Accumulation and Stagnation Syndrome Flashcards
Definition of Accumulation and Stagnation syndrome?
- Common condition for pediatric patients
- Usually caused by excess intake of food or milk
- Food accumulates in MJ and cannot be transformed leading to stagnation
- Can lead to malnutrition if prolonged
- Related to deficiency of SP/ST
Organ locations
Stomach
Intestines
(Spleen)
Main symptoms of Accumulation and Stagnation
- Abdominal bloating
- Constipation with smelly defecation or loose stool
- Foul smell coming from mouth
- Indigestion
- No appetite
- Undigested food in stool
Pathogeny/ Pathogenesis page
- Food accumulation
- Spleen Deficiency
Extra symptoms you might see
- Crying at night
- Irritable
- Vomiting
Things to consider with diagnosis
History of improper diet or feeding
Test stool for undigsted particles
Differentiate Accumulation and Stagnation (pg 147) from Aversion to Food (Poor Appetite) pg 130 consider how constipation fits in
Poor Appetite Patterns:
1. Summer heat (4 types)
2. Spleen Dysfunction in T &T (inconsistent defecation)
3. Stomach Yin Xu (constipation)
4. SP/ST Qi Xu (could have undigested food here, this one most similar, but tongue is pale with thin coat, slow weak pulse)
Accumulation and Stagnation patterns:
Stagnation
1. Food Stagnation
2. Spleen Deficiency with Stagnation (pale with greasy tongue coating, slippery and thready pulse)
There may be no appetite with A & S however it will be secondary to the stagnation issues. There is smelly breath or smelly stool. Main organs are Stomach and Intestines.
The Summer Heat poor appetite syndromes could have belching with foul smell but not the others. If summer heat see sweating, floating and rapid pulse, maybe fever. Main organ is spleen for poor appetite
Poor appetite is most common in summer. Why?
Children have an excess of Yang and are prone to heat. There is extra heat in the environment, this can lead to more excess. Fire also generates Earth. Mother is in excess during summer meaning son is deficient and this affects spleen function.
What is the difference between:
1. Awaken the Spleen
2. Strengthen the Spleen
3. Tonify the Spleen
- Awaken the spleen: condition where the spleen is not working at all, not metabolizing anything. It is dormant. We need herbs to restart its function. Esp. summer, shuts down, main manifestation is no appetite.
- Strengthen the Spleen: Spleen is not deficient here, it simply hasa lot to metabolize. There is no deficiency of Spleen or Yang however we need a boosting function to make sure things are metabolized.
- Tonify the Spleen: This is only used when the spleen is actually deficient. Spleen Qi and Yang are usually deficient. The spleen is not working independently.
Best herbs for
1. Awaken the Spleen
2. Strengthen the Spleen
3. Tonify the Spleen
- Huo Xiang (too much heat in summer)
- Bai Zhu, Fu Ling
- Ren Shen, Dang Shen, Gan Jiang
Bu Huan Jin Zheng Qi San know this formula, what is it used for?
Rectify the Qi Powder Worth More than Gold
Used for SP Dysfunction in T & T, see that card
Dao Chi San know this formula, what is it used for?
Guide out the Red powder
Flaring up of Heart Fire (aphtha)
* Mu Tong (Akebia) Clear heat from HT through SI urination
* Sheng Di Huang (Rehmannia) Cool HT fire
* Zhu Ye (Bamboo leaves) Clear heat from HT, relieve irritability
* Gan Cao (Shao) tips, good for urinary dysfunction
Two patterns for Accumulation and Stagnation
- Food Stagnation
- Spleen Deficiency with Stagnation
Treatment Principles for A & S
- Dissipate food stagnation
- Promote Qi circulation
- Resolve stagnation
- Transform accumulation
Food Stagnation S/S
- Lack of interest in food
- Abdominal or epigastric distention and pain
- Burping with sour taste
- Crying
- Distrubed sleep
- Hot palms and soles
- Spitting up food or milk
- Tongue: red with thick white or thick greasy yellow coat
- Pulse: slippery, rapid
- Finger: purple stagnant venules
