TCM Spleen DiseaseTCM Spleen Disease Spleen PhysiologySpleen Physiology Spleen PathologySpleen Pathology CasesCases

EarthEarth

SoundSound songsong

EmotionEmotion sympathysympathy

ClimateClimate humidhumid

SeasonSeason late summerlate summer

DirectionDirection centercenter

OpeningOpening lips/gumslips/gums

Body PartBody Part musclesmuscles

Zang/FuZang/Fu SP/STSP/ST

TCM TCM SPLEENSPLEEN PhysiologyPhysiology

Governs Transportation & Governs Transportation & TransformationTransformation Food & WaterFood & Water

Controls BloodControls Blood

Dominates the MusclesDominates the Muscles

Opens in MouthOpens in Mouth Lips & Gums (ST)Lips & Gums (ST)

TCM TCM SPLEENSPLEEN PhysiologyPhysiology

Governs Transportation Governs Transportation & Transformation& Transformation Distribution, digestion & Distribution, digestion &

absorption of nutrients absorption of nutrients and waterand water

Dominates post-natal lifeDominates post-natal life SP Qi up- -ST Qi downSP Qi up- -ST Qi down

TCM TCM SPLEENSPLEEN PhysiologyPhysiology

Controls BloodControls Blood Keeps blood in Keeps blood in

vessels & prevents vessels & prevents extravasationextravasation

SP important for SP important for holding substanceholding substance

• BloodBlood• HerniasHernias• ProlapsesProlapses

TCM TCM SPLEENSPLEEN PhysiologyPhysiology

Dominates the Dominates the MusclesMuscles

WeaknessWeakness

Muscle atrophyMuscle atrophy

EmaciationEmaciation

TCM TCM SPLEENSPLEEN PhysiologyPhysiology

Opens in MouthOpens in Mouth Lips (SP) & Gums Lips (SP) & Gums

(ST)(ST) Chewing and appetite Chewing and appetite

are related to Spleen are related to Spleen functionfunction

Poor Spleen function, Poor Spleen function, poor appetitepoor appetite

TCM TCM SPLEENSPLEEN PhysiologyPhysiology

Governs Transportation & Governs Transportation & TransformationTransformation Food & WaterFood & Water

Controls BloodControls Blood

Dominates the MusclesDominates the Muscles

Opens in MouthOpens in Mouth Lips & Gums (ST)Lips & Gums (ST)

TCM 24 Hour ClockTCM 24 Hour Clock

GB 11- 1AM

TH 9- 11 PM

PC 7- 9 PM

KID 5- 7 PM

BL 3- 5 PM SI 1- 3 PM

HT 11- 1 PM

SP 9- 11 AM

ST 7- 9 AM

LI 5- 7 AM

LU 3- 5 AMLIV 1- 3 AM

Spleen PathologySpleen Pathology

AnorexiaAnorexiaStomach ColdStomach Cold AnorexiaAnorexia

LassitudeLassitudeCold ear & noseCold ear & noseExcess salivationExcess salivationPale-purple tongue with light white coatingPale-purple tongue with light white coatingDeep, slow pulseDeep, slow pulse

Happy EarthHappy Earth

Stomach HeatStomach Heat AnorexiaAnorexiaThirstyThirstyFoul odor in mouthFoul odor in mouthDry fecesDry fecesDark scant urineDark scant urineDeep red tongue with yellow coatingDeep red tongue with yellow coatingSuperficial fast pulseSuperficial fast pulse

Jade LadyJade Lady

Food StasisFood Stasis AnorexiaAnorexiaLassitudeLassitudeVomitingVomitingWearinessWearinessFoul odor in mouthFoul odor in mouthGreasy tongueGreasy tongueDeep & slippery pulseDeep & slippery pulse

Bao He WanBao He Wan

Spleen Qi Spleen Qi DeficiencyDeficiency

AnorexiaAnorexiaLassitudeLassitudeLoose stool with undigested matterLoose stool with undigested matterWearinessWearinessWeight lossWeight lossEdemaEdemaWeakness in all 4 legsWeakness in all 4 legsPale tonguePale tongueWeak & deep pulsesWeak & deep pulses

Eight GentlemenEight Gentlemen

CharlieCharlie

HistoryHistory Not eatingNot eating Overall weaknessOverall weakness Loose stool with pieces of Loose stool with pieces of

undigested foodundigested food Lost 8 lbs last weekLost 8 lbs last week

TCVM ExamTCVM Exam Sensitivity at BL20Sensitivity at BL20 Pale tonguePale tongue Deep pulsesDeep pulses DX: Spleen Qi DeficiencyDX: Spleen Qi Deficiency

Charlie’s TreatmentCharlie’s Treatment

APAP EAEA

• BL20 (b), BL26 (b) ST36 (b), LI10 (b)BL20 (b), BL26 (b) ST36 (b), LI10 (b) DNDN

• GV20, BL21, BL23, Bai hui, SP3GV20, BL21, BL23, Bai hui, SP3 AquaAqua

• LI10, BL20, ST36, Bai huiLI10, BL20, ST36, Bai hui

HerbalHerbal Eight GentlemenEight Gentlemen

8 Gentlemen8 Gentlemen

CondonopsisCondonopsis Dang Shen Dang Shen Tonify OiTonify OiAtractylodesAtractylodes Bai Zhu Bai Zhu Tonify Oi and strengthen SpleenTonify Oi and strengthen SpleenPinellia Pinellia Ban Xia Ban Xia Transform phlegm, stop vomitingTransform phlegm, stop vomitingCitrus Citrus Chen Pi Chen Pi Move Qi, dry up DampMove Qi, dry up DampPoria Poria Fu Ling Fu Ling Drain Damp, strengthen SpleenDrain Damp, strengthen SpleenSaussurea Saussurea Mu Xiang Mu Xiang Move Qi, resolve painMove Qi, resolve painAmomum Amomum She Ren She Ren Eliminate DampEliminate DampLicorice Licorice Gan Ceo Gan Ceo HarmonizeHarmonizeGinger Ginger Gan Jiang Gan Jiang HarmonizeHarmonizeJujube Jujube Da Zao Da Zao HarmonizeHarmonize

DiarrheaDiarrheaHeat toxin/Damp heatHeat toxin/Damp heat Bloody, watery, foul smelling, mucoid fecesBloody, watery, foul smelling, mucoid feces

ColitisColitisHot nose & earsHot nose & earsThirstyThirstyDeep red tongue with yellow coatingDeep red tongue with yellow coatingDeep & rapid pulseDeep & rapid pulse

Great Saussurea CoptisGreat Saussurea Coptis

Liver-Spleen DisharmonyLiver-Spleen Disharmony Stress diarrheaStress diarrheaGastric ulcerGastric ulcerHyperactive typeHyperactive typeRed or purple tongueRed or purple tongueWiry pulseWiry pulse

Escape Stagnation PillEscape Stagnation Pill

Spleen Qi DeficiencySpleen Qi Deficiency Chronic diarrhea with undigested materialChronic diarrhea with undigested materialAnorexiaAnorexiaWeight lossWeight lossExercise intoleranceExercise intolerancePale tonguePale tongueDeep & weak pulsesDeep & weak pulses

Shen Ling Bai ZhuShen Ling Bai Zhu

Kidney Yang DeficiencyKidney Yang Deficiency Chronic diarrheaChronic diarrheaDiarrhea at day breakDiarrhea at day breakCold & painful backCold & painful backWeak, stiff rearWeak, stiff rearPale tonguePale tongueDeep & weak pulsesDeep & weak pulses

Four ImmortalsFour Immortals

AlphieAlphie

HistoryHistory Chronic diarrhea in the Chronic diarrhea in the

morningmorning Cool, weak backCool, weak back Hip dysplasia with stiff Hip dysplasia with stiff

gaitgait

TCVM ExamTCVM Exam Pale tongue with teeth Pale tongue with teeth

marksmarks Weak pulseWeak pulse

DX: Kidney Yang DeficiencyDX: Kidney Yang Deficiency

Alphie’s TreatmentAlphie’s Treatment

APAP DNDN

• GV20, GV4, Bai hui, BL23, BL26, ST 36, BL40, GV20, GV4, Bai hui, BL23, BL26, ST 36, BL40, KID3-BL60, SP6KID3-BL60, SP6

AquaAqua• ST36, BL23, Bai huiST36, BL23, Bai hui

MoxaMoxa• GV4, Bai hui, ST36GV4, Bai hui, ST36

HerbalHerbal Four ImmortalsFour Immortals

Four ImmortalsFour Immortals

PsolareaPsolarea Bu Gu ZhiBu Gu Zhi Warm and tonify Kidney YangWarm and tonify Kidney Yang

EvodiaEvodia Wu Zhu YuWu Zhu Yu Warm Kidney and Spleen YangWarm Kidney and Spleen Yang

SchisandraSchisandra Wu Wei ZiWu Wei Zi Consolidate Kidney and Spleen & stopConsolidate Kidney and Spleen & stop diarrheadiarrhea

MyristicaMyristica Rou Dou Kou Rou Dou Kou Warm and tonify SpleenWarm and tonify Spleen

GingerGinger Gan JiangGan Jiang Warm the middle Jiao & harmonizeWarm the middle Jiao & harmonize

JujubeJujube Da ZaoDa Zao Tonify Qi & harmonizeTonify Qi & harmonize

VomitingVomitingInvasion of Exogenous Invasion of Exogenous Pathogens in StomachPathogens in Stomach

Sudden onset following travel or weather Sudden onset following travel or weather changechangeAversion to wind, cold or heatAversion to wind, cold or heatHeadacheHeadacheCranial abdominal painCranial abdominal painPale tonguePale tongueSuperficial PulseSuperficial Pulse

Happy EarthHappy Earth

Food StagnationFood Stagnation AnorexiaAnorexiaSudden vomiting after eatingSudden vomiting after eatingFoul odor from mouthFoul odor from mouthAcidic stomach vomitAcidic stomach vomitRelief after vomitingRelief after vomitingAbdominal fullnessAbdominal fullnessRed, greasy tongueRed, greasy tongueSlippery pulseSlippery pulse

Bao He WanBao He Wan

Liver Qi StagnationLiver Qi Stagnation Hyperactive personalityHyperactive personalityIrritabilityIrritabilityEpigastric painEpigastric painAcid regurgitationAcid regurgitationRed eyesRed eyesPurple tonguePurple tongueWiry pulseWiry pulse

Liver HappyLiver Happy

VomitingVomiting

Spleen Qi/Yang DeficiencySpleen Qi/Yang Deficiency VomitingVomitingFatigueFatigueLoose stool with undigested materialLoose stool with undigested materialAnorexiaAnorexiaWeaknessWeaknessEdemaEdemaWarm seekingWarm seekingEnjoys massage of stomachEnjoys massage of stomachPale tonguePale tongueDeep & weak pulsesDeep & weak pulses

Eight GentlemenEight Gentlemen

Stomach Yin DeficiencyStomach Yin Deficiency Vomiting frequent small amountsVomiting frequent small amountsAnorexiaAnorexiaDry mouthDry mouthDry fecesDry fecesAbdominal painAbdominal painRed tongueRed tongueDeep, thready, fast pulseDeep, thready, fast pulse

Stomach HappyStomach Happy

Inflammatory Bowel DiseaseInflammatory Bowel DiseaseHeat Toxin/Damp HeatHeat Toxin/Damp Heat Foul, bloody, mucoid, watery diarrheaFoul, bloody, mucoid, watery diarrhea

AcuteAcuteHot nose & earsHot nose & earsThirstyThirstyVomitingVomitingDeep red tongue with yellow coatingDeep red tongue with yellow coatingDeep rapid pulseDeep rapid pulse

Great Saussurea CoptisGreat Saussurea Coptis

Qi-Blood StagnationQi-Blood Stagnation Chronic diarrhea with odorChronic diarrhea with odorAbdominal painAbdominal painVomitingVomitingAnorexiaAnorexiaPurple or red tonguePurple or red tongueWiry pulseWiry pulse

Xiang Lian SanXiang Lian San

Spleen Qi DeficiencySpleen Qi Deficiency Chronic diarrhea with undigested matieralChronic diarrhea with undigested matieralAnorexiaAnorexiaLoss of body massLoss of body massExercise intoleranceExercise intolerancePale tonguePale tongueDeep & weak pulseDeep & weak pulse

Shen Ling Bai ZhuShen Ling Bai Zhu

Canine ParvovirusCanine Parvovirus Blood diarrhea with odor and mucousBlood diarrhea with odor and mucousAnorexiaAnorexiaVomitingVomitingRed & dry tongueRed & dry tongueFast pulseFast pulse

Red Back DoorRed Back Door

Constipation/MegacolonConstipation/MegacolonHeatHeat Acute onset of colicAcute onset of colic

Hot ear & noseHot ear & noseCool seekingCool seekingThirstyThirstyFoul breath Foul breath Swollen upper palateSwollen upper palateRed & dry tongueRed & dry tongueFast pulseFast pulse

Da Chang Qi TangDa Chang Qi Tang

Qi StagnationQi Stagnation Sub-acute onset of colicSub-acute onset of colicBloat & abdominal fullnessBloat & abdominal fullnessGaseous bowel movementsGaseous bowel movementsAnorexiaAnorexiaPurple or red tonguePurple or red tongueWiry, fast pulseWiry, fast pulse

Xiao Zhang SanXiao Zhang San

Qi DeficiencyQi Deficiency Chronic constipation or colicChronic constipation or colicAnorexiaAnorexiaLoss of body massLoss of body massWeaknessWeaknessPale tonguePale tongueDeep & weak pulseDeep & weak pulse

Fan Xie YeFan Xie Ye

Yin/Blood DeficiencyYin/Blood Deficiency Very chronic megacolon with impactionVery chronic megacolon with impactionDry flaky skinDry flaky skinWeak or geriatric patientWeak or geriatric patientPale or red, dry tonguePale or red, dry tongueFast, weak & thready pulseFast, weak & thready pulse

Dang Gui Cong RongDang Gui Cong Rong

Wei SyndromeWei SyndromeDamp HeatDamp Heat Earth personalityEarth personality

ObesityObesityHistory of damp heat in skin or GIHistory of damp heat in skin or GIMuscle atrophyMuscle atrophyWeaknessWeaknessLethargyLethargyGreasy wet tongueGreasy wet tongueFast pulseFast pulse

Si Miao SanSi Miao San

Qi/Yang DeficiencyQi/Yang Deficiency Lethargy, shortness of breath, weaknessLethargy, shortness of breath, weaknessToo weak to get up to walkToo weak to get up to walkLoose lipsLoose lipsLoose stoolLoose stoolAnorexia & EmaciationAnorexia & EmaciationDry-burnt hairDry-burnt hairEdemaEdemaHeat seekingHeat seekingPale wet tonguePale wet tongueThready & weak pulseThready & weak pulse

Bu Yang Huan WuBu Yang Huan Wu

Qi/Yin DeficiencyQi/Yin Deficiency EmaciationEmaciationWeakness in lumbar regionWeakness in lumbar regionHeat seekingHeat seekingDry skinDry skinPale or red & dry tonguePale or red & dry tongueWeak & thready pulseWeak & thready pulse

Hindquarter formulaHindquarter formula

JakeJake

HistoryHistory Progressive weakness Progressive weakness

in rear legsin rear legs Cool seekingCool seeking Rear leg muscle Rear leg muscle

atrophyatrophy Dry hair & skinDry hair & skin

TCVM ExamTCVM Exam Pulses deep & weak Pulses deep & weak

(< R)(< R) Red dry tongueRed dry tongue

DX: Qi/Yin DeficiencyDX: Qi/Yin Deficiency

Jake’s TreatmentJake’s Treatment

APAP EAEA

• SP6-SP9 (b), ST36 (b), LI10 (b), GV14-Bai huiSP6-SP9 (b), ST36 (b), LI10 (b), GV14-Bai hui DNDN

• BL20, BL23, BL26, KID3BL20, BL23, BL26, KID3 AquaAqua

• SP6, ST36, BL23, BL26SP6, ST36, BL23, BL26

HerbalHerbal Jia Bing FangJia Bing Fang

Jia Bing FangJia Bing Fang

Astragalus Astragalus Huang Qi Huang Qi Tonify QiTonify QiCondonopsis Condonopsis Dang Shen Dang Shen Tonify QiTonify QiPolygonum Polygonum He Shou Wu He Shou Wu Nourish Blood and JingNourish Blood and JingRehmannia Rehmannia Shu Di Huang Shu Di Huang Nourish Blood, Yin and JingNourish Blood, Yin and JingPaeonia Paeonia Bai Shao Yao Bai Shao Yao Nourish Blood and soothe Liver QiNourish Blood and soothe Liver QiDioscorea Dioscorea Shan Yao Shan Yao Tonify Qi and nourish JingTonify Qi and nourish JingPrunella Prunella Xia Ku Cao Xia Ku Cao Soothe Liver Qi, clear HeatSoothe Liver Qi, clear HeatCyperus Cyperus Xiang Fu Xiang Fu Move Liver Qi and relieve nodulesMove Liver Qi and relieve nodulesBupleurum Bupleurum Chai Hu Chai Hu Soothe Liver QiSoothe Liver QiSargassum Sargassum Hai Zao Hai Zao Transform phlegm, clear Heat, softenTransform phlegm, clear Heat, soften

the hardnessthe hardnessLaminaria Laminaria Kun Bu Kun Bu Transform phlegm, soften theTransform phlegm, soften the

hardness, drain waterhardness, drain water

SamSam

HistoryHistory Chronic rear leg Chronic rear leg

weakness and muscle weakness and muscle wastingwasting

Dry hairDry hair Weight lossWeight loss

TCVM ExamTCVM Exam Red dry tongueRed dry tongue Weak thready pulses Weak thready pulses

(< R)(< R)DX: Qi/YinDeficiencyDX: Qi/YinDeficiency

Sam’s TreatmentSam’s Treatment

APAP DNDN

• GV20, BL20, BL23, BL26GV20, BL20, BL23, BL26 AquaAqua

• SP6, ST36, BL23, BL26SP6, ST36, BL23, BL26

HerbalHerbal Hindquarter formula (tea pills)Hindquarter formula (tea pills)

Hindquarter FormulaHindquarter FormulaEucommia Eucommia Du Zhong Du Zhong Tonify Kidney & strengthen backTonify Kidney & strengthen back

AchyranthesAchyranthes Niu Xi Niu Xi Tonify Kidney & strengthen the hind limbsTonify Kidney & strengthen the hind limbs

Lindera Lindera Wu Yao Wu Yao Move Qi and relieve painMove Qi and relieve pain

Astragalus Astragalus Huang Qi Huang Qi Tonify QiTonify Qi

Apis Apis Feng Hua Fen Feng Hua Fen Tonify Qi and YinTonify Qi and Yin

Morinda Morinda Ba Ji Tian Ba Ji Tian Warm and strengthen the backWarm and strengthen the back

Angelica Angelica Dang Gui Dang Gui Nourish BloodNourish Blood

Rehmannia Rehmannia Shu Di Huang Shu Di Huang Nourish Yin and JingNourish Yin and Jing

Cinnamon Cinnamon Gui Zhi Gui Zhi Warm the Channels and benefit the limbsWarm the Channels and benefit the limbs