Patient's question:
Often have belching symptoms, especially after meals, and are severe even in a state of extreme hunger, accompanied by mild pain in the middle of the two ribs.Doctor's answer:
Belching is generally categorized into the following three types in Traditional Chinese Medicine:A. Belching with Food Stagnation and Stomach Obstruction: Belching accompanied by a (undigested) sour, rotten odor; muffled or nauseous belching; intermittent belching; chest and upper abdomen fullness; loss of appetite; foul-smelling (undigested) stools or constipation; thick greasy tongue coating; slippery and substantial pulse. Treatment can use Zhi Shi Dao Zhi Wan or Bao He Wan.
B. Belching due to Liver Qi Invading the Stomach: Frequent belching; loud belching sounds; chest tightness and discomfort; dull pain in the hypochondriac regions; thin white tongue coating; wiry pulse. Treatment can use Chai Hu Shu Gan San, Qi Zhi Wei Tan Granules, or Shu Gan Jian Wei Wan.
C. Belching due to Spleen and Stomach Deficiency: Intermittent belching; weak belching sounds; vomiting clear water; loss of appetite; pale or sallow complexion; pale tongue with thin white coating; weak pulse. Treatment can use Ren Shen Jian Pi Wan.