Regurgitation
AliasMorning Sickness and Nighttime Vomiting
Traditional Chinese Medicine Definition
In traditional Chinese medicine, "reverse gastritis" (also known as "morning eating, evening vomiting") falls under the category of Spleen-stomach disorders (Spleen and Stomach Disorders). According to the records in "Internal Medicine of Traditional Chinese Medicine," reverse gastritis refers to a condition where patients experience vomiting shortly after eating, with the vomit usually consisting of undigested food, accompanied by symptoms such as abdominal distension, loss of appetite, and so on. This disease is often caused by factors like spleen and stomach coldness, and kidney fire deficiency, and is considered a type of Spleen and Stomach Disorder in traditional Chinese medicine.
In clinical practice of traditional Chinese medicine, the core pathogenesis of reverse gastritis is attributed to spleen and stomach coldness or kidney fire deficiency. Common triggers include irregular diet, emotional disturbances, and excessive fatigue. During the process of differentiation, attention should be paid to distinguishing between coldness and heat, and deficiency and excess. Spleen and stomach coldness is characterized by abdominal distension after eating, vomiting in the evening after eating in the morning, vomiting undigested food, and so on. Kidney fire deficiency is manifested as chronic reverse gastritis, pale complexion, aversion to cold, and weakness in the lower back and knees. The direction of adjustment suggests that for spleen and stomach coldness, warming the middle and invigorating the spleen, and reducing reverse and harmonizing the stomach should be considered; for kidney fire deficiency, warming and tonifying the kidney fire and warming the spleen to stop vomiting should be the approach. Overall, the treatment of reverse gastritis should follow the principle of syndrome differentiation, selecting appropriate treatment methods based on specific patterns.
Common Syndrome Types and Key Points of Differentiation
Spleen and Stomach Deficiency Cold Syndrome
Main Manifestations: Fullness and distension in the epigastrium after eating, vomiting in the morning after eating in the evening, and vomiting in the evening after eating in the morning, with undigested food vomited out.
Management Approach: Wen zhong jian pi, jiang ni he wei
Deficiency of the Gate of Life Fire Syndrome
Main Manifestations: Long-standing nausea, pale complexion without luster, feeling cold and aversion to cold, soreness and weakness in the lower back and knees
Management Approach: Wen bu ming huo, nuan pi zhi ou
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
For patients with reverse gastritis who experience morning eating and evening vomiting, their yellowish complexion and pale tongue with white coating often indicate a need for invigorating the spleen and harmonizing the stomach to stop vomiting.
— Fan Li Traditional Chinese Medicine (TCM) Practitioner Assistant Physician
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
This article has been reviewed by licensed TCM physicians at Hangzhou Kezhentang TCM Clinic. It is for TCM popular science reference only and does not involve specific treatment plan recommendations.
References: Internal Medicine of TCM (13th Five-Year Plan Textbook), Diagnostic and Therapeutic Effectiveness Standards for TCM Diseases and Syndromes (ZY/T001.1-94), Classification and Codes of TCM Diseases and Syndromes (GB/T 15657-2021)