Spleen belongs to the earth in the five elements, and is the most yin in the yin and yang of the five internal organs. Shui Gu, whose spleen governs the transport and transformation, regulates the absorption of blood, ascends the clear and transports the subtle, is the "source of qi and blood biochemistry". After the human body is born, all organs and tissues depend on the delicate Shui Gu transformed by the spleen for nutrition, so the spleen is called "the foundation of the day after tomorrow". It forms the spleen system with the stomach, meat, lips and mouth. Deficiency of spleen function and lack of biochemical sources are caused by spleen deficiency or improper diet, emotional factors, disorder of work and rest, spleen or chronic kidney disease patients are damaged by medicine and food, damp evil stays for a long time, and spleen is damaged. Spleen plays a very important role in the digestion and absorption of food, so almost all gastrointestinal diseases can appear or be accompanied by spleen deficiency. It is suggested that you can try to protect tea, gently nourish the stomach and improve the spleen and stomach.
1. Weak temper
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 deposition
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.
clinical picture
Spleen deficiency syndrome refers to the diseases caused by spleen deficiency, which are complicated, mainly including vomiting, diarrhea, edema, bleeding, amenorrhea, leukorrhagia, cold limbs and salivation in children.
1. Lack of temper
Abdominal distension, abdominal distension after eating, weakness of limbs, mental fatigue, shortness of breath, laziness, emaciation, obesity and edema, and pale tongue coating.
2. Spleen yang deficiency
Thin stool, anorexia, abdominal distension, abdominal pain, Wen Xiqing's pressure, chills, tepid limbs, dull or swollen complexion, short or leucorrhea in urine, innocent color, and white and slippery tongue coating.
3. Gas deposition
On the basis of spleen-qi deficiency, there are also clinical manifestations of qi stagnation, such as chronic diarrhea, proctoptosis, uterine prolapse and so on.
4. Spleen does not control blood
On the basis of spleen-qi deficiency syndrome, there are also clinical manifestations of chronic bleeding, such as menorrhagia, metrorrhagia, hematochezia, epistaxis and subcutaneous bleeding. In addition to bleeding, you must also see some symptoms of spleen deficiency.
Spleen deficiency is a common syndrome type in viscera syndrome differentiation, and invigorating spleen and benefiting qi is the treatment method. "Pulse Meridian" Volume II: "Spleen deficiency, ... suffering from diarrhea, abdominal distension, qi reversal, cholera, vomiting, jaundice, anxiety, bowel sounds." It is said that "the temper ... Xu Ruo is cold, which makes people feel full of abdominal distension, Shui Gu does not need it, swallowing acid, eating, vomiting, cholera, heavy limbs, thinking too much, and hearing people's voices" (see Volume 44 of "Total Records of Holy Sites"). Zou Shu's "Materia Medica Classic" summarizes that "twelve syndromes such as spleen deficiency, overwork, spleen injury, fever and poor diet belong to spleen deficiency; If you don't eat well, you will hate eating and stop eating, which is caused by drinking soup, Leng Cha and cold wine. Edema belongs to spleen deficiency and spleen yin deficiency; Choke diaphragm is caused by deficiency of both qi and blood and deficiency of blood rather than stagnation of phlegm and qi. Spleen deficiency belongs to qi deficiency, forgetfulness belongs to both qi and blood deficiency, and burnout and lethargy belong to spleen deficiency. Abdominal pain due to spleen deficiency belongs to blood deficiency. Phlegm is caused by spleen-qi deficiency and qi stagnation. "
Spleen deficiency is more common in spleen-qi deficiency syndrome and spleen-yang deficiency syndrome, manifested as abdominal distension, fullness, emaciation, limb weakness, diarrhea (or constipation due to spleen deficiency), anorexia and edema. Spleen is wet soil, which likes dryness and hates dampness. Dampness can lead to spleen deficiency, and spleen deficiency can also lead to dampness, which is often mutually causal. Deficiency of spleen and retention of water and dampness are mostly syndromes of deficiency and excess. For those who are mainly deficient in essence, strengthen the spleen and assist in eliminating dampness; Those who focus on reality focus on eliminating dampness and transporting spleen. The following are several common treatments for spleen deficiency:
1. Spleen deficiency vomiting
Symptoms: A slight carelessness in diet can easily lead to vomiting, intermittent eating, loss of appetite, difficulty in eating, fullness and tightness in the abdomen, pale mouth and thirst, pale complexion, fatigue, pale tongue, thin white fur and weak pulse. Vomiting due to spleen deficiency is caused by stomach qi upwelling. Treatment: invigorating spleen and stomach to stop vomiting. Main prescription: Xiangsha Liujunzi Decoction.
2. Diarrhea due to spleen deficiency
Symptoms: thin stool, frequent diarrhea, repeated defecation for a long time, dyspepsia, reduced diet, uncomfortable stool after eating, frequent defecation after eating greasy food, sallow complexion, listlessness, pale tongue with white fur and thready pulse. Diarrhea due to spleen deficiency is caused by spleen deficiency losing transport and dampness being injected into intestine. Treatment principle: strengthen the spleen and eliminate dampness to stop diarrhea. Main prescription: Shen Ling Baizhu Powder.
3. Spleen edema
Symptoms: body swelling, especially below the waist, difficult to recover, abdominal distension, anorexia, dull complexion, fatigue, cold limbs, short and red urine, pale tongue, white and slippery fur and slow pulse. Spleen edema is caused by spleen deficiency, water stagnation and skin overflow. Treatment: Warming spleen and promoting diuresis to reduce swelling. Main prescription: Shipi drink is added and subtracted.
4. Spleen deficiency bleeding
Symptoms: dark purple blood or even black stool, or hematuria, hematemesis, epistaxis, purple spots, fatigue, shortness of breath, low voice, pale face, dizziness, pale tongue, thin and white fur, and thin and weak pulse. Spleen deficiency bleeding is spleen deficiency, and blood loss out of control is disease. Treatment: invigorating spleen, benefiting qi and enriching blood. Main prescription: Shengmai decoction combined with Shenfu decoction.
5. Spleen deficiency with leukorrhea
Symptoms: continuous leucorrhea, yellowish or white, tasteless, yellowish complexion, mental fatigue, loss of appetite, backache, abdominal edema, edema of lower limbs, thin stool, etc. Spleen governs the transport of water by dampness, while spleen deficiency leads to incomplete transport, and dampness accumulates downward, damaging ren and Dai veins. Treatment principle: invigorating spleen and qi, rising yang and eliminating dampness. Main prescription: Take the decoction with water.
6. Spleen deficiency amenorrhea
Syndrome: amenorrhea is often accompanied by symptoms such as poor diet, fullness and false stool. Most of them are due to spleen and stomach weakness, hygiene dereliction of duty, dietary injury and decreasing diet, which leads to insufficient biochemical sources and amenorrhea without blood discharged into the uterus. Treatment principle: tonify spleen and stomach, tonify qi and blood. Main prescription: Bazhen decoction is added and subtracted.
7. Spleen deficiency and fluid production
Symptoms: mental fatigue, sallow complexion and excessive salivation. "Standard of Syndrome Treatment and Pediatrics": "Children's salivation is caused by lack of temper and can't take four fluids." Rule: spleen and body fluid. Main prescription: Wuwei Gong Yi Powder.
8. Spleen deficiency leads to wind
Syndrome: slight convulsion of hands and feet, cold limbs, drowsiness with eyes exposed, and slight breathing in nose and mouth. Spleen deficiency leads to internal wind, which is mostly caused by vomiting and diarrhea or spleen injury caused by medicine and food. Zhang Yitong's Zhu Fengmen: "If you are tired and faint, your pulse is slow, your limbs are not warm, and spleen deficiency will lead to wind." Treatment principle: invigorating spleen and calming wind. Main prescription: Liujunzi decoction scorpion tail, processed ginger and cinnamon.
9. Spleen deficiency is like a ball
Syndrome: The eye cells under the eyes are swollen, empty like a ball, and there is no red pain, so I like to press. Spleen deficiency with dampness or deficiency of qi and blood, and fire deficiency with qi deficiency. Treatment principle: invigorating spleen and benefiting qi, supplemented by drugs to eliminate evil. Main prescription: Buzhong Yiqi decoction.
10. Spleen deficiency generates heat
Symptoms: sallow complexion, listlessness, edema under the eyes, pale tongue with yellow greasy coating, weak pulse, polydipsia, increased dandruff, weakness of speech, short and red urine, tinnitus and nocturnal emission. Spleen deficiency with internal dampness stagnation, long-term fever, failure to nourish qi and blood, retention of water and dampness, yin deficiency and hyperactivity of yang. Treatment principle: invigorating spleen and qi, nourishing qi and blood, clearing heat and nourishing kidney yin as a supplement. Main prescriptions: Ginseng Jianpi Pill and Baizhi Dihuang Pill.
1. Do not eat with spleen deficiency syndrome.
(1) Eat foods with the functions of invigorating spleen and qi, invigorating spleen and stimulating appetite, promoting digestion and resolving food stagnation, such as japonica rice, indica rice, crispy rice (scorched pot), Coicis Semen, cooked lotus root, millet, yam, lentils, cowpea, beef, chicken, rabbit meat, tripe, pig tripe, mandarin fish, grapes, etc.
(2) Avoid foods that are cold and easy to hurt your temper, such as bitter gourd, cucumber, wax gourd, eggplant, water spinach, celery, amaranth, water bamboo, lettuce, day lily, persimmon, banana, loquat, pear, watermelon, mung bean, tofu and naked oats. Thick and greasy food, such as duck, pork, soft-shelled turtle, oyster, milk, sesame and so on. These are easy to hinder the function of temper transport; Foods that benefit qi and help digestion, such as buckwheat, hawthorn, radish and coriander.
2. Diet therapy
Spleen and stomach are the most important organs for transporting food and metabolizing qi and blood, and dietotherapy is also essential for patients with spleen and stomach diseases. But we must choose the diet according to the patient's usual physique and different situations, which is the so-called "dialectical feeding". If the spleen and stomach are deficient in cold, or stomach pain, abdominal pain and diarrhea caused by cold syndrome, you should eat more spicy and spicy onions, ginger, leeks, garlic and peppers, if the spleen and stomach are weak. If the stomach is hot, it is advisable to eat sweet and cold products such as pears, lotus roots, sugar cane and honey; If qi is blocked, people should eat more spices made of radish, bergamot, kumquat or orange peel.
(1) medicated rice cooker The medicated rice cooker is a method for preventing and treating diseases, which is made of cereals, cakes, cakes, steamed buns and other staple foods or snacks together with some foods and medicines.
Party 1. Orange cake: fresh orange peel, broken into fine particles, soaked in sugar, and then mixed with flour to make a cake. It is suitable for anorexia, dyspepsia, cough and excessive phlegm.
The second party. Cardamom steamed bread: sprinkle cardamom powder into proper amount of flour, and then cook it into steamed bread, which is suitable for people with abdominal distension and loss of appetite.
Recipe 3. Jujube and spleen-strengthening cake: jujube, Atractylodes macrocephala, dried ginger and endothelium corneum Gigeriae Galli. Boil the juice first, then mix the juice with flour and proper amount of sugar to make a cake, which is suitable for people who eat too little and have loose stools.
Recipe 4. Yam rice: yam, lotus seeds, rice kernels and lentils are washed and chopped, lotus seeds are peeled, pitted and cooked, and then cooked with japonica rice. It is suitable for diarrhea due to spleen deficiency and loss of appetite.
Recipe 5. Eight Immortals Cake: Radix Astragali, Atractylodis Rhizoma, Rhizoma Dioscoreae, Fructus Crataegi, Poria, Pericarpium Citri Tangerinae, Lotus, and Radix Codonopsis. Firstly, the above medicines are decocted to get juice, and then steamed into cakes with appropriate amount of japonica rice flour, glutinous rice flour and white sugar. It is suitable for diarrhea due to spleen deficiency and loss of appetite.
The sixth party. Cannabis tortillas: Cannabis, sesame, corn flour, brown sugar. Grinding Fructus Cannabis and Semen Sesami, cleaning, adding corn flour, mixing well, adding brown sugar, and adding water, and stirring into cakes. It is suitable for constipation caused by spleen deficiency and qi and blood loss.
(2) Jianpi food potato: sweet and flat. Yiqi Jianpi. Suitable for spleen deficiency, weakness, loss of appetite and indigestion. The sprouted potato buds and skins are poisonous and unfit for eating.
Sweet potato: sweet, flat, spleen and stomach. Tonifying spleen and stomach, benefiting qi and widening stomach. Suitable for spleen and stomach weakness, emaciation and weakness, diarrhea. Eating too much can easily lead to acid reflux, heartburn and flatulence in gastrointestinal tract.
Mushrooms: sweet and flat. Benefiting stomach qi and supporting acne rash. Suitable for spleen and stomach weakness, loss of appetite, burnout and fatigue. It belongs to hair, measles and skin diseases, and allergic diseases are not allowed to eat.
Yam: sweet, flat in nature, enters the spleen, lung and kidney meridians. Yiqi Jianpi, Ziyin Yiqi lung, Bushen Gujing. Suitable for loose stool with weak temper and poor appetite, and chronic diarrhea. Those with wet weight and qi stagnation should not eat.
Chestnut: Sweet and warm in nature, entering the spleen, stomach and kidney meridians. Tonify spleen and stomach, tonify kidney and strengthen tendons, promote blood circulation and stop bleeding. Suitable for spleen deficiency, anorexia, nausea and diarrhea. People with qi stagnation and abdominal distension should not eat it.
Jujube (jujube): sweet in taste, warm in nature, entering the spleen and stomach. Tonify the spleen and stomach, nourish blood and soothe the nerves. Suitable for spleen and stomach weakness, eating less, being thin, being tired and weak. People with qi stagnation, damp heat and constipation should not eat it.
Chicken: it tastes sweet and warm, and enters the spleen and stomach. Tonifying the middle energizer and replenishing qi, and filling the essence. Suitable for spleen and stomach weakness, mental fatigue, loss of appetite, chronic diarrhea. Avoid eating after excess syndrome, heat syndrome, sore rash and acne.
Rabbit meat: sweet and cool. Tonify middle energizer, invigorate qi, cool blood and detoxify. It is suitable for spleen deficiency, anorexia, bloody stool, stomach heat, vomiting and nausea, intestinal dryness and constipation. People with deficiency-cold diarrhea should not eat it.
Pork belly: sweet and warm. Tonifying the spleen and stomach. It is suitable for diarrhea due to physical weakness, and is used for gastroptosis and peptic ulcer in modern times.
Tripe: Sweet. Benefiting the spleen and stomach and nourishing the five internal organs. It is suitable for patients with qi deficiency, spleen and stomach weakness and dyspepsia after illness.
Lamb belly: sweet. Tonifying deficiency and benefiting spleen and stomach. Suitable for people with thin body and deficiency of spleen and stomach.
Beef: it tastes sweet and flat, and enters the spleen and stomach. Tonify spleen and stomach, invigorate qi and blood, and strengthen bones and muscles. It is suitable for patients with spleen and stomach weakness, loss of appetite, discomfort of middle qi and chronic diarrhea.
Mandarin fish: sweet taste, flat nature, spleen and stomach meridian. Tonifying spleen and stomach, benefiting qi and blood. Suitable for spleen and stomach weakness and loss of appetite. Avoid eating with deficiency-cold syndrome and cold-dampness syndrome.
Misgurnus anguillicaudatus: sweet taste, flat nature, spleen and lung meridians entered. Tonifying the middle energizer, invigorating qi, promoting diuresis and eliminating dampness. Suitable for deficiency of middle qi, diarrhea and proctoptosis.
Japonica rice: sweet in taste, flat in nature, and enters the spleen and stomach. Tonifying the middle energizer, strengthening the spleen and regulating the stomach. It is suitable for deficiency of middle qi, mental fatigue, anorexia, loose stool, spleen-stomach disharmony, vomiting and diarrhea.
Indica rice: sweet in taste, warm in nature, and belongs to lung, spleen and heart meridian. Tonifying the spleen and stomach and nourishing the five internal organs. It is suitable for diarrhea caused by spleen deficiency and dampness. Avoid eating for heat syndrome, damp-heat syndrome and yin deficiency syndrome.
Glutinous rice: sweet in taste, warm in nature, and enters the spleen, stomach and lungs. Tonifying middle energizer, lung and sweat. It is suitable for diarrhea due to spleen deficiency, and it is not suitable for people with food stagnation, qi stagnation, dampness, spleen deficiency, weak stomach and indigestion.
Lentils: sweet, slightly warm, entering the spleen and stomach. Strengthening the spleen and eliminating dampness, clearing away summer heat. Suitable for spleen deficiency and dampness, eating less and diarrhea, and vomiting and diarrhea in summer heat. People with qi stagnation and abdominal distension should not eat it.
Cowpea: sweet taste, flat nature, spleen and kidney meridians entered. Spleen and kidney. Suitable for spleen and stomach weakness, diarrhea and vomiting. People with qi stagnation and constipation should not eat it.
Honey: sweet taste, flat nature, spleen, lung and large intestine meridians entered. Strengthen the spleen and moisten the lungs, relieve cough and moisten the intestines, and relax the bowels. It is suitable for stomachache due to spleen and stomach weakness and constipation due to fluid deficiency and intestinal dryness, and is used for modern peptic ulcer. Those with damp syndrome, damp-heat syndrome, abdominal distension, vomiting and loose stool should not eat; Not suitable for eating with onion and lettuce.