TCM Spleen Disease Spleen Physiology Spleen Pathology Cases

TCM Spleen Disease Spleen Physiology Ø Spleen Pathology Ø Cases Ø

Earth Ø Sound l Ø Ø late summer lips/gums Body Part l Ø center Opening l humid Season Direction l sympathy Climate l Ø song Emotion l Ø muscles Zang/Fu l SP/ST

TCM SPLEEN Physiology Ø Governs Transportation & Transformation l Food & Water Ø Controls Blood Ø Dominates the Muscles Ø Opens in Mouth l Lips & Gums (ST)

TCM SPLEEN Physiology Ø Governs Transportation & Transformation l l l Distribution, digestion & absorption of nutrients and water Dominates post-natal life SP Qi up- -ST Qi down

TCM SPLEEN Physiology Ø Controls Blood l l Keeps blood in vessels & prevents extravasation SP important for holding substance • Blood • Hernias • Prolapses

TCM SPLEEN Physiology Ø Dominates the Muscles l Weakness l Muscle atrophy l Emaciation

TCM SPLEEN Physiology Ø Opens in Mouth l l l Lips (SP) & Gums (ST) Chewing and appetite are related to Spleen function Poor Spleen function, poor appetite

TCM SPLEEN Physiology Ø Governs Transportation & Transformation l Food & Water Ø Controls Blood Ø Dominates the Muscles Ø Opens in Mouth l Lips & Gums (ST)

TCM 24 Hour Clock

Spleen Pathology

Anorexia Stomach Cold ØAnorexia ØLassitude Happy Earth ØCold ear & nose ØExcess salivation ØPale-purple tongue with light white coating ØDeep, slow pulse Stomach Heat ØAnorexia ØThirsty Jade Lady ØFoul odor in mouth ØDry feces ØDark scant urine ØDeep red tongue with yellow coating ØSuperficial fast pulse Food Stasis ØAnorexia ØLassitude Bao He Wan ØVomiting ØWeariness ØFoul odor in mouth ØGreasy tongue ØDeep & slippery pulse Spleen Qi Deficiency ØAnorexia ØLassitude ØLoose stool with undigested matter ØWeariness ØWeight loss ØEdema ØWeakness in all 4 legs ØPale tongue ØWeak & deep pulses Eight Gentlemen

Charlie Ø History l l Ø Not eating Overall weakness Loose stool with pieces of undigested food Lost 8 lbs last week TCVM Exam l l l Sensitivity at BL 20 Pale tongue Deep pulses DX: Spleen Qi Deficiency

Charlie’s Treatment Ø AP l EA • BL 20 (b), BL 26 (b) ST 36 (b), LI 10 (b) l DN • GV 20, BL 21, BL 23, Bai hui, SP 3 l Aqua • LI 10, BL 20, ST 36, Bai hui Ø Herbal l Eight Gentlemen

8 Gentlemen Condonopsis Atractylodes Pinellia Citrus Poria Saussurea Amomum Licorice Ginger Jujube Dang Shen Bai Zhu Ban Xia Chen Pi Fu Ling Mu Xiang She Ren Gan Ceo Gan Jiang Da Zao Tonify Oi and strengthen Spleen Transform phlegm, stop vomiting Move Qi, dry up Damp Drain Damp, strengthen Spleen Move Qi, resolve pain Eliminate Damp Harmonize

Diarrhea Heat toxin/Damp heat ØBloody, watery, foul smelling, mucoid feces Great Saussurea Coptis ØColitis ØHot nose & ears ØThirsty ØDeep red tongue with yellow coating ØDeep & rapid pulse Liver-Spleen Disharmony ØStress diarrhea Escape Stagnation Pill ØGastric ulcer ØHyperactive type ØRed or purple tongue ØWiry pulse Spleen Qi Deficiency ØChronic diarrhea with undigested material Shen Ling Bai Zhu ØAnorexia ØWeight loss ØExercise intolerance ØPale tongue ØDeep & weak pulses Kidney Yang Deficiency ØChronic diarrhea ØDiarrhea at day break ØCold & painful back ØWeak, stiff rear ØPale tongue ØDeep & weak pulses Four Immortals

Alphie Ø History l l l Ø Chronic diarrhea in the morning Cool, weak back Hip dysplasia with stiff gait TCVM Exam l l Pale tongue with teeth marks Weak pulse DX: Kidney Yang Deficiency

Alphie’s Treatment Ø AP l DN • GV 20, GV 4, Bai hui, BL 23, BL 26, ST 36, BL 40, KID 3 -BL 60, SP 6 l Aqua • ST 36, BL 23, Bai hui l Moxa • GV 4, Bai hui, ST 36 Ø Herbal l 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

Vomiting Invasion of Exogenous Pathogens in Stomach ØSudden onset following travel or weather Food Stagnation ØAnorexia change ØAversion to wind, cold or heat ØHeadache ØCranial abdominal pain ØPale tongue ØSuperficial Pulse ØSudden vomiting after eating Happy Earth Bao He Wan ØFoul odor from mouth ØAcidic stomach vomit ØRelief after vomiting ØAbdominal fullness ØRed, greasy tongue ØSlippery pulse Liver Qi Stagnation ØHyperactive personality ØIrritability ØEpigastric pain ØAcid regurgitation ØRed eyes ØPurple tongue ØWiry pulse Liver Happy

Vomiting Spleen Qi/Yang Deficiency ØVomiting Eight Gentlemen ØFatigue ØLoose stool with undigested material ØAnorexia ØWeakness ØEdema ØWarm seeking ØEnjoys massage of stomach ØPale tongue ØDeep & weak pulses Stomach Yin Deficiency ØVomiting frequent small amounts ØAnorexia ØDry mouth ØDry feces ØAbdominal pain ØRed tongue ØDeep, thready, fast pulse Stomach Happy

Inflammatory Bowel Disease Heat Toxin/Damp Heat ØFoul, bloody, mucoid, watery diarrhea ØAcute Great Saussurea Coptis ØHot nose & ears ØThirsty ØVomiting ØDeep red tongue with yellow coating ØDeep rapid pulse Qi-Blood Stagnation ØChronic diarrhea with odor ØAbdominal pain Xiang Lian San ØVomiting ØAnorexia ØPurple or red tongue ØWiry pulse Spleen Qi Deficiency ØChronic diarrhea with undigested matieral ØAnorexia Shen Ling Bai Zhu ØLoss of body mass ØExercise intolerance ØPale tongue ØDeep & weak pulse Canine Parvovirus ØBlood diarrhea with odor and mucous ØAnorexia ØVomiting ØRed & dry tongue ØFast pulse Red Back Door

Constipation/Megacolon Heat ØAcute onset of colic ØHot ear & nose Da Chang Qi Tang ØCool seeking ØThirsty ØFoul breath ØSwollen upper palate ØRed & dry tongue ØFast pulse Qi Stagnation ØSub-acute onset of colic ØBloat & abdominal fullness Xiao Zhang San ØGaseous bowel movements ØAnorexia ØPurple or red tongue ØWiry, fast pulse Qi Deficiency ØChronic constipation or colic ØAnorexia Fan Xie Ye ØLoss of body mass ØWeakness ØPale tongue ØDeep & weak pulse Yin/Blood Deficiency ØVery chronic megacolon with impaction ØDry flaky skin ØWeak or geriatric patient ØPale or red, dry tongue ØFast, weak & thready pulse Dang Gui Cong Rong

Wei Syndrome Damp Heat ØEarth personality ØObesity Si Miao San ØHistory of damp heat in skin or GI ØMuscle atrophy ØWeakness ØLethargy ØGreasy wet tongue ØFast pulse Qi/Yang Deficiency ØLethargy, shortness of breath, weakness ØToo weak to get up to walk Bu Yang Huan Wu ØLoose lips ØLoose stool ØAnorexia & Emaciation ØDry-burnt hair ØEdema ØHeat seeking ØPale wet tongue ØThready & weak pulse Qi/Yin Deficiency ØEmaciation ØWeakness in lumbar region ØHeat seeking ØDry skin ØPale or red & dry tongue ØWeak & thready pulse Hindquarter formula

Jake Ø History l l Ø Progressive weakness in rear legs Cool seeking Rear leg muscle atrophy Dry hair & skin TCVM Exam l l Pulses deep & weak (< R) Red dry tongue DX: Qi/Yin Deficiency

Jake’s Treatment Ø AP l EA • SP 6 -SP 9 (b), ST 36 (b), LI 10 (b), GV 14 -Bai hui l DN • BL 20, BL 23, BL 26, KID 3 l Aqua • SP 6, ST 36, BL 23, BL 26 Ø Herbal l Jia Bing Fang

Jia Bing Fang Astragalus Condonopsis Polygonum Rehmannia Paeonia Dioscorea Prunella Cyperus Bupleurum Sargassum Huang Qi Dang Shen He Shou Wu Shu Di Huang Bai Shao Yao Shan Yao Xia Ku Cao Xiang Fu Chai Hu Hai Zao Laminaria Kun Bu Tonify Qi Nourish Blood and Jing Nourish Blood, Yin and Jing Nourish Blood and soothe Liver Qi Tonify Qi and nourish Jing Soothe Liver Qi, clear Heat Move Liver Qi and relieve nodules Soothe Liver Qi Transform phlegm, clear Heat, soften the hardness Transform phlegm, soften the hardness, drain water

Sam Ø History l l l Ø Chronic rear leg weakness and muscle wasting Dry hair Weight loss TCVM Exam l l Red dry tongue Weak thready pulses (< R) DX: Qi/Yin. Deficiency

Sam’s Treatment Ø AP l DN • GV 20, BL 23, BL 26 l Aqua • SP 6, ST 36, BL 23, BL 26 Ø Herbal l 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