tcm spleen disease
DESCRIPTION
TCM Spleen Disease. Spleen Physiology Spleen Pathology Cases. Sound song Emotion sympathy Climate humid Season late summer. Direction center Opening lips/gums Body Part muscles Zang/Fu SP/ST. Earth. Governs Transportation & Transformation Food & Water Controls Blood - PowerPoint PPT PresentationTRANSCRIPT
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
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