Kai Chen Ph.D. in Chinese Medicine TCM Dr. in British Columbia, Canada 205 Burnside Road East, Victoria, B.C. V9A 1A4 Canada |
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Chinese Medicine Spleen Disorders In
Chinese Medicine, spleen function mainly is controlling digestion system; the
related organs are stomach, small intestine and large intestine.
The disorders often are digestive symptoms and signs, such as epigastria
pain, vomiting, constipation, etc.
1. Epigastria Pain The
frequent pain is over the epigastria region. 1.1 Etiologies and Pathogenesis Attack
of the stomach by pathogenic factors Invasion
of the stomach by liver qi Spleen
and stomach deficiency Diet
disorder 1.2
Differentiations and treatment 1.2.1
Liver qi attacking the stomach Clinical
manifestation: Epigastria
fullness, distension and wandering pain or radiating hypochondriac region, the
pain is worse after emotion, white fur, wiry pulse Treatment
principle: Soothing the liver qi
and pacifying the stomach to stop pain Herb
formula: Chahu Shu Gan San 1.2.2
Food Retention Clinic
manifestation: Epigastria distension pain after overeating, thick greasy tongue
fur and slippery pulse Treatment
principle: Relieve food retention
and pacifying the stomach to stop pain Herb
formula: Bao He Wan 1.2.3.
Cold in the spleen and stomach Clinic
manifestation: Epigastria cold and dull pain aggravated by cold and alleviated
by warm, or accompanied with yang deficiency symptoms
Treatment
principle: Warming up the middle-jiao, strengthening the spleen to eliminate
cold and stop pain Herb
formula: For yang qi deficiency: Huangqi Jian Zhong Tang For
excessive cold syndrome: Liang Fu Wan 1.2.4.
Retention of heat in the stomach and liver Clinic
manifestation: Epigastria burning pain, irritability, dry mouth, bitter taste,
red tongue with yellow fur Treatment
principle: Clearing away the heat in the stomach and liver to stop pain
Herb
formula: Hua Gan Jian 1.2.5.
Blood stasis Clinic
manifestation: Epigastria sharp and fixed pain, purple tongue Treatment
principle: Promoting blood and qi circulation to remover blood stasis for
stopping pain Herb
formula: Dan Shen Yin 1.2.6.
Stomach yin deficiency Clinic
manifestation: Chronic epigastria dull and burning pain, red dry tongue, thin
and rapid pulse Treatment
principle: Nourishing stomach yin for stopping pain
Herb
formula: Yi Guan Jian 2.
Dysphagia (Yege syndrome) Ye
is to swallow difficultly, often difficult to dry food; Ge is a more severe
condition even unable to drink liquid. 2.1
Etiologies and Pathogenesis Pathogenic
factors of cold and heat invading Emotional
changes Diet Constitution
deficiency 2.2
Differentiations and treatment 2.2.1.
Blockage by phlegm and stagnant qi Clinical
manifestation: Difficulty in
swallowing to dry food, full or dull pain in the chest and diaphragm, red tongue
with greasy fur, taut and smooth pulse Treatment
principle: Relieving stagnation, moisten dryness and resolving phlegm Herb
formula: Jie Ge San 2.2.2.
Blockage by heat Clinical
manifestation: Difficulty and pain
in swallowing, pain in the chest and diaphragm, emaciation, red tongue with
yellow fur, rapid pulse Treatment
principle: Nourishing yin and clearing heat
Herb
formula: Wu Zhi An Zhong Yin 2.2.3.
Blockage by blood stasis Clinical
manifestation: Difficulty in
swallowing, even water, more emaciation, purple tongue, deep and weak pulse
Treatment
principle: Tonifying qi and blood, removing blood stasis Herb
formula: Tong You Tang 2.2.4.
Qi and yang deficiency Clinical
manifestation: Very difficulty in swallowing anything longtime , extremely
emaciation, pale tongue, very deep and thin pulse
Treatment
principle: Tonifying qi and yang Herb
formula: Du Shen Tang 3. Vomiting 3.1
Etiologies and Pathogenesis Attack
of the stomach by pathogenic factors Improper
diet Emotional
upsets Spleen
and stomach deficiency 3.2
Differentiations and Treatment 3.2.1.
Exogenous pathogenic invasion into the stomach Clinic
manifestation: sudden vomiting, accompanied with exterior syndrome Treatment
principle: Relieving exterior
syndrome, regulating qi to stop vomiting Herb
formula: Huo Xiang Zheng Qi San 3.2.2
Food Retention Clinic
manifestation: Vomiting sour fluid or food, epigastria pain after overeating,
thick greasy tongue fur Treatment
principle: Relieve food retention
and pacifying the stomach to stop vomiting Herb
formula: Bao He Wan 3.2.3.
Liver qi attacking the stomach Clinic
manifestation: Vomiting, epigastria fullness, distension and wandering pain or
hypochondriac pain Treatment
principle: Soothing the liver qi
and pacifying the stomach to stop vomiting Herb
formula: Ban Xia Hou Po Tang added
Zuo Jin Wan 3.2.4.
Deficiency in the spleen and stomach Clinic
manifestation: Nausea and vomiting after eating
accompanied with yang deficiency symptoms Treatment
principle: Warming up the middle-jiao, strengthening the spleen to eliminate
cold and stop vomiting Herb
formula: Li Zhong Wan 3.2.5.
Yin deficiency in the stomach Clinic
manifestation: repeat vomiting, irritability, dry mouth, bitter taste,
red tongue with yellow thin
fur or without fur Treatment
principle principle: Tonifying yin and clearing away
heat to stop vomiting
Herb
formula: Mai Men Dong Tang 4. Hiccup (E-Ni) Hiccup
is caused by the adverse of stomach qi marked by
an involuntary short, quick sound in the throat. 4.1
Etiologies and Pathogenesis Improper
diet Emotional
upsets Deficiency
of spleen and kidney yang Deficiency
of stomach yin 4.2
Differentiations and Treatment 4.2.1.
Excess 4.2.1.1
Retention of cold in the stomach Clinical
manifestation: Hiccup with deep and slow sounds, alleviated by warmth and
aggravated by cold, white tongue fur and slow pulse Treatment
principle: Warming the middle-jiao, eliminating cold to check hiccup Herb
formula: Ding Xiang San 4.2.1.2
Heat in the stomach Clinical
manifestation: Hiccup with loud and strong sounds, thirst, foul breath, red
tongue yellow fur and rapid pulse Treatment
principle: Clearing heat to check hiccup Herb
formula: Zhu Ye Shi Gao Tang 4.2.1.3
Qi Stagnation Clinical
manifestation: Hiccup alleviated or aggravated by emotion changes, white tongue
fur and taut pulse Treatment
principle: Regulating qi Herb
formula: Wu Mo Yin Zi 4.2.2.
Deficiency 4.2.2.1
Spleen and stomach yang deficiency Clinical
manifestation: Hiccup with weak sounds, alleviated by warmth and aggravated by
cold, pale complexion, pale tongue with white fur and deep and weak pulse Treatment
principle: Warming the middle-jiao, tonifying spleen and stomach to check hiccup
Herb
formula: Li Zhong Wan 4.2.2.2
Yin deficiency of the stomach Clinical
manifestation: Hiccup with weak sounds, and yin- symptoms, red thin tongue with
thin yellow fur and thin rapid pulse Treatment
principle: Nourishing stomach yin to check hiccup Herb
formula: Yi Wei San 5.
Diarrhea Diarrhea
is marked frequent and watery bowel movement 5.1
Etiologies and Pathogenesis Pathogenic
factors invading Emotional
changes Diet Spleen
and stomach deficiency Kidney
Yang-deficiency 5.2
Differentiations and treatment 5.2.1.
Acute diarrhea 5.2.1.1
Cold-dampness or wind-cold Clinical
manifestation: Diarrhea with clear and diluted stool or watery stool in severe
cases, abdominal pain, borborygums, white tongue fur and weak pulse Treatment
principle: Dispersing cold and resolving the turbid qi to stop diarrhea Herb
formula: Huo Xiang Zhan Qi San 5.2.1.2
Summer-heat Clinical
manifestation: Rapid or intermittent diarrhea with foul stool, abdominal pain,
borborygums, yellow greasy tongue fur and rapid pulse Treatment
principle: Dispersing heat-damp and resolving the turbid qi to stop diarrhea Herb
formula: Ge Geng Qin Lian Tang 5.2.1.3
Retention of food Clinical
manifestation: Diarrhea after overeating, very foul and dirty stool, abdominal
pain and relieved by diarrhea, borborygums, yellow and thick tongue fur and
rapid pulse Treatment
principle: Dispersing retention of food and resolving the turbid qi to stop diarrhea
Herb
formula: Bao He Wan 5.2.2.
Chronic diarrhea 5.2.2.1
Invasion of the spleen by liver qi Clinical
manifestation: Diarrhea with emotion change, before diarrhea very abdominal
pain, borborygums, white tongue fur and weak and taut pulse Treatment
principle: soothing liver qi and tonifying spleen qi to stop diarrhea Herb
formula: Tong Xie Yao Fang 5.2.2.2
Spleen and stomach deficiency Clinical
manifestation: Chronic diarrhea, abdominal pain, borborygums, white tongue fur
and weak pulse with spleen qi- Treatment
principle: tonifying spleen qi to stop diarrhea Herb
formula: Shen Ling Bai Zhu San 5.2.2.3
Kidney yang deficiency Clinical
manifestation: Chronic diarrhea in the early morning with abdominal pain,
borborygums, and white tongue fur and weak and deep pulse Treatment
principle: Tonifying kidney yang to stop diarrhea Herb
formula: Si Sen Wan 6.
Abdominal Pain The
frequent pain is over the abdominal region. 6.1
Etiologies and Pathogenesis Attacked
by pathogenic factors Emotion Diet
disorder Yang
deficiency 6.2
Differentiations and treatment 6.2.1.
Cold attacking Clinic
manifestation: Abdominal cold and dull pain aggravated by cold and alleviated
by warm, white fur and tense pulse Treatment
principle: Warming up the middle-jiao
Herb
formula: Liang Fu Wan added Zheng Qi Tian Xiang San 6.2.2.
Retention of heat-damp Clinic
manifestation: Hot pain, irritability, dry mouth, bitter taste, red tongue with
yellow greasy fur Treatment
principle: Clearing away the heat o stop pain
Herb
formula: Da Cheng Qi Tang 6.2.3.
Yang deficiency Clinic
manifestation: Cold pain with yang- symptoms, pale complexion, pale tongue and
deep thin pulse Treatment
principle: Tonifying yang Herb
formula: Xiao Jian Zhong Tang 6.2.4.
Food Retention Clinic
manifestation: Pain after
overeating, thick greasy tongue fur Treatment
principle: Relieve food retention
and pacifying the stomach to stop pain Herb
formula: Bao He Wan or Zhishi Dou Zhi Wan 6.2.5.
Blood stasis and qi deficiency Clinic
manifestation: Blood stasis: sharp and fixed pain, purple tongue Qi
stagnation: Distension and wandering pain Treatment
principle: Promoting qi and blood circulation to remover blood stasis for
stopping pain Herb
formula: Xiao Yao San or Shao Fu Zhu Yu Tang 7. Constipation It
is difficult to pass stools. 7.1
Etiologies and Pathogenesis Diet
and strong constitution Emotional
changes Qi-blood
deficiency Yang
deficiency 7.2.
Differentiations and treatment 7.2.1.
Excess heat Clinical
manifestation: Constipation and excessive constitution, red tongue with yellow
dry fur, smooth and rapid pulse Treatment
principle: Clearing away heat and moistening intestine Herb
formula: Ma Zi Ren Wan 7.2.2.
Qi stagnation Clinical
manifestation: Constipation and fullness in the abdomen, white fur, and taut
pulse Treatment
principle: Promoting qi circulation and moistening intestine Herb
formula: Liu Mo Zi Tang 7.2.3.
Deficiency 7.2.3.1
Qi deficiency Clinical
manifestation: Chronic constipation with qi- constitution, pale tongue with
white fur, weak pulse Treatment
principle: Tonifying qi and moistening intestine Herb
formula: Huang Qi Tang 7.2.3.2
Blood deficiency Clinical
manifestation: Chronic constipation and blood- constitution, pale tongue with
white fur, thin and deep pulse Treatment
principle: Nourishing blood and moistening intestine Herb
formula: Run Chang Wan 7.2.4.
Cold type Clinical
manifestation: Constipation and yang- constitution, pale tongue with white fur,
deep, weak and slow pulse Treatment
principle: Warming yang to promote stools Herb formula: Ji Chuan Jian Copyright by Kai Chen Ph.D. in Chinese Medicine
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