Peptic Ulcer — TCM Food Therapy & Dietary Approach

Gastric and duodenal ulcers are related to the digestive action of gastric acid and pepsin, so they are called peptic ulcers.

Traditional Chinese Medicine Patterns

In TCM, this condition is differentiated into several patterns, each with a classical herbal formula:

Cold Pathogen Lodging in the Stomach

Treatment principle: Warm the Stomach and Dispel Cold, Move Qi and Relieve Pain

Formula: Xiangsu San (Cyperus and Perilla Powder) — from *Formulary of the Bureau of the People's Welfare Pharmacies*; Liangfu Wan (Galangal and Cyperus Pill) — from *Liang Fang Ji Ye*

Retention of Undigested Food

Treatment principle: Promote Digestion and Remove Stagnation, Harmonize the Stomach and Relieve Pain

Formula: Baohe Wan (Harmony-Preserving Pill) — from *Teachings of Master Danxi*

Stagnant Heat in the Liver and Stomach

Treatment principle: Subdue Counterflow and Dissipate Fire, Drain Heat and Harmonize the Stomach

Formula: Huagan Jian (Transform the Liver Decoction) — from *Jingyue's Complete Works*

Liver Qi Invading the Stomach

Treatment principle: Soothe the Liver and Resolve Depression, Regulate Qi and Relieve Pain

Formula: Chaihu Shugan San (Bupleurum Liver-Coursing Powder) — from *Jingyue's Complete Works*

Damp-Heat Obstructing the Middle

Treatment principle: Clear and Transform Damp-Heat, Regulate Qi and Harmonize the Stomach

Formula: Qingzhong Tang (Clear the Center Decoction) — from *Yi Xue Tong Zhi*

Blood Stasis Stagnation

Treatment principle: Resolve Stasis and Free the Collaterals, Regulate Qi and Harmonize the Stomach

Formula: Shixiao San (Sudden Smile Powder) — from *Formulary of the Bureau of the People's Welfare Pharmacies*; Danshen Yin (Salvia Drink) — from *Shi Fang Ge Kuo*

Insufficiency of Stomach Yin

Treatment principle: Nourish Yin and Benefit the Stomach, Harmonize the Middle and Relieve Pain

Formula: Yiguan Jian (Linking Decoction) — from *Xu Ming Yi Lei An*; Shaoyao Gancao Tang (Peony and Licorice Decoction) — from *Treatise on Cold Damage*

Spleen-Stomach Deficiency Cold

Treatment principle: Warm the Middle and Fortify the Spleen, Harmonize the Stomach and Relieve Pain

Formula: Huangqi Jianzhong Tang (Astragalus Center-Fortifying Decoction) — from *Synopsis of the Golden Chamber*

These formulas are for reference under TCM syndrome differentiation and should only be used under the guidance of a qualified practitioner.

Food Therapy & Diet

Dietary therapy recipes for this condition are being compiled.

Understanding the Condition

Gastric and duodenal ulcers are related to the digestive action of gastric acid and pepsin, so they are called peptic ulcers. The main clinical symptom is chronic, periodic, and rhythmic upper abdominal pain, which may present as hunger pain, dull pain, distending pain, burning pain, or severe pain. Gastric ulcer pain typically begins about one hour after a meal and lasts until the next meal, while duodenal ulcer pain usually appears three to four hours after a meal and persists until the next meal, and eating can relieve the pain. Attacks mostly occur from early autumn to early spring of the following year; mental stress, overfatigue, improper diet, and certain drugs can trigger pain. Other symptoms include belching, acid reflux, nausea, and vomiting.

What the Research Says

This content is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.