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Also gān accumulation; food gān; fat gān. A gan pattern in infants and children arising when improper feeding or diet leads to spleen-stomach vacuity and accumulation and stagnation of food. Spleen gān is characterized by yellow face and emaciated flesh, ability to eat with rapid hungering, stool that is sometimes dry and sometimes thin, unquiet sleep, profuse sweating, grinding of the teeth, and a tendency to lie prone. The Level-Line of Pattern Identification and Treatment (证治准绳 zhèng zhì zhǔn shéng) states, Accumulation is the mother of gān; hence accumulations that are not treated result in gan.

Medicinal therapy: To treat accumulation, regulate the spleen and stomach with Harmony-Preserving Pill (保和丸 bǎo hé wán) with additions. If the accumulation persists and signs appear such as marked emaciation, withered-yellow facial complexion, congestion and oppression in the chest and diaphragm, distension and enlargement of the abdomen, taking of little milk, frequent diarrhea with sour-smelling stool, lassitude of spirit and physical fatigue and laziness to speak and move, gan accumulation has set in. This is treated by dispersing gān and fortifying the spleen with variations of Chubby Child Pill (肥儿丸 féi ér wán) and Ginseng, Poria, and White Atractylodes Powder (参苓白朮散 shēn líng bái zhú sǎn).

Acumoxatherapy: Base treatment mainly on SP and ST. Select BL-20 (Spleen Transport, 脾俞 pí shù), BL-21 (Stomach Transport, 胃俞 wèi shù), CV-10 (Lower Stomach Duct, 下脘 xià wǎn), CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), LR-13 (Camphorwood Gate, 章门 zhāng mén), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), SP-4 (Yellow Emperor, 公孙 gōng sūn), SP-5 (Shang Hill, 商丘 shāng qiū), and Four Creases (四缝 sì fèng); needle with supplementation.

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