This paper reports 1 case of adolescent with psychogenic vomiting accompanied by Mallory-Weiss syndrome and antral gastritis treated with acupuncture-moxibustion combined with chiropractic therapy. The case was differentiated as disharmony of liver and stomach

and treated according to the

therapeutic principle for unblocking the governor vessel

directing

qi

smoothing the liver and harmonizing the stomach. The treatment was composed of acupuncture for "unblocking the governor vessel and conducting

qi

" and chiropractic therapy. Acupoints in acupuncture included the positive reaction points along the governor vessel

Shendao (GV11)

Lingtai (GV10) and Zhiyang (GV9)

corresponding to the spinous processes from T5 to T7

Dazhui (GV14) and Baihui (GV20)

as well as bilateral Taichong (LR3)

Zusanli (ST36) and Neiguan (PC6). The needling technique for

qi

conduction was operated to promote the arrival of

qi

at each acupoint

and the needles were retained for 20 min. Chiropractic manipulation was employed with the lifting and knee-pushing reduction to correct deviated spinous processes from T5 to T7. The treatment was administered once every two days

3 sessions a week. After one week of treatment

hematemesis ceased

the frequency of vomiting significantly decreased

and the symptoms of liver

qi

stagnation were alleviated. Subsequently

the acupuncture prescription was modified

including the positive reaction points along the governor vessel

Shendao (GV11)

Lingtai (GV10) and Zhiyang (GV9)

corresponding to the spinous processes from T5 to T7

Dazhui (GV14) and Baihui (GV20)

as well as bilateral Zusanli (ST36) and Gongsun (SP4); and moxibustion was added at Zhongwan (CV12) and Qihai (CV6). The modified regimen was administered once every two days

3 sessions a week. After two weeks of treatment

vomiting was resolved completely

and normal dietary intake restored. The follow-up visit after 11 months reported no recurrence of symptoms.