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Home > Education > Zang Fu > Spleen Cold Damp

Spleen Cold Damp

From "Zang Fu Syndromes," by McDonald and Penner

Etiology

    Overindulgence in cold, raw food and drinks, and fruit and tea damages SP Yang, reducing SP's ability to transform and transport Fluids, which leads to Damp Stagnation. Further, the SP Yang Xu condition is Cold.

    Environmental Dampness such as wearing drenched clothes and shoes after walking in the rain, perspiring heavily or otherwise getting wet.

    External Dampness due to living in damp places damages SP.

Clinical Manifestations
Distention and fullness of epigastrium and abdomen Borborygmus
Nausea / vomiting Lassitude
Anorexia Yin jaundice
Loose stools Heavy head
Reduced sensation of taste Maybe edema
No thirst or preference for hot drinks Maybe copious white vaginal discharge
Sticky sensation in mouth Maybe cold limbs, fear of cold, feeling chilled

T: Pink
C:Thick, white and greasy or sticky
P: Deep and slow

Only when Dampness ascends to the head do symptoms of heavy head, reduced sensation of taste, sticky sensation in mouth and no thirst or preference for hot drinks occur. In such cases the tongue coating is sticky.

Associated Western Conditions
Acute or chronic gastroenteritis Acute or chronic
bacterial dysentery
Chronic hepatitis Cirrhosis of the liver
Differential Diagnosis

Cold-Damp Distresses SP may be differentiated from Damp-Heat in SP / ST by the differences between Cold-Damp and Damp-Heat such as:

Cold-Damp Damp-Heat
T: Pink T: Pink
C: Thick, white and greasy or sticky C: Thick, yellow and greasy or sticky
P: Deep and slow P: Soft and rapid
Lack of taste Sweet or bitter taste
Treatment Principle

    Warm Cold, Transform Dampness, Harmonize ST and Strengthen SP.

Common Acupuncture Points

    To Strengthen SP and Disperse Dampness:

    SP-9 / Yinlingquan Used more often for Damp Heat.

    ST-36 / Zusanli

    SP-6 / Sanyinjiao

    UB-20 / Pishu

    REN-12 / Zhongwan

    To Regulate Qi and Disperse Dampness:

    REN-6 / Qihai
    To warm, use moxibustion either as warm needle or moxa cones on a ginger slice. The moxa box is also good for abdominal use. Moxibustion can be used on any of the above points. Other points are selected according to signs and symptoms. For instance:

Cold-Damp
Dysentery:

ST-25 / Tianshu

ST-37 / Shangjushu

LI-4 / Hegu

*REN-12 / Zhongwan

*REN-6 / Qihai

*SP-6 / Sanyinjiao

Cold-Damp
Vaginal Discharge:

GB-26 / Daimai

UB-30 / Baihuanshu

*REN-6 / Qihai

*SP-6 / Sanyinjiao

REN-4 / Guanyuan

*ST-36 / Zusanli

Cold-Damp
Diarrhea:

ST-25 / Tianshu

UB-25 / Dachangshu

ST-37 / Shangjushu

*ST-36 / Zusanli

*REN-12 / Zhongwan

*REN-6 / Qihai

Cold-Damp Jaundice
(Yin Jaundice):

*SP-9 / Yinlingquan

*ST-36 / Zusanli

GB-24 / Riyue

UB-19 / Danshu

UB-48 / Yanggang

DU-9 / Zhiyang

*UB-20 / Pishu

*LIV-13 / Zhangmen

*Points which have specific actions on Dampness.

SP-3 / Taibai and SP-5 / Shangqiu are also sometimes used to Strengthen SP and disperse Dampness, but are less frequently used than the above points.

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