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Column January 29, 2026

Stress-Induced Gastritis and Nervous Gastrointestinal Disorders

Hyo-seop Kim
Hyo-seop Kim
Chief Director

Heartburn the night before an exam

Many people experience burning, bloating, nausea, and loss of appetite before important presentations, exams, or during conflicts. Endoscopy may show mild redness or look completely normal — this is stress-induced gastritis, also called nervous gastrointestinal disorder.

Korean medicine diagnosis: Liver-Stomach disharmony (肝胃不和)

The Liver (肝) is the organ that processes stress, while the Stomach (胃) is in charge of digestion. When stress causes Liver qi to move horizontally and invade the Stomach (橫逆), normal stomach function is disturbed.

  • Sihosogan-san (柴胡疏肝散): A representative formula that releases Liver qi and brings stomach qi back down
  • Soyo-san: For Liver stagnation overlapped with Spleen deficiency — addresses stress and indigestion at the same time
  • Acupuncture: Qimen (LR14) — circulates Liver qi; Zhongwan (CV12) — regulates stomach qi; Taichong (LR3) — relieves stress

The stomach is a mirror of emotions

The gastrointestinal tract contains roughly 500 million neurons and is often called the "second brain." Because stress directly affects the enteric nervous system through the brain, treating the stomach and managing stress at the same time produces the best results.

Stress care plus stomach care

  • Do not look at smartphones or work documents during meals — focusing on the meal increases blood flow to the stomach
  • Practice 5 minutes of abdominal breathing before meals — activating the parasympathetic system promotes digestive secretion
  • Do not drink coffee on an empty stomach — caffeine directly stimulates gastric acid secretion

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Hyo-seop Kim

Hyo-seop Kim Chief Director

Hello, I am Director Hyo-seop Kim, Chief Director of Geummaek Korean Medical Clinic. I look beyond visible symptoms to find the root causes. Through over 15 years of clinical experience and research, I provide the most helpful treatment for each individual patient. Please feel free to share your concerns. Together, we will find the answers.

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