The stomach meridian

The stomach meridian

Exploration of the Earth element and the Stomach

Imagine a village nestled in a fertile valley, where the earth nourishes every tree, every house, every life. In Traditional Chinese Medicine (TCM), the Earth element embodies this nourishing force. Associated with the Spleen (Pi) and the Stomach (Wei), it transforms food into Qi, grounds the body, and calms the mind. Earth thus symbolizes stability, benevolence, and the capacity to digest, both literally and figuratively, life’s experiences.

But when the Earth trembles, harmony falters. The Stomach, guardian of transformation, and the Spleen, master of nutrient transport, can become depleted. The TCM practitioner will then focus on the Stomach meridian, Zú Yangmíng Wei Jing (足阳明胃经), to rebalance the Earth element.

This yang meridian of the foot, running along the anterolateral aspect of the body, influences far more than digestion. It relates to vital energy, immunity, and impacts emotions such as anxiety and rumination. Let’s explore its path, its imbalances, and its therapeutic secrets.

An energetic path

The Stomach meridian, Zú Yángmíng Wèi Jīng, begins at the Chéngqì point (ST1), located below the eye, descends along the face, crosses the chest and abdomen, and terminates at the Lìduì point (ST45) on the second toe.

Zú (足) means “of the foot,” indicating its belonging to the yang meridians that terminate in the feet. Yángmíng (阳明) designates its energetic position, a strong yang energy on the surface, on the anterolateral aspect. Wèi Jīng (胃经) connects it to the stomach.

Its 45 bilateral points bear evocative names, such as Zúsānlǐ (ST36), “three distances from the foot,” or Tiānshū (ST25), “celestial pivot.” These names are not arbitrary: they reveal the position or energetic function of the point. The table below lists some key points on the stomach meridian, along with their symbolism and therapeutic indications.

#

Pinyin

Chinese

Translation

Symbolic function / name meaning

Therapeutic indications (digestive / emotional)

1

Chéngqì

承泣

Receive the tears

Nourishes the eyes, disperses tears and visual disorders

Calms Shen disturbed by emotions, frees eye tension linked to stress

10

Shuǐtú

水突

Prominence of water

Opens the throat, calms cough and neck swellings

Harmonizes emotional throat (tight throat), calms fear expressed by voice

13

Qìhù

气户

Door of Qi

Circulates chest Qi, calms thoracic oppression

Opens chest, releases emotional tension from worry

25

Tiānshū

天枢

Celestial pivot

Mu point of LI, regulates intestinal transit

Emotional constipation or stress diarrhea

36

Zúsānlǐ

足三里

Three li on the leg

Tonifies Qi and Blood, strengthens vitality

Tonifies Qi, supports mood, stabilizes emotions, regulates appetite

40

Fēnglóng

丰隆

Prosperous abundance

Transforms phlegm, clarifies spirit

Clears mental phlegm, clarifies thoughts, calms anxiety, OCD

41

Jiěxī

解溪

Separation valley

Clears Stomach heat, regulates digestive fire

Balances extreme emotions (anger, mental agitation)

42

Chōngyáng

冲阳

Yang surge

Yuan point, tonifies meridian Yang

Revitalizes, restores joy and enthusiasm, treats depression from Qi deficiency

An imbalance in the stomach meridian manifests itself through various symptoms, reflecting its systemic influence.

Symptoms of a Stomach Imbalance

An imbalanced stomach meridian can cause digestive problems: bloating, epigastric pain, nausea, and acid reflux. But its impact extends further. Here are the main signs:

  • Digestive: heartburn, excessive or absent appetite, belching, and a feeling of heaviness.
  • Emotional: chronic worry, overthinking, and difficulty processing events.
  • Physical (non-digestive): fatigue, toothache, sinusitis, sore throat, and heavy legs.
  • Energetic: deficiency of qi and exhaustion after meals.

These symptoms indicate an imbalance of the Earth element, often linked to qi stagnation, excess dampness (shi), or pathogenic heat. The practitioner then selects specific points to restore harmony.

When the stomach tells a story

The stomach meridian plays a role in a variety of conditions, from digestive issues to neurological pain. Through a clinical example, let’s see how the Traditional Chinese Medicine (TCM) practitioner is guided toward treatment by analyzing the characteristic syndromes of the stomach meridian.

Observation of signs such as:

  1. Gum pain and swelling, sensitive teeth, constipation, intense thirst.
  2. Stagnation of Qi and blood in the maxillofacial region:

A locked jaw

Case study – Mei, 45 years old

Mei, 45, suffers from dental pain and jaw tension. She grinds her teeth at night, a sign of accumulated stress.

Signs: Dental pain, jaw tension, temporomandibular joint (TMJ) dysfunction.

Stagnation of Qi and Blood is often due to trauma or bruxism. The practitioner will interpret this situation as a manifestation of Liver Fire or Internal Wind, which agitates the tendons and muscles, blocking Qi in the jaw area.

They will then use points such as Xiàguān (the 7th point of the stomach) and Jiáchē (the 6th point of the stomach) to release local stagnation, and Dìcāng (the 5th point of the stomach) to relax the facial muscles.

Note that Xiàguān (ST7) is essential for relieving jaw pain by releasing blocked qi in this area.

In conclusion

The stomach meridian is much more than just a player in digestion. It is the guardian of the Earth element, influencing qi, immunity, and emotional stability. By stimulating points such as Zúsānlǐ, Nèitíng, Xiàguān, or Sìbái, the practitioner treats a variety of conditions: fatigue, dental pain, digestive disorders, and facial edema. Supported by a suitable diet and qigong, the Earth element regains its harmony.

Practices to support the Earth element

respiration abdominale

To strengthen the Earth element and the stomach meridian, complementary practices amplify the effects of acupuncture.

Diet: Nourishing the Earth

Diet is a cornerstone of Traditional Chinese Medicine (TCM). Here are the recommendations:

  • Warm or cooked foods: Soups, cooked vegetables (carrots, sweet potatoes), grains (rice, millet).
  • Avoid dampness: Reduce dairy products, refined sugars, and raw foods.
  • Regular meals: Eat at fixed times, without overeating, to support the stomach.

A warm, easily digestible pumpkin soup tonifies the spleen and stomach, ideal for a patient suffering from digestive heaviness.

Qi Gong: Harmonizing energy

Qi Gong strengthens the Earth element. Key exercises include:

  • Bear pose: Gentle rocking to stimulate digestion.
  • Abdominal breathing: Inhale while expanding the abdomen to harmonize the qi.
  • Tree Pose: Grounding the feet to stabilize the Earth.

Ten minutes a day is enough to reduce stagnation and tonify energy.

Herbs and Supplements

Herbs such as shān yào (Chinese yam) or huáng qí (astragalus) support the spleen and stomach. Their prescription should be tailored by a qualified practitioner.

Breastfeeding

Breastfeeding

A sacred bond between mother and child

Breastfeeding forges a powerful bond between mother and child. This bond transcends cultures and eras. In Traditional Chinese Medicine, breastfeeding goes beyond nutrition. It is a vital transmission of energy, a profound exchange through Qi and Blood.

Yet another story about energy

In Traditional Chinese Medicine (TCM), breast milk (rǔzhī 乳汁) is more than just food. It prolongs the mother’s Blood and Qi. The Huangdi Neijing, the foundational text of TCM, describes milk as a transformation of Qi and Blood.

Milk is produced through the transformation of Qi and Blood, a process governed by the Spleen and Stomach. Thus, the Spleen plays a central role in its creation, transforming food into vital essences.

Furthermore, the Huangdi Neijing, an ancient text, links breastfeeding to overall balance. A smooth lactation relies on circulating Qi and abundant Blood.

In ancient imperial China, breastfeeding united the community. For example, wet nurses (rǔmǔ 乳母) assisted the elite. Meanwhile, peasant women breastfed their children until they were three years old, in harmony with nature.

However, today, TCM is adapting to urban challenges: stress, pollution, and accelerated pace of life. Consequently, consultations for breastfeeding problems are increasing.

A universal act with varied perceptions

Breastfeeding is common to all humanity. Yet, each culture interprets it differently. For example, in sub-Saharan Africa, in Mali, it often lasts two years. Thus, it forges an unbreakable bond between mother and child.

In contrast, in Europe, the figures are alarming. Only 25% of French women are exclusively breastfeeding at six months (WHO, 2023). Indeed, the early return to work hinders this.

Furthermore, in Vietnam, Traditional Chinese Medicine (TCM) still holds sway. Mothers drink invigorating broths, which boost Qi. Everywhere, this act nourishes both body and soul. However, when obstacles arise, a TCM practitioner can be helpful in continuing the breastfeeding experience.

femme africaine allaitant

The challenges of breastfeeding

Mothers often face obstacles such as stress, fatigue, and anxiety. These can hinder lactation.

In Traditional Chinese Medicine (TCM), emotions affect the Liver, the regulator of Qi. A mother’s anxiety stagnates her energy, causing milk production to drop. A 2020 study (International Breastfeeding Journal) confirms this: chronic stress lowers oxytocin, an essential hormone that facilitates maternal behavior and the bond between mother and baby.

Partners play a complementary role, providing emotional support and practical assistance. A 2022 study (Journal of Perinatal Psychology) reveals this. This support extends the duration of exclusive breastfeeding by 40%. In TCM, this support is said to strengthen family Qi and stabilize the mother. Family Qi is the vital energy we receive from our family, particularly from our ancestors.

The challenges mentioned above indicate internal imbalances and call for action. A Chinese medicine practitioner can make an accurate diagnosis to provide the appropriate treatment and prevent complications.

The first step: listen to your body.

The second step: consult a Traditional Chinese Medicine (TCM) practitioner. They will guide you toward harmony. Their role is crucial for diagnosis, treatment, and support.

How to rebalance our functions

  • Dietetics or food as a remedy

Traditional Chinese Medicine (TCM) advocates warming, nourishing foods; it particularly recommends galactagogues such as fennel, purple sweet potatoes, and chicken broth.

Raw vegetables—which are considered cold—and overly spicy foods (chili peppers) should be avoided. These disrupt the Spleen or amplify Heat.

acupuncture sur jeune femme
  • Acupuncture to release blockages

Acupuncture targets specific points. It tonifies or disperses energy.

  • It boosts vitality in cases of Qi/Blood deficiency. The goal is to support the Spleen, the organ of Blood production.
  • For Liver stagnation, Qi is fluidified and localized relief is provided.
  • In cases of mastitis, Damp-Heat is expelled.

A 2021 meta-analysis (Journal of Chinese Medicine) confirms an 89% success rate for acupuncture combined with herbal medicine in supporting lactation.

  • Herbal medicine to nourish from within

The doctor prescribes a formula tailored to the syndrome in order to:

  • Tonify the Blood
  • Harmonize the Liver against stress
  • Drain Heat-Dampness in cases of mastitis.

    The emergence of a new consciousness

    More and more companies are replacing human labor with robots. This new context is leading more and more people to take control of their lives and reassess their priorities. Many are returning to the countryside to rediscover a more human rhythm and a healthier lifestyle. In doing so, they are giving themselves the best chance of having children who are physically, emotionally, and spiritually healthy.

    It is worth noting that lactation rooms are becoming increasingly common in companies. The WHO also promotes extended breastfeeding (2024).

    Indeed, for children, breast milk is an immune shield. Rich in antibodies, it reduces respiratory infections by 50%. For mothers, breastfeeding reduces the risk of breast cancer by 20% (Breast Cancer Research).

    Supporting breastfeeding is an investment in future good health.

    In this context, the role of men is crucial. Educated men are moving from observers to active participants. They implement a variety of strategies. They allow mothers time to nourish their children. These strategies include:

    • Preparing “Qi-boost” meals (soups, hot dishes).
    • Offering emotional support, reducing the mother’s stress.
    • Participating in the baby’s care, freeing up time for mothers to recharge.

    Among the Maori, fathers sing to soothe the child. This strengthens family bonds. This discreet role is vital. It harmonizes lactation and strengthens the family’s Qi. And if challenges persist? The TCM practitioner complements this support. They guide the family toward lasting balance.

    Common disorders

    femme qui dort

    Breastfeeding is an act of love and the transmission of energy. The challenges it presents—hypogalactia, mastitis, stress—are invitations to restore inner harmony. Beyond remedies, breastfeeding reminds us of a simple truth:

    Breastfeeding is about weaving a sacred bond that must be supported by family and society.

    Hypogalactia: When milk is lacking

    Hypogalactia (quē rǔ 缺乳) affects 30% of postpartum mothers (Jiangsu TCM College study, 2021). In Traditional Chinese Medicine (TCM), the key causes are:

    • Qi and Blood Deficiency: After strenuous childbirth or bleeding. A pale tongue and weak pulse are signs of this.
    • Liver Qi Stagnation: Stress or frustration. Red-edged tongue and a taut pulse are signs of this.

    Consult a TCM practitioner as soon as possible. They will help you regain balance and avoid unnecessary frustration.

    Mastitis: Inflammation of the breast tissue.

    Acute mastitis (rǔ yōng 乳痈) arises from Qi stagnation combined with Damp-Heat. Pain, redness, and fever appear.

    Each symptom tells a story. Lack of milk: energy depletion, physical or emotional exhaustion.

    Mastitis: repressed anger, mental overload. These signals encourage you to slow down and reconnect with your body.

    It is important not to underestimate the significance of these symptoms. Consult your Traditional Chinese Medicine (TCM) doctor without delay. By intervening quickly, they can prevent abscesses or stop them early.

    A reminder for mothers:

    • To consume: Chicken broth, fennel seeds, red dates.
    • To avoid: Alcohol, fried foods, raw foods.
    • Tip: Rest, surround yourself with support.

    Pharmacopoeia – the prescription

    Pharmacopoeia – the prescription

    The art of the unique prescription

    In this third article dedicated to Chinese medicine, we discuss the prescription. Unlike Western medicine, TCM offers personalized prescriptions, tailored to each individual.

    Therefore, there are no standard treatments! Each prescription is crafted like a work of art, adapted to each person’s unique energy profile. It takes into account the specific energetic diagnosis for that patient at that moment. The practitioner may use a classic recipe as is, or modify it (change the doses, add/remove certain herbs) according to the patient’s unique symptoms.

    As explained in our previous article on the recipe, Chinese medicine combines several ingredients to optimize their effectiveness while targeting specific imbalances. Whether you suffer from fatigue, stress, or pain, your prescription will be as unique as your fingerprint.

    Discover how these remedies, rooted in millennia-old wisdom, restore harmony to the body and mind.

    Eight forms of absorption

    As with Western medicines, Chinese remedies take different forms depending on the needs and always with the goal of maximum effectiveness. Here are eight commonly used techniques for consuming remedies in the Chinese pharmacopoeia, based on traditional practices:

    Decoction (煎剂, Jiānjì):

    The most common method, consisting of boiling herbs in water to extract their active ingredients. The decoction is drunk hot or warm, often in several doses.

    Infusion (泡剂, Pàojì):

    Herbs are infused in hot water, without prolonged boiling, to preserve volatile compounds. Used for delicate or aromatic herbs.

    jeune femme buvant un thé
    Powder (散剂, Sǎnjì):

    The herbs are ground into a fine powder and consumed directly. This form allows for rapid administration and easy storage. It offers a practical compromise. Slower to act than decoctions but faster than tablets, it is suitable for moderate treatments.

    Pills or granules (丸剂, Wánjì):

    The herbs are processed into small pills or granules, often bound with honey, flour, or other excipients. Convenient for prolonged use or easy administration.

    Paste or jelly (膏剂, Gāojì):

    A concentrated preparation obtained by reducing a decoction, often mixed with honey or sugar. Used for long-term treatments, particularly for tonic purposes.

    Tincture or maceration (酊剂, Dǐngjì):

    Herbs are macerated in alcohol or another solvent to extract their active ingredients. This method is used for specific treatments or for long-term preservation.

    External application (外用, Wàiyòng):

    Herbs are applied to the skin as poultices, ointments, or compresses to treat local pain, inflammation, or injuries.

    Inhalation (熏剂, Xūnjì):

    Herbs are burned or heated to produce inhaled vapors, often to treat respiratory problems or for calming effects.

    These techniques are chosen according to the condition, the patient’s constitution, and the properties of the herbs.

    The seven main categories

    The Chinese pharmacopoeia contains over 100,000 remedies, which are classified into seven categories. These categories take into account their therapeutic purpose and complexity. Imagine your health as a river. Depending on the obstacles encountered, the doctor will choose the appropriate “hydraulic force,” in other words, they will prescribe according to the severity of the condition. Here are these seven categories.

    Major Ordinance (dà fāng)

    It is used for complex conditions requiring numerous ingredients (often 10 or more). For example, a prescription for a chronic illness with multiple imbalances (fatigue, pain, digestive issues) might include tonics, dispersants, and harmonizers. It’s like a large orchestra where each musician plays a key role.

    Minor Ordinance (xiǎo fāng)

    Simpler, with fewer ingredients (4 to 6), the minor prescription targets specific symptoms. For example, the Yín Qiào Sǎn recipe treats sore throats and fever associated with a cold. It’s like a small team focused on a specific task.

    Prescriptions According to Rhythm

    Slow Prescription (huǎn fāng)

    Designed for chronic illnesses, the slow prescription works gradually to strengthen the body without shocking it. For example, Bǔ Zhōng Yì Qì Tāng treats chronic fatigue by tonifying qi over the long term. Think of a gardener who regularly waters a plant to help it grow.

    Rapid Prescription (jifang)

    The rapid prescription is used for acute conditions, such as a sudden fever. Thus, Huang Lian Jiě Du Tang combines Huang Lian (Coptis chinensis), Huang Qín (Scutellaria baicalensis), Huang Bai (Phellodendron amurense), and Zhi Zi (Gardenia jasminoides) to disperse the fire in the Triple Burner. This is indicated for high fevers and restlessness. It is like a fire extinguisher that acts quickly to put out a fire.

    plantes médicinales chinoises

    Prescriptions according to complexity

    Odd prescription (qí fāng)

    An odd-numbered prescription is designed for a single etiology (cause). For example, a prescription for a wind-cold cough might focus solely on dispersing that pathogen. It’s like a sniper targeting a single target.

    Even prescription (ǒu fāng)

    The paired ordinance combines two sovereigns to treat two simultaneous causes. For example, an ordinance for blood stagnation and qi weakness might include Tao Ren (for blood) and Huang Qi (for qi). It’s like two leaders working together to solve two problems at the same time.

    Complex ordering (fù fāng)

    Complex prescriptions address multifactorial conditions with multiple causes and symptoms. For example, a prescription for a patient with chronic pain, insomnia, and digestive weakness might include herbs to calm the mind, tonify the spleen, and relieve pain. It’s like a puzzle where each piece fits together to form a complete picture.

    Twenty-two families of prescriptions

    In Traditional Chinese Medicine (TCM), remedies are also classified into 22 categories according to their primary action. Here are the most common:

    Tonic

    Strengthen energy (qi, blood, yin, yang) for those who are tired or recovering from illness.

    Biao Releasers

    Repel external aggressions such as colds.

    Harmonizers

    Rebalance the organs to soothe stress or emotional disturbances.

    Qi Regulators

    Unblock energy to relieve tension and pain.

    Blood Regulators

    Improve circulation to treat painful periods or hematomas.

    Emetics and Purgatives

    Eliminate toxins in cases of poisoning or severe constipation.

    Dispersants

    Expel the “six climatic pathogens” (wind, cold, heat, dampness, dryness, and extreme heat).

    Transforming

    Clear mucus or food stagnation.

    Astringent

    Control excessive sweating, diarrhea, or bleeding.

    Specialized

    Target specific needs (vision, parasites, gynecology, emergencies).

    Thus, each type of prescription is like a different tool in a toolbox. A hammer is perfect for driving a nail quickly, but to build a complex house you need a wide range of specific and complementary tools.

    Each prescription is a complex composition where several substances work synergistically to restore the patient’s overall harmony, as detailed in “Pharmacopoeia – The Recipe.”

    This mind-body approach, rooted in millennia of practice, illustrates the richness and depth of Traditional Chinese Medicine (TCM), where health results from a dynamic balance between the individual and their environment.

    Key takeaways

    Your prescription reflects a personalized energetic diagnosis. Its form (decoction, tablets, etc.) optimizes absorption according to your constitution and lifestyle. Its classification (major/minor, rapid/slow, etc.) reveals the chosen therapeutic strategy.

    Signs of a suitable prescription:

    • Progressive improvement in sleep and energy
    • Regulation of bodily functions (digestion, bowel movements, cycles)
    • Reduction of symptoms without bothersome side effects
    • Overall feeling of well-being

    Traditional Chinese Medicine (TCM) does not treat a disease but rebalances the individual. Your prescription is therefore unique, like your energetic fingerprint. It will evolve with you, becoming more refined over the course of consultations to perfectly match your current needs.

    In summary, the structure of prescriptions in Traditional Chinese Medicine is a methodical and balanced approach that reflects the holistic vision of TCM.