The difference in symptoms between liver fire invading the stomach and liver qi invading the stomach

The difference in symptoms between liver fire invading the stomach and liver qi invading the stomach is mainly reflected in symptoms such as burning pain in the epigastric region, dry and bitter mouth, belching and acid reflux. Liver fire invading the stomach is often caused by liver stagnation turning into fire and invading the stomach horizontally, while liver qi invading the stomach is caused by liver qi stagnation and invading the stomach horizontally.

1. Symptoms of liver fire invading the stomach

The main manifestations of liver fire invading the stomach are burning pain in the epigastric region, dry and bitter mouth, belching and acid reflux. The burning pain in the epigastric region is often characterized by persistent burning like pain, often accompanied by a sensation of acid reflux and noise. Dry mouth and bitter taste are obvious in the morning, with red tongue and yellow coating. Belching and acid reflux are often caused by excessive secretion of stomach acid, which may be accompanied by nausea and vomiting. Some patients may experience symptoms of liver fire inflammation such as headache, blurred vision, irritability, and irritability. Liver fire invading the stomach is usually related to factors such as emotional distress and spicy overeating. Treatment requires clearing the liver and purging the fire and reducing the stomach. Common drugs include Zuojin Pill, Longdan Xiegan Pill and other traditional Chinese patent medicines and simple preparations.

2. Symptoms of liver qi invading the stomach

The main manifestations of liver qi invading the stomach are bloating and pain in the epigastric region, frequent belching, and nausea. Abdominal distension and pain are often characterized by discomfort and tightness, and the location of the pain is not fixed. Frequent belching is often caused by the reflux of stomach gas, and the swelling and pain after belching can be temporarily relieved. Nausea manifests as decreased appetite and aggravated bloating after eating. Some patients may experience symptoms of liver depression such as rib pain and emotional depression. The liver qi invading the stomach is mostly caused by emotional depression and excessive pressure. The treatment requires soothing the liver and relieving depression and reducing stomach stress. The commonly used drugs are Chaihu Shugan Powder, Xiaoyao Pill and other traditional Chinese patent medicines and simple preparations.

3. Differences in pain characteristics

The pain caused by liver fire invading the stomach is mostly a burning pain with a more severe degree. The pain caused by liver qi invading the stomach is mostly characterized by bloating and discomfort, and the degree is relatively mild. The location of stomach pain caused by liver fire is relatively fixed, while the location of stomach pain caused by liver qi is often unpredictable. Liver fire causing stomach pain is often exacerbated by emotional excitement or spicy eating, while liver qi causing stomach pain is often triggered by emotional depression or excessive stress.

4. Differences in accompanying symptoms

Liver fire invading the stomach is often accompanied by hot symptoms such as bitter mouth and dry throat, yellow and red urine, and constipation. The invasion of liver qi into the stomach is often accompanied by symptoms of qi depression such as low mood, excessive relaxation, and breast swelling and pain. Patients with liver fire invading the stomach have a reddish tongue texture and yellow and greasy tongue coating. Patients with liver qi invading the stomach have a pale red tongue and thin white tongue coating. The pulse of liver fire invading the stomach has multiple strings, while the pulse of liver qi invading the stomach has multiple strings.

5. Differences in treatment principles

Treatment for liver fire invading the stomach mainly focuses on clearing the liver and purging fire, combined with harmonizing the stomach and reducing reflux. Commonly used heat clearing drugs such as Scutellaria baicalensis and Gardenia jasminoides combined with stress reducing drugs such as ocher replacement and spiral flower. The treatment of liver qi invading the stomach mainly focuses on soothing the liver and relieving depression, combined with regulating qi and the stomach. Commonly used liver soothing medicines such as Chaihu and Xiangfu are combined with qi regulating medicines such as Chenpi and Muxiang. Both types of syndromes require attention to emotional regulation to avoid emotional fluctuations. Patients with liver fire invading the stomach and liver qi invading the stomach should pay attention to dietary regulation and avoid spicy, stimulating, and greasy foods. Maintain a regular schedule and ensure adequate sleep. Engaging in soothing exercises such as Tai Chi and Ba Duan Jin can help soothe the liver and regulate qi. Emotional regulation is particularly important and can be relieved through methods such as meditation and music therapy. If the symptoms persist or worsen, timely medical treatment should be sought for differential diagnosis and treatment to avoid self medication delaying the condition. During the period of traditional Chinese medicine regulation, regular follow-up visits should be conducted to adjust medication plans according to changes in symptoms.