Course:

Chart:

Diagnostics II
Spleen and Stomach

Date:

Oct 17, 2007

Many diseases related to Stomach/Spleen dysfunction:

Digestion problems of all kinds
Wei syndrome: muscle weakness, atrophy due to MS, wind stroke. No pain, but weakness of
muscle.
Blood deficiencies such as anemia
Bleeding problems where spleen cannot hold the blood
Organ prolapses due to Qi
Edema
Overweight
Spleen Syndromes
Spleen Qi Xu

Spleen Yang Xu

Sallow complexion
Lassitude
Dislike of speaking
Reduced appetite (often the first symptom of Spleen Qi Xu)
Gas and bloating
Abdominal distension, worse with eating
Loose stools
Tongue: pale with white coat
Pulse: weak and soft
Pale and sallow complexion
Lassitude
Dislike of speaking
Reduced appetite
Abdominal distension
Loose stools
Cold 4 limbs
Dull pain in abdomen, better with warmth and pressure
Tongue: pale and swollen with white and slippery coating
Pulse: deep, slow, weak
Cold limbs, dull ab pain, swollen slippery tongue, and deep/slow/weak pulse are the
primary differences between Spleen Yang Xu and Spleen Qi Xu

Spleen Qi Sinking

very severe and chronic

Sallow complexion
Lassitude
Dislike of speaking
Reduced appetite
Heavy and distending (bearing down) sensation in abdomen, worse after
meals
Loose stools
Frequent bowel movements, even longterm diarrhea
Heavy sensation in anus
Prolapse of rectum/uterus
Extreme fatigue, lassitude, low voice, dizziness
Tongue: Pale, thin white coat
Pulse: feeble
Page 1 of 3

Dysfunction of Spln
In controlling blood

Damp Cold
Accum in Spleen

Pale/sallow complexion
Lassitude
Dislike of speaking
Reduced appetite
Abdominal distension
Loose stools
Purpura
Bloody stools
Excessive menstrual flow
Uterine bleeding
Tongue: pale
Pulse: weak, thready
Fullness and cold in epigastria and abdomen
Poor appetite
Sticky saliva
Nausea
Heaviness of head and body
Edema
Loose stools
Tongue: pale with white and greasy coating
Pulse: slow and slippery

Stomach Syndromes
Excessive Fire in
Stomach

Bulemia

Cold Retention in
Stomach

Burning pain in epigastric region

Sour regurgitation
Thirst with preference for cold drinks
Voracious appetite and easily hungry
Vomiting
Foul breath
Swelling and pain or ulceration and bleeding gums (mostly upper gums)
Constipation
Scanty and yellow urine
Tongue: red with yellow coating
Pulse: rapid
Cold/contracted pain in Stomach, better after warm meals
Worse in cold temp
No thirst
Prefer to warmth
May have aversion to touch
May have nausea and vomiting
Tongue: slight pale, white coat
Pulse: slow and deep.

Page 2 of 3

Food Retention

Stomach Yin Xu

anorexia

Distension, fullness and pain in eqigastria and abdomen

Foul belching
Anorexia
Vomiting
Tongue: slightly red, thick/sticky or curdy coating
Pulse: slippery
Obscure and burning pain in epigastric region
Empty and uncomfortable sensation in Stomach
Hunger without desire to eat
Dry vomiting and hiccups
Dryness of mouth and throat
Constipation
Tongue: red with less coat
Pulse: thready and rapid.
Body shape could be (probably will be) slender, tongue thin and crackish with
less/mirror coating.

Page 3 of 3