|
From "Zang Fu Syndromes," by McDonald and Penner
Etiology
Irregular eating patterns injure SP Qi.
Excessive mental strain (too much thinking) injures SP.
Protracted chronic disease damages SP Qi.
Clinical Manifestations
| Sallow complexion |
Abdominal and epigastric distention after eating
|
| Fatigue |
Maybe acid regurgitation or vomiting |
| Anorexia |
Loose stools |
| Four limbs feel tired and heavy |
Shortness of breath |
T: Pale and flabby - may have teethmarks C: White P: Even, forceless and Xu
Complications
There are a number of possible variations of SP Qi Xu which are
sometimes described as separate conditions:
- SP Not Governing Blood; (Xu type bleeding).
- Central Qi (or SP Qi) Sinking; (Prolapse).
- SP Xu Edema; (Edema due to SP Qi or SP Yang Xu).
SP Yang Xu is a more severe form of SP Qi Xu in which the Xu signs
and symptoms are more pronounced and there are additional Cold signs
and symptoms. (Yang Xu is a Xu Cold condition).
SP Qi Xu can lead to Dampness Accumulating and hence can give
rise to Dampness or Phlegm anywhere in the body.
SP Qi Xu can lead to LU Qi Xu, creating a condition called SP
Qi Xu and LU Qi Xu.
SP Qi Xu can lead to HT Blood Xu, creating a condition called
SP Qi and HT Blood Xu.
SP Qi Xu can occur combined with ST Qi Xu, in which case it is
called Central or Middle Qi Xu / Zhong Qi Xu, or Central Qi Insufficient
/ Zhong Qi Bu Zu.
Associated Western Conditions
| Gastric or duodenal ulcer
|
Chronic dysentery |
| Nervous dyspepsia |
Chronic hepatitis |
| Gastric neurosis |
Intestinal tuberculosis
|
| Chronic gastritis |
Anemia |
| Chronic enteritis |
|
Differential Diagnosis
SP Qi Xu may be differentiated from SP Yang Xu by the presence
of additional Cold signs and symptoms in SP Yang Xu such as: cold
limbs, feeling chilled, abdominal pain which is relieved by warmth
and a slow pulse.
Treatment Principle
Strengthen SP and Benefit Qi.
Common Acupuncture Points
To Strengthen Spleen:
UB-20 / Pishu Back-Shu point for SP.
LIV-13 / Zhangmen Front-Mu point for SP.
SP-3 / Taibai Yuan-Source point of the SP channel.
ST-36 / Zusanli Strengthens SP's transforming and transporting
functions.
REN-12 / Zhongwan Reinforces SP.
SP-6 / Sanyinjiao Strengthens SP.
SP-5 / Shangqiu Strengthens SP.
Common Herbal Formulae
Si Jun Zi Tang
/ Four Gentlemen Decoction
Xiang Sha
Liu Jun Zi Tang / Saussurea, Cardamon and the Six Gentlemen
Decoction |