Liver Qi Invading the Stomach   肝胃不和

Disclaimer: For educational purposes only.  Do not use as medical advice.

Pattern Names
Liver Qi Invading the Stomach • 肝胃不和 • Gān Wèi Bù Hé
Classification
Category: Zang Fu Syndrome: Complex
Symptoms
Tongue: normal, slightly red on sides Pulse: wiry-left, weak-right, wiry middle position
Indications: Irritability, epigastric and hypochondrial distension and pain, a feeling of oppression in the epigastrium, sour regurgitation, hiccup, belching, nausea, vomiting, sighing, weak limbs [Maciocia] • Distention, and pain in epigastria and hypochondriac area, belching, hiccup, nausea or even vomiting, acid regurgitation, depression, irritability, sigh, poor appetite. Thin white or thin yellow coating, and wiry, slight rapid pulse [Qiao]
Keywords
Sour regurgitation, belching, epigastric distension and fullness[35]   
Treatment 
subdue Liver Qi, harmonize Stomach
Acupuncture 
LV14, GB34, REN13, Shang Wan, REN10, ST21, ST19, ST36, ST34, BL21, Wei Shu [Maciocia]
Herb
Xuan Fu Dai Zhe Tang, Si Mo Tang, Ju Pi Zhu Ru Tang, Ding Xiang Shi Di Tang, Ban Xia Hou Po Tang + Zuo Jin Wan [Maciocia]
Etiology
Characterized by stagnation of liver qi which transversely attacking the stomach lead stomach qi rebellious. It has been called liver qi overacting on stomach pattern or qi stagnation in both liver and stomach –  Emotional stress, improper diet –  Liver qi stagnation failed conducting and dispersing cause distension and pain in hypochondriac region, depression and sigh –  Stomach qi disrupts, ascending instate of descending result nausea, vomiting, hiccup, belching, poor appetite. If qi generate heat, then there are acid regurgitation, stomach discomfort
Notes
AKA: Rebellious Liver Qi Invading Stomach [34] • AKA LV Qi Stagnation Invading Stomach. LV invading ST, you have BELCHING, ACID REGURGITATION, and possibly more appetite. Compared to LV invading SP, one gets POOR APPETITE + LV Qi stagnation signs + alternating constipation/diarrhea. [35]
Use Case 1
Use Case 2