Poor Appetite (Yan Shi) Flashcards
Poor appetite is also known as what?
What organ location?
Aversion to food
Spleen
What age is it mostly seen in children? What season? What can it lead to?
Age: 1-6 years old
Season: Summer Heat and summer season
Lead to: malnutrition, development disorders
What are characteristics or clinical manifestations of Summer Heat?
- Yang Pathogen
- Occurs in summer or in tropical countries
- Extremely hot nature
- Damages body fluids
- Easily combines with dampness
What are the main signs and symptoms of Summer Heat?
- Fatigue
- Fever
- Lack of appetite
- Sweating
- Thirst or no thirst if too much damp
- Yellow urine
- Tongue: red with yellow coat
- Pulse: floating, rapid, slippery
What are four patterns for Exterior Summer Heat Invasion?
- Summer-heat Damaging Qi and Body Fluids
- External Summer-heat Damp Syndrome
- Summer-heat Invading Pericardium Causing Cloudy Mind
- Summer-heat affecting Flow of Qi Mechanism
Summer Heat damaging Qi and BF unique S/S?
- Aversion to heat
- Desire to drink
- Fatigue
- Profuse sweating
- Scanty dark urine
External Summer Heat Damp syndrome unique S/S?
- Tiredness
- Thick yellow or white fur
Summer Heat Invading PC and Clouding Mind unique S/S
- Affects the mind
- Cold limbs
- Cramps
- Fainting/Syncope
- Liver wind
Summer Heat Affecting Qi Flow Mechanism uniqe S/S
- Chest distress
- Lack of appetite
- Nausea
- Vomit
Main symptoms of poor appetite?
- Abdominal distention
- Aversion to food
- Belching
- Foul smell
- Nausea
- Pale complexion
- Weakness
Pathogeny/Pathogenesis for poor appetite
- Emotions
- Poor diet
- Poor pre-heavenly essence
- Spleen damage
Differential diagnosis and things to watch for?
- Anemia
- Anorexia nervosa
- Constipation
- Depression
- Medication
- Sickness
- Slow growth rate
- Stress
- Worms
What are the three main patterns for poor appetite (not counting Summer-heat ones)?
- Spleen Dysfunction in T & T
- Stomach Yin Deficiency
- Spleen and Stomach Qi Deficiency
Main principle for poor appetite?
Awaken the Spleen
Regulate the Stomach Qi
Spleen Dysfunction in Transformation and Transportation S/S
- Poor appetite
- Aversion to eating
- Belching
- Distention
- Inconsistent defecation
- Nausea
- Normal physique
- No taste for food
- Occasional binge eating
- Tongue: pale with thin white or thin greasy coat
SP Dysfunction in T & T
TXP and Formula
TXP:
Harmonize Spleen and Stomach
Boost Spleen to increase appetite
Formula:
Bu Huan Jin Zheng Qi San
Rectify the Qi Powder Worth More Than Gold
Bu Huan Jin Zheng Qi San ingredients and fx
- Cang Zhu (Atractylodes) Strongly dry damp, Tonify Spleen
- Chen Pi (Tangerine Peel)
- Hou Po (Magnolia bark) Movement of Qi down, Drain damp, Transform phlegm
- Huo Xiang (Patchouli) Aromatically transform damp, Release ext, Transform turbidity
- Pei Lan (Eupatorium) Aromatically transform damp
- Shen Qu (Massa) Relieve food stagnation, grains
- Mai Ya (Barley sprouts) Relieve food stagnation
- Zhi Ke (Bitter Orange) Regulate Qi, Remove stagnated food
Acupuncture points for SP Dysfunction in T & T
- ST36
- SP6
- SP9
- BL20
Stomach Yin Deficiency S/S
- Poor appetite, no desire to eat
- Constipation
- Dry mouth with thirst
- Dry skin
- Dry stool
- Five palm heat
- Infrequent urination
- Irritable
- Poor sleep
- Yellow urine
- Tongue: slightly red and dry or peeled coat
- Pulse: thready
Stomach Yin Xu
TXP and Formula
TXP:
- Nourish Yin
- Boost Stomach
- Increase T & T
Formula:
Yang Wei Zeng Ye Tang modified
Nourish Stomach and Fluid Decoction
Yang Wei Zeng Ye Tang with modifications ingredients and fx
- Bai Shao (White Peony) Preserve Yin, Nourish blood
- Gu Ya (Rice Sprouts) Reduce food stagnation, Promote digestion, Strengthen SP, Encourage appetite
- Mai Men Dong (Ophiopogon) Nourish ST and LU Yin, Generate fluid
- Sha Shen (Glehnia) Nourish Yin (ST, LU, KI)
- Shi Hu (Dendrobium) Nourish Yin, Clear heat, Generate fluid, Tonify KI, Augment Jing
- Wu Mei (Mume fruit) Astringe, Generate fluid, alleviate thirst
- Xiang Yuan
- Yu Zhu
Acupuncture points for Stomach Yin Xu poor appetite?
- ST36
- SP6
- BL20
- BL21
Spleen and Stomach Qi Deficiency S/S
- Poor appetite with less eating
- Emaciation (slight)
- Profuse defecation with undigested food
- Reluctance to talk
- Sallow complexion
- Tongue: pale with thin white coat
- Pulse: slow, weak
SP/ST Qi Xu
TXP and Formula
TXP:
- Fortify Spleen
- Boost Qi
- Promote T & T
Formula: Yi Gong San (Extraordinary Merit Powder) with Chai Hu and Bai Shao
Yi Gong San
ingredients and fx
Acupuncture points for SP/ST Qi Xu poor appetite
- ST36
- SP6
- SP9
- PC6
- CV12
