spleen

Question 0

general spleen pathology:

Answer 0

tiredness
tendency towards obesity
tendency towards depression
dull-yellow complexion
digestive disorders
abdominal distension

Question 1

The spleen governs

Answer 1

transFORMATION

transPORTATION

Question 2

invasion by the spleen by damp is common. what are the two main points to resolve damp?

Answer 2

Sp 9 yinlinquan

Sp 6 sanyinjiao

Question 3

tiredness and loose stools would be enough to dx what pattern?

Answer 3

spleen qi xu

Question 4

key s/s
poor appetite, tireness, loose stools

T: pale
P: empty

Answer 4

spleen qi xu

Question 5

what is a common cause of chronic tiredness?

Answer 5

spleen qi xu

Question 6

Ren 12 Zhongwan
St 36 Zusanli
Sp 3 Taibai
Sp6 Sanyinjiao
Bl20 Pishu
Bl 21 Weishu

Answer 6

spleen qi xu

ren 12 tonifies sp qi
st 36 tonifies sp qi
sp 3 yuan source tonifies sp qi
sp 6 tonifies sp qi
bl 20, 21 tonfies sp qi

Question 7

what rx for
sp qi xu
sp qi xu w/damp

Answer 7

si jun zi tang

liu jun zi tang

Question 8

ren shen
bai zhu
fu ling
zhi gan cao

what rx?

Answer 8

si jun zi tang
(four gentleman decoction)
dx: sp qi xu

Question 9

ren shen 
bai zhu
fu ling
zhi gan cao
chen pi
ban xia

Answer 9

liu jun zi tang
(six gentleman decoction)

dx: sp qi xu w/damp

Question 10

the use of what two points bilaterally with moxa needle is extremely effective tonification of the spleen that gives the px more energy almost immediately?

Answer 10

st 36

sp 6

Question 11

key s/s:
loose stools, feeling cold, cold limbs, tiredness

T: pale, wet
P: deep-weak

Answer 11

spleen yang xu

TP: tonify and warm spleen yang

Question 12

R12, St 36
Sp 3, Sp 6
Bl 20, Bl 21
\+
Sp 9, Ren 9
St 28, Bl 22

Answer 12

spleen yang xu

rx: li zhong wan

Question 13

gan jiang
ren shen
bai zhu
zhi gan cao

Answer 13

Li Zhong Wan
(regulate the center)

dx: spleen yang xu

Question 14

a bearing down sensation and weak pulse are enough to diagnose

Answer 14

spleen qi sinking

Question 15

rx for spleen qi sinking

Answer 15

bu zhong yi qi tang

Question 16

what is the main cause of organ prolapse?

Answer 16

spleen qi sinking

Question 17

especially in urinary and mentrual bleeding problems, sinking of spleen qi is often accompanied by ____ of ____ ____

Answer 17

sinking of kidney qi

Question 18

ren 12, st 36
sp 3,6
bl 20, 21
\+
Du 20 bai hui
Ren 6 qi hai
St 21 liangmen
Du 1 changqiang

Answer 18

Spleen Qi Sinking

tp: tonify spleen qi, raise qi

du 20 raises qi (prolapsed uterus) use moxa cone
ren 6 - tonifies, raises qi (all prolapses)
st 21- tonifies stomach, (prolapsed stomach)
Du 1 - prolapsed anus

Question 19

what point for prolapsed:
uterus
all prolapses
stomach
anus

Answer 19

du 20
ren 6
st 21
du 1

Question 20

a fine pulse, pale tongue and bleeding are enough to dx

Answer 20

spleen qi not controlling the blood

Question 21

poor appetite, sl. abdominal distension after eating, tiredness, lassitude, pale-sallow complexion, weak limbs, loose stools, depression, tendency toward obesity
\+
blood spots under skin
blood in urine or stools
excessive uterine bleeding

Answer 21

spleen not controlling blood

tp: tonify sp qi, stop bleeding
rx: gui pi tang

Question 22

ren 12, st 36
sp 3, 6
bl 20, 21
\+
sp 10
bl 17
sp 1
sp 4

Answer 22

spleen not controlling blood

sp 10 - strengthens sp fx of holding, returns blood to vessels
bl 17 - tonifies blood, stops bleeding
sp 1 - moxa cones, stops uterine bleeding
sp 4 - stops bleeding (related to sp)

Question 23

ren shen (can sub dang shen x2 dose)
huang qi
bai zhu
dang gui
fu shen
suan zao ren
long yan rou
yuan zhi
mu xiang
zhi gan cao
sheng jian
hong zao

Answer 23

gui pi tang

dx:
sp. not controlling blood
sp blood xu (spleen qi xu leading to blood xu)

Question 24

``` huang qi ren shen bai zhu dang gui chen pi sheng ma chai hu ```

Answer 24

bu zhong yi qi tang (tonify center and benefit qi decoction) dx: spleen qi sinking

Question 25

if I am making a formula and I start with ren shen, bai zhu, huang qi, dang gui you might think I am making one of what two famous spleen rx?

Answer 25

Bu Zhong Yi Qi Tang +chen pi, sheng ma, chai hu Gui Pi Tang +fu shen, suan zao ren, long yan rou, yuan zhi, mu xiang, zhi gan cao, sheng jiang, hong zao

Question 26

all spleen patterns rx for deficiency have what two herbs:

Answer 26

ren shen bai zhu ``` sp qi xu - si jun zi tang sp qi xu, w/damp - liu jun zi tang sp yang xu - li zhong wan sp qi sinking - bu zhong yi qi tang sp not controlling blood - gui pi tang sp blood xu - gui pi tang ```

Question 27

``` ren 12, st 36 sp 3, 6 bl 20, 21 + ren 4 bl 17 ```

Answer 27

spleen blood xu ren 12, st 36, sp 3, 6, bl 20, 21 - tonify sp ren 4 nourishes blood, especially in relation to uterus bl 17 w/direct moxa cones nourishes blood

Question 28

abdominal fullness and a sticky white tongue coating would be enough to diagnose

Answer 28

cold damp invading the spleen

Question 29

poor appetite, feeling of fullness in epigastrium and/or abdomen that improves with application of heat, feeling of heaviness in head and/or body, sweetish taste or absence of taste, no thirst, loose stools, lassitude, tireness, nausea, edema, dull-white complexion, excessive white vaginal discharge T: pale w/sticky white coating P: slippery-slow

Answer 29

cold damp invading the spleen tp: resolve damp, expel cold

Question 30

Sp 3, 6, 9 Ren 9, 11, 12 St 8, 22, 28 Bl 20, 22

Answer 30

cold damp invading spleen ``` sp 9 resolves damp in LJ sp 3, 6 resolve damp ren 12 tonify sp, resolve damp st 8 resolves damp in the head bl 22 resolves damp in LJ bl 20 tonifies spleen ren 9 resolves damp (in particular in combo w/ Ren 11, St 22 resolves damp in MJ) St 28 resolves damp in LJ and uterus ``` rx: Ping Wei San

Question 31

cang zhu huo po chen pi zhi gan cao

Answer 31

ping wei san (balance the stomach powder) dx: cold damp invading spleen tp: resolve damp, expel cold

Question 32

abdominal fullness and a sticky yellow tongue coating would be enough to diagnose

Answer 32

damp heat invading the spleen tp: resolve damp, clear heat rx: lian po yin

Question 33

``` huang lian huo po shan zhi zi dan dou chi shi chang pu ban xia lu gen ```

Answer 33

Lian Po Yin (coptis- magnolia decoction) dx: damp-heat invading the spleen tp: resolve damp, clear heat

Question 34

an extremely common cause of urinary problems or skin conditions

Answer 34

damp heat

Question 35

a feeling of fullness of epistrium/lower abdomen, epigastric/abdominal painn, poor appetite, feeling of heaviness, thirst without desire to drink, nausea, vomiting, loose stools with offensive odor, burning sensation in the anus, a feeling of heat, scanty dark urine, low grade fever, dull headache with a feeling of heaviness in head, dull-yellow complexion (like tangerine peel), yellow sclera of eyes, oily sweat, bitter taste, itchy skin or skin eruptions (pupules or vescicles), sweating which does not relieve the fever and does not clear the heat T: red tongue, w/sticky yellow coating P: slippery-rapid

Answer 35

damp heat invading the spleen rx: lian po yin