Damp-Heat in Stomach and Spleen

At a glance

Key attributes

Chinese name: 脾胃湿热      Pinyin name: Pí Wèi Shī Rè

Pattern nature: Full

Pattern hierarchy: Specific pattern under Damp-Heat

Causes

Precursor patterns: Damp-Heat

Common causes: External pathogenic factor

Diagnosis

Common symptoms: Nausea Loose stools Feeling of heaviness of the head and body A feeling of oppression in chest and epigastrium Continuous fever which does not reduce with sweating

Pulse type(s): Rapid (Shu), Soggy (Ru)

Tongue description: Red tongue with sticky yellow tongue coating

Treatment

Treatment principle: Clear Heat in Stomach and Spleen, resolve Dampness.

Common formulas: Lian Po Yin

Pathology

This is one of the five patterns of the Qi level, the second level of the Four Levels theory.

Here Damp-Heat causes sweating but, while it might give the impression it abates the fever, it comes back soon afterwards. The reason is because sweat comes from the space between the skin and muscles but the Dampness is located in the Interior.

Dampness causes most of the other symptoms. It obstructs the Middle Burner, which causes the feeling of oppression of the chest and epigastrium as well as the nausea. It also obstructs the muscles, which is what causes the feeling of heaviness.

Lastly Dampness impairs the Spleen’s ability to transform and transport, which is what causes the loose stools.

Causes

Precursor patterns: Damp-Heat in Stomach and Spleen can derive from Damp-Heat

External pathogenic factor: The main original cause of Damp-Heat in Stomach and Spleen is an Exterior Pathogenic Factor (typically Wind-Heat) that has invaded the Interior and progressed to this pattern.

Diagnosing Damp-Heat in Stomach and Spleen

Pulse type(s): Rapid (Shu) or soggy (Ru)

Tongue description: Red tongue with sticky yellow tongue coating

Main symptoms: Nausea Loose stools Feeling of heaviness of the head and body A feeling of oppression in chest and epigastrium Continuous fever which does not reduce with sweating

Treating Damp-Heat in Stomach and Spleen

Treatment principle

Clear Heat in Stomach and Spleen, resolve Dampness.

Herbal formulas used to treat Damp-Heat in Stomach and Spleen

Lian Po Yin

Source date: 1862 AD

Number of ingredients: 7 herbs

Key actions: Clears Heat. Transforms Dampness. Regulates Qi. Harmonizes the Middle Burner.

Formula summary

Lian Po Yin is a 7-ingredient Chinese Medicine formula. Invented in 1862 AD, it belongs to the category of formulas that clear Heat and expel dampness.

Besides Damp-Heat in Stomach and Spleen, Lian Po Yin is also used to treat Damp-Heat invading the Spleen or Damp-Heat in the Stomach.

Read more about Lian Po Yin

Consequence patterns

Heat in Nutritive Qi level

If left untreated Damp-Heat in Stomach and Spleen can lead to Heat in Nutritive Qi level

Heat in Pericardium

If left untreated Damp-Heat in Stomach and Spleen can lead to Heat in Pericardium