A feeling of fullness (man) indicates retention of food or water and Dampness.

A feeling of an actual mass (on palpation) indicates stasis of Blood.

Differentiation and Treatment

The patterns discussed will be the following:

EXCESS TYPE

Cold invading the Stomach

Retention of Food

Liver-Qi invading the Stomach

Stomach-Heat

Stomach-Fire

Stomach Phlegm-Fire

Stomach Damp-Heat

Stomach and Liver Heat

Stasis of Blood in the Stomach

Phlegm-Fluids in the Stomach

DEFICIENCY TYPE

Stomach and Spleen Deficient and Cold

Stomach-Yin Deficiency

Excess Type

Cold Invading the Stomach

Clinical Manifestations

Acute, severe epigastric pain with sudden onset, chilliness, desire for application of warmth on
the stomach area, no thirst, desire for warm drinks, pain not alleviated by pressure, nausea,
vomiting.

Tongue: thick-white coating.

Pulse: Full and Tight.