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Splashing Sounds in Abdomen

How Chinese medicine differentiates splashing sounds in the abdomen into the three patterns described for it, and the points for each. Distinct from this site's Abdominal Distention and IBS 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. A persistent splashing sound with vomiting, significant weight loss, or inability to keep food down needs medical assessment for delayed gastric emptying (gastroparesis) or obstruction.
General Acupuncture Points

Acupuncture points traditionally used for splashing sounds in the abdomen — 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.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm. Regulates Stomach-Qi.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
The Three Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Phlegm-Fluids in the Stomach and Small Intestine

Clinical manifestations: A loud, immediate splashing sound triggered by drinking or abdominal pressure; vomiting of clear watery fluid without thirst; fullness and distension in the upper abdomen; worse with cold or raw foods, overeating, damp weather and prolonged inactivity.
Tongue: Pale, swollen, teeth-marked, white slippery, excessively moist coating. Pulse: Deep, wiry, slippery, especially at the right middle position.
Treatment principle: Warms Spleen Yang, transforms retained fluids and promotes urination through warming and drying methods.
Note: moxa is appropriate on REN-12. No standalone Phlegm-Fluids-in-the-Stomach-and-Small-Intestine slide exists on this site's decks — no pattern link is given here.

2. Spleen Deficiency with Dampness

Clinical manifestations: Persistent gurgling after eating; loose or unformed stools; chronic fatigue; poor appetite; abdominal bloating worsening after meals; heaviness in the body; improves with rest, warm food and gentle walking.
Tongue: Pale, swollen, teeth-marked, white greasy coating, moist. Pulse: Soggy and slow, or slippery, weak at the right middle position.
Treatment principle: Tonifies Spleen Qi, dries Dampness and restores fluid-transformation capacity.
Note: moxa is appropriate. No standalone Spleen-Deficiency-with-Dampness slide exists on this site's decks — no pattern link is given here.

3. Phlegm-Fluids Above the Diaphragm

Clinical manifestations: A splashing sound in the upper abdomen with chest and rib-side distension; thin white frothy cough worsening when lying flat; inability to lie flat due to shortness of breath; aversion to cold; a pale, puffy appearance.
Tongue: Pale, swollen, teeth-marked, white slippery, excessively wet coating. Pulse: Wiry, or deep and fine in chronic cases.
Treatment principle: Warms Spleen and Kidney Yang, transforms phlegm-fluids, descends pathogenic fluids from the upper burner and opens the chest.
Note: moxa is appropriate. No standalone Phlegm-Fluids-Above-the-Diaphragm slide exists on this site's decks — no pattern link is given here.
Related conditions

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