TCM Spleen Disease

1
TCM Spleen Disease

• Spleen Physiology
• Spleen Pathology
• Cases

2
Earth

• Sound
• song
• Emotion
• sympathy
• Climate
• humid
• Season
• late summer

• Direction
• center
• Opening
• lips/gums
• Body Part
• muscles
• Zang/Fu
• SP/ST

3
TCM SPLEEN Physiology

• Governs Transportation Transformation
• Food Water
• Controls Blood
• Dominates the Muscles
• Opens in Mouth
• Lips Gums (ST)

4
TCM SPLEEN Physiology

• Governs Transportation Transformation
• Distribution, digestion absorption of nutrients
  and water
• Dominates post-natal life
• SP Qi up- -ST Qi down

5
TCM SPLEEN Physiology

• Controls Blood
• Keeps blood in vessels prevents extravasation
• SP important for holding substance
• Blood
• Hernias
• Prolapses

6
TCM SPLEEN Physiology

• Dominates the Muscles
• Weakness
• Muscle atrophy
• Emaciation

7
TCM SPLEEN Physiology

• Opens in Mouth
• Lips (SP) Gums (ST)
• Chewing and appetite are related to Spleen
  function
• Poor Spleen function, poor appetite

8
TCM SPLEEN Physiology

• Governs Transportation Transformation
• Food Water
• Controls Blood
• Dominates the Muscles
• Opens in Mouth
• Lips Gums (ST)

9
TCM 24 Hour Clock
10
Earth
BALANCED
DEFICIENT
EXCESS
11
Spleen Pathology
12
Anorexia
Stomach Cold Anorexia Lassitude Cold ear nose Excess salivation Pale-purple tongue with light white coating Deep, slow pulse Happy Earth
Stomach Heat Anorexia Thirsty Foul odor in mouth Dry feces Dark scant urine Deep red tongue with yellow coating Superficial fast pulse Jade Lady
Food Stasis Anorexia Lassitude Vomiting Weariness Foul odor in mouth Greasy tongue Deep slippery pulse Bao He Wan
Spleen Qi Deficiency Anorexia Lassitude Loose stool with undigested matter Weariness Weight loss Edema Weakness in all 4 legs Pale tongue Weak deep pulses Eight Gentlemen
13
Charlie

• History
• Not eating
• Overall weakness
• Loose stool with pieces of undigested food
• Lost 8 lbs last week
• TCVM Exam
• Sensitivity at BL20
• Pale tongue
• Deep pulses

DX Spleen Qi Deficiency
14
Charlies Treatment

• AP
• EA
• BL20 (b), BL26 (b) ST36 (b), LI10 (b)
• DN
• GV20, BL21, BL23, Bai hui, SP3
• Aqua
• LI10, BL20, ST36, Bai hui
• Herbal
• Eight Gentlemen

15
8 Gentlemen
Condonopsis Dang Shen Tonify Oi Atractylodes Bai
Zhu Tonify Oi and strengthen Spleen Pinellia
Ban Xia Transform phlegm, stop vomiting Citrus
Chen Pi Move Qi, dry up Damp Poria Fu Ling
Drain Damp, strengthen Spleen Saussurea Mu
Xiang Move Qi, resolve pain Amomum She Ren
Eliminate Damp Licorice Gan Ceo
Harmonize Ginger Gan Jiang Harmonize Jujube
Da Zao Harmonize
16
Diarrhea
Heat toxin/Damp heat Bloody, watery, foul smelling, mucoid feces Colitis Hot nose ears Thirsty Deep red tongue with yellow coating Deep rapid pulse Great Saussurea Coptis
Liver-Spleen Disharmony Stress diarrhea Gastric ulcer Hyperactive type Red or purple tongue Wiry pulse Escape Stagnation Pill
Spleen Qi Deficiency Chronic diarrhea with undigested material Anorexia Weight loss Exercise intolerance Pale tongue Deep weak pulses Shen Ling Bai Zhu
Kidney Yang Deficiency Chronic diarrhea Diarrhea at day break Cold painful back Weak, stiff rear Pale tongue Deep weak pulses Four Immortals
17
Alphie

• History
• Chronic diarrhea in the morning
• Cool, weak back
• Hip dysplasia with stiff gait
• TCVM Exam
• Pale tongue with teeth marks
• Weak pulse

DX Kidney Yang Deficiency
18
Alphies Treatment

• AP
• DN
• GV20, GV4, Bai hui, BL23, BL26, ST 36, BL40,
  KID3-BL60, SP6
• Aqua
• ST36, BL23, Bai hui
• Moxa
• GV4, Bai hui, ST36
• Herbal
• Four Immortals

19
Four Immortals
Psolarea Bu Gu Zhi Warm and tonify Kidney
Yang Evodia Wu Zhu Yu Warm Kidney and Spleen
Yang Schisandra Wu Wei Zi Consolidate Kidney and
Spleen stop diarrhea Myristica Rou Dou
Kou Warm and tonify Spleen Ginger Gan
Jiang Warm the middle Jiao harmonize Jujube Da
Zao Tonify Qi harmonize
20
Vomiting
Invasion of Exogenous Pathogens in Stomach Sudden onset following travel or weather change Aversion to wind, cold or heat Headache Cranial abdominal pain Pale tongue Superficial Pulse Happy Earth
Food Stagnation Anorexia Sudden vomiting after eating Foul odor from mouth Acidic stomach vomit Relief after vomiting Abdominal fullness Red, greasy tongue Slippery pulse Bao He Wan
Liver Qi Stagnation Hyperactive personality Irritability Epigastric pain Acid regurgitation Red eyes Purple tongue Wiry pulse Liver Happy
21
Vomiting
Spleen Qi/Yang Deficiency Vomiting Fatigue Loose stool with undigested material Anorexia Weakness Edema Warm seeking Enjoys massage of stomach Pale tongue Deep weak pulses Eight Gentlemen
Stomach Yin Deficiency Vomiting frequent small amounts Anorexia Dry mouth Dry feces Abdominal pain Red tongue Deep, thready, fast pulse Stomach Happy
22
Inflammatory Bowel Disease
Heat Toxin/Damp Heat Foul, bloody, mucoid, watery diarrhea Acute Hot nose ears Thirsty Vomiting Deep red tongue with yellow coating Deep rapid pulse Great Saussurea Coptis
Qi-Blood Stagnation Chronic diarrhea with odor Abdominal pain Vomiting Anorexia Purple or red tongue Wiry pulse Xiang Lian San
Spleen Qi Deficiency Chronic diarrhea with undigested matieral Anorexia Loss of body mass Exercise intolerance Pale tongue Deep weak pulse Shen Ling Bai Zhu
Canine Parvovirus Blood diarrhea with odor and mucous Anorexia Vomiting Red dry tongue Fast pulse Red Back Door
23
Constipation/Megacolon
Heat Acute onset of colic Hot ear nose Cool seeking Thirsty Foul breath Swollen upper palate Red dry tongue Fast pulse Da Chang Qi Tang
Qi Stagnation Sub-acute onset of colic Bloat abdominal fullness Gaseous bowel movements Anorexia Purple or red tongue Wiry, fast pulse Xiao Zhang San
Qi Deficiency Chronic constipation or colic Anorexia Loss of body mass Weakness Pale tongue Deep weak pulse Fan Xie Ye
Yin/Blood Deficiency Very chronic megacolon with impaction Dry flaky skin Weak or geriatric patient Pale or red, dry tongue Fast, weak thready pulse Dang Gui Cong Rong
24
Wei Syndrome
Damp Heat Earth personality Obesity History of damp heat in skin or GI Muscle atrophy Weakness Lethargy Greasy wet tongue Fast pulse Si Miao San
Qi/Yang Deficiency Lethargy, shortness of breath, weakness Too weak to get up to walk Loose lips Loose stool Anorexia Emaciation Dry-burnt hair Edema Heat seeking Pale wet tongue Thready weak pulse Bu Yang Huan Wu
Qi/Yin Deficiency Emaciation Weakness in lumbar region Heat seeking Dry skin Pale or red dry tongue Weak thready pulse Hindquarter formula
25
Jake

• History
• Progressive weakness in rear legs
• Cool seeking
• Rear leg muscle atrophy
• Dry hair skin
• TCVM Exam
• Pulses deep weak (lt R)
• Red dry tongue

DX Qi/Yin Deficiency
26
Jakes Treatment

• AP
• EA
• SP6-SP9 (b), ST36 (b), LI10 (b), GV14-Bai hui
• DN
• BL20, BL23, BL26, KID3
• Aqua
• SP6, ST36, BL23, BL26
• Herbal
• Jia Bing Fang

27
Jia Bing Fang
Astragalus Huang Qi Tonify Qi Condonopsis Dang
Shen Tonify Qi Polygonum He Shou Wu Nourish
Blood and Jing Rehmannia Shu Di Huang Nourish
Blood, Yin and Jing Paeonia Bai Shao Yao
Nourish Blood and soothe Liver Qi Dioscorea
Shan Yao Tonify Qi and nourish Jing Prunella
Xia Ku Cao Soothe Liver Qi, clear Heat Cyperus
Xiang Fu Move Liver Qi and relieve
nodules Bupleurum Chai Hu Soothe Liver
Qi Sargassum Hai Zao Transform phlegm, clear
Heat, soften the hardness Laminaria Kun Bu
Transform phlegm, soften the hardness,
drain water
28
Sam

• History
• Chronic rear leg weakness and muscle wasting
• Dry hair
• Weight loss
• TCVM Exam
• Red dry tongue
• Weak thready pulses (lt R)

DX Qi/YinDeficiency
29
Sams Treatment

• AP
• DN
• GV20, BL20, BL23, BL26
• Aqua
• SP6, ST36, BL23, BL26
• Herbal
• Hindquarter formula (tea pills)

30
Hindquarter Formula
Eucommia Du Zhong Tonify Kidney strengthen
back Achyranthes Niu Xi Tonify Kidney
strengthen the hind limbs Lindera Wu Yao
Move Qi and relieve pain Astragalus Huang Qi
Tonify Qi Apis Feng Hua Fen Tonify Qi and
Yin Morinda Ba Ji Tian Warm and strengthen the
back Angelica Dang Gui Nourish
Blood Rehmannia Shu Di Huang Nourish Yin and
Jing Cinnamon Gui Zhi Warm the Channels and
benefit the limbs