spleen Flashcards
general spleen pathology:
tiredness tendency towards obesity tendency towards depression dull-yellow complexion digestive disorders abdominal distension
The spleen governs
transFORMATION
transPORTATION
invasion by the spleen by damp is common. what are the two main points to resolve damp?
Sp 9 yinlinquan
Sp 6 sanyinjiao
tiredness and loose stools would be enough to dx what pattern?
spleen qi xu
key s/s
poor appetite, tireness, loose stools
T: pale
P: empty
spleen qi xu
what is a common cause of chronic tiredness?
spleen qi xu
Ren 12 Zhongwan St 36 Zusanli Sp 3 Taibai Sp6 Sanyinjiao Bl20 Pishu Bl 21 Weishu
spleen qi xu
ren 12 tonifies sp qi st 36 tonifies sp qi sp 3 yuan source tonifies sp qi sp 6 tonifies sp qi bl 20, 21 tonfies sp qi
what rx for
sp qi xu
sp qi xu w/damp
si jun zi tang
liu jun zi tang
ren shen
bai zhu
fu ling
zhi gan cao
what rx?
si jun zi tang
(four gentleman decoction)
dx: sp qi xu
ren shen bai zhu fu ling zhi gan cao chen pi ban xia
liu jun zi tang
(six gentleman decoction)
dx: sp qi xu w/damp
the use of what two points bilaterally with moxa needle is extremely effective tonification of the spleen that gives the px more energy almost immediately?
st 36
sp 6
key s/s:
loose stools, feeling cold, cold limbs, tiredness
T: pale, wet
P: deep-weak
spleen yang xu
TP: tonify and warm spleen yang
R12, St 36 Sp 3, Sp 6 Bl 20, Bl 21 \+ Sp 9, Ren 9 St 28, Bl 22
spleen yang xu
rx: li zhong wan
gan jiang
ren shen
bai zhu
zhi gan cao
Li Zhong Wan
(regulate the center)
dx: spleen yang xu
a bearing down sensation and weak pulse are enough to diagnose
spleen qi sinking
rx for spleen qi sinking
bu zhong yi qi tang
what is the main cause of organ prolapse?
spleen qi sinking
especially in urinary and mentrual bleeding problems, sinking of spleen qi is often accompanied by ____ of ____ ____
sinking of kidney qi
ren 12, st 36 sp 3,6 bl 20, 21 \+ Du 20 bai hui Ren 6 qi hai St 21 liangmen Du 1 changqiang
Spleen Qi Sinking
tp: tonify spleen qi, raise qi
du 20 raises qi (prolapsed uterus) use moxa cone
ren 6 - tonifies, raises qi (all prolapses)
st 21- tonifies stomach, (prolapsed stomach)
Du 1 - prolapsed anus
what point for prolapsed: uterus all prolapses stomach anus
du 20
ren 6
st 21
du 1
a fine pulse, pale tongue and bleeding are enough to dx
spleen qi not controlling the blood
poor appetite, sl. abdominal distension after eating, tiredness, lassitude, pale-sallow complexion, weak limbs, loose stools, depression, tendency toward obesity \+ blood spots under skin blood in urine or stools excessive uterine bleeding
spleen not controlling blood
tp: tonify sp qi, stop bleeding
rx: gui pi tang
ren 12, st 36 sp 3, 6 bl 20, 21 \+ sp 10 bl 17 sp 1 sp 4
spleen not controlling blood
sp 10 - strengthens sp fx of holding, returns blood to vessels
bl 17 - tonifies blood, stops bleeding
sp 1 - moxa cones, stops uterine bleeding
sp 4 - stops bleeding (related to sp)
ren shen (can sub dang shen x2 dose) huang qi bai zhu dang gui fu shen suan zao ren long yan rou yuan zhi mu xiang zhi gan cao sheng jian hong zao
gui pi tang
dx:
sp. not controlling blood
sp blood xu (spleen qi xu leading to blood xu)
huang qi ren shen bai zhu dang gui chen pi sheng ma chai hu
bu zhong yi qi tang
(tonify center and benefit qi decoction)
dx: spleen qi sinking
if I am making a formula and I start with
ren shen, bai zhu, huang qi, dang gui
you might think I am making one of what two famous spleen rx?
Bu Zhong Yi Qi Tang
+chen pi, sheng ma, chai hu
Gui Pi Tang
+fu shen, suan zao ren, long yan rou, yuan zhi, mu xiang, zhi gan cao, sheng jiang, hong zao
all spleen patterns rx for deficiency have what two herbs:
ren shen
bai zhu
sp qi xu - si jun zi tang sp qi xu, w/damp - liu jun zi tang sp yang xu - li zhong wan sp qi sinking - bu zhong yi qi tang sp not controlling blood - gui pi tang sp blood xu - gui pi tang
ren 12, st 36 sp 3, 6 bl 20, 21 \+ ren 4 bl 17
spleen blood xu
ren 12, st 36, sp 3, 6, bl 20, 21 - tonify sp
ren 4 nourishes blood, especially in relation to uterus
bl 17 w/direct moxa cones nourishes blood
abdominal fullness and a sticky white tongue coating would be enough to diagnose
cold damp invading the spleen
poor appetite, feeling of fullness in epigastrium and/or abdomen that improves with application of heat, feeling of heaviness in head and/or body, sweetish taste or absence of taste, no thirst, loose stools, lassitude, tireness, nausea, edema, dull-white complexion, excessive white vaginal discharge
T: pale w/sticky white coating
P: slippery-slow
cold damp invading the spleen
tp: resolve damp, expel cold
Sp 3, 6, 9
Ren 9, 11, 12
St 8, 22, 28
Bl 20, 22
cold damp invading spleen
sp 9 resolves damp in LJ sp 3, 6 resolve damp ren 12 tonify sp, resolve damp st 8 resolves damp in the head bl 22 resolves damp in LJ bl 20 tonifies spleen ren 9 resolves damp (in particular in combo w/ Ren 11, St 22 resolves damp in MJ) St 28 resolves damp in LJ and uterus
rx: Ping Wei San
cang zhu
huo po
chen pi
zhi gan cao
ping wei san
(balance the stomach powder)
dx: cold damp invading spleen
tp: resolve damp, expel cold
abdominal fullness and a sticky yellow tongue coating would be enough to diagnose
damp heat invading the spleen
tp: resolve damp, clear heat
rx: lian po yin
huang lian huo po shan zhi zi dan dou chi shi chang pu ban xia lu gen
Lian Po Yin
(coptis- magnolia decoction)
dx: damp-heat invading the spleen
tp: resolve damp, clear heat
an extremely common cause of urinary problems or skin conditions
damp heat
a feeling of fullness of epistrium/lower abdomen, epigastric/abdominal painn, poor appetite, feeling of heaviness, thirst without desire to drink, nausea, vomiting, loose stools with offensive odor, burning sensation in the anus, a feeling of heat, scanty dark urine, low grade fever, dull headache with a feeling of heaviness in head, dull-yellow complexion (like tangerine peel), yellow sclera of eyes, oily sweat, bitter taste, itchy skin or skin eruptions (pupules or vescicles), sweating which does not relieve the fever and does not clear the heat
T: red tongue, w/sticky yellow coating
P: slippery-rapid
damp heat invading the spleen
rx: lian po yin
