Syndrome Differentiation - Spleen

Question 1

Spleen Qi Deficiency

Answer 1

• Tiredness (Lassitude)
• Slight feelings of depression
• Poor Concentration
• Weak appetite
• Indigestion
• Loose Stools
• Abdominal swelling after eating
• Tendency towards being overweight
• Weak body and limbs
• Pale complexion
• Shortness of breath
• Dislike of talking
• Pulse: Weak, Hollow
• Tongue: Pale with teeth marks on the sides

Question 2

Spleen Yang Deficiency

Answer 2

• Spleen Qi Deficiency PLUS Cold Signs
• Feeling of cold in body and limbs
• Low mood
• Puffy face
• Swelling around joints
• Tongue: Pale, poorly rooted and moist
• Pulse: Weak, Deep

Question 3

Spleen Qi Sinking

Answer 3

(more severe Yang Xu)

• Weak appetite
• Abdominal swelling after eating
• Tendency towards being overweight
• Frequent and urgent urination
• Prolapsed organs
• Collapsed arches
• Heaviness
• Dizziness
• Tiredness
• Low mood
• Loose bowels
• Pale complexion
• Tongue: Pale
• Pulse: Weak

Question 4

Spleen Qi Failing to Hold the Blood (Xue)

Answer 4

• Blood disorders (short menses, bleeding between periods)
• Broken capillaries easily visible under skin
• Sometimes blood in stools
• Bruises very easily
• Weak appetite
• Abdominal swelling after eating
• Tendency towards being overweight
• Loose stools
• Tiredness/weakness
• Depression
• Little tongue coating (still pale)
• Hollow pulse (still weak)

Question 5

Spleen Blood Deficiency

Answer 5

• Achy body with no obvious cause
• Thin build
• Scanty/no periods in women
• Insomnia
• Depression
• Weak appetite
• Tiredness and weakness
• Abdominal swelling after eating
• Loose bowels
• Pale complexion
• Tongue: Pale, Thin, Dry
• Pulse: Weal, Choppy (maybe hollow too)

Question 6

Spleen Yin Deficiency

Answer 6

• Red tip of nose possible
• Retching when eating disliked foods
• Dry mouth lips and poo
• Night sweats
• Poor digestive processes
• Weak appetite
• Thin body
• Tongue: Red, no coating and cracks on body
• Pulse: Floating, Rapid

Question 7

Spleen Yin Deficiency with Empty Heat

Answer 7

• Always needing to have open windows
• Feelings of being hot in the evening
• Illogical feelings of heat
• Red face and nose
• Night sweats
• Frequently hungry
• Retching when eating disliked foods
• Poor digestive processes
• Dry mouth and lips
• Dry poo
• Thin body
• Tongue: Red, with no coating and cracks on body
• Pulse: Floating, Rapid

Question 8

Heat in the Spleen

Answer 8

• Burning pain in abdomen
• Feeling of heat in body
• Always hungry
• Red nose and face
• Dry poo
• Dry lips and ulcers
• Dark urine
• Tongue: Red, Thin Yellow coating
• Pulse: Forceful, Rapid

Question 9

Damp Heat Invading the Spleen

Answer 9

• Fullness and distension of abdomen
• Nausea (vomiting likely)
• Sensation of heaviness
• Loose stools
• Burning sensation in bowels
• Thirsty but no desire to drink
• Dark, scanty urine
• Yellow face, eyes and skin
• Itchy skin
• Possible fever (persists after sweating)
• Tongue: Enlarged, Red, Thick yellow coating
• Pulse: Full, Rapid, Slippery

Question 10

Cold Damp Stagnating the Spleen

Answer 10

• Tasteless mouth with no thirst
• Feeling of being full or swollen in the abdomen
• Low appetite
• Nausea (vomiting likely)
• Abdominal pain that is fixed and sharp
• Loose stools or diarrhoea
• Sensation of heavy head
• Heaviness or swelling of body (especially limbs)
• Dull white complexion
• Tongue: Enlarged, Swollen, Moist White Coating
• Pulse: Slippery, Full, Slow