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The following Chinese herbal formula(s) can treat or relief Severe distension of the epigastrium:

Chinese Formula Actions Indications Symptoms related to severe distension of the epigastrium
Gua Di San (1/3)
Melon Pedicle Powder
Induces vomiting to eliminate Phlegm and food retention.   Phlegm clogging the chest and diaphragm, or food retention lodging in the upper epigastrium.  Breathing difficulty due to a sensation of Qi rushing into the throat; Early-stage food poisoning (toxins are still in the stomach); Nausea (urge to vomit without result); Severe distension of the chest; Severe distension of the epigastrium; Tongue with dirty coating (tofu-like); Floating pulse (Fu) to the middle position.  

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