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Spleen and Liver Blood Deficiency

Pí Gān Xuè Xū 脾肝血虚
Affects: Spleen Liver

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Diagnostic Signs

Diagnostic Considerations

The key characteristic symptoms are the loose stools, scanty periods, blurred vision and the pale sides of the tongue. The first three of those are enough in and of themselves to diagnose Spleen and Liver Blood Deficiency.

Causes & Pathology

Common Causes

Pathological Mechanism

The Spleen is the origin of Blood because Grain Qi (Gu Qi) produced by the Spleen is Blood's key component. As a result if Spleen Qi is Deficient (an indispensable precondition for Spleen Blood Deficiency), not enough Blood is produced which is what leads to the Blood Deficiency.

Quite a few of the symptoms here such as loose stools, poor appetite and weak limbs, are typical of Spleen Qi Deficiency which again is always a precondition for Spleen Blood Deficiency.

The Liver stores Blood. When Liver Blood is Deficient one gets symptoms like dizziness, blurred vision, numbness in the limbs, scanty periods or, in the worst cases, amenorrhea (a total absence of periods).

The slight depression and feeling of aimlessness are also due to the Liver Blood Deficiency. The lack of Blood prevents the Ethereal Soul (Hun) from being properly "rooted" in Blood.

Treatment Approach

Treatment Principle

Tonify Spleen Qi and nourish Liver Blood.

Diet & Lifestyle Recommendations

Diet is an important cause of this pattern. Pay careful to eat nourishing foods, particularly grains and meats, and to avoid an excessive amount (or regular consumption) of cold and raw foods.

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Pattern Relationships

Derives From

Blood Deficiency

Can Develop Into

Related TCM Concepts

Spleen Liver Blood Deficiency