Herbal Remedies for Duodenal Ulcers: Effective TCM Formulas and Their Uses

Duodenal ulcers are categorized under the broader term of "gastric pain" in Traditional Chinese Medicine (TCM). Treatment in TCM focuses on syndrome differentiation and pattern identification, meaning different herbal formulas are prescribed based on the specific condition and symptoms of the patient. Commonly used formulas include Chai Hu Shu Gan San, Zuo Jin Wan, Xiang Sha Yang Wei Wan, and Huang Qi Jian Zhong Wan. Each of these remedies targets a distinct syndrome pattern, as outlined below:

1. Chai Hu Shu Gan San – For Liver and Stomach Disharmony

Chai Hu Shu Gan San is particularly effective for individuals experiencing gastric discomfort linked to emotional stress or mood swings. This formula is ideal for those whose stomach pain worsens during periods of emotional distress, such as anxiety or anger. Common symptoms include upper abdominal pain, a feeling of fullness under the ribs, and throat discomfort. These signs point to a condition known as liver qi invading the stomach, which this remedy helps to alleviate.

2. Zuo Jin Wan – For Liver Fire Affecting the Stomach

Zuo Jin Wan is recommended for cases where long-standing liver qi stagnation has developed into heat, leading to a condition called liver fire invading the stomach. Patients may experience symptoms such as a red tongue with a yellow, greasy coating, rapid and wiry pulse, and constipation. These signs are consistent with excessive internal heat in TCM theory, and Zuo Jin Wan helps clear this heat and restore balance.

3. Xiang Sha Yang Wei Wan – For Spleen Deficiency and Qi Stagnation

Xiang Sha Yang Wei Wan is beneficial for individuals suffering from spleen deficiency combined with qi stagnation. Typical symptoms include post-meal stomach pain, bloating, indigestion, and diarrhea. Some patients may also feel fatigued or experience dizziness after eating, which indicates weak digestive function and poor energy circulation. This formula helps strengthen the spleen and promote smoother digestion.

4. Huang Qi Jian Zhong Wan – For Cold Deficiency in the Spleen and Stomach

Huang Qi Jian Zhong Wan is suited for those with a cold deficiency pattern in the middle jiao (the area of the body involving the spleen and stomach). Symptoms include sensitivity to cold in the upper abdomen, a preference for warm foods and drinks, cold extremities, and loose stools. This herbal formula warms the internal organs, boosts energy, and supports the healing of gastric tissues.

Conclusion: Personalized Treatment Is Essential

It's important to remember that each case of duodenal ulcer in TCM requires individualized diagnosis and treatment. While these formulas have been used for centuries and are generally safe, consulting a qualified TCM practitioner or gastroenterology specialist is highly recommended to ensure accurate pattern identification and effective care.