Digestive Health

Nausea

噁心 / 恶心

Sensation of queasiness or urge to vomit, often linked to Stomach disharmony, phlegm-damp or Qi rebellion.

Quick Facts

Health TopicDigestive Health
Also Known AsFeeling sick, Queasiness, Urge to vomit, Sick to the stomach, Nauseous feeling
Common SymptomsA queasy sensation in the stomach with an urge to vomit that may or may not lead to vomiting. It can appear with motion, certain smells, after meals or on an empty stomach, and often reduces interest in food.
Related TCM PatternsQi Stagnation · Yin Deficiency · Dampness · Summer Heat · Yang Deficiency · Phlegm-Dampness · Spleen Qi Deficiency · Shaoyang Syndrome
Related Classical FormulasHuo Xiang Zheng Qi San · Wu Zhu Yu Tang · Xuan Fu Dai Zhe Tang · Xiang Ru Yin · Mai Men Dong Tang · Ban Xia Xie Xin Tang · Sheng Jiang Xie Xin Tang · Zhu Ye Shi Gao Tang · Xiao Chai Hu Tang · Ju Pi Zhu Ru Tang · Er Chen Tang · Wen Dan Tang · Ban Xia Bai Zhu Tian Ma Tang · Xiang Sha Yang Wei Tang · Xin Jia Xiang Ru Yin · Chai Hu Gui Zhi Tang · Da Chai Hu Tang · Mu Xiang Shun Qi Wan

Nausea in Traditional Chinese Medicine

In Traditional Chinese Medicine, nausea is not read as a single fixed problem. In the current formula set it is particularly associated with dampness, though other patterns can also present with a queasy stomach. Differentiation looks at whether there is a greasy tongue coating, bodily heaviness, poor appetite, or vomiting of clear fluid, and whether the nausea follows rich food or humid weather. Classical formulas are matched to the broader pattern rather than to the queasy feeling alone.

TCM Patterns Associated With Nausea

The same presentation may be understood through more than one pattern. Pattern differentiation weighs the accompanying signs, not the symptom on its own.

Pattern Common Features Related Formulas
Qi Stagnation氣滯證Stagnation Patterns Distension, tightness or a constrained feeling in the chest, flanks or abdomen that comes and goes with emotion or stress. Frequent sighing, a sense that emotions are hard to move, and in women premenstrual breast or lower abdominal discomfort are common. Symptoms often ease after movement, expression or belching. Tongue may be normal or slightly dusky; pulse wiry.
Yin Deficiency陰虛證Deficiency Patterns Dry mouth and throat, night sweats or warm palms and soles, a thin body frame, and restlessness that is worse in the afternoon or at night. Sleep may be light, and there is often a preference for cool drinks. Symptoms feel empty rather than forceful. Tongue red with scant coating; pulse thin and rapid.
Dampness濕阻證Damp Patterns A heavy, sluggish body feeling, abdominal fullness, sticky sensation in the mouth, and reduced appetite. Stools may be sticky or incomplete, and the person often feels worse in humid weather. There can be oedema of the limbs or a greasy facial sheen. Tongue with a thick greasy white coating; pulse soft or slippery.
Summer Heat暑熱證Exterior Patterns Fever or a strong sense of heat after exposure to hot weather, heavy sweating, thirst, and fatigue or heaviness of the body. There may be irritability, scanty dark urine, and a preference for cool drinks. Symptoms often start in high summer. Tongue red with a dry yellow coating; pulse rapid and possibly soft or large.
Yang Deficiency陽虛證Deficiency Patterns Aversion to cold, cold limbs, preference for warm drinks and clothing, and low energy that worsens in cold weather. There may be loose stools, clear copious urine, a pale puffy face, and reduced libido or lumbar weakness. The person feels better with warmth and worse with cold exposure. Tongue pale and possibly swollen with a white coating; pulse deep and weak.
Phlegm-Dampness痰濕證Phlegm Patterns Copious white or sticky phlegm, a heavy chest or head, and a greasy tongue coating. There may be nausea, poor appetite, and a foggy or heavy mental feeling that worsens in damp weather or after rich food. Coughing brings up phlegm that is hard to clear completely. Tongue pale with a thick greasy white coating; pulse slippery.
Spleen Qi Deficiency脾氣虛證Deficiency Patterns Poor appetite, loose or unformed stools, fatigue that worsens after meals, a pale or sallow complexion, and a soft or low voice. There may be abdominal fullness after eating, easy bruising, or a tendency toward thin white phlegm. The person often feels better with rest and simple warm food. Tongue pale with a thin white coating; pulse weak or empty.
Shaoyang Syndrome少陽證Exterior Patterns Alternating chills and fever, fullness and discomfort in the chest and rib-side, a bitter taste in the mouth, dry throat, dizziness, poor appetite and nausea, and an irritable or restless mood. Tongue with a thin white coating; pulse wiry.

Classical Formulas Traditionally Associated

Associated with 18 classical formulas

Listed for study. Which formula fits, if any, depends on the pattern rather than the symptom.

Huo Xiang Zheng Qi San

藿香正氣散 · Huò Xiāng Zhèng Qì Sǎn

DampnessDampness-Draining Formulas

Wu Zhu Yu Tang

吳茱萸湯 · Wú Zhū Yú Tāng

Yang DeficiencyYang-Tonifying Formulas

Xuan Fu Dai Zhe Tang

旋覆代赭湯 · Xuán Fù Dài Zhě Tāng

Qi StagnationPhlegm-Resolving Formulas

Xiang Ru Yin

香薷飲 · Xiāng Rú Yǐn

Summer HeatExterior-Releasing Formulas

Mai Men Dong Tang

麥門冬湯 · Mài Mén Dōng Tāng

Yin DeficiencyYin-Tonifying Formulas

Ban Xia Xie Xin Tang

半夏瀉心湯 · Bàn Xià Xiè Xīn Tāng

Qi StagnationHarmonising Formulas

Sheng Jiang Xie Xin Tang

生薑瀉心湯 · Shēng Jiāng Xiè Xīn Tāng

Qi StagnationHarmonising Formulas

Zhu Ye Shi Gao Tang

竹葉石膏湯 · Zhú Yè Shí Gāo Tāng

Yin DeficiencyHeat-Clearing Formulas

Xiao Chai Hu Tang

小柴胡湯 · Xiǎo Chái Hú Tāng

Qi StagnationHarmonising Formulas

Ju Pi Zhu Ru Tang

橘皮竹茹湯 · Jú Pí Zhú Rú Tāng

Qi StagnationQi-Regulating Formulas

Er Chen Tang

二陳湯 · Èr Chén Tāng

Phlegm-DampnessPhlegm-Resolving Formulas

Wen Dan Tang

溫膽湯 · Wēn Dǎn Tāng

Phlegm-DampnessPhlegm-Resolving Formulas

Ban Xia Bai Zhu Tian Ma Tang

半夏白朮天麻湯 · Bàn Xià Bái Zhú Tiān Má Tāng

Phlegm-DampnessPhlegm-Resolving Formulas

Xiang Sha Yang Wei Tang

香砂養胃湯 · Xiāng Shā Yǎng Wèi Tāng

Spleen Qi DeficiencyQi-Tonifying Formulas

Xin Jia Xiang Ru Yin

新加香薷飲 · Xīn Jiā Xiāng Rú Yǐn

Summer HeatExterior-Releasing Formulas

Chai Hu Gui Zhi Tang

柴胡桂枝湯 · Chái Hú Guì Zhī Tāng

Shaoyang SyndromeHarmonising Formulas

Da Chai Hu Tang

大柴胡湯 · Dà Chái Hú Tāng

Shaoyang SyndromeHarmonising Formulas

Mu Xiang Shun Qi Wan

木香順氣丸 · Mù Xiāng Shùn Qì Wán

Qi StagnationQi-Regulating Formulas

Related Health Topic

Digestive Health — Formulas that strengthen the spleen and stomach, aid digestion, and ease gastrointestinal discomfort.

Health Topic

See all Digestive Health conditions

This library is educational. It describes how Traditional Chinese Medicine has traditionally understood these presentations. It is not a diagnosis, and it is not a treatment recommendation.

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