How long does it take to regulate gastric痞 (stomach discomfort) with Chinese herbal medicine?

Generally, the duration of traditional Chinese medicine (TCM) regulation for stomach distension should be determined based on the severity of the condition. Mild cases may improve within 1–2 treatment cycles, while severe or long-standing cases may require 3–6 months or even longer. The details are as follows:

Stomach distension is often associated with irregular diet, emotional imbalance, and spleen-stomach deficiency. In mild cases, symptoms such as occasional abdominal bloating and poor appetite occur without significant damage to spleen and stomach function. With standardized TCM treatment combined with adjustments in diet and daily routine, discomfort can be relieved within 1–2 months, and the digestive function of the spleen and stomach can be restored.

In more severe cases—characterized by frequent epigastric fullness, persistent belching, reduced food intake, and indigestion—or when the disease has lasted longer than three months, spleen and stomach functions are significantly impaired. Treatment must simultaneously address spleen tonification, qi regulation, and stomach harmonization, which may extend the treatment period to 3–6 months. For patients with concurrent Helicobacter pylori infection, eradication of the bacteria is required before further调理, thus prolonging the overall treatment duration.

During treatment, it is essential to strictly follow medical advice, avoiding triggers such as overeating, staying up late, and anxiety. A light and easily digestible diet with reduced intake of spicy and greasy foods will help accelerate recovery and shorten the treatment course.