spleen Flashcards

0
Q

general spleen pathology:

A
tiredness
tendency towards obesity
tendency towards depression
dull-yellow complexion
digestive disorders
abdominal distension
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1
Q

The spleen governs

A

transFORMATION

transPORTATION

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2
Q

invasion by the spleen by damp is common. what are the two main points to resolve damp?

A

Sp 9 yinlinquan

Sp 6 sanyinjiao

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3
Q

tiredness and loose stools would be enough to dx what pattern?

A

spleen qi xu

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4
Q

key s/s
poor appetite, tireness, loose stools

T: pale
P: empty

A

spleen qi xu

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5
Q

what is a common cause of chronic tiredness?

A

spleen qi xu

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6
Q
Ren 12 Zhongwan
St 36 Zusanli
Sp 3 Taibai
Sp6 Sanyinjiao
Bl20 Pishu
Bl 21 Weishu
A

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
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7
Q

what rx for
sp qi xu
sp qi xu w/damp

A

si jun zi tang

liu jun zi tang

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8
Q

ren shen
bai zhu
fu ling
zhi gan cao

what rx?

A

si jun zi tang
(four gentleman decoction)
dx: sp qi xu

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9
Q
ren shen 
bai zhu
fu ling
zhi gan cao
chen pi
ban xia
A

liu jun zi tang
(six gentleman decoction)

dx: sp qi xu w/damp

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10
Q

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?

A

st 36

sp 6

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11
Q

key s/s:
loose stools, feeling cold, cold limbs, tiredness

T: pale, wet
P: deep-weak

A

spleen yang xu

TP: tonify and warm spleen yang

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12
Q
R12, St 36
Sp 3, Sp 6
Bl 20, Bl 21
\+
Sp 9, Ren 9
St 28, Bl 22
A

spleen yang xu

rx: li zhong wan

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13
Q

gan jiang
ren shen
bai zhu
zhi gan cao

A

Li Zhong Wan
(regulate the center)

dx: spleen yang xu

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14
Q

a bearing down sensation and weak pulse are enough to diagnose

A

spleen qi sinking

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15
Q

rx for spleen qi sinking

A

bu zhong yi qi tang

16
Q

what is the main cause of organ prolapse?

A

spleen qi sinking

17
Q

especially in urinary and mentrual bleeding problems, sinking of spleen qi is often accompanied by ____ of ____ ____

A

sinking of kidney qi

18
Q
ren 12, st 36
sp 3,6
bl 20, 21
\+
Du 20 bai hui
Ren 6 qi hai
St 21 liangmen
Du 1 changqiang
A

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

19
Q
what point for prolapsed:
uterus
all prolapses
stomach
anus
A

du 20
ren 6
st 21
du 1

20
Q

a fine pulse, pale tongue and bleeding are enough to dx

A

spleen qi not controlling the blood

21
Q
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
A

spleen not controlling blood

tp: tonify sp qi, stop bleeding
rx: gui pi tang

22
Q
ren 12, st 36
sp 3, 6
bl 20, 21
\+
sp 10
bl 17
sp 1
sp 4
A

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)

23
Q
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
A

gui pi tang

dx:
sp. not controlling blood
sp blood xu (spleen qi xu leading to blood xu)

24
Q
huang qi
ren shen
bai zhu
dang gui
chen pi
sheng ma
chai hu
A

bu zhong yi qi tang
(tonify center and benefit qi decoction)

dx: spleen qi sinking

25
Q

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?

A

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

26
Q

all spleen patterns rx for deficiency have what two herbs:

A

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
27
Q
ren 12, st 36
sp 3, 6
bl 20, 21
\+
ren 4
bl 17
A

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

28
Q

abdominal fullness and a sticky white tongue coating would be enough to diagnose

A

cold damp invading the spleen

29
Q

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

A

cold damp invading the spleen

tp: resolve damp, expel cold

30
Q

Sp 3, 6, 9
Ren 9, 11, 12
St 8, 22, 28
Bl 20, 22

A

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

31
Q

cang zhu
huo po
chen pi
zhi gan cao

A

ping wei san
(balance the stomach powder)

dx: cold damp invading spleen
tp: resolve damp, expel cold

32
Q

abdominal fullness and a sticky yellow tongue coating would be enough to diagnose

A

damp heat invading the spleen

tp: resolve damp, clear heat
rx: lian po yin

33
Q
huang lian
huo po
shan zhi zi
dan dou chi
shi chang pu
ban xia
lu gen
A

Lian Po Yin
(coptis- magnolia decoction)

dx: damp-heat invading the spleen
tp: resolve damp, clear heat

34
Q

an extremely common cause of urinary problems or skin conditions

A

damp heat

35
Q

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

A

damp heat invading the spleen

rx: lian po yin