IDP - Spleen Flashcards

1
Q

SP FX: Dominates T&T of Food Essences, Qi, BF

A

Extracts QI (Gu Qi) from F&B
Food/Gu Qi is basis of Qi and Blood
TRANSPORTS FOOD/GU QI & Food Essences to various ORGANS and parts of the BODY
Impairment of T&T of BF can lead to Accumulation of DAMPNESS or PHLEGM or cause EDEMA

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2
Q

SP FX: Controls BLOOD

A

Plays Important Role in CREATING BLOOD
Ascending QI keeps BLOOD in the VESSELS
Impairment of Ascending QI results in Bleeding Downwards

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3
Q

SP FX: Dominates Ascending pure YANG

A

DIRECTS Food Essences and Qi to the LU

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4
Q

SP - FX: Dominates LIMBS & MUSCLES

A

FOOD/GU QI used to NOURISH all TISSUES in body (including MUSCLES/LIMBS)
Impairment = Person feeling WEARY/WEAKNESS in MUSCLES, Atrophy, Low Energy, tiredness

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5
Q

SP - FX: Opens to MOUTH, Manifests on LIPS

A

CHEWING prepares food for T&T FX of SP

Impairment of SP Qi = Impairment of sense of TASTE, Difficulty in CHEWING and Lack of APPETITE

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6
Q

SP - FX: Controls SALIVA

A

Controls the MOUTH, incl. SALIVA

Saliva moistens mouth and Aids Digestion

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7
Q

SP - FX: Controls RAISING QI

A

‘LIFTING’ of Qi is from Ascending FX of SP Qi

Weak SP Qi leads to Prolapsed Organs (Uterus, ST, KD, BL, Anus)

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8
Q

SP - FX: Houses the INTELLECT (YI)

A

Postnatal Qi & Bld = Physiological basis for intellect
Memory related to work or study is from SP Qi
Long-term memory relies on HT
Short-term memory relies on KD

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9
Q

SP - Pathology

A

Dysfunction of T&T leads to Poor Appetite, Bad Digestion, Ab Distention, Loose Stools
DysFX of Controlling Bld results in bleeding downwards (Uterus, BL, KD)

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10
Q

SP - Most important FX

A

Most Important SP FX is T&T food & fluids

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11
Q

SP - Disharmony always influences

A

Digestive process with such SX’s as

  • Ab distention
  • Lack of appetite
  • Loose stools
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12
Q

SP - Controls Muscles and is responsible for

A

Transporting Food/Gu Qi to muscles throughout body and to the four limbs

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13
Q

SP - A very common symptom of SP Deficiency

A

Tiredness (as seen in clinic)

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14
Q

SP - Spleen controls

A

Blood

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15
Q

SP - Weakness of SP Qi leads to

A

Bleeding

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16
Q

SP - Spleen Qi Ascends to direct Gu Qi to

A

(upwards) to LU & HT

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17
Q

SP is easily attacked by

A

Dampness

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18
Q

Damp factors, which affect SP

A

Living in a damp area or damp house
Living in a foggy mountain area
Wearing wet clothes after swimming or exercising
Sitting on damp surfaces, Wading in water
Women - during puberty, during mensus, after childbirth

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19
Q

Invasion by external Dampness can lead to

A
Abdominal distention
Lack of Appetite, Nausea
Feeling of heaviness
Thick-white tongue coating
Slippery Pulse
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20
Q

SP can be weakened by (mental factors)

A

Excessive thinking, studying, concentrating over a long period of time
Excessive pensiveness and constant worrying

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21
Q

SP prefers what type of foods

A

Warm and Dry

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22
Q

Warm foods are

A

Meat
Ginger
Pepper

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23
Q

Cold foods are

A

All Raw foods (salads)
Fruit (with few exceptions)
Uncooked vegetables
Icy-cold drinks

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24
Q

Excessive consumption of cold foods will impair SP T&T FX causing

A

Digestive problems and Interior Dampness

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25
Q

SP - Common Symptoms

A
Distention, Ab Pain
Diarrhea or Loose Stools
Fatigue, Weakness in Limbs
Poor Appetite
Edema
Prolapsed organs
Bleeding (gums, in urine, stools, nose)
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26
Q

SP Patterns - Deficiency

A

SP Qi Deficiency
SP Yang Deficiency
SP not controlling Blood (bld in urine, stools, etc)
SP Qi Sinking (prolapsed organs)

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27
Q

SP Patterns - Excess

A

Cold Dampness invading SP

Damp-Heat invading SP

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28
Q

Affected by Pensiveness, Over-thinking

A

Knots Qi in the Middle burner

  • Poor Digestion
  • Distention in Epigastrium
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29
Q

Affected by Worry

A

Upper burner from knotted Qi

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30
Q

Diet affects the SP in these ways

A
Eating at irregular times
Excessive eating
Excessive consumption of cold, raw foods
Eating too little
Eating protein-deficient diet
Returning to work after a hurried lunch
Conducing business over lunch
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31
Q

Climate affects the SP by

A

Prolonged exposure to Dampness (from weather or living place

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32
Q

Chronic illness affects the SP

A

Long lasting disease tends to weaken the SP leading to SP Qi Deficiency
The reason why Catarrh (Dampness & Phlegm) is a frequent consequence of protracted diseases

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33
Q

Most common SP disharmony is d/t

A

Irregular diets and excessive use of the mind in studying or working

34
Q

All SP disharmonies and Deficiency patterns are a variation of

A

SP Qi Deficiency

35
Q

SP Qi Deficiency over a long period of time leads to______, which can lead to obesity

A

Inability of the SP Qi in transforming fluids leading to Dampness, which obstructs the chest and epigastrium resulting in sensation of “stuffiness”

36
Q

Dampness accumulates in the _____, causing them to feel heavy

A

Muscles

37
Q

Nausea caused by obstruction of Dampness in epigastrium prevent ______ from descending

A

Stomach Qi

38
Q

Chronic Deficiency of SP Qi can manifest as swelling on the ____ the tongue

A

Sides

39
Q

In more severe cases, the sides of the tongue will be swollen and have

A

Transverse cracks

40
Q

SP QI Deficiency Manifestations - Appetite

A
None or Poor
Reduced food intake
Ab distention after eating
Ab pain relieved by pressure
Edema d/t malnutrition - not severe
41
Q

SP Qi Deficiency Manifestations - Tiredness

A
Lassitude
Sallow or Pale complexion (lusterless)
Feeble voie, Dislike speaking
Fatigue, Weakness of Limbs
Blurred Vision, Dizziness
Spontaneous sweating, worse on exertion
42
Q

SP Qi Deficiency - Loose Stools

A

With Dampness

Stuffiness of chest and epigastrium

43
Q

SP Qi Deficiency - Tongue

A

Pale or Normal Colored, Chronic cases will be swollen w/transversal cracks (swollen or enlarged, could have teeth marks)

44
Q

SP Qi Deficiency - Pulse

A

Empty
Moderate
Weak

45
Q

SP Qi Deficiency TX

A
Tonify SP Qi:
R-12, ST-36, SP-3, SP-6, BL-20, BL-21
* BL-20, 21 - particularly chronic conditions
* R-4,6, FL-49 - improves intelligence
Herbal Formula:
Si Jun Zi Tang
Liu Jun Zi Tang
46
Q

SP Yang Deficiency - Etiology

A

Same Etiology as SP Qi Deficiency (Diet, Mental Strain, Climate, Chronic disease) except pattern is more likely d/t exposure to a Cold and Damp environment

47
Q

SP Yang Deficiency - Pathology

A

Same Pathology as SP Qi Deficiency with addition of Cold symptoms (chilliness, cold limbs failure of SP Yang to warm the body

48
Q

SP Yang Deficiency - Edema caused by

A

Impairment of SP Fx of T&T fluids, causing them to accumulate under the skin

49
Q

SP Yang Deficiency - Tongue

A

Pale
Wet (slippery white coat)
Swollen
Teethmarks

50
Q

SP Yang Deficiency - Pulse

A

Weak
Slow
Deep
Forceless

51
Q

SP Yang Deficiency - Manifestations

A

Lack of Appetite, Ab Pain (likes warmth/pressure)
Tiredness - Weakness in Limbs
Sallow, Pale or Bright-White complexion
Loose Stools (women - profuse, clear leucorrhea)
Edema - entire body (more severe than SP Qi Def)
Chilliness
Cold Limbs

52
Q

SP Yang Deficiency TX

A

Tonify SP Qi:
R-12, ST-36, SP-3, SP-6, BL-20, BL-21
Herbal Formula:
Li Zhong Tang
* BL-20, 21 - particularly chronic conditions of SP & ST deficiency
* R-9, ST-28, BL-22 - stimulate SP to T&T of fluids and resolve edema.

53
Q

SP Qi Sinking - Etiology

A

Same as SP Qi Deficiency d/t
Standing long hours every day and/or
Overstrain, stress

54
Q

SP Qi Sinking - Pathology

A

Same as SP Qi Deficiency, but worsening condition

Pattern reflects impairment of SP Qi Raising FX

55
Q

SP Qi Sinking - Manifestations

A
No or Poor Appetite
Slight Ab distention after eating
Tiredness/Lassitude, Weakness of limbs
Depression
Loose stools, Bearing Down sensation in Abdomen
Prolapse of ST, Uterus, Anus/Rectum, BL or Vagina
Freq. and Urgency of Urination
Tendency to be Obese
56
Q

SP Qi Sinking - Tongue

A

Pale
White Coat
Body is slightly enlarged

57
Q

SP Qi Sinking - Pulse

A

Empty or Weak

58
Q

SP Not Controlling Blood - Etiology

A

Same as for SP Qi Deficiency

59
Q

SP Not Controlling Blood - Pathology

A

All symptoms d/t to impairment of SP FX of controlling Blood
SP does not hold Blood in Vessels and bleeding appears: Under Skin, in the Stools, or Urine or from Uterus
Deficient in nature (vs. bleeding d/t Heat, which is an excess condition

60
Q

SP Not Controlling Blood - Manifestations

A
Similar to SP Qi Sinking, plus
Purpura
Blood Spots under the Skin
Blood in Urine or Stools
Menorrhagia or Metrorrhagia
SOB
61
Q

SP Not Controlling Blood - Tongue

A

Pale

62
Q

SP Not Controlling Blood - Pulse

A

Weak

Thin

63
Q

SP Not Controlling Blood TX

A

R-12, ST-36, SP-3, SP-6, BL-20, BL-21, SP-10, BL-17, SP-1, SP-4…Moxa is applicable
Herbal Formula: Gui Pi Tang

64
Q

Cold-Damp Invading SP - Etiology

A

Exposure to exterior Dampness from weather or living conditions (excessive cold, raw food/drink)

65
Q

Cold-Damp Invading SP - Pathology (Epigastrium)

A

Dampness prevents normal movement of Qi to Epigastrium/Ab, causing obstruction - feeling of stuffiness/heaviness and/or Nausea

66
Q

Cold-Damp Invading SP - Manifestations correspond to Acute stage, but pattern can also be chronic, T/F?

A

True

67
Q

Cold-Damp Invading SP - Pathology (Head)

A

Dampness prevents clear Yang from Ascending to head, causing feeling of heaviness of the head

68
Q

Cold-Damp Invading SP - Pathology (Mouth)

A

SP opens to the Mouth. When Dampness obstructs the SP, if affects the taste

69
Q

Cold-Damp Invading SP - Pathology (Discharge)

A

Dampness is heavy and has a tendency to infuse downwards - i.e. vaginal discharge

70
Q

Cold-Damp Invading SP - Pathology (Chronic)

A

Similar pattern for Chronic Deficiency of SP Qi. Main difference is the Pulse: Fine/Weak and only Slightly Soggy or Slippery (rather than Full-Slippery) and Tongue would be Pale with a Thin coating (rather than a thick coating)

71
Q

Cold-Damp Invading SP - Manifestations

A

No or Poor Appetite
Feeling of Fullness and/or Pain of Epigastrium and/or Ab - aggravated by pressure/cold
Feeling of Cold in Epigastrium, improves w/Heat
Feeling of heaviness of the head and body
Tiredness/Lassitude
Sweetish Taste in mouth or absence of taste
Loose Stools, Diarrhea when more severe
Scanty Urine
White Vaginal Discharge
Nausea or Vomiting, No Thirst
Edema
Dull-White Complexion

72
Q

Cold-Damp Invading SP - Tongue

A

Pale with Sticky, thick, white coating

Swollen, teethmarks

73
Q

Cold-Damp Invading SP - Pulse

A

Slippery, Slow

Moderate, Soggy, Rolling

74
Q

Cold-Damp Invading SP - TX

A
SP-3, SP-6, SP-9, R-12, ST-8, BL-20, BL-22, R-9, ST-28
Herbal Formula:
Ping Wei San
Shi Pi Yin Tang
Wu Ling San - if Edema is pronounced
75
Q

Damp-Heat Invading the SP - Etiology

A

Exposure to Exterior Damp-Heat, i.e. Exposure to Hot and Humid weather
Eating Unclean or Contaminated Food
Indulgence in Greasy, Fried, Sweet Food
Alcohol Abuse

76
Q

Damp-Heat Invading SP - Pathology

A

Similar to Cold-Damp EXCEPT Low-Grade fever instead of cold sensations AND Offensive Odor in Stools, Burning Sensation of Anus and Scanty, Dark Yellow Urine (due to Heat)

77
Q

Damp-Heat Invading SP - Manifestations

A
No or Poor Appetite, Reduced Food Intake
Fullness/Pain of Epigastrium and/or Lower Ab
Feeling of Heaviness
Thirst w/o desire to drink or w/ a desire to drink in small sips
Nausea, Vomiting
Loose Stools w/Offensive Odor
Burning Sensation in Anus
Feeling of Heat
Scanty & Dark-Yellow Urine
Low-Grade Fever
Dull H.A. w/sensation of Heaviness
Dull-yellow complexion (like tangerine peel)
Oily Sweat
Bitter Taste
Itchy Skin or Skin Eruptions
Sweating, which does not relieve fever or lead to clearing of heat
78
Q

Damp-Heat Invading SP - Tongue

A

Red

Sticky-Yellow Coating

79
Q

Damp-Heat Invading SP - Pulse

A

Slippery - Rapid

80
Q

Damp-Heat Invading SP - TX

A

SP-6, SP-9, DU-9, LI-11, BL-20, GB-34, R-9, ST-28, BL-22
Herbal Formula:
Lian Po Yin
Yin Chen Hao Tang