Obstruction Of the Spleen By Dampness with Liver Qi Stagnation

At a glance

Key attributes

Chinese name: 脾虚肝郁      Pinyin name: Pí Xū Gān Yù

Pattern nature: Full combined pattern

Pattern(s) it combines from: Liver Qi Stagnation

Causes

Precursor patterns: Spleen Qi Deficiency

Common causes: Greasy and dairy foods

Diagnosis

Common symptoms: Nausea No appetite Loose stools Irritability Sallow complexion and six other symptoms

Pulse type(s): Slippery (Hua), Wiry (Xian)

Tongue description: Thick sticky yellow coating

Treatment

Treatment principle: Resolve Dampness, promote the smooth flow of Liver Qi, clear Heat

Common formulas: Ping Wei San

Pathology

When the Spleen is deficient and fails in its function of transformation and transportation, Fluids accumulate into Dampness.

Dampness then obstructs the Middle Burner which hampers the proper flow of Qi and results in Liver Qi Stagnation

The relationship is also described in the Five Phases theory, it corresponds to Earth insulting Wood.

Causes

Precursor patterns: Obstruction Of the Spleen By Dampness with Liver Qi Stagnation can derive from Spleen Qi Deficiency

Greasy and dairy foods: The excessive consumption of fried, fatty or greasy food as well as dairy products can create Dampness in the Spleen, which will in turn trigger Liver Qi Stagnation by hampering the free flow of Qi.

Diagnosing Obstruction Of the Spleen By Dampness with Liver Qi Stagnation

Pulse type(s): Slippery (Hua) or wiry (Xian)

Tongue description: Thick sticky yellow coating

Main symptoms: Nausea No appetite Loose stools Irritability Sallow complexion Hypochondrial pain Feeling of heaviness Epigastric distension Hypochondrial distention Dry mouth with no desire to drink Feeling of oppression and fullness of the epigastrium

Diagnosis commentary: Fullness of epigastrium, hypochondrial distension and a thick sticky yellow tongue coating are enough in and of themselves to diagnose this pattern.

Treating Obstruction Of the Spleen By Dampness with Liver Qi Stagnation

Treatment principle

Resolve Dampness, promote the smooth flow of Liver Qi, clear Heat

Herbal formulas used to treat Obstruction Of the Spleen By Dampness with Liver Qi Stagnation

Ping Wei San

Source date: 1051 AD

Number of ingredients: 4 herbs

Key actions: Dries Dampness. Improves the Spleen's transportive function. Promotes the movement of Qi. Harmonizes the Stomach.

Formula summary

Ping Wei San is a 4-ingredient Chinese Medicine formula. Invented in 1051 AD, it belongs to the category of formulas that transform Dampness and harmonize Stomach.

Besides Obstruction Of the Spleen By Dampness with Liver Qi Stagnation, Ping Wei San is also used to treat Cold-Damp invading the Spleen or Oedema.

Read more about Ping Wei San

Diet recommendations

Eat a light diet, paying particular attention to steer clear from an excessive amount of fried, fatty or greasy food as well as dairy products.

Consequence patterns

Phlegm

If left untreated Obstruction Of the Spleen By Dampness with Liver Qi Stagnation can lead to Phlegm

Liver Blood Stagnation

If left untreated Obstruction Of the Spleen By Dampness with Liver Qi Stagnation can lead to Liver Blood Stagnation

Stagnant Liver-Qi turning into Fire

If left untreated Obstruction Of the Spleen By Dampness with Liver Qi Stagnation can lead to Stagnant Liver-Qi turning into Fire