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Home > Education > Zang Fu > Spleen & Stomach Yang Deficiency

Spleen and Stomach Yang Xu - (deficiency)

From "Zang Fu Syndromes," by McDonald and Penner

Etiology
Clinical Manifestations
Mild constant epigastric pain;
relieved by warmth and pressure
Lassitude
Anorexia Weakness
Abdominal pain and fullness after meals Sallow or pale, dull complexion
Nausea / vomiting Maybe edema
Loose, unformed stools Maybe scanty urination
Excessive salivation
Maybe clear, watery, copious vaginal discharge Cold limbs
 
T: Pale
C: White and greasy
P: Deep, thready and forceless
Complications

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.
Associated Western Conditions
Gastric or duodenal ulcer Chronic dysentery
Chronic gastritis Chronic hepatitis
Chronic enteritis Cirrhosis of the liver
Differential Diagnosis

    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.

Treatment Principle

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

Common Acupuncture Points

    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.

Common Herbal Formulae
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