TCM Spleen Disease

1
TCM Spleen Disease

• Spleen Physiology
• Spleen Pathology
• Cases

2
Earth

• Sound
• song
• Emotion
• sympathy
• Climate
• humid
• Season
• late summer

• Direction
• center
• Opening
• lips/gums
• Body Part
• muscles
• Zang/Fu
• SP/ST

3
TCM SPLEEN Physiology

• Governs Transportation Transformation
• Food Water
• Controls Blood
• Dominates the Muscles
• Opens in Mouth
• Lips Gums (ST)

4
TCM SPLEEN Physiology

• Governs Transportation Transformation
• Distribution, digestion absorption of nutrients
  and water
• Dominates post-natal life
• SP Qi up- -ST Qi down

5
TCM SPLEEN Physiology

• Controls Blood
• Keeps blood in vessels prevents extravasation
• SP important for holding substance
• Blood
• Hernias
• Prolapses

6
TCM SPLEEN Physiology

• Dominates the Muscles
• Weakness
• Muscle atrophy
• Emaciation

7
TCM SPLEEN Physiology

• Opens in Mouth
• Lips (SP) Gums (ST)
• Chewing and appetite are related to Spleen
  function
• Poor Spleen function, poor appetite

8
TCM SPLEEN Physiology

• Governs Transportation Transformation
• Food Water
• Controls Blood
• Dominates the Muscles
• Opens in Mouth
• Lips Gums (ST)

9
TCM 24 Hour Clock
10
Earth
BALANCED
DEFICIENT
EXCESS
11
Spleen Pathology
12
Anorexia
13
Charlie

• History
• Not eating
• Overall weakness
• Loose stool with pieces of undigested food
• Lost 8 lbs last week
• TCVM Exam
• Sensitivity at BL20
• Pale tongue
• Deep pulses

DX Spleen Qi Deficiency
14
Charlies Treatment

• AP
• EA
• BL20 (b), BL26 (b) ST36 (b), LI10 (b)
• DN
• GV20, BL21, BL23, Bai hui, SP3
• Aqua
• LI10, BL20, ST36, Bai hui
• Herbal
• Eight Gentlemen

15
8 Gentlemen
Condonopsis Dang Shen Tonify Oi Atractylodes Bai
Zhu Tonify Oi and strengthen Spleen Pinellia
Ban Xia Transform phlegm, stop vomiting Citrus
Chen Pi Move Qi, dry up Damp Poria Fu Ling
Drain Damp, strengthen Spleen Saussurea Mu
Xiang Move Qi, resolve pain Amomum She Ren
Eliminate Damp Licorice Gan Ceo
Harmonize Ginger Gan Jiang Harmonize Jujube
Da Zao Harmonize
16
Diarrhea
17
Alphie

• History
• Chronic diarrhea in the morning
• Cool, weak back
• Hip dysplasia with stiff gait
• TCVM Exam
• Pale tongue with teeth marks
• Weak pulse

DX Kidney Yang Deficiency
18
Alphies Treatment

• AP
• DN
• GV20, GV4, Bai hui, BL23, BL26, ST 36, BL40,
  KID3-BL60, SP6
• Aqua
• ST36, BL23, Bai hui
• Moxa
• GV4, Bai hui, ST36
• Herbal
• Four Immortals

19
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
20
Vomiting
21
Vomiting
22
Inflammatory Bowel Disease
23
Constipation/Megacolon
24
Wei Syndrome
25
Jake

• History
• Progressive weakness in rear legs
• Cool seeking
• Rear leg muscle atrophy
• Dry hair skin
• TCVM Exam
• Pulses deep weak (lt R)
• Red dry tongue

DX Qi/Yin Deficiency
26
Jakes Treatment

• AP
• EA
• SP6-SP9 (b), ST36 (b), LI10 (b), GV14-Bai hui
• DN
• BL20, BL23, BL26, KID3
• Aqua
• SP6, ST36, BL23, BL26
• Herbal
• Jia Bing Fang

27
Jia Bing Fang
Astragalus Huang Qi Tonify Qi Condonopsis Dang
Shen Tonify Qi Polygonum He Shou Wu Nourish
Blood and Jing Rehmannia Shu Di Huang Nourish
Blood, Yin and Jing Paeonia Bai Shao Yao
Nourish Blood and soothe Liver Qi Dioscorea
Shan Yao Tonify Qi and nourish Jing Prunella
Xia Ku Cao Soothe Liver Qi, clear Heat Cyperus
Xiang Fu Move Liver Qi and relieve
nodules Bupleurum Chai Hu Soothe Liver
Qi Sargassum Hai Zao Transform phlegm, clear
Heat, soften the hardness Laminaria Kun Bu
Transform phlegm, soften the hardness,
drain water
28
Sam

• History
• Chronic rear leg weakness and muscle wasting
• Dry hair
• Weight loss
• TCVM Exam
• Red dry tongue
• Weak thready pulses (lt R)

DX Qi/YinDeficiency
29
Sams Treatment

• AP
• DN
• GV20, BL20, BL23, BL26
• Aqua
• SP6, ST36, BL23, BL26
• Herbal
• Hindquarter formula (tea pills)

30
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