| Spleen and Stomach
Yang Xu (Deficiency) |
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
Yang Xu affects both SP and ST (see
etiologies of SP Yang Xu and ST Qi Xu).
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
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.
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.
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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