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Spleen qì vacuity

脾气虚 〔脾氣虛〕pí qì xū

A disease pattern chiefly characterized by reduced eating; distension and fullness in the stomach duct and abdomen, possibly with dull pain; sloppy stool; qì vacuity signs.

Description: Poor appetite and reduced eating; distension and fullness or dull pain in the stomach duct and abdomen that likes pressure and that is more pronounced after eating; sloppy stool; fatigue of the limbs; lassitude of spirit and lack of strength; scantness of breath; laziness to speak; emaciation or obesity; pale-yellow or withered-yellow facial complexion; pale tongue with white fur; a pulse that is moderate or weak.

Diseases: Diarrhea; abdominal pain; vacuity taxation; gān accumulation.

Pathogenesis: Insufficiency of spleen qì, resulting in splenic movement and transformation failure. This results from:

Analysis of signs

Treatment

Medicinal therapy: Fortify the spleen and boost qì using xiāng shā liù jūn zǐ tāng (香沙六君子汤 Costusroot and Amomum Six Gentlemen Decoction) or shēn líng bái zhú sǎn (参苓白朮散 Ginseng, Poria, and White Atractylodes Powder).

Acumoxatherapy: Supplement/moxa BL-20 (pí shù), BL-21 (wèi shù), CV-12 (zhōng wǎn), ST-36 (zú sān lǐ), SP-4 (gōng sūn), and LR-13 (zhāng mén).

Combined patterns

Further developments: Spleen qì vacuity can develop into other spleen patterns. See spleen pattern identification.

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