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Spleen Cold Damp

Used with permission 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

Overindulgence in cold, raw food and drinks, and fruit and tea damages SP Yang, reducing SP's ability to transform and transport Fluids, which leads to Damp Stagnation. Further, the SP Yang Xu condition is Cold.

Environmental Dampness such as wearing drenched clothes and shoes after walking in the rain, perspiring heavily or otherwise getting wet.

External Dampness due to living in damp places damages SP.

Clinical Manifestations

Distention and fullness of epigastrium and abdomen Borborygmus
Nausea / vomiting Lassitude
Anorexia Yin jaundice
Loose stools Heavy head
Reduced sensation of taste Maybe edema
No thirst or preference for hot drinks Maybe copious white vaginal discharge
Sticky sensation in mouth Maybe cold limbs, fear of cold, feeling chilled

T: Pink
C:Thick, white and greasy or sticky
P: Deep and slow

Only when Dampness ascends to the head do symptoms of heavy head, reduced sensation of taste, sticky sensation in mouth and no thirst or preference for hot drinks occur. In such cases the tongue coating is sticky.
Associated Western Conditions
Acute or chronic gastroenteritis Acute or chronic
bacterial dysentery
Chronic hepatitis Cirrhosis of the liver

Differential Diagnosis

Cold-Damp Distresses SP may be differentiated from Damp-Heat in SP / ST by the differences between Cold-Damp and Damp-Heat such as:

Cold-Damp Damp-Heat
T: Pink T: Pink
C: Thick, white and greasy or sticky C: Thick, yellow and greasy or sticky
P: Deep and slow P: Soft and rapid
Lack of taste Sweet or bitter taste

Treatment Principle

Warm Cold, Transform Dampness, Harmonize ST and Strengthen SP.

Common Acupuncture Points

To Strengthen SP and Disperse Dampness:

SP9 (Yinlingquan) - Used more often for Damp Heat.

ST36 (Zusanli)

SP6 (Sanyinjiao)

UB20 (Pishu)

REN12 (Zhongwan)

To Regulate Qi and Disperse Dampness:

REN6 (Qihai) - To warm, use moxibustion either as warm needle or moxa cones on a ginger slice. The moxa box is also good for abdominal use. Moxibustion can be used on any of the above points. Other points are selected according to signs and symptoms. For instance:

Cold-Damp Dysentery:

ST25 (Tianshu)

ST37 (Shangjushu)

CO4 (Hegu)

*REN12 (Zhongwan)

*REN6 (Qihai)

*SP6 (Sanyinjiao)

Cold-Damp Vaginal Discharge:

DU26 (Daimai)

UB30 (Baihuanshu)

*REN6 (Qihai)

*SP6 (Sanyinjiao)

REN4 (Guanyuan)

*ST36 (Zusanli)

Cold-Damp Diarrhea:

ST25 (Tianshu)

UB25 (Dachangshu)

ST37 (Shangjushu)

*ST36 (Zusanli)

*REN12 (Zhongwan)

*REN6 (Qihai)

Cold-Damp Jaundice (Yin Jaundice):

*SP9 (Yinlingquan)

*ST36 (Zusanli)

GB24 (Riyue)

UB19 (Danshu)

UB48 (Yanggang)

DU9 (Zhiyang)

*UB20 (Pishu)

*LIV13 (Zhangmen)

*Points which have specific actions on Dampness.

SP3 (Taibai) and SP5 (Shangqiu) are also sometimes used to Strengthen SP and disperse Dampness, but are less frequently used than the above points.

Common Herbal Formulae

Wei Ling Tang / Decoction to Dispel Dampness in the Spleen and Stomach

Yin Chen Si Ni Tang / Artemisia Yinchenhao Decoction for Frigid Extremities

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