Dialectical methods and specific conditioning ideas of spleen deficiency syndrome in traditional Chinese medicine

Syndrome Differentiation of Spleen Deficiency Syndrome in TCM

Spleen is one of the five internal organs in the Tibetan image of traditional Chinese medicine, which is not the same concept as "spleen" in modern anatomy. The diagnosis of spleen deficiency in traditional Chinese medicine is based on a series of symptoms of the decline of spleen physiological function. Therefore, before understanding "spleen deficiency", we must first understand what physiological functions the spleen has.

The spleen in TCM has three physiological functions. The first is "traffic"; The second is "cleaning up"; The third is "unified blood."

Chinese medicine believes that after birth, people rely on the "transport" function of the spleen to absorb nutrients in the diet with the stomach, transform qi and blood, nourish the body and maintain life activities. Traditional Chinese medicine attaches great importance to the "transport" function of spleen, which is regarded as "the source of qi and blood biochemistry" and "the foundation of the day after tomorrow", especially for the weak, or promoting the growth and development of children, or delaying the aging of middle-aged and elderly people. For patients, the function of spleen transport is normal and the prognosis of the disease is good. The transport function of the spleen is normal, characterized by rosy complexion, full energy, full muscles, strong strength and full pulse.

If the "transport" function of the spleen declines, the following two symptoms will appear: First, the digestive function of food declines, which is manifested as no hunger, loss of appetite, reduced food intake, and abdominal distension after eating, especially after fatigue. Decreased digestive function will inevitably reduce nutrient absorption, resulting in sallow complexion, emaciation of muscles, general weakness, pale tongue and weak pulse. Secondly, the function of spleen "transport" water drops, which is characterized by thin and shapeless stool, swelling of lower limbs after fatigue, drooling after falling asleep, hypertrophy of tongue and tooth marks on the edge of tongue.

The second function of the spleen is "clearing". What is "Shengqing"? "Ascension" means upward transportation; "Qing" refers to the nutrients in the body. The function of clearing spleen is mainly reflected in two aspects: one is to continuously deliver nutrients to the head and maintain the normal physiological activities of various tissues and organs in the head. People with normal ascending function are characterized by refreshing, quick thinking, keen ears and clear eyes, and are not easy to get tired. If the cleaning function is reduced and the head is not supported enough, mental fatigue, mental fatigue, decreased work efficiency, inattention, dizziness, drowsiness after meals, or temporary ear congestion, or eye closure after sleep will occur. Second, clearing qi has the function of "lifting" viscera and tissues. The viscera and other tissues and organs of human body can maintain a relatively fixed position in the body, which is related to the function of clearing spleen. When this function declines, there will be symptoms of "clearing qi and sinking", such as visceral prolapse, proctoptosis, uterine prolapse and so on. There are also some special symptoms, such as defecation after meals, diarrhea after drinking cold drinks or eating greasy food, and turbid urine when tired. It shows that "clearing the air and sinking" makes some nutrients lose through defecation.

The third function of the spleen is to "unify blood". "Regulating blood" means that the spleen can make blood flow stably in blood vessels without overflowing veins, which is the "controlling" function of the spleen. When the blood regulating function of the spleen decreases, it is easy to bleed, such as subcutaneous bleeding and bruising, or gastrointestinal bleeding and hematemesis (brown vomit), bloody stool (tarry stool), or women's menorrhagia or endless dripping.

To sum up, when the three functions of the spleen decline and the above symptoms appear, they can all be diagnosed as "spleen deficiency". But everyone's performance will have a different focus.

There are many reasons for spleen deficiency, which are generally caused by eating disorders, chronic illness, physical and mental fatigue, or indolence and lack of exercise. According to investigation and statistics, spleen deficiency is more common in children and middle-aged and elderly people.

Modern research has confirmed that spleen deficiency can lead to decreased immune function, decreased external defense ability, frequent colds and diarrhea, decreased internal defense ability and susceptibility to cancer. Diseases related to spleen deficiency include dyspepsia, leukopenia, thrombocytopenic purpura, anemia, chronic colitis, malnutrition in children, myasthenia gravis, gastrointestinal neurosis and so on.

Mild spleen deficiency can be corrected by diet, and it is advisable to eat spleen-strengthening foods such as red dates, yam, white lentils, coix seed, glutinous rice porridge, millet porridge, beef juice, royal jelly and maltose.

The commonly used prescriptions for spleen deficiency include Sijunzi Decoction, Shen Ling Baizhu Powder, Buzhong Yiqi Decoction and Guipi Pill.

In addition, the usual diet should be regular and quantitative. Don't overeat or stay hungry for a long time. You should get enough sleep and do a certain amount of exercise every day. It is generally advisable not to feel tired the next day.

Spleen deficiency type III

Spleen deficiency type:

1, spleen deficiency

Most of them are due to improper diet, excessive fatigue, long-term anxiety, damage to the spleen, or lack of resistance and weakness.

2. Spleen yang deficiency

Most of them are caused by the further development of spleen-qi deficiency syndrome, and they can also be caused by eating disorders, overeating and getting cold, or too many cold drugs, damaging spleen yang, or deficiency of kidney yang, resulting in life failure and fire failure.

3. Gas sinking

Qi also refers to temper. When the temper rises, Shui Gu's essence will be lost to the lungs to nourish other internal organs. If the temper sinks, there will be symptoms such as chronic diarrhea, rectocele and uterine prolapse.

4, spleen does not control blood

If you are weak in temper and cannot replenish blood, blood will not come with menstruation.

Symptoms of spleen deficiency:

1, the tongue coating has changed.

The change of tongue is the external manifestation of spleen. The surface of a healthy tongue should be red and look moist. There is a layer of tongue coating on the surface of the tongue, which is very light and clean.

If there are obvious tooth marks on the edge of the tongue, it means that there is something wrong with the body function. If the tongue coating is white and thick, it looks smooth and moist, indicating that there is cold in the body. If the tongue coating is rough or thick and yellow and greasy, it means that there is damp heat in the body. If the tongue is red without coating, it means that the body is too hot to hurt the yin.

2. Loss of appetite

Because in the theory of traditional Chinese medicine, moisture enters the body and is most likely to hurt the spleen. The main function of the spleen is to digest and absorb various foods and liquids ingested in the body, and transform these substances into nutrients that can be used by the human body to provide new energy for human metabolism.

In a hot and humid environment, most people's appetite and digestive function will decline. However, some people are very hungry, but they feel full after eating, which is also a manifestation of strong stomach and weak spleen.

3. Getting up early is uncomfortable

Get up in the morning, if you feel chest tightness, shortness of breath, dizziness and brain swelling, it means that our spleen and stomach function is weak. Chinese medicine believes that when spleen deficiency occurs, lung qi will fail first. In other words, the functions of the spleen and the lung are mutually influenced. When spleen deficiency reaches a certain level, it is easy to have lung deficiency, such as shortness of breath, and shortness of breath when moving.

4. High humidity

People with heavy moisture may also gain significant weight in a short time, and in severe cases, problems such as edema of lower limbs may occur.

90% of obese people are physically weak. Physical weakness is caused by the weakening of spleen and stomach function. Physical weakness will slow down metabolism and weaken the vitality of the body, thus reducing the ability to consume nutrition. If nutrients cannot be consumed, they will accumulate in the body and form obesity.

5. Abnormal defecation in the toilet

If the stool is soft and sticky, it is a symptom of spleen dampness, indicating abnormal digestive function.

Treatment of spleen deficiency:

1, with a piece of dog broth.

Ingredients: auxiliary materials, dog meat and salt.

Practice: put the attached tablets into the pot and stir-fry for 2 hours, then add dog meat, cook and add salt to eat.

Efficacy: Tonifying yang, warming middle warmer, relieving pain, dispelling cold, and eliminating dampness. Cooking should use boiled water, and it is forbidden to use cold water, otherwise it will be poisoned. Take it before going to bed. Don't blow cold air or touch cold water after taking it.

2. Hawthorn and barley porridge

Ingredients: Coix seed 30g, japonica rice 100g, hawthorn 5g, and proper amount of sugar.

Practice: Wash Coicis Semen and japonica rice, put them in a casserole, add water 1000 ml, boil, add hawthorn, simmer porridge, and add appropriate amount of sugar. Eat twice on an empty stomach.

Efficacy: strengthen the spleen and stop diarrhea, promote digestion and eliminate accumulation. It is suitable for patients with spleen and stomach weakness, dyspepsia, abdominal distension, belching and acid swallowing, abdominal pain and loose stool.

3. Yam and barley porridge

Ingredients: 60g yam powder, 30g coix seed.

Practice: Wash and cook Coix seed, add yam powder when cooked, and continue to cook with slow fire until porridge is cooked. Warm clothes in the morning and evening.

Efficacy: invigorating spleen and qi, eliminating dampness and stopping diarrhea. It is suitable for women with spleen deficiency, weak temper, loss of appetite, bad luck and damp and turbid discharge.

4. Ginseng porridge

Ingredients: Ginseng (or Codonopsis pilosula), Poria, Ginger, Japonica rice.

Practice: First cut ginseng (or codonopsis pilosula) and ginger into thin slices, mash poria cocos, soak for half an hour, and then fry to get juice. Combine the first and second decoctions, and cook porridge with japonica rice twice in the morning and evening.

Efficacy: Yiqi Buxu, Jianpi Yangwei. It is suitable for deficiency of qi, weakness of spleen and stomach, mental fatigue, pallor, loss of appetite, nausea and vomiting, loose stool, etc.

4 Traditional Chinese Medicine Prescription for Radical Treatment of Spleen Deficiency Syndrome

Traditional Chinese medicine formula for radically curing spleen deficiency

Banxia Baizhu Tianma Decoction

Prescription Cortex Phellodendri (washed with wine) 0.6g of dried ginger 0.9g of Rhizoma Gastrodiae, Atractylodis Rhizoma, Poria, Radix Astragali, Ginseng1.5g, Atractylodis Rhizoma and Massa Medicata Fermentata 3g, Rhizoma Pinelliae (washed with soup for seven times) and Pericarpium Citri Tangerinae1.5g. ..

Making drugs. Oh, mouth.

The function is mainly to replenish spleen and stomach, eliminate phlegm and dampness, and calm deficiency wind. Deficiency of cold in spleen and stomach, phlegm-dampness internal resistance, and disturbance of wind deficiency lead to phlegm syncope and headache, with symptoms of splitting headache, dizziness, chest pain, nausea and vomiting, thick and sticky phlegm, shortness of breath, lazy speech, cold limbs, and inability to lie down.

Usage and dosage: each time 15g, 300 ml of water, decocted to 150 ml, taken hot.

Remarks: Ginseng, Astragalus and Atractylodes macrocephala in the prescription tonify the spleen and stomach and nourish the vitality; Dried ginger, Rhizoma Atractylodis, Rhizoma Pinelliae, Poria and Alisma orientalis are used for eliminating cold and dampness and resolving phlegm. Gastrodia elata can calm deficiency wind and stop dizziness; Massa Medicata Fermentata, barley tillering surface and dried tangerine peel regulate the spleen and stomach to help digestion; Cortex Phellodendri can control the outbreak of Atractylodes lancea and reduce the potential virtual fire. In this prescription, * * * has the effects of invigorating spleen and regulating stomach, resolving phlegm and eliminating dampness, and calming wind.

Excerpted from the second volume of Spleen and Stomach Theory

Baifuling Chenpi Pills

Alias slow pill

The prescription is Poria cocos 1, Pericarpium Citri Tangerinae 1, Zingiberis Rhizoma 1 and Ginseng Radix 1.

Method is the end, honey is a pill, as big as a marble.

Indications: weakness of spleen and stomach. All six veins are cord-shaped and point to the deficiency below. Eating less and thirsty, heartburn, abdominal distension and pain, or narrow as a rope, unfavorable urination, irregular stool, and listlessness.

Usage and dosage: Huanzhong Pill (Volume 5 of Health Care Collection).

If the pulse is string or the abdomen is urgent, add licorice and 3 yuan (stir-fry); Ginger in autumn 1.5.

Excerpt from self-care Jie Jia Zhen

Spleen deficiency dietotherapy

First, spleen deficiency

clinical picture

Main symptoms: anorexia, abdominal distension after meals, loose stool.

Side effects: sallow complexion, weakness of limbs, shortness of breath and laziness, mental fatigue, muscle emaciation or edema of limbs.

Tongue pulse: the tongue is tender or dented, with white fur and slow and weak pulse.

Medicinal diet Shen Ling Zhou

Ingredients: Ginseng (or Codonopsis pilosula), Poria, Ginger, Japonica rice.

Methods: First, ginseng (or codonopsis pilosula) and ginger were sliced, and Poria was mashed, soaked for half an hour, and then decocted to get juice. Combine the first and second decoctions and cook porridge with japonica rice once in the morning and once in the evening.

Efficacy: Yiqi Buxu, Jianpi Yangwei. It is suitable for deficiency of qi, weakness of spleen and stomach, mental fatigue, pallor, loss of appetite, nausea and vomiting, loose stool, etc.

Second, spleen-yang deficiency

clinical picture

Main symptoms: cold pain in the waist and knees, edema due to prolonged diarrhea.

Side effects: pale face, cold limbs, cold pain in the lower abdomen, or diarrhea in the fifth watch, diarrhea in the lower abdomen, urination in the lower abdomen, or abdominal distension like a drum.

Tongue pulse: the tongue is light and fat, the coating is white and slippery, and the pulse is deep, thin, weak and late, or thin.

Dog soup medicated diet

Ingredients: aconite, dog meat, salt.

Methods: Put the Aconitum Affiliate into the upper pot, fry for 2 hours, then add dog meat, and add salt after cooking.

Efficacy: Tonifying yang, warming middle warmer, relieving pain, dispelling cold, and eliminating dampness. Cooking should use boiled water, and it is forbidden to use cold water, otherwise it will be poisoned. Take it before going to bed. Don't blow cold air or touch cold water after taking it.

Third, the gas sinks

clinical picture

Mental fatigue, shortness of breath and laziness, loss of appetite, pallor, abdominal distension and loose stool. In severe cases, male spermatorrhea can be seen, while female spermatorrhea can be seen.

Medicinal diet mung bean glutinous rice pork intestines

Composition: 60g mung bean, 30g glutinous rice and 300g pork intestines.

Methods: First, clean the pig's large intestine thoroughly, soak mung beans and glutinous rice in water for half an hour, then put mung beans and glutinous rice in the pig's large intestine and add appropriate amount of water, tie both ends of the intestine tightly with thread, and put them in a casserole and boil them in water for about 2 hours. Take it every other day 1 time, and take it continuously for 7-8 days/course of treatment.

Efficacy: tonify the middle energizer, clear away heat and toxic materials, relieve constipation and stop dysentery. It is suitable for damp-heat diarrhea, hematochezia, initial onset of hemorrhoids, proctoptosis, etc.

4, spleen does not control blood

clinical picture

Blood in stool, blood in urine, muscle bleeding, toothache or menorrhagia, metrorrhagia, etc. Often accompanied by eating less loose stool, mental fatigue, shortness of breath, laziness, dull complexion, pale tongue with white fur, thready pulse and other symptoms.

Medicinal diet yam barley porridge

Composition: 60g yam powder and 30g coix seed.

Methods: Wash and cook Coicis Semen, add yam powder when cooked, and continue to cook with slow fire until porridge is cooked. Warm clothes in the morning and evening.

Efficacy: invigorating spleen and qi, eliminating dampness and stopping diarrhea. It is suitable for women with spleen deficiency, weak temper, loss of appetite, bad luck and damp and turbid discharge.

5. Self-judgment of spleen deficiency

Self-judgment method of spleen deficiency

1, touch the tip of the nose

Touch your forehead first, feel the normal temperature of your body, and then touch the tip of your nose. If the tip of the nose is cold, it may be spleen deficiency.

Step 2 look at the color of your lips

Pale lips belong to blood deficiency and spleen yang deficiency.

3. Too much saliva

The tongue is pale and the coating is white and greasy. It belongs to spleen deficiency with dampness and turbidity. Obviously, it can't be biochemical, and it will be turbid when it comes up. So there is more saliva. This disease can be treated by strengthening the spleen and eliminating dampness.

How do people with spleen deficiency choose food?

It is advisable to eat foods with the functions of invigorating spleen and qi, stimulating appetite and promoting digestion, such as japonica rice, canned rice, crispy rice, glutinous rice, cooked lotus root, chestnut, yam, lentils, kidney beans, grapes, red dates, carrots, potatoes and mushrooms.

Do not eat foods that are cold and easy to hurt your temper, such as bitter gourd, cucumber, wax gourd, eggplant, hollow celery, glutinous rice, wild bamboo shoots, day lily, persimmon, banana, batch handle, pear, watermelon, green tofu, limb wheat and so on. Among them, the foods that are thick and greasy and easy to hinder the function of spleen qi transport are duck meat, pig turtle, oyster meat, milk, sesame and so on; Foods that are easy to lose their temper are sandalwood, radish and coriander.

Reference prescription for spleen deficiency dietotherapy

1, japonica rice porridge

50g of japonica rice, grape10g. Boil japonica rice with appropriate amount of water until it is 90% mature, and add raisins to stew until it becomes slurry.

2. Sweet potato

Commonly known as sweet potato, sweet potato, sweet potato. It is flat in nature, sweet in taste, and has the functions of invigorating spleen and enriching blood, benefiting qi and relaxing bowels. "Diet is interesting" says: "Cooking supplements the spleen and stomach, benefits qi, keeps out the cold and benefits qi." The Outline holds that sweet potato can "tonify the middle energizer, warm the stomach and nourish the five internal organs". People with spleen deficiency can take sweet potato as the staple food and eat it often.

3. Jujube

Warm in nature and strong in flavor, it has the functions of invigorating spleen and stomach, benefiting qi and blood. As early as two years ago, there was a record of "jujube calming the spleen" in Shennong's herbal classics. Li Shizhen said: "Jujube is the fruit of the spleen, and spleen diseases are suitable for eating." For people with spleen deficiency, weak stomach, lack of food and qi and blood, it is best to take jujube regularly.

You can also use yam, Atractylodes macrocephala, glutinous rice, potatoes, white lentils, sweet potatoes and so on to strengthen the spleen. Usually buried deep underground. Use them to cook porridge, meat and single cooking. If you put a little lotus leaf, the effect will be better.

4, Ma Jue glutinous rice health porridge

Ma Jue also has a resounding name, also called "Ginseng Fruit". Has the effects of invigorating spleen, regulating stomach, promoting salivation, quenching thirst, invigorating qi and nourishing blood. The dehumidification function of coix seed (coix seed) is well known.

Cooking method: First, soak Ma Jue and Coicis Semen for 1 hour, wash and slice yam, and add appropriate amount of rice and red dates. After the water is boiled, add the ingredients. After boiling again, turn to low heat and cook for 30 minutes.

Ma Jue can also be cooked with meat, such as stewed mutton in Ma Jue, which has the effects of warming the middle and lowering the stomach, strengthening the spleen and nourishing the stomach. Suitable for people with anemia after illness and deficiency of spleen and kidney yang. For people with spleen deficiency, you may wish to eat more mala Tang.