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Abdominal Distension and a Feeling of Dropping: Why Does It Feel Like It's Falling Down?

Dietary regulation The Yellow Emperor's Inner Canon 国家中医药管理局 世界卫生组织 第二十一

Key Points

This article discusses the common issue of abdominal distension and the feeling of something falling downwards, exploring its causes, location, and treatment approaches in Traditional Chinese Medicine. It emphasizes the importance of balancing liver and spleen function in the treatment of such symptoms.

Author: Fan Li, Associate Attending Physician in Traditional Chinese Medicine (Practice License Number: 241411381000562) This article is written by Dr. Fan Li and is based on classical theories of Traditional Chinese Medicine and clinical experience. It is intended for popular science reference only. The qualification can be verified publicly on the National Health Commission of China website.

Many friends who come for consultations often ask me a question: "Doctor, I've been feeling a constant sense of distension in my lower abdomen, as if something is falling downwards. What could be the cause of this?" Today, let's explore this topic together.

Pathogenesis Analysis: Unraveling the Mystery Layer by Layer

Causative Factors: Lifestyle and Emotional Changes


In clinical practice, the sensation of distension in the lower abdomen, feeling as if it's falling downwards, is often seen in individuals with a fast-paced lifestyle and high stress, particularly among women. Traditional Chinese Medicine holds that emotional changes are an important cause of such symptoms. As mentioned in Chapter 32 of the Yellow Emperor's Internal Classic, "All diseases arise from Qi, anger causes Qi to rise, and joy causes Qi to descend."

Lesion Location: Disruption of Liver and Spleen Function

The lower abdomen is the region where the liver and spleen are located in TCM. When the liver and spleen are out of balance, it can lead to a sense of distension and a feeling of something falling downwards in the lower abdomen. The liver governs the tendons and emotions, while the spleen governs the muscles and the transportation of Qi. When these organs are imbalanced, it can cause various abdominal symptoms, including distension and a feeling of dropping.

Treatment Approach: Harmonizing Liver and Spleen Function

The treatment of abdominal distension and the feeling of dropping involves harmonizing the liver and spleen function. This can be achieved through herbal medicine, acupuncture, and lifestyle adjustments. Herbs such as bupleurum, peony, and codonopsis are commonly used to nourish the liver and relieve tension. Acupuncture points that focus on balancing the liver and spleen are also used to alleviate symptoms. Additionally, lifestyle changes, such as reducing stress, improving sleep quality, and eating a balanced diet, are essential for recovery.

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