What to do with acute gastric dilatation

Patients with acute gastric dilatation must never ignore treatment measures, and dietary adjustment is very important. A reasonable diet should be taken to solve the problem of indigestion. At the same time, you can try to use some Chinese medicine for conditioning. Ophiopogon japonicus, Polygonatum odoratum, and Adenophora stellaria are good at nourishing the lungs.

1. Insufficient stomach yin

Treatment method: Nourish stomach yin, reduce adverse effects and stop vomiting.

Prescription: Ophiopogon Decoction or Yiwei Decoction with modifications. Maimendong Decoction and Yiwei Decoction focus on nourishing the yin of the lungs and stomach and calming down the upward flow of qi. It is mainly used to treat vomiting, cough and asthma caused by lung and stomach yin deficiency. Ophiopogon japonicus, Polygonatum odoratum and Adenophora stellariae nourish the yin of the lungs and stomach; Pinellia ternata can reduce adverse reactions and lower qi, regulate qi and resolve phlegm, while Codonopsis pilosula, Licorice and Japonica rice can nourish the spleen and stomach. If the yin is damaged too much, reduce the dosage of Pinellia, and add Dendrobium and Rhizoma Anemarrhenae to nourish yin and reduce adverse effects; if there is obvious abdominal distension, add Amomum villosum and Citrus reticulatae to regulate qi and eliminate distension.

2. Dietary Stagnation

Treatment method: Digest food, eliminate stagnation, harmonize the stomach and reduce reflux.

Prescription: Baohe Pills and Da Chaihu Decoction with modifications. Baohe Pills focus on digesting food and relieving stagnation, while Da Chaihu Decoction focuses on cleansing the intestines and stomach. The two prescriptions are used together to treat food stagnation in the stomach and intestines, and abdominal distension and pain. In the formula, Shenqu, radish seeds, and hawthorn can eliminate food, noodles, and meat accumulation; Pinellia, dried tangerine peel, and Poria can regulate Qi, eliminate dampness, and harmonize the stomach; accumulation can easily turn into heat, so Forsythia suspensa is added to clear away heat and disperse stagnation; Bupleurum and Scutellaria baicalensis can harmonize the middle burner; Pinellia ternata and ginger can reduce adverse reactions and stop vomiting, and are combined with rhubarb and immature bitter orange to strengthen the ability to clear stagnation and lower Qi; White Peony Root can relieve urgency, and is combined with rhubarb and immature bitter orange to drive away abdominal pain. If you have a weak constitution, use rhubarb and bitter orange with caution. If the patient is strong and the illness is of short duration, vomiting can also be used. The prescription is Guati San, which is taken with a decoction of light soy sauce and is mainly used to treat food stagnation in the abdomen. In the formula, the melon stem is bitter and has a purgative nature; the red bean is sour, and the combination of the two medicines has a sour and bitter purgative effect; the light red bean is light and clear and has a purgative effect and can also expel the evil spirits in the chest. The three medicines are used together to form a remedy for vomiting out phlegm and food accumulation.

3. Liver Qi Invades the Stomach

Treatment method: Soothe the liver and stomach, regulate qi and reduce adverse reactions.

Prescription: Chaihu Shugan San and Jinlingzi San with modifications. Chaihu Shugan San focuses on soothing the liver and relieving depression, while Jinlingzi San focuses on regulating qi and relieving pain. It is mainly used to treat liver qi disharmony and stomach upset. In the formula, Bupleurum and Citrus aurantium soothe the liver and relieve stagnation; Paeonia lactiflora and Licorice root soften the liver and regulate the spleen; Cyperus rotundus and Tangerine peel help soothe the liver and regulate Qi; Ligusticum chuanxiong, Corydalis yanhusuo and Toosendan fruit regulate Qi and activate blood circulation, relieve depression and relieve pain; and Rhizoma Chuanxiong and Radix Daizheshi are added to reduce adverse reactions and stop vomiting. If liver depression turns into fire, and the throat is dry and irritable, add Polygonatum odoratum, Dendrobium officinale, and Pleurotus eryngii to nourish yin, reduce fire and relieve irritability.

4. Stomach heat rising

Treatment method: Clear away heat and harmonize the stomach, reduce adverse effects and stop vomiting.

Prescription: Yu Nu Jian with modifications. Yunu Jian focuses on clearing stomach fire and nourishing stomach yin; it is mainly used to treat stomach heat and poor qi movement. In the formula, raw gypsum clears the fire in the stomach and intestines, expels evil fire, expands the positive energy, and regulates the qi; Anemarrhena asphodeloides and Ophiopogon japonicus clear the heat in the lungs and stomach, nourish the yin of the lungs and stomach, and the qi remains with the yin to ensure that the spleen and stomach rise and fall in an orderly manner, and nausea and abdominal distension disappear; Achyranthes bidentata can both nourish the kidney water and lead the heat downward. If vomiting is severe, add bamboo shavings to clear heat and stop vomiting; if abdominal distension is unbearable, add Citrus aurantium and chicken gizzard lining to regulate qi and eliminate stagnation.