Pattern Full

Cold-Damp invading the Spleen

Hán Shī Kùn Pí 寒湿困脾
Affects: Spleen

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Diagnostic Signs

Diagnostic Considerations

The key characteristic symptoms here are the feeling of abdominal fullness, the feeling of heaviness and the sticky white tongue coating.

Causes & Pathology

Common Causes

Pathological Mechanism

This is a description of the pattern in its acute stage, when the Spleen is invaded by exterior Dampness. The pattern can also become chronic, in which case the tongue would be more Pale and the pulse partly Weak or Soggy.

What causes the characteristic feeling of heaviness is the fact that Dampness obstructs the muscles. It also impairs the the clear Yang from ascending tothe head, hence the feeling of heaviness in the head as well.

The feeling of fullness is caused by Dampness preventing the normal movement of Qi. This also causes the nausea as Dampness prevents Stomach-Qi from descending (Qi becomes Rebellious).

What causes the sweet taste in the mouth (or sometimes the absence of taste) is because the Spleen opens into the mouth: disruption to its normal behavior will have repercussions in the mouth.

Lastly Dampness is heavy and has a tendency to drop downwards; this is what causes the excessive white vaginal discharge we see in some cases.

Treatment Approach

Treatment Principle

Resolve Dampness, expel Cold

Diet & Lifestyle Recommendations

Since the key cause for this pattern is exposure to exterior dampness, the single best lifestyle change you can make is to avoid prolonged exposure to dampness.

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Pattern Relationships

Related TCM Concepts

Cold Dampness Spleen