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TCM Spleen Disease. Spleen Physiology Spleen Pathology Cases. Sound song Emotion sympathy Climate humid Season late summer. Direction center Opening lips/gums Body Part muscles Zang/Fu SP/ST. Earth. Governs Transportation & Transformation Food & Water Controls Blood
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TCM Spleen Disease Spleen Physiology Spleen Pathology Cases
Sound song Emotion sympathy Climate humid Season late summer Direction center Opening lips/gums Body Part muscles Zang/Fu SP/ST Earth
Governs Transportation & Transformation Food & Water Controls Blood Dominates the Muscles Opens in Mouth Lips & Gums (ST) TCM SPLEENPhysiology
TCM SPLEENPhysiology • Governs Transportation & Transformation • Distribution, digestion & absorption of nutrients and water • Dominates post-natal life • SP Qi up- -ST Qi down
TCM SPLEENPhysiology • Controls Blood • Keeps blood in vessels & prevents extravasation • SP important for holding substance • Blood • Hernias • Prolapses
TCM SPLEENPhysiology • Dominates the Muscles • Weakness • Muscle atrophy • Emaciation
TCM SPLEENPhysiology • Opens in Mouth • Lips (SP) & Gums (ST) • Chewing and appetite are related to Spleen function • Poor Spleen function, poor appetite
Governs Transportation & Transformation Food & Water Controls Blood Dominates the Muscles Opens in Mouth Lips & Gums (ST) TCM SPLEENPhysiology
Earth BALANCED DEFICIENT EXCESS
Charlie • History • Not eating • Overall weakness • Loose stool with pieces of undigested food • Lost 8 lbs last week • TCVM Exam • Sensitivity at BL20 • Pale tongue • Deep pulses DX: Spleen Qi Deficiency
Charlie’s Treatment • AP • EA • BL20 (b), BL26 (b) ST36 (b), LI10 (b) • DN • GV20, BL21, BL23, Bai hui, SP3 • Aqua • LI10, BL20, ST36, Bai hui • Herbal • Eight Gentlemen
8 Gentlemen Condonopsis Dang Shen Tonify Oi Atractylodes Bai Zhu Tonify Oi and strengthen Spleen Pinellia Ban Xia Transform phlegm, stop vomiting Citrus Chen Pi Move Qi, dry up Damp Poria Fu Ling Drain Damp, strengthen Spleen Saussurea Mu Xiang Move Qi, resolve pain Amomum She Ren Eliminate Damp Licorice Gan Ceo Harmonize Ginger Gan Jiang Harmonize Jujube Da Zao Harmonize
Alphie • History • Chronic diarrhea in the morning • Cool, weak back • Hip dysplasia with stiff gait • TCVM Exam • Pale tongue with teeth marks • Weak pulse DX: Kidney Yang Deficiency
Alphie’s Treatment • AP • DN • GV20, GV4, Bai hui, BL23, BL26, ST 36, BL40, KID3-BL60, SP6 • Aqua • ST36, BL23, Bai hui • Moxa • GV4, Bai hui, ST36 • Herbal • Four Immortals
Four Immortals Psolarea Bu Gu Zhi Warm and tonify Kidney Yang Evodia Wu Zhu Yu Warm Kidney and Spleen Yang Schisandra Wu Wei Zi Consolidate Kidney and Spleen & stop diarrhea Myristica Rou Dou Kou Warm and tonify Spleen Ginger Gan Jiang Warm the middle Jiao & harmonize Jujube Da Zao Tonify Qi & harmonize
Jake • History • Progressive weakness in rear legs • Cool seeking • Rear leg muscle atrophy • Dry hair & skin • TCVM Exam • Pulses deep & weak (< R) • Red dry tongue DX: Qi/Yin Deficiency
Jake’s Treatment • AP • EA • SP6-SP9 (b), ST36 (b), LI10 (b), GV14-Bai hui • DN • BL20, BL23, BL26, KID3 • Aqua • SP6, ST36, BL23, BL26 • Herbal • Jia Bing Fang
Jia Bing Fang Astragalus Huang Qi Tonify Qi Condonopsis Dang Shen Tonify Qi Polygonum He Shou Wu Nourish Blood and Jing Rehmannia Shu Di Huang Nourish Blood, Yin and Jing Paeonia Bai Shao Yao Nourish Blood and soothe Liver Qi Dioscorea Shan Yao Tonify Qi and nourish Jing Prunella Xia Ku Cao Soothe Liver Qi, clear Heat Cyperus Xiang Fu Move Liver Qi and relieve nodules Bupleurum Chai Hu Soothe Liver Qi Sargassum Hai Zao Transform phlegm, clear Heat, soften the hardness Laminaria Kun Bu Transform phlegm, soften the hardness, drain water
Sam • History • Chronic rear leg weakness and muscle wasting • Dry hair • Weight loss • TCVM Exam • Red dry tongue • Weak thready pulses (< R) DX: Qi/YinDeficiency
Sam’s Treatment • AP • DN • GV20, BL20, BL23, BL26 • Aqua • SP6, ST36, BL23, BL26 • Herbal • Hindquarter formula (tea pills)
Hindquarter Formula Eucommia Du Zhong Tonify Kidney & strengthen back Achyranthes Niu Xi Tonify Kidney & strengthen the hind limbs Lindera Wu Yao Move Qi and relieve pain Astragalus Huang Qi Tonify Qi Apis Feng Hua Fen Tonify Qi and Yin Morinda Ba Ji Tian Warm and strengthen the back Angelica Dang Gui Nourish Blood Rehmannia Shu Di Huang Nourish Yin and Jing Cinnamon Gui Zhi Warm the Channels and benefit the limbs