Reviewed by See Aki, Registered TCM Practitioner · November 2026
由注册中医师 施亚琦医师审阅

吃一點就脹、壓力大就拉肚子？腹脹與腸躁症的中醫調理

简单回答：吃一点就胀、下午肚子越来越鼓、一紧张就跑厕所，或便秘和腹泻轮流出现，很多人检查都正常，最后被说是肠躁症（IBS）或功能性消化不良。中医把这类问题看成脾胃和情绪（肝）一起失调：吃什么、怎么吃、睡得好不好、压力大不大，都会影响。醫道閣会用中药、针灸和饮食作息建议一起调。

Short answer: bloating after small meals, a tummy that swells through the afternoon, rushing to the toilet when nervous, or constipation and diarrhoea taking turns. Many people have normal tests and are told it is irritable bowel syndrome (IBS) or functional dyspepsia. TCM sees this as the digestive system and the stress response (the “liver”) falling out of balance together: what and how you eat, how you sleep and how stressed you are all play a part. At Virtue TCM we use herbal medicine, acupuncture and advice on food and routine.

你是哪一種？

压力型：一紧张或开会前就肚子痛、想拉，拉完舒服一点，常伴随胸闷、叹气。
虚寒型：吃冷的、生的就拉，软便，怕冷、容易累。
湿热型：大便黏、有异味，口苦口黏，爱吃辣和油炸。
积滞型：吃太多、太快就胀，打嗝有酸味，晚餐太晚更严重。

Stress type: cramps and urgency before meetings or when anxious, better after the toilet, often with a tight chest and sighing. Cold, weak type: raw or cold food triggers loose stools, feeling cold and tired. Damp-heat type: sticky, smelly stools, a bitter or sticky mouth, a love of spicy and fried food. Food-stagnation type: bloating after eating too much or too fast, sour burps, worse with late dinners.

可以先試的事

・三餐固定时间，细嚼慢咽，吃到七分饱。
・减少冰饮、生冷沙拉和宵夜。
・记录一周饮食和症状，看看哪些食物、哪些情况最容易引发。
・饭后散步 10 分钟。
・晚上顺时针轻揉肚子几分钟，帮助放松。

Eat at regular times, chew slowly and stop at about 70 percent full. Cut back on iced drinks, raw salads and late-night food. Keep a one-week food and symptom diary to see what sets it off. Walk for ten minutes after meals. Gently rub your tummy clockwise for a few minutes at night to relax.

醫道閣怎麼處理

依类型开中药，针灸帮助调节肠胃和紧绷的神经；如果腹部、肋骨下缘和背部一直很紧，或以前有腹部手术疤痕，也可以配合手法放松。

Herbal medicine for your type, and acupuncture to settle the gut and a tense nervous system. If the tummy, lower ribs and back are always tight, or there is an old abdominal surgery scar, hands-on work can help too.

第一次來會做什麼？

问诊约 15 分钟：什么时候胀或拉、大便的情况、饮食习惯、压力和睡眠、做过的检查，也会把脉看舌。之后医师会说明建议的调理方式。初诊问诊 RM60（带 X 光、血液或其他报告 RM100），复诊 RM30；疗程费用另计，开始前会先说明。

A consultation of about 15 minutes covers when you bloat or have loose stools, what your stools are like, eating habits, stress and sleep, and any tests you have had, plus pulse and tongue. Your practitioner then explains what they suggest. First consultation RM60 (RM100 if we review X-rays, blood tests or other reports), follow-up RM30; treatment is priced separately and explained before anything starts.

這些情況請先看醫生

大便带血或黑便、体重不明原因下降、半夜被肚子痛或腹泻弄醒、持续呕吐、吞咽困难、发烧，或 45 岁以后才出现的排便习惯改变、家族有大肠癌病史，请先看医生检查。

See a doctor first if there is blood in your stool or it is black, you are losing weight without trying, pain or diarrhoea wakes you at night, you keep vomiting, have trouble swallowing or a fever, your bowel habit changes after age 45, or colon cancer runs in your family.

延伸閱讀

内科 General Care

检查都正常，却一直不舒服

针灸 Acupuncture

月经与压力

个人情况因人而异，疗程建议需经问诊与医师评估后决定。本文不能取代医疗诊断。
Individual conditions vary. Recommendations follow consultation and practitioner assessment. This article does not replace a medical diagnosis.