Spleen Physiology Spleen Pathology Cases TCM Spleen Disease Spleen Physiology Spleen Pathology Cases

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

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

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

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

TCM SPLEEN Physiology Dominates the Muscles Weakness Muscle atrophy Emaciation

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

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

TCM 24 Hour Clock

Earth BALANCED DEFICIENT EXCESS

Spleen Pathology

Anorexia Stomach Cold Happy Earth Stomach Heat Jade Lady Food Stasis Lassitude Cold ear & nose Excess salivation Pale-purple tongue with light white coating Deep, slow pulse Happy Earth Stomach Heat Thirsty Foul odor in mouth Dry feces Dark scant urine Deep red tongue with yellow coating Superficial fast pulse Jade Lady Food Stasis Vomiting Weariness Greasy tongue Deep & slippery pulse Bao He Wan Spleen Qi Deficiency Loose stool with undigested matter Weight loss Edema Weakness in all 4 legs Pale tongue Weak & deep pulses Eight Gentlemen

Charlie History TCVM Exam 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

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

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

Diarrhea Heat toxin/Damp heat Great Saussurea Coptis Bloody, watery, foul smelling, mucoid feces Colitis Hot nose & ears Thirsty Deep red tongue with yellow coating Deep & rapid pulse Great Saussurea Coptis Liver-Spleen Disharmony Stress diarrhea Gastric ulcer Hyperactive type Red or purple tongue Wiry pulse Escape Stagnation Pill Spleen Qi Deficiency Chronic diarrhea with undigested material Anorexia Weight loss Exercise intolerance Pale tongue Deep & weak pulses Shen Ling Bai Zhu Kidney Yang Deficiency Chronic diarrhea Diarrhea at day break Cold & painful back Weak, stiff rear Four Immortals

Alphie History TCVM Exam 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

Alphie’s Treatment AP Herbal DN Aqua Moxa Four Immortals 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

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 Happy Earth Sudden onset following travel or weather change Aversion to wind, cold or heat Headache Cranial abdominal pain Pale tongue Superficial Pulse Happy Earth Food Stagnation Anorexia Sudden vomiting after eating Foul odor from mouth Acidic stomach vomit Relief after vomiting Abdominal fullness Red, greasy tongue Slippery pulse Bao He Wan Liver Qi Stagnation Hyperactive personality Irritability Epigastric pain Acid regurgitation Red eyes Purple tongue Wiry pulse Liver Happy

Vomiting Spleen Qi/Yang Deficiency Eight Gentlemen Fatigue Loose stool with undigested material Anorexia Weakness Edema Warm seeking Enjoys massage of stomach Pale tongue Deep & weak pulses Eight Gentlemen Stomach Yin Deficiency Vomiting frequent small amounts Dry mouth Dry feces Abdominal pain Red tongue Deep, thready, fast pulse Stomach Happy

Inflammatory Bowel Disease Heat Toxin/Damp Heat Foul, bloody, mucoid, watery diarrhea Acute Hot nose & ears Thirsty Vomiting Deep red tongue with yellow coating Deep rapid pulse Great Saussurea Coptis Qi-Blood Stagnation Chronic diarrhea with odor Abdominal pain Anorexia Purple or red tongue Wiry pulse Xiang Lian San Spleen Qi Deficiency Chronic diarrhea with undigested matieral Loss of body mass Exercise intolerance Pale tongue Deep & weak pulse Shen Ling Bai Zhu Canine Parvovirus Blood diarrhea with odor and mucous Red & dry tongue Fast pulse Red Back Door

Constipation/Megacolon Heat Acute onset of colic Hot ear & nose Cool seeking Thirsty Foul breath Swollen upper palate Red & dry tongue Fast pulse Da Chang Qi Tang Qi Stagnation Sub-acute onset of colic Bloat & abdominal fullness Gaseous bowel movements Anorexia Purple or red tongue Wiry, fast pulse Xiao Zhang San Qi Deficiency Chronic constipation or colic Loss of body mass Weakness Pale tongue Deep & weak pulse Fan Xie Ye Yin/Blood Deficiency Very chronic megacolon with impaction Dry flaky skin Weak or geriatric patient Pale or red, dry tongue Fast, weak & thready pulse Dang Gui Cong Rong

Wei Syndrome Damp Heat Si Miao San Qi/Yang Deficiency Bu Yang Huan Wu Earth personality Obesity History of damp heat in skin or GI Muscle atrophy Weakness Lethargy Greasy wet tongue Fast pulse Si Miao San Qi/Yang Deficiency Lethargy, shortness of breath, weakness Too weak to get up to walk Loose lips Loose stool Anorexia & Emaciation Dry-burnt hair Edema Heat seeking Pale wet tongue Thready & weak pulse Bu Yang Huan Wu Qi/Yin Deficiency Emaciation Weakness in lumbar region Dry skin Pale or red & dry tongue Weak & thready pulse Hindquarter formula

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

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

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

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

Sam’s Treatment AP Herbal DN Aqua Hindquarter formula (tea pills) GV20, BL20, BL23, BL26 Aqua SP6, ST36, BL23, BL26 Herbal 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