Spleen Meridian Disharmonies - TCM Theory

Submitted by yyh_staff on Fri, 2006-06-30 09:56.

Below you will find the TCM Disharmonies related to the Spleen Meridian. Each pattern contains a brief description of associated signs and symptoms, tongue and pulse diagnosis, and a list of acupuncture points that may be used to treat the disharmony.

Excess Patterns

Damp-cold - excess pattern

General Signs & Symptoms:
Poor appetite, chest a/or epigastric oppression, sensation of cold in the abdomen which feels better with the application of heat, heavy head a/or body, lack of thirst, loose stools
Tongue:
Thick sticky white coat
Pulse:
Slippery, slow
General Treatment Points:
Maciocia Treatment Points w/Valaskatagis commentary, modifications and additions
SP 9 - resolve damp
SP 6 - tonify SP
CV 12 - ST Mu, tonify ST/SP
SP 3 - tonify SP Qi
ST 8 - clear the head

Damp-heat - excess pattern

General Signs & Symptoms:
Epigastric a/or abdominal oppression, lack of appetite, heavy body, thirst with little/no desire to drink, abdominal pain, loose stools with strong odor possibly w/burning anus, nausea, vomiting, fever, headache
Tongue:
Yellow sticky coat
Pulse:
Slippery, rapid
General Treatment Points:
Maciocia Treatment Points w/Valaskatagis commentary, modifications and additions
SP 9 - resolve dampness
SP 6 - tonify SP
UB 20 - SP Shu
LI 11 - clear heat
GB 34 - clear damp-heat, nausea a/or vomiting

Deficiency Patterns

SP Qi Deficiency

General Signs & Symptoms:
Poor appetite, distention after eating, weakness of the four limbs, fatigue, loose stools
Tongue:
Pale, swollen w/teethmarks
Pulse:
Empty
General Treatment Points:
Maciocia Treatment Points w/Valaskatagis commentary, modifications and additions
CV 12 - ST Mu, distention after eating
ST 36 - tonify ST/SP
SP 6 - tonify SP Qi
SP 3 - best with dampness in the channels, could leave this out
UB 20 - SP Shu
UB 21 - ST Shu

SP Qi Sinking

General Signs & Symptoms:
Same symptoms as SP Qi Deficiency above but with prolapses of the stomach, uterus, anus a/or vagina along with frequency a/or urgency of urination
Tongue:
Pale
Pulse:
Empty or weak
General Treatment Points:
Maciocia Treatment Points w/Valaskatagis commentary, modifications and additions
Same points as SP Qi Deficiency with the following additions to raise the Qi
GV 20 - w/moxa to raise the Qi
CV 6 - tonify Qi
if Stomach prolapse - ST 21
if Anal prolapse - GV 1

SP Qi not controlling the Blood

General Signs & Symptoms:
Same symptoms as SP Qi Deficiency above but with bleeding issues such as hemorrhages, vaginal bleeding, bleeding under the skin
Tongue:
Pale
Pulse:
Fine
General Treatment Points:
Maciocia Treatment Points w/Valaskatagis commentary, modifications and additions
Same points as SP Qi Deficiency with the following additions to control Bleeding
SP 1 - empirical point for bleeding (w/moxa)
SP 10 - control Blood
UB 17 - hui meeting of the Blood

SP Yang Deficiency

General Signs & Symptoms:
A further progression of SP Qi Deficiency above with more cold signs, cold limbs, chilliness, edema (more in the middle wawrmer)
Tongue:
Pale, wet, swollen w/teethmarks
Pulse:
Deep
General Treatment Points:
Maciocia Treatment Points w/Valaskatagis commentary, modifications and additions
Same points as SP Qi Deficiency but you would use moxa and add the following points to further tonify the SP
SP 9 - resolve dampness
CV 9 - resolve dampness in the middle warmer
ST 28 - resolve dampness in the lower warmer
UB 22 - TH Shu, effect fluids in the lower and middle warmers