Spleen TCM Pathologies

Question 1

Name the 2 Primary Spleen Deficiency Patterns

Answer 1

Spleen Qi Deficiency

Sinking Spleen Qi

Question 2

Etiology of Spleen Qi Deficiency

Answer 2

Diet: xs consumption cold/raw food
Emotional Strain: pensiveness/worry
Climate: prolonged exposure to Damp
Chronic Disease

Question 3

Key S/S of Spleen Qi Deficiency

Answer 3

poor appetite, tiredness, loose stools
T: pale, thin white coat
P: empty-weak

Question 4

Name this pattern:

S/S: slight abdominal distention after eating, tiredness, poor appetite, lassitude, loose stools, desire to lie down, pale complexion, weak limbs, tendency to obesity
T: pale, thin white coat
P: empty-weak

Answer 4

Spleen Qi Deficiency

Question 5

Treatment Principle - Spleen Qi Deficiency

Answer 5

tonify Spleen Qi

Question 6

Point Palette for Spleen Qi Deficiency

Answer 6

Cv-12: tonifies Spleen Qi 
St-36: tonfies Spleen Qi 
Sp-3: Source Pt, tonfies Spleen Qi 
Sp-6 (w/ St-36 + moxa): tonify Spleen Qi 
Bl-20: tonify Spleen Qi (chronic cases)
Bl-21: tonify Spleen Qi (chronic cases)

Question 7

Etiology of Spleen Qi Sinking

Answer 7

Same as Spleen Qi Deficiency

PLUS: long hours standing on feet

Question 8

Key S/S of Spleen Qi Sinking

Answer 8

bearing down sensation in abdomen, weak pulse
T: weak
P: pale

Question 9

Name this pattern:

S/S: poor appetite, bearing down sensation, slight abdominal distention after eating, tiredness, lassitude, pale complexion, weak limbs, loose stools, depression, tendency to obesity, prolapse of Stomach/Uteres/Anus/or Bladder, frequent/urgent urination, menorrhagia
T: weak
P: pale

Answer 9

Spleen Qi Sinking

Question 10

Treatment Principle for Spleen Qi Sinking

Answer 10

Tonify Spleen Qi

Raise Qi

Question 11

Point Palette for Spleen Qi Sinking

Answer 11

Spleen Qi Deficiency Pts +

Du-20 (+ moxa): raise Qi
Cv-6: tonifies + raises Qi (prolapse)
St-21: tonifies Stomach (prolapse of Stomach)
Du-1: prolapse of anus

Question 12

Key S/S of Spleen Not Controlling Blood

Answer 12

bleeding, pale tongue, fine pulse
T: pale
P: fine

Question 13

Name this pattern:

S/S: poor appetite, slight abdominal distention after eating, bleeding, tiredness, lassitude, pale-sallow complexion, weak limbs, loos stools, depression, tendency to obesity, blood spots under skin, blood in urine/stools, excessive uterine bleeding
T: pale
P: fine

Answer 13

Spleen Not Controlling Blood

Question 14

Etiology of Spleen Not Controlling Blood

Answer 14

fill in

Question 15

Treatment Principle for Spleen Not Controlling Blood

Answer 15

fill in

Question 16

Point Palette for Spleen Not Controlling Blood

Answer 16

fill in

Question 17

Etiology of Damp-Cold Invading the Spleen

Answer 17

fill in

Question 18

Key S/S for Damp-Cold Invading the Spleen

Answer 18

abdominal fullness, a feeling of heaviness, sticky white tongue coating

Question 19

Name this Pattern:

S/S: poor appetite, abdominal fullness, a feeling of heaviness esp in epigastrium/abdomen, cold in epigastrium improved by heat, heavy head/body, sweetish taste/absence of taste, no thirst, loose stools, lassitude, tiredness, nausea, edema, dull-white complexion, excessive white vaginal discharge
T: pale, sticky white coating (chronic: thin coating)
P: slippery-slow (chronic: weak, slightly slippery)

Answer 19

Damp-Cold Invading the Spleen

Question 20

Treatment Principle for Damp-Cold Invading the Spleen

Answer 20

fill in

Question 21

Damp-Cold Invading the Spleen in 8 Principles

Answer 21

Interior, Excess, Cold

Question 22

Dampness in the Spleen may interfere with the free flow of ________ leading to ___________.

Answer 22

Liver Qi; Liver Qi Stagnation

Question 23

Spleen Not Controlling Blood in 8 Principles

Answer 23

fill in

Question 24

Point Palette for Damp-Cold Invading the Spleen

Answer 24

fill in

Question 25

Etiology of Damp-Heat Invading the Spleen

Answer 25

Environment: damp, hot weather (acute)
Diet: contaminated food (acute)
Always pre-existed by Spleen Qi Deficiency
Chronic: Spleen Qi Deficiency, Heat in Stomach

Question 26

Key S/S of Damp-Heat Invading the Spleen

Answer 26

Abdominal fullness, feeling of heaviness, sticky yellow tongue coating

Question 27

Damp-Heat Invading the Spleen in 8 Principles

Answer 27

Interior, Excess, Heat

Question 28

Name This Pattern:

S/S: feeling of fullness in epigastrium/abdomen, dull H/A with feeling of heaviness, poor appetite, nausea, vomiting, thirst w/o desire to drink, dark scanty urine, low-grade fever, dull-yellow complexion, bitter taste, itchy skin, low grade fever, sweating that does not clear fever, loose stool w/ bad odor
T: slippery-rapid
P: red, thick yellow coat

Answer 28

Damp-Heat Invading the Spleen

Question 29

Treatment Principle for Damp-Heat Invading the Spleen

Answer 29

fill in

Question 30

Point Palette for Damp-Heat Invading the Spleen

Answer 30

fill in

Question 31

The pattern of _______ and __________ are precursors of Sinking Spleen Qi

Answer 31

Spleen Qi Deficiency; Sinking Kidney Qi

Question 32

Key S/S of Spleen Yang Deficiency

Answer 32

loose stools, feeling cold, cold limbs, tiredness
T: pale-wet
P: deep-weak

Question 33

Etiology of Spleen Yang Deficiency

Answer 33

fill in

Question 34

Treatment of Spleen Yang Deficiency

Answer 34

fill in

Question 35

Point Palette to Treat Spleen Yang Deficiency

Answer 35

fill in

Question 36

Moxa which Spleen point to stop uterine bleeding and treat excessive dreaming

Answer 36

Sp-1

Question 37

Name all the Secondary Spleen Patterns (4)

Answer 37

1. Spleen Yang Deficiency
2. Damp-Heat Invading the Spleen
3. Damp-Cold Invading the Spleen
4. Spleen Not Controlling Blood