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Cao ST
Stomach Zang Fu, Pathology, Cao, Bastyr
| Question | Answer |
|---|---|
| Location of Spleen: | Spleen is situated in the middle jiao, beneath the diaphragm. |
| Element of Spleen | Spleen belongs to earth in the five elements theory |
| Where does Spleen Open: | Spleen opens into the mouth and manifests in the lips. |
| Emotion of Spleen | Spleen is related to the emotion worry |
| Body Fluid of Spleen | Spleen is related to the body fluid thin saliva |
| Describe the Physiological functions of the spleen: | - Govern transportation and transformation - Ascend the clear materials - Control blood |
| What other organ shares the Zanf Fu relationship with the Spleen? | The spleen meridian connects with the stomach, and is thus externally and internally related to stomach |
| Describe the relationship of the Spleen and Stomach? | Spleen and stomach are the main organs in the digestive system. Human nutrition relies on the spleen and stomach. |
| What is the relationship of the Spleen and Stomach with Qi blood and fluid? | The formation of qi, blood, and fluid also relies on transportation and transformation of the spleen and stomach. This is why it is said that the spleen and the stomach are the source of qi and blood and root of the acquired foundation |
| What organ is the Congenital foundation: | from kidney |
| What organ is the Acquired foundation: | from spleen and stomach |
| What are the digestive responsibilities of the Spleen? | In TCM, “spleen” is involved in all digestive functions (including pancreas, duodenum, etc.) |
| Describe the general Pattern Identification and Therapeutics of Spleen Disorders: | Spleen and stomach disorders generally manifest as deficient, excessive, cold and heat types. However, the spleen disorders are usually deficient while the stomach is excessive |
| What is the direction of Spleen and Stomach qi? | Spleen qi ↑ Stomach qi ↓ |
| Does the Spleen like dampness. | No the spleen Likes Dryness, the stomach likes Dampness |
| Does the stomach like dampness? | No, the Stomach Dislike Dampness and likes Dryness |
| Does the spleen have Yin Xu? | Usually the Spleen has Yang xu the stomach has Yin xu |
| Describe normal spleen dysfunction? | Spleen disorders often present as deficiency of qi and yang, dysfunction in transportation and transformation which produce dampness, phlegm and edema, and failure to control blood |
| Is there spleen blood xu? | there is spleen failing to control blood, but no spleen blood deficiency |
| Describe the relationship between spleen and blood: | – Spleen helps to build blood (nutrient qi) – Spleen qi xu can lead to heart blood xu |
| Describe the fundamentals of stomach disorders? | Stomach disorders lead to dysfunction in receiving and digesting food and rebelling of qi |
| Common signs and symptoms of Spleen disorders: | abdominal distention or pain, diarrhea, edema, bleeding |
| Common signs and symptoms of Stomach disorders: | stomach ache, vomiting, belching, hiccups, others |
| Definition of "Spleen Qi Deficiency" (脾氣虛): | The manifestation of spleen qi hypofunction, which fails transportation and transformation |
| Etiology of Spleen Qi Deficiency: | - Irregular food intake - Over strain and stress liver qi stagnation - Weakness after a prolonged illness |
| Chief symptoms of Spleen Qi Deficiency: | – Anorexia, poor appetite, emaciation – Abdominal distention especially after eating – Loose stools, more frequent bowel movement, floating fecal matters |
| General symptoms of Spleen Qi Deficiency: | - big 5 - Pale or sallow face - Fatigue*: because has no nutrition - Apathy - Dizziness - Spontaneous sweating |
| Tongue of Spleen Qi Deficiency: | pale tongue with thin white coating |
| Pulse of Spleen Qi Deficiency: | weak pulse, especially on the right |
| Complications of Spleen Qi Deficiency: | – Spleen yang deficiency – Spleen qi sinking – Lung qi deficiency – Lung phlegm – Spleen fails to control blood – Heart blood deficiency |
| Western medicine disease examples of Spleen Qi Deficiency: | – Chronic digestive disorders – Food allergies – Ulcers |
| Treatment principle of Spleen Qi Deficiency: | Reinforce spleen qi |
| Lifestyle changes of Spleen Qi Deficiency: | Organic whole food diet |
| Definition of Spleen Yang Deficiency (脾陽虛): | This is a further development of spleen qi deficiency. Aka deficient cold of the spleen (yang deficiency produces cold) |
| Etiology of Spleen Yang Deficiency: | Spleen qi deficiency plus 1) Excessive consumption of raw and cold greasy and sweet foods. 2) Excessive drugs or supplements of cold nature (ex. antibiotics, Goldenseal, Echnesia) 3) Cold damp environment: ex. cold damp weather (Seattle) |
| Abdominal symptoms of Spleen Yang Deficiency: | – Abdominal cramping due to cold – Abdominal dull pain: better with warmth and pressure – Abdominal distension: worse after eating Digestive dysfunction of Spleen Yang Deficiency: |
| Describe symptoms of Spleen Yang Xu effecting Spleen’s transformation and transportation function: | – Edema, puffy face: due to water retention |
| Spleen qi deficiency symptoms: | – Big 5: pallor – Poor appetite |
| Spleen Yang deficiency symptoms: | – The limbs are not warm – Bigger body size Note: in yin deficiency, smaller body size |
| Tongue of Spleen Yang xu: | pale and delicate tongue with white coating |
| Pulse of Spleen Yang xu: | :deep and slow pulse |
| Complications of Spleen Yang xu: | – Spleen qi sinking – Kidney yang deficiency |
| Western medicine disease examples of Spleen Yang xu: | – Malnutrition – Digestive dysfunction |
| Treatment principle of of Spleen Yang xu: | Reinforce spleen yang |
| Lifestyle changes of Spleen Yang xu: | – Eat cooked, warm foods |
| Etiology of Sinking of Spleen Qi or Middle Jiao Qi: | It may develop from deficiency of the spleen and insufficiency of middle jiao qi, or results from prolonged diarrhea, over strain and stress |
| Chief symptoms of Sinking of Spleen Qi or Middle Jiao Qi: | – Bearing-down sensation in the abdominal region – Enduring diarrhea: acute or chronic – Prolapse of the rectum or uterus (Rectal prolapse is common in menopausal women nowadays) |
| General symptoms of Sinking of Spleen Qi or Middle Jiao Qi: | – Big 5: especially dizziness, Dizzy because there is no nutrients – Spontaneous sweating – Lower voice – Shortness of breath – Lassitude – Poor appetite – Abdominal distension after eating |
| Tongue of Sinking of Spleen Qi or Middle Jiao Qi: | : pale tongue with white coating |
| Pulse of Sinking of Spleen Qi or Middle Jiao Qi: | : thin and weak pulse |
| Complications | – Acutely: qi collapse – Chronically: spleen yang deficiency, spleen qi fails to control blood, qi and blood deficiency |
| Treatment principle of Sinking of Spleen Qi or Middle Jiao Qi: | Boost the spleen and raise the middle jiao qi. |
| What is meant by great warm to eliminate “fever”? | Heat → heat – Homeopathy: Similar → similar – Allopathy: Different → different Cold → heat (ex. ice pack for fever) Heat → cold (ex. hot bottle on abdomen) Reduce → excess (ex. ↓ tumor, ↓ BP) Reinforce → deficiency (ex. tonify yin in yin xu) |
| Describe lack of Nutrient Qi in lower Jiao: | No nutrient qi / clear qi ascending qi collects in lower abdomen can lead to qi/energy rising, which results in fever/heat |
| Etiology of Spleen Failing to Control Blood: | Weakness after a prolonged illness or over strain and stress weaken the spleen’s function in controlling blood |
| Clinical manifestation of Spleen Failing to Control Blood: | - Big 5: especially pale face, dizziness Plus Hemorrhage of the – Digestive system – Female reproductive system - Blood stagnation type of bleeding: - Blood heat type of bleeding: - Lung heat type of bleeding – Skin: purpura |
| Describe Hemmorrage of the – Digestive system: | Bloody stools (far or near blood) Hematemesis (vomiting blood) |
| Describe Hemmorrage of the – Female reproductive system | Excessive menstrual flow Uterine bleeding Pale red, no clot, watery, thin, can be a long tim3. |
| Describe Hemmorrage of the - Blood stagnation type of bleeding: | dark, clots, pain |
| Describe Hemmorrage of the - Blood heat type of bleeding: | fresh, bright red blood |
| Describe Hemmorrage of the - Lung heat type of bleeding: | rusty color - Note that respiratory type of bleeding is usually not due to spleen failing to control blood, but due to lung heat or lung yin deficiency |
| General Sypmotms of Spleen failing to control blood? | Lassitude, mental disorientation, dislike speaking |
| Tongue of Spleen failing to control blood? | : pale tongue |
| Pulse of Spleen failing to control blood? | : rapid, thready and weak pulse |
| Complications of Spleen failing to control blood? | – Qi prolapse – Qi and blood deficiency |
| Treatment principle of Spleen failing to control blood? | Reinforce qi to control blood |
| Lifestyle changes of Spleen failing to control blood? | – Diet: vit K for blood clotting. |
| Etiology of Cold Dampness in Spleen: | - Excessive eating of raw and cold food - Wading in water - Being caught in the rain - Sitting and sleeping in a damp place |
| Clinical manifestation of Cold Dampness in Spleen: | - Fullness and distension in epigastrium and abdomen - Loss of appetite - Stickiness of mouth - Heaviness of the head and body, lazy sensation (characteristic of damp) |
| Describe Stool of of Cold Dampness in Spleen: | Loose stools and diarrhea: sticky stool, may have mucus (dirty toilet) |
| Tongue of Cold Dampness in Spleen: | : thick white sticky coating |
| Pulse of Cold Dampness in Spleen: | : soft, slippery pulse |
| Complications of Cold Dampness in Spleen: | – Spleen qi deficiency, spleen yang deficiency – Lung phlegm: spleen produces phlegm, lung contains phlegm – Cold damp can transform to damp heat |
| Western medicine disease example of Cold Dampness in Spleen: | – Food allergies: gluten, dairy, etc. – Candia infection |
| Treatment principle of Cold Dampness in Spleen: | Warm the middle jiao to resolve the dampness |
| Etiology of Damp Heat in Spleen and Stomach | - Invasion of exogenous pathogenic damp heat (ex. secondary infection) - Excessive indulgence in greasy and sweet food or alcoholic drinking, all of which may produce damp heat in the interior |
| Clinical manifestation of Damp Heat in Spleen and Stomach | - Fullness and distension in epigastrium & abdomen - Loss of appetite - Nausea, vomiting - Bitter taste, stickiness - body Heaviness - Body ache: immune complex deposition in the muscles - Lassitude - Pseudo jaundice: bright yellow face, eyes, and |
| What color is associated with the spleen? | : spleen is associated with the color yellow spleen problems thus manifest in yellow Loose stools (foul smell), diarrhea Scanty urine |
| Tongue of Damp Heat in Spleen and Stomach | : thick yellow sticky tongue coating |
| Pulse of Damp Heat in Spleen and Stomach | : slippery, soft and rapid pulse |
| Complications of Damp Heat in Spleen and Stomach | – Liver damp heat – Large intestine damp heat – Can lead to yin deficiency if over treat |
| Treatment principle of Damp Heat in Spleen and Stomach | Eliminate damp heat in the middle jiao especially via urine |
| Lifestyle changes of Damp Heat in Spleen and Stomach | – ↓ fatty foods, sweets, dairy, alcohol – Eat mushroom |
| Definition of Stomach Cold: | This is excessive internal cold |
| Etiology of Stomach Cold: | - Invasion of exogenous pathogenic cold - Excessive intake of raw and cold foods |
| Clinical manifestation of Stomach Cold | :- Epigastric fullness and pain, cramping, colic type of pain: worse on exposure to cold, worse with pressure, better with warmth - Reflux of clear materials or vomiting after eating - Nausea |
| Tongue of Stomach Cold: | white slippery coating |
| Pulse of Stomach Cold: | deep, slow (cold) and wiry (pain) pulse |
| Complications of Stomach Cold: | – Damage spleen yang spleen qi and yang xu – Cold converts to heat damp heat in spleen |
| Treatment principle of Stomach Cold: | Warm the middle jiao to eliminate cold |
| Lifestyle changes of Stomach Cold: | – Warm, cooked food – Ginger***** Promote digestion Anti-allergy Benefit joint pain (Bi syndrome is cold) Help early stage of wind cold Diuretic, drain damp |
| Etiology of Retention of Food in the Stomach: | Irregular food intake - Voracious eating: eat too much - Eating foods that are difficult to digest: proteins, meat, fish, undercooked beans Note: - Eat too late = gain weight - Eat too much = heart attack |
| Clinical manifestation of Retention of Food in the Stomach: | - Fullness and pain in epigastrium and abdomen - Foul belching, sour regurgitation - Anorexia - Vomiting undigested food - Hesitant bowel movement - Feel better after throwing up or bowel movement - Resemble hangover symptoms |
| Tongue of Retention of Food in the Stomach: | : thick and sticky coating |
| Pulse of Retention of Food in the Stomach: | rolling, slippery pulse |
| Complications of Retention of Food in the Stomach: | – Lead to stomach cold or stomach heat/fire depending on what you eat, but all eventually transform to stomach heat – Chronically lead to damp heat/cold – Acutely lead to qi and blood stagnation heart attack |
| Treatment principle of Retention of Food in the Stomach: | Invigorate stomach to aid digestion |
| Lifestyle changes of Retention of Food in the Stomach: | – Black rice vinegar and apple cider vinegar aid digestion |
Created by:
Bastyr40
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