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and food retention is resolved.

She was treated with both acupuncture and Chinese herbs.

Acupuncture The acupuncture points used were selected from the following:

Ren-12 Zhongwan, ST-36 Zusanli, SP-6 Sanyinjiao, BL-20 Pishu and

BL-21 Weishu, with reinforcing method, to tonify Stomach- and

Spleen-Qi;

Ren-11 Jianli, ST-21 Liangmen and ST-40 Fenglong, with even

method, to promote the descending of Stomach-Qi to resolve retention

of food;

P-6 Neiguan, with even method, to subdue rebellious Stomach-Qi

(causing nausea and acidity).

Herbal treatment The decoction used was a variation of Bao He Wan Preserving and
Harmonizing Pill:

Shan Zha Fructus Crataegi 6 g

Shen Qu Massa Fermentata medicinalis 6 g

Lai Fu Zi Semen Raphani sativi 4 g

Ban Xia Rhizoma Pinelliae ternatae 6 g

Chen Pi Pericarpium Citri reticulatae 3 g

Fu Ling Sclerotium Poriae cocos 6 g

Mai Ya Fructus Hordei vulgaris germinatus 4 g

Zhi Shi Fructus Citri aurantii immaturus 4 g

Bai Shao Radix Paeoniae albae 9 g

Zhi Gan Cao Radix Glycyrrhizae uralensis praeparata 4 g

Bai Zhu Rhizoma Atractylodis macrocephalae 6 g

Explanation The first six herbs constitute the Bao He Wan which resolves retention
of food. Lian Qiao was eliminated from it as, in this case, there were no
signs of Heat.

Mai Ya was added to resolve retention of food and move Qi in the

epigastrium to relieve pain.

Zhi Shi was added to promote the decending of Stomach-Qi to relieve

food stagnation.

Bai Shao and Gan Cao in combination, harmonize the Centre and stop

pain.

Bai Zhu tonifies Spleen-Qi.

This patient's epigastric pain was completely cured after three