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Nontransformation of ingested food attributable to spleen-stomach vacuity. It is characterized by bloating after eating and by sloppy stool containing untransformed food. In general, there is no abdominal pain and the tongue fur may be completely normal. Signs such as no thought of food and drink and no pleasure in eating indicate prominence of stomach vacuity, while nontransformation of ingested food indicates prominence of spleen vacuity. Yellow face, emaciation, and rapacious appetite with nonmovement of ingested food indicate a strong stomach and weak spleen.

Medicinal therapy: Open the stomach and fortify the spleen; or disperse and supplement simultaneously. Use medicinals such as codonopsis (Codonopsis Radix, 党参 dǎng shēn), white atractylodes (Atractylodis Macrocephalae Rhizoma, 白朮 bái zhú), poria (Poria, 茯苓 fú líng), lablab (Lablab Semen Album, 扁豆 biǎn dòu), and dioscorea (Dioscoreae Rhizoma, 山药 shān yào) to supplement the spleen and stomach, combined with tangerine peel (Citri Reticulatae Pericarpium, 陈皮 chén pí), millet sprout (Setariae Fructus Germinatus, 谷芽 gǔ yá), barley sprout (Hordei Fructus Germinatus, 麦芽 mài yá), unripe bitter orange (Aurantii Fructus Immaturus, 枳实 zhǐ shí), and amomum (Amomi Fructus, 砂仁 shā rén) to open the stomach and disperse food. Formulas such as Ginseng, Poria, and White Atractylodes Powder (参苓白朮散 shēn líng bái zhú sǎn) are used to supplement spleen-stomach vacuity in patients with little thought of food and drink or thin sloppy stool due to nontransformation of ingested food. Great Tranquility Pill (大安丸 dà ān wán) can be used for spleen-stomach vacuity with food stagnation.

Acumoxatherapy: Base treatment mainly on CV, back transport points, and ST. Select BL-20 (Spleen Transport, 脾俞 pí shù), BL-21 (Stomach Transport, 胃俞 wèi shù), CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), CV-10 (Lower Stomach Duct, 下脘 xià wǎn), ST-25 (Celestial Pivot, 天枢 tiān shū), CV-6 (Sea of Qì, 气海 qì hǎi), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), Lǐ Inner Court (里内庭 lǐ nèi tíng), and CV-21 (Jade Swivel, 璇玑 xuán jī); needle with supplementation and add moxa.

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