Gastroptosis is the downward movement of the stomach position caused by the low tension of the stomach wall, which is more common in slender people and often accompanied by other signs of visceral ptosis, such as nephroptosis and hepatoptosis. Its clinical manifestations mainly include abdominal distension (aggravated after eating and relieved after lying down), nausea, belching, stomachache (severe pain from falling), occasional constipation and diarrhea. Often accompanied by dizziness, fatigue, palpitation, orthostatic hypotension, fainting and other symptoms. Most of them are caused by spleen and stomach weakness and stagnation of middle qi.

I. Yiqi Juxian Decoction

The formula comprises Radix Astragali Preparata, Radix Saposhnikoviae, fried atractylodes, Fructus Aurantii Immaturus preparata, Radix Puerariae preparata and Corni Fructus.

Function of rising yang to relieve depression, invigorating qi to consolidate exterior, and clearing heat.

Bupleuri Radix and Cimicifuga Rhizoma are added for patients with severe illness;

Braised meat kou and poppy shell are added for patients with diarrhea of spleen and stomach.

Constipation plus cistanche deserticola;

Radix Aucklandiae, Fructus Amomi and Endothelium Corneum Gigeriae Galli are added for patients with spleen-stomach disharmony;

Rhizoma Zingiberis Preparata and Radix Aconiti Lateralis Preparata are added for patients with spleen and stomach deficiency and cold;

Atractylodis Rhizoma, Bupleuri Radix and Fructus Hordei Germinatus are added for patients with disharmony between liver and spleen.

History and current symptoms: stomach pain for many years, intermittent, acid swallowing and vomiting, unable to eat, swelling of chest and diaphragm, thunder in abdomen, loose stool for several days. More and more thin, shortness of breath and spontaneous sweating, and my stomach consciously falls and hurts. A little labor leads to fatigue, and western medicine diagnoses gastroptosis. When I came to the clinic, the weather was warm but my hands and feet were cold, my face was pale and my body was thin. Six deep and thin pulses, weak and pale tongue.

Syndrome Differentiation: Chronic yang deficiency with internal cold and insufficient middle qi.

Treatment: warming middle energizer, invigorating spleen and qi, harmonizing stomach and relieving pain.

Recipe: Zingiberis Rhizoma, Ginseng Radix Rubri (stewed separately), Atractylodis Rhizoma, Poria, Radix Aconiti (boiled in boiling water first), Cortex Cinnamomi (boiled in boiling water), Radix Astragali, Fructus Amomi, Fructus Psoraleae preparata, Radix Glycyrrhizae, Fructus Jujubae, parched corn, and old rice.

After one cycle of administration, loose stool and abdominal pain were slightly relieved, limb cold gradually recovered, and a small amount of diet was allowed. The abdomen will still fall, sometimes it hurts. The spleen and stomach gradually adjust, the middle yang is still deficient, and the qi deficiency falls. Keep the original prescription and increase the dose of treatment.

After taking 20 doses continuously, the appetite increased, the spirit improved, the face turned red, the abdominal pain loose stool gradually relieved, the chills in the limbs gradually recovered, and the abdomen occasionally felt unwell and fell slightly. Gastroptosis was significantly improved after reexamination. The pulse condition is strongly modulated and the tongue is ruddy. The symptoms of depression due to yang deficiency and qi deficiency gradually improved, and the deficiency of both qi and blood washed away the deficiency of both ren and mai. Instead, it is a warming tonic: Radix Astragali, Radix Angelicae Sinensis, Radix Paeoniae Alba preparata, Huo Ling, Semen Cuscutae, Fructus Psoraleae preparata, Rhizoma Atractylodis Macrocephalae, Rhizoma Cimicifugae preparata, Colla Cervi (dissolved and taken orally), Fructus Amomi, Radix Glycyrrhizae preparata, Radix Aconiti Lateralis Lateralis Preparata (scalded with boiling water first), Rhizoma Zingiberis, and Fructus Jujubae.

After taking it for a cycle, my body improved and I was able to walk for miles. There is no feeling of falling in the abdomen, full of energy, good sleep and food, and gastroptosis is basically cured. Often eat Buzhong Yiqi pills to consolidate.