Guan position.
Treatment principle: Strengthen the Spleen, drain Dampness, restore fluid transformation.
Tonify Spleen
Resolve Dampness
Note: moxa applicable on the Tonify-Spleen point. This pattern has no explicit Cold marker, so it is not linked to this site's \"Cold-Dampness invading the Spleen\" slide — no pattern link is given here.

5. Phlegm-Dampness in the Middle-Burner

Clinical manifestations: Heavy sensation in the upper abdomen; nausea or vomiting of clear, watery, or sticky fluids; heaviness in the body and limbs; loose sticky stools that feel incomplete; bland or sticky taste in the mouth; drowsiness and brain fog.
Tongue: Pale, swollen with teeth marks, thick white greasy wet coating. Pulse: Slippery, often slow; right middle position soft and rolling.
Treatment principle: Strengthen the Spleen, dry Dampness, transform Phlegm, promote Qi descent.
Resolve Phlegm
Support Spleen
Note: no moxa. No deck on this site has a Phlegm-Dampness-in-the-Middle-Burner category, so no pattern link is given here.

6. Qi Deficiency Causing Blood Stagnation

Clinical manifestations: Fixed, stabbing epigastric pain that worsens with pressure; dark or dusky facial complexion; purple spots or spider veins under the skin; extreme fatigue and weakness; shortness of breath on mild exertion.
Tongue: Pale with a dark or purplish tinge, possible stasis spots, teeth marks, thin white coat. Pulse: Deep, fine or weak, choppy.
Treatment principle: Tonify Qi to restore circulatory force, invigorate Blood, break up stasis.
Tonify Qi
Invigorate Blood
Note: moxa applicable on the Tonify-Qi point. No deck on this site combines Qi deficiency with Blood stagnation into one slide, so no pattern link is given here.
Related conditions

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