Functional Belching
Belching disorder is a functional gastroduodenal disorder characterized by recurrent belching that affects quality of life and causes distress. Under the Rome III criteria, belching disorder is divided into two subtypes— aerophagia and unspecified excessive belching—according to whether swallowed air can be detected. Frequent belching without other symptoms is considered excessive belching; people with aerophagia often also have marked abdominal bloating and intestinal gas. There is no distinct corresponding disease name in traditional Chinese medicine (TCM). Based on accompanying symptoms, it may be classified under categories such as “epigastric fullness” (piman) or “plum-pit qi” (meihe qi).
TCM Pattern Identification and Medication Reference
|Common Symptoms
Clinical description:
Sudden belching accompanied by fullness and oppression in the chest and epigastrium, fever and chills, headache and body aches; vomiting may occur. The tongue is light red with a white, greasy coating; the pulse is soggy.
In plain language:
- You may suddenly hiccup or belch, feeling air rise up from the stomach.
- The chest and upper abdomen may feel full and tight, as though something is blocking them.
- You may have a fever while also feeling chilled or unusually cold.
- You may have a headache and aches throughout the body.
- Vomiting may also occur when you feel unwell.
- The tongue may appear light red overall.
- The tongue coating may look white and greasy or sticky.
- The pulse may feel soft and yielding to the touch.
|Treatment approach
Clinical description:
Disperse external pathogens and release the exterior; transform turbid dampness and harmonize the middle jiao.
In plain language:
- This approach disperses external pathogenic influences and releases exterior constraint, with the aim of easing discomfort on the body’s surface.
- It transforms turbid qi in the body and harmonizes the spleen and stomach in the middle jiao, with the aim of easing abdominal discomfort.
|Related products
The products below are provided for informational reference only and do not constitute medical advice or a prescription. Follow the product packaging and instructions, and use under the guidance of a physician or pharmacist.
|Common Symptoms
Clinical description:
Belching, fullness in the epigastrium and abdomen, dry or bitter taste in the mouth, reduced appetite, heaviness and fatigue, scanty dark-yellow urine, a red tongue with a yellow, greasy coating, and a slippery or rapid pulse.
In plain language:
- You may hiccup or belch, feeling air rise from the stomach and causing further discomfort in the chest and stomach area.
- The upper abdomen and abdomen may feel full and distended, as though packed or blocked, with a sense of pressure and discomfort.
- Your mouth may feel dry and taste bitter.
- You may eat less than usual and have a poor appetite or little desire to eat.
- Your body may feel heavy, and you may feel drowsy, tired, or lacking in energy.
- Your urine may be dark yellow and scanty, with a shorter urination period.
- The tongue may appear red overall.
- The tongue coating may look yellow and greasy or sticky.
- The pulse may feel slippery or faster than usual.
|Treatment approach
Clinical description:
Clear heat and eliminate dampness; regulate qi and harmonize the middle jiao.
In plain language:
- This approach clears internal heat and removes dampness, with the aim of helping the body feel more comfortable and balanced.
- It regulates qi and harmonizes the spleen and stomach, with the aim of easing abdominal discomfort.
|Related products
The products below are provided for informational reference only and do not constitute medical advice or a prescription. Follow the product packaging and instructions, and use under the guidance of a physician or pharmacist.
|Common Symptoms
Clinical description:
Belching, fullness in the epigastrium and abdomen that worsens after eating, chest oppression, poor appetite, belching with a putrid taste and acid regurgitation, loose stools or constipation, a red tongue with a yellow, greasy coating, and a slippery pulse.
In plain language:
- You may hiccup or belch, feeling air rise from the stomach.
- The upper abdomen and abdomen may feel full and distended, with symptoms becoming more noticeable after meals.
- Your chest may feel tight and uncomfortable, as though something is pressing on it.
- You may have a poor appetite and noticeably less desire to eat.
- Belching may have a foul taste, and you may feel acidic fluid rising into your throat.
- Stools may be loose or difficult to pass (constipation); either may occur.
- The tongue may appear red overall.
- The tongue coating may look yellow and greasy or sticky.
- The pulse may feel slippery and smooth under the fingers.
|Treatment approach
Clinical description:
Promote digestion and resolve food stagnation; harmonize the stomach and redirect rebellious qi downward.
In plain language:
- This approach supports digestion and helps move along accumulated food, with the aim of gradually easing fullness and discomfort.
- It harmonizes stomach function and directs stomach qi downward, with the aim of reducing the sensation of upward surging.
|Related products
The products below are provided for informational reference only and do not constitute medical advice or a prescription. Follow the product packaging and instructions, and use under the guidance of a physician or pharmacist.
|Common Symptoms
Clinical description:
Belching, triggered or worsened by emotional distress, fullness and oppression in the chest and flanks, abdominal distension, relief after belching, poor appetite, a light-red tongue with a thin white coating, and a wiry pulse.
In plain language:
- You may hiccup or belch, feeling air rise from the stomach.
- These symptoms may be triggered or worsened when you feel distressed or emotionally unsettled.
- The chest and area beneath the ribs on both sides may feel tight and distended, as though under pressure.
- The upper abdomen and abdomen may feel full and distended, making everyday activities uncomfortable.
- You may feel somewhat better after belching, with some relief from the discomfort.
- You may have a poor appetite and little desire to eat.
- The tongue may appear light red overall.
- The tongue coating may be thin and white.
- The pulse may feel taut, like a stretched string.
|Treatment approach
Clinical description:
Soothe the liver and relieve constraint; regulate qi and harmonize the stomach.
In plain language:
- This approach aims to soothe liver qi and ease stagnation so qi can flow more smoothly.
- It regulates qi and harmonizes stomach function, with the aim of easing stomach discomfort.
|Related products
The products below are provided for informational reference only and do not constitute medical advice or a prescription. Follow the product packaging and instructions, and use under the guidance of a physician or pharmacist.
|Common Symptoms
Clinical description:
Belching, stomach distension after meals, lack of appetite or enjoyment of food, difficult bowel movements, possibly accompanied by dizziness; a light-red tongue with a greasy coating and a slippery pulse.
In plain language:
- You may hiccup or belch, feeling air rise from the stomach and causing further discomfort in the stomach area.
- After eating, your stomach may feel distended, tight, and uncomfortable, more so than before the meal.
- You may have little interest in food, find it unappealing, or have a reduced appetite.
- Bowel movements may be difficult or irregular.
- You may sometimes also feel dizzy.
- The tongue may appear light red overall.
- The tongue coating may look greasy or sticky.
- The pulse may feel slippery and smooth under the fingers.
|Treatment approach
Clinical description:
Dry dampness and transform phlegm; regulate qi and harmonize the stomach.
In plain language:
- This approach aims to dry dampness and transform phlegm, with the aim of gradually easing sticky or greasy discomfort.
- It regulates qi and harmonizes stomach function, directing stomach qi downward to help ease discomfort.
|Related products
The products below are provided for informational reference only and do not constitute medical advice or a prescription. Follow the product packaging and instructions, and use under the guidance of a physician or pharmacist.
|Common Symptoms
Clinical description:
Recurrent belching, epigastric stuffiness and fullness, fatigue and lack of energy, loose stools or difficulty passing stool, a pale, enlarged tongue, a white coating, and a weak pulse.
In plain language:
- You may repeatedly hiccup or belch, feeling air rise from the stomach.
- The upper abdomen may feel tight, full, and blocked, causing noticeable discomfort.
- You may easily become tired or weak and often feel low on energy.
- Stools may be loose, or bowel movements may require straining and feel difficult.
- The tongue may appear pale, enlarged, and slightly swollen.
- The tongue may have a white coating.
- The pulse may feel weak, with little force under the fingers.
|Treatment approach
Clinical description:
Strengthen the spleen and regulate qi; harmonize the stomach and redirect rebellious qi downward.
In plain language:
- This approach supports the spleen’s transforming and transporting functions and regulates qi, with the aim of supporting smoother digestion.
- It harmonizes stomach function and directs stomach qi downward, with the aim of reducing the sensation of upward surging.
|Related products
The products below are provided for informational reference only and do not constitute medical advice or a prescription. Follow the product packaging and instructions, and use under the guidance of a physician or pharmacist.
References
- Yan Bin, Cui Lihong, Peng Lihua, et al. Epidemiological survey and analysis of influencing factors for functional gastroduodenal disorders among servicemen in a certain Navy unit [J]. Journal of Internal Medicine of the PLA, 2013, 36(6): 446–449.
- Zhang Wandai. An introduction to and interpretation of functional gastrointestinal disorders and the Rome criteria [J]. World Chinese Journal of Digestology, 2008, 16(2): 120–124.
- Jiang Jian. Analysis of the pulse manifestations, patterns, treatment, etiology, and pathogenesis of belching [J]. Sichuan Journal of Traditional Chinese Medicine, 2010, 28(8): 26–28.
- Liu Qiquan, Wang Zhikun, Zhang Xiaoli, et al. Clinical insights into belching [J]. Guangming Journal of Chinese Medicine, 2011, 26(6): 1093–1094.
- Fan Chunying. Pattern differentiation and treatment of belching in relation to diseases of the five zang organs [J]. Inner Mongolia Journal of Traditional Chinese Medicine, 2014, 33(11): 118–119.
- Chinese Pharmacopoeia Commission. Pharmacopoeia of the People’s Republic of China (2015 edition) [M]. Beijing: China Medical Science Press, 2015.
- Song Minxian, Yang Ming. Newly Compiled National Chinese Patent Medicines (2nd edition) [M]. Beijing: People’s Medical Publishing House, 2011.
- Leng Fangnan. Selected Chinese Patent Medicines [M]. Beijing: People’s Military Medical Press, 2014.
- Leng Fangnan. Essential Chinese Patent Medicines of China: Internal Medicine System (revised edition) [M]. Beijing: People’s Military Medical Press, 2011.