Japanese Acupuncture - Spleen Deficiency Stomach Excess - Five Phase Protocol

Submitted by Chad Dupuis on Wed, 2006-06-14 07:00.

This page contains the abdominal presentation, treatment points and associated signs and symptoms for the Spleen Deficiency Stomach Excess Five Phase treatment. For a description of the overall treatment protocol see our Five Phase treatment information page.


Five Phase - Spleen Deficiency with ST/LI/SI Excess Pattern

spleen deficiency with stomach excess pattern abdominal presentation

There are two related patterns, SP Deficiency with Stomach Excess Heat and SP Deficiency with Yang Ming Channel Excess Heat. The root treatment is similar but there may be variations with secondary points.


  • Treatment Points:
  • Technique: #1 or #2 needle, approx. 2-3mm insertion, vibrating needle, retain approx. 3-5 minutes
  • Fire Points - PC 8 & SP 2

  • Common Symptoms:
  • Yang Ming Heat
  • Reddening of the joints
  • Spontaneous pain that is worse in the afternoon
  • Arthritis in the knees
  • Viral warts

  • Stomach Excess Heat
  • Abdominal distention w/constipation
  • Manic depression
  • Large appetite
  • Insomnia, snoring

  • Related Patterns & Treatment (in lieu of controlling cycle):
  • ST Heat - disperse ST 45, ST 44, ST 34

Sources and More Information

The information on our site is drawn from our own lecture notes and clinical experience. The following lecture notes were used within this section:

  • Kuwahara, Koei: New England School of Acupuncture, Advanced Japanese Techniques Lecture Notes

For a complete list of valuable resources, see our Japanese Acupuncture Resources section. The most recommended texts are below:


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cover of Traditional Japanese Acupuncture: Fundamentals of Meridian Therapy