Spleen not controlling Blood

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Pattern factsheet

Chinese name: 脾不统血

Pinyin name: Pí Bù Tǒng Xuè

Associated TCM concepts: Spleen Blood


Common symptoms: Fatigue Lassitude Weak Limbs Depression Loose stools and seven other symptoms

Pulse type(s): Weak (Ruo), Fine (Xi)

Tongue description: Pale

When Spleen-Qi is deficient, which is a pre-requesite in this case, the Spleen cannot fulfill its function of holding Blood in the vessels.

This is why bleeding symptoms appears all over the place: under the skin, in the stools, the urine or from the Uterus.

Diagnosing Spleen not controlling Blood

The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine

Diagnosing a pattern in Chinese Medicine is no easy feat and should be left to professional practitioners.

In particular one has to know how to differentiate between different types of pulses and tongue coatings, shapes and colors. Here patients with Spleen not controlling Blood will tend to exhibit weak (Ruo) or fine (Xi) pulses.

Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Spleen not controlling Blood might experience symptoms like poor appetite, slight abdominal distention after eating, fatigue and lassitude (full list here above).

Herbal formulas used to treat Spleen not controlling Blood

Gui Pi Tang

Source date: 1529 AD

Number of ingredients: 12 herbs

Key actions: Tonifies and nourish Qi and Blood. Tonifies Heart and Spleen.

Formula summary

Gui Pi Tang is a 12-ingredient Chinese Medicine formula with Ginseng (Ren Shen), Milkvetch Roots (Huang Qi), Atractylodes Rhizomes (Bai Zhu) and Liquorice (Gan Cao) as principal ingredients. Invented in 1529 AD, it belongs to the category of formulas that tonify Qi and Blood.

Besides Spleen not controlling Blood, Gui Pi Tang is also used to treat Qi Deficiency or Blood Deficiency.

Read more about Gui Pi Tang

Diet recommendations

The best step one can take to avoid or mitigate Spleen not controlling Blood is to adopt proper dietary habits. As such one should avoid the excessive consumption of cold and raw foods (like salads or cold drinks), eating at irregular times or chronically eating too much or too little.

Less easy to do, since excessive pensiveness and worry are key contributing factors, efforts should be made to steer clear of those emotions.

Lastly if you live in a damp environment (the exterior air or inside your home), try to do something to avoid overexposing yourself to dampness. The Spleen loathes Dampness.

Most important herbs used to treat Spleen not controlling Blood