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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
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
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
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).
Warm Yang, Strengthen SP, Benefit
Qi and Move water.
| Common Acupuncture
Points |
SP6 (Sanyinjiao) - Needling with
reducing technique in combination with SP9 (Yinlingquan) has a
diuretic action.
SP9 (Yinlingquan) - Needling with reducing technique in combination
with SP6 (Sanyinjiao) has a diuretic action.
REN9 (Shuifen) - Moxa with reducing needle technique has diuretic
action.
UB20 (Pishu) - With moxa on UB23 (Shenshu), for diuresis.
UB23 (Shenshu) - With moxa on UB20 (Pishu), for diuresis.
UB22 (Sanjiaoshu) - Back-Shu point for SJ: regulates the transforming
function of Qi and regulates water passages - for edema and abdominal
distention.
ST28 (Shuidao) - Benefits UB: used more for Damp-Heat obstructing
urination, but can be used for edema.
ST36 (Zusanli) - Strengthens transforming and transporting functions
of SP: for edema of limbs.
REN6 (Qihai) - Regulates Qi functions, Dispels Dampness and reinforces
Qi: more for KI Xu than SP Xu but good for edema.
Shi Pi Yin / Bolster the Spleen
Decoction
[Return
to Spleen Index]
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