I)       Spleen Qi Xu (4 types)

Tongue: teeth marks, tender, pale, thin white coat

Pulse: xu, weak

A)            Middle Jiao Qi Xu (general Spleen Qi Xu)

Traditional Indications:

Low appetite, Constipation, Diarrhea (especially after eating), Undigested food in stool, Abdominal bloating or pain, Ascites (Spleen controls Jin-Ye circultation) , Nausea

Leukorrhea, Excess menses

Chronic fatigue (Spleen control muscles) or tired (especially after eating)

Sweet taste in the mouth

Spleen controls blood: bruises easily, chronic bleeding

Shortage of breath, general weakness, too soft a voice

Later stage: prolapse of Large Intestine, Kidney, Spleen, Stomach, Rectum, Uterus

Conventional Classifications:

Chronic Fatigue Syndrome, Epstein-Barr virus, A.I.D.S., Chronic Diarrhea, Nutritional deficiency (Ascites), Parasites

Treatment:

Tonify Qi (Huang Qi, Dang Shen, ....)

B)            Middle Qi Prolapse

Traditional Indications:

Spleen Controls the Muscles: Rectum prolapse after bowel movement (usually from chronic diarrhea condition), Hemorrhoids

Muscle weakness, Bloated after eating, Lower abdominal pain

Conventional Classifications:

Organ Prolapse: Large Intestine, Kidney, Spleen, Stomach, Rectum, Uterus

Treatment:

Raise the Qi (Sheng Ma, Chai Hu, Zhi Ke)

C)            Spleen Cannot Control the Xue

Pulse: Very small

Traditional Indications:

Uncontrolled bleeding, bruises easily, Menses: excess or deficient flow

Conventional Classifications:

Hemophelia, Menstrual disorder, Cancer

Treatment:

Stop Bleeding, Raise Spleen Qi (Sheng Ma, Chai Hu, Dan Shen, Huang Qi, ....)

D)            Dirty Water Stagnation: Spleen Qi Xu Edema

Traditional Indications:

Puffy body or body part

Conventional Classifications:

Ascites (poor nutrition), Liver sclerosis, Chronic congestive Heart failure, Kidney: Nephritis, P.M.S.

Treatment:

Drain Damp, Promote Water, Regulate Qi (Fu Ling, Chen Pi, ....)

II)       Spleen Yang Xu

Tongue: pale

Pulse: deep, slow

Traditional Indications:

Abdominal pain, Low appetite, Does not like cold or damp food, Four limbs cold

All Spleen Qi Xu disorders

Treatment:

Warm Interior, Eat warming foods

Spleen HalF Deficient (Xu), Half Excess (Shi)

I)       Cold-Damp Surrounding the Spleen

Tongue: pale, teethmarks, swollen, puffy, white greasy thick coat

Pulse: soggy, slippery, moderate

Traditional Indications:

Cold Yin Yellow: face and body are dark yellow or sallow pale green

No appetite, bloated abdomine, Abdominal pain (Xu or Shi type), Gurgling

Edema, Mouth sputum is sticky and sweet, General sticky feeling in the mouth

Whole body: cold to the touch, tired, fatigue, heavy, dizzy, likes a little hot water

Conventional Classifications:

Hepatitis (can be chronic), Edema, Digestive disorder, Gastroenteritis, Chronic dysentary, General fatigue

Treatment:

Regulate Qi (Chen Pi), Drain Damp (Fu Ling), Warm Interior

Important Herb: Yin Chen Hao

Spleen Excess Syndrome

I)       Spleen and Stomach Damp-Heat

Tongue: thick yellow greasy coat, red

Pulse: wiry, rapid

Traditional Indications:

Yang Yellow, Itchy skin, Discharge: skin and other areas

Mouth: Bitter taste and sticky

Damp: poor appetite, does not like greasy or fried foods

Nausea, Vomit (bitter taste, sour, bad smell, dark color)

Damp-Heat stool: burning diarrhea or constipation

Pain: adbomine, Spleen and Stomach, costal region

Conventional Classifications:

Jaundice, Hepatitis (usually type A, also type B), Ecszema, Gall Bladder infection, Pancreas disorder

Treatment:

Clear Heat, Dry Dampness, Promote Water

(Huang Lian, Da Huang, Chen Pi, Huang Qin, Yin Chen Hao Tang)