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Home > Education > Zang Fu > Edema Index > Spleen Qi Deficiency Edema

Spleen Qi Xu Edema

From "Zang Fu Syndromes," by McDonald and Penner

Etiology
Clinical Manifestations
Complications
Associated Western Conditions
Differential Diagnosis
Treatment Principle
Common Acupuncture Points
Common Herbal Formulae

Etiology

SP Qi Xu or SP Yang Xu leads to poor transformation and transportation of Fluids, causing edema.

Clinical Manifestations

Edema in limbs, especially lower limbs	Physical and mental fatigue
Maybe anasarca	Loose stools
Maybe abdominal distention

T: Pale
C: White and moist
P: Soft and even

Complications

Spleen Xu Edema frequently co-exists with KI Yang Xu which also contributes to the edema. This is usually called SP and KI Yang Xu or Yin edema.

Associated Western Conditions

Acute or chronic glomerulonephritis

Differential Diagnosis

The possible involvement of KI Yang Xu with SP Yang Xu can be determined by KI signs and symptoms such as lumbago. Yin edema may be differentiated from Yang edema by the pattern of onset. Yin edema has an insidious onset and usually swelling begins in the ankles or feet.

Yang edema has abrupt onset beginning with facial edema and puffiness around the eyes (Yang edema is due to blockage of LU Qi which is responsible for circulation of Fluids in the upper body downwards to UB).

Treatment Principle

Warm Yang, Strengthen SP, Benefit Qi and Move water.

Common Acupuncture Points

SP-6 / Sanyinjiao	Needling with reducing technique in combination with SP-9 / Yinlingquan has a diuretic action.
SP-9 / Yinlingquan	Needling with reducing technique in combination with SP-6 / Sanyinjiao has a diuretic action.
REN-9 / Shuifen	Moxa with reducing needle technique has diuretic action.
UB-20 / Pishu	With moxa on UB-23 / Shenshu, for diuresis.
UB-23 / Shenshu	With moxa on UB-20 / Pishu, for diuresis.
UB-22 / Sanjiaoshu	Back-Shu point for SJ: regulates the transforming function of Qi and regulates water passages - for edema and abdominal distention.
ST-28 / Shuidao	Benefits UB: used more for Damp-Heat obstructing urination, but can be used for edema.
ST-36 / Zusanli	Strengthens transforming and transporting functions of SP: for edema of limbs.
REN-6 / Qihai	Regulates Qi functions, Dispels Dampness and reinforces Qi: more for KI Xu than SP Xu but good for edema.

Common Herbal Formulae

Shi Pi Yin / Bolster the Spleen Decoction

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