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From "Zang Fu Syndromes," by McDonald and Penner
Etiology
External Perverse Damp-Heat invades SP and ST causing failure
of SP's functions of transformation and transportation.
SP Qi Xu or SP Yang Xu leads to Damp Stagnation which can transform
into Heat. Dampness and Heat combine to stagnate in SP / ST.
Dampness and Heat are generated internally by long-term overindulgence
in alcohol and fatty sweet foods.
Clinical Manifestations
| Anorexia |
Lassitude |
| Abdominal distention and discomfort
|
Scanty, dark urine |
| Suffocating sensation in the chest |
Maybe thirst or thirst with no desire to drink
|
| Epigastric mass |
Diarrhea with foul smell or Constipation
|
| Maybe abdominal pain on palpation
|
Fever |
| Yang jaundice (sclera and skin are bright yellow)
|
Sweet sticky taste or bitter taste in mouth
|
| Dislike of oily foods |
Nausea / vomiting |
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T: Pink C: Thick, yellow and greasy (maybe sticky) P: Soft and rapid
Complications
Damp-Heat in SP / ST almost always affects LIV / GB causing Damp-Heat
in LIV / GB. In fact the classical association of the color yellow
with the SP derives from the color of Yang jaundice (bright yellow
"like the skin of a mandarin orange") which is due to Damp-Heat
obstructing the normal movement of bile - a function of LIV / GB.
Associated Western Conditions
| Acute icteric hepatitis |
Acute cholecystitis |
| Acute pancreatitis |
Cirrhosis of the liver |
Differential Diagnosis
Damp-Heat in SP / ST is usually very closely associated with Damp-Heat
in LIV / GB. The purpose of differentiation is to determine the
extent of LIV / GB involvement. For example, as LIV / GB becomes
more involved, the sweet sticky taste may become more bitter, the
soft and rapid pulse may become slippery and rapid and then wiry
and rapid.
Damp-Heat in SP / ST may be differentiated from Cold-Damp Distresses
SP by the classic differentiation of Heat and Cold.
Treatment Principle
Clear Heat and Benefit Dampness (diuresis).
Common Acupuncture Points
For points related to treatment of LIV / GB Damp-Heat such as
jaundice, see Damp-Heat in LIV / GB.
In addition to the points dealt with under Damp-Heat in LIV / GB,
the following points are useful for Damp-Heat in SP / ST.
| ST-44 / Neiting |
Cools Heat in ST and removes obstruction from Intestines:
for Damp-Heat diarrhea and dysentery. |
| LI-11 / Quchi |
Cools Heat and alleviates Dampness: for Damp-Heat dysentery
or skin conditions (e.g. eczema). |
| SP-9 / Yinlingquan |
Disperses Dampness: more used for Damp-Heat than Cold-Damp
- for Damp-Heat diarrhea, dysentery, vaginal discharge or
urinary disorders. |
| ST-36 / Zusanli |
Strengthens SP and disperses Dampness.
|
| REN-12 / Zhongwan |
Regulates ST Qi and disperses Dampness.
|
| UB-20 / Pishu |
Used more in Cold-Damp to reinforce Xu SP. |
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When the treatment of Cold-Damp is compared to Damp-Heat, note
that points with reinforcing actions are used extensively for Cold-Damp
because it is basically a Xu condition of SP (associated with SP
Yang Xu). For Damp-Heat, reducing needling is used and points selected
have mainly reducing actions such as Cooling Heat or Dispersing
Dampness. In short, Cold-Damp Distressing SP is basically Xu, while
Damp-Heat Injures SP is basically Shi (excess or replete).
| Damp-Heat Diarrhea: |
Damp-Heat Dysentery: |
| ST-25 / Tianshu
UB-25 / Dachangshu
*ST-36 / Zusanli
*ST-44 / Neiting
*SP-9 / Yinlingquan
LI-4 / Hegu |
ST-25 / Tianshu
ST-37 / Shangjushu
LI-4 / Hegu
*ST-44 / Neiting
*LI-11 / Quchi
*SP-9 / Yinlingquan |
*Points which have a specific action on Damp-Heat or Dampness.
Common Herbal Formulae
Yin Chen Wu
Ling San / Artemisia Yinchenhao and Five Ingredient Powder with
Poria
Xiao Feng San /
Eliminate Wind Powder from "True Lineage" |