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Spleen and Stomach Yang Xu - (deficiency)

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

Yang Xu affects both SP and ST (see etiologies of SP Yang Xu and ST Qi Xu).

Basically these are the same as the complications of SP Yang Xu, namely:

SP and ST Yang Xu can lead to KI Yang Xu.

SP and ST Yang Xu can lead to Damp-Stagnation hence, Phlegm formation which contributes to such conditions as:

• Cold-Damp Distresses SP.
• Phlegm-Damp Obstructs LU.
• Phlegm Confuses HT Orifice.

SP and ST Yang Xu can be associated with:

• SP Xu Edema.
• Central Qi Sinking.
• SP Not Governing Blood.

SP and ST Yang Xu is almost identical to SP Yang Xu since there is usually some ST involvement in SP Yang Xu. Since the Treatment Principle, Common Herbal Formulae and Common Acupuncture Points are also very similar, there is little clinical value in making such a differentiation.

Warm Yang, Strengthen SP, Warm the Center and Dispel Cold.

UB-20 / Pishu Back-Shu point for SP.

UB-21 / Weishu Back-Shu point for ST.

LIV-13 / Zhangmen Front-Mu point for SP.

REN-12 / Zhongwan Front-Mu point for ST.

SP-3 / Taibai Yuan-Source point of the SP channel.

ST-36 / Zusanli He-Sea point of the ST channel.

SP-6 / Sanyinjiao Strengthens SP and ST.

Moxibustion, warm needle and reinforcing technique should be used.

Fu Zi Li Zhong Wan / Prepared Aconite Pill to Regulate the Middle

Xiao Jian Zhong Tang / Minor Build the Center Decoction

Gan Jiang Ren Shen Ban Xia Wan / Ginger, Ginseng and Pinellia Pill

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