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Dual vacuity of the spleen and lung
脾肺两虚 〔脾肺兩虛〕pí fèi liǎng xū
Also:
- Spleen-lung vacuity (脾肺虚弱 pí fèi xū ruò)
- Spleen-lung qì vacuity (脾肺气虚 pí fèi qì xū)
A disease pattern chiefly characterized by reduced eating; abdominal distension; sloppy stool; cough; panting; shortness of breath; qì vacuity signs.
Description: Poor appetite and reduced eating; abdominal distension; sloppy stool; enduring cough; shortness of breath and panting; expectoration of clear thin phlegm; puffy swelling of the face and lower limbs; low timid voice; laziness to speak; lassitude of spirit and lack of strength; lusterless white facial complexion; pale tongue with glossy white fur; a weak pulse.
Diseases: Common cold; cough; panting.
Pathogenesis: Insufficiency of qì preventing the lung and spleen from fulfilling their functions.
The lung and spleen are both involved in the production of qì. Hence lung qì and spleen qì are mutually complementary, and insufficiency of one can affect the other.
- Lung disease affecting the spleen: Enduring cough or panting giving rise to lung vacuity, which then affects the spleen.
- Spleen disease affecting the lung: Dietary irregularities or taxation fatigue giving rise to spleen vacuity, which then affects the lung.
| Comparison Between Heart-Lung Qì Vacuity and Spleen-Lung Qì Vacuity | ||
|---|---|---|
| Heart-Lung Qì Vacuity | Spleen-Lung Qì Vacuity | |
| Common Signs | Forceless cough and panting, shortness of breath, expectoration of thin clear phlegm | |
| Differences | Heart palpitation or fearful throbbing; oppression in the chest | Reduced eating, abdominal distension, and sloppy stool |
Analysis of signs
- Lung: Enduring cough, shortness of breath, and panting, with copious thin white phlegm.
- Spleen: Torpid intake, abdominal distension, sloppy stool, and puffy swelling of the face and limbs.
- General qì vacuity: Fatigue and lack of strength, faint low voice, and laziness to speak.
- Tongue: Pale and enlarged with a white glossy fur, reflecting qì vacuity.
- Pulse: Vacuous or weak, reflecting qì vacuity.
Comparison: See table.
Treatment
Medicinal therapy: Bank up earth to engender metal. Use
Acumoxatherapy: Base treatment mainly on back transport points, LU, SP, and CV. Select