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Stomach Prolapse

How Chinese medicine differentiates stomach prolapse (gastroptosis) — the Spleen's failure to hold the stomach in place — into 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. Diagnosis of stomach prolapse needs medical imaging; severe weight loss, vomiting, or an inability to keep food down needs prompt medical evaluation before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for stomach prolapse — 10 key points, used across the patterns below rather than tied to just one.

PointKey action
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm.
ST-36Tonifies Qi and Blood. Tonifies the Stomach and Spleen.
REN-6Tonifies Qi and Yang. Raises sinking Qi.
DU-20Extinguishes interior Wind. Subdues Liver-Yang. Raises Yang.
LR-3Subdues Liver-Yang. Invigorates Blood and regulates menstruation.
P-6Opens the chest and moves Qi and Blood. Calms the Mind.
REN-4Nourishes Blood and Yin. Strengthens the Uterus and regulates menstruation.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
BL-17Invigorates Blood. Cools Blood. Stops bleeding. Nourishes Blood.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
KI-3Tonifies the Kidneys (both Yin and Yang). Strengthens the lower back and knees.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen Qi Sinking View full pattern →

Clinical manifestations: Bearing-down or dragging sensation in the stomach, abdominal bloating worsening after eating, chronic fatigue and lethargy, dizziness or lightheadedness, poor appetite, shortness of breath and reluctance to speak.
Tongue: Pale, puffy, tender with teeth marks and thin white coating. Pulse: Weak and empty, especially at the right Guan position, may feel deep.
Treatment principle: Tonify Spleen Qi and lift sinking Qi.
Note: moxa applicable throughout. Direct exact-name match with this site's own Spleen-Qi-sinking slide.

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

Clinical manifestations: Distending pain in the upper abdomen radiating to the ribs, worse with emotional stress or frustration, frequent belching or acid reflux, irritability and moodiness with frequent sighing, sensation of a lump or blockage in the throat.
Tongue: Normal or slightly red body with redder sides and thin white coat. Pulse: Wiry, most pronounced at the left middle position.
Treatment principle: Course the Liver, resolve constraint, harmonize the Stomach.
Note: no moxa. Matched to this site's own Rebellious-Liver-Qi-invading-the-Stomach slide.

3. Kidney and Spleen Yang Deficiency View full pattern →

Clinical manifestations: Dragging, heavy stomach sensation with cold feeling, sore cold lower back and weak knees, chronic loose stools or early-morning diarrhea, cold hands and feet especially below the knees, abdominal cold pain better with warmth and pressure.
Tongue: Pale, swollen, puffy with teeth marks and white slippery coating. Pulse: Deep, weak, slow, feeble at both Chi positions and right Guan.
Treatment principle: Warm Yang and dispel 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.

4. Stomach Blood Stagnation View full pattern →

Clinical manifestations: Sharp stabbing pain fixed in one spot, pain worsens with pressure on the abdomen, dark purplish tongue with stasis spots, pain worse after eating.
Tongue: Purple or dark dusky body with possible purple stasis spots, distended sublingual veins, thin white coat. Pulse: Choppy or wiry.
Treatment principle: Invigorate Blood and dispel stasis, move Qi and alleviate pain.
Note: no moxa. Direct exact-name match with this site's own Stasis-of-Blood-in-the-Stomach slide.

5. Stomach Yin Deficiency View full pattern →

Clinical manifestations: Gnawing, burning stomach discomfort, dry mouth and throat, hungry but no desire to eat, thirst with preference for small sips.
Tongue: Red, especially at the center, with little or no coating and possible cracks. Pulse: Fine and rapid.
Treatment principle: Protect the Stomach, generate fluids, moisten dryness.
Note: no moxa. Direct exact-name match with this site's own Stomach-Yin-deficiency slide.
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