Zang Fu: Spleen and Stomach

Question 0

Common symptoms associated with stomach

Answer 0

epigastric pain, nausea, vomiting, hiccups, belching

Question 1

Common symptoms associated with Spleen

Answer 1

poor appetite, abdominal distension and pain, loose stools, diarrhea, edema, lassitude and hemorrhage

Question 2

Etiology and pathology of Deficiency of Spleen Qi

Answer 2

Improper diet, overstrain and stress, prolonged illness leading to the impairment of Spleen QI -> hypofunction of transportation and transformation

Question 3

Manifestations: loss of appetite, abdominal distention that is especially worse after eating, loose stools, or loose stools after dry stools, lassitude, emaciation, SOB, disinclination to speak, pallor and edema, sallow complexion, pale tongue, white coating, weak and retarded pulse

Answer 3

Deficiency of Spleen QI

Question 4

Etiology and pathology of Deficiency of Spleen Yang

Answer 4

Spleen Qi Deficiency, eat cold foods impairs yang, kidney yang deficiency fails to promote earth therefore leading to Spleen Yang Deficiency

Question 5

abdominal distention, loss of appetite, abdominal pain which can be relieved by warmth or pressing, loose stools, and cold limbs or heaviness of the limbs, general edema, difficult urination, profuse dilute leucorrhea, pale and puffy tongue, white and slippery coating, deep, slow and weak pulse

Answer 5

Deficiency of spleen yang

Question 6

Etiology and pathology of Failure of the spleen in controlling blood

Answer 6

Chronic illness, overstrain, improper diet –> damage spleen Qi –> spleen unable to control the blood

Question 7

bloody stools, hematuria, hematohidrosis, menorrhagia (excessive menstrual blood), metrorrhagia and metrostaxis - bleeding out of period, poor appetite, loose stools, lassitude, weakness, SOB, disinclination to speak, pallor, pale tongue, white coating, thready and weak pulse

Answer 7

Failure of spleen in controlling blood

Question 8

Etiology and pathology of Disturbance of the spleen by cold damp

Answer 8

improper diet, excessive intake of cold food ->retention of cold damp interior
wading in water or living in damp places-> dampness penetrates into body from outside
both leads to the retention of the spleen by cold damp
->obstruction of Qi
->disorder of spleen and stomach

Question 9

Manifestation: fullness and distending pain in the epigastrium and abdomen, loss of appetite, loose stools and diarrhea, nausea, tasteless mouth, absence of thirst, heaviness of the head and body, and sallow complexion, icteric skin and eyes that are dark yellow if having been smoked, edema, scanty urine, pale and puffy tongue, white and slippery coating, soft and retarded pulse

Answer 9

Disturbance of the spleen by cold damp

Question 10

Etiology and pathology of damp heat in the spleen

Answer 10

1. invasion of exogenous pathogenic damp heat -> obstruct the spleen and stomach
2. damp heat stagnates in middle jiao -> affects the liver and gallbladder

Question 11

manifestations: fullness in the abdomen, loss of appetite, nausea, loose stools, yellow scanty urine, heaviness of the body and limbs, or icteric skin, eyes fresh bright colour like oranges, and itching, rising and falling fever which cannot be relieved after sweating, yellow and sticky coating, and soft and rapid pulse

Answer 11

Retention of damp heat in Spleen

Question 12

Etiology and pathology of stomach Yin

Answer 12

prolonged stomach disease
consumption of yin by febrile disease
indulgence on hot and dry food/drugs
emotion frustration ->fire->Yin

all leads to Stomach Yin deficiency
leads to failure to nourish
upflow of stomach Qi

Question 13

Dull pain in the epigastrium, anorexia, dryness in the mouth and throat, constipation, or fullness in the epigastrium, retching hiccups, red tongue with little coating, thready and rapid pulse

Answer 13

Deficiency of Stomach Yin

Question 14

Distension, fullness and pain the epigastrium and abdomen, foul belching, sour regurgitation, anorexia, vomiting, hesitant bowel movement, thick and sticky tongue coating, rolling pulse

Answer 14

Retention of food in stomach

Question 15

Epigastric fullness and pain which are worse on exposure to cold and better to warmth, reflux of clear fluid or vomiting after eating, white slippery tongue coating, slow pulse

Answer 15

Retention of fluid in the somach due to cold

Question 16

Lists the Z-F patterns for Syndromes of the Spleen

Answer 16

Deficiency of the Spleen Qi
Dysfunction of the Spleen in controlling blood
Deficiency of Spleen Yang
Invasion of the spleen by cold damp
Damp heat in the spleen and stomach