Neutropenia according to Chinese Medicine

Neutropenia can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.

Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like neutropenia here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.

A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here neutropenia is often associated with pale complexion, weak voice and poor appetite in the pattern “Spleen Qi Deficiency”.

Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of neutropenia we’ve identified two herbal formulas that may help treat patterns behind the symptom.

We’ve also selected below the five medicinal herbs that we think are most likely to help treat neutropenia.

Spleen Qi Deficiency, a "pattern of disharmony" that can cause neutropenia

In Chinese Medicine neutropenia is a symptom for the pattern "Spleen Qi Deficiency". Below is a small explanation for it with links for more details.

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

Spleen Qi Deficiency

Pulse type(s): Empty (Xu)

Tongue color: Pale

Spleen Qi Deficiency is one of the most commonly seen TCM pattern. It is caused by unhealthy diet such as fat raw or cold food, bad eating habit, emotional stress or damp environment. It is the central pattern to all other Spleen disharmonies, because many other Deficiency patterns derive from it.

In addition to neutropenia, other symptoms associated with Spleen Qi Deficiency include pale complexion, weak voice and poor appetite.

Spleen Qi Deficiency is often treated with Si Jun Zi Tang, a herbal formula made of 4 herbs (including Ginseng - Ren Shen - as a key herb). Si Jun Zi Tang belongs to the category of "formulas that tonify qi", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Qi".

Read more about Spleen Qi Deficiency here

Two herbal formulas that might help with neutropenia

Si Jun Zi Tang

Source date: 1107 AD

Number of ingredients: 4 herbs

Key actions: Tonifies Qi. Strengthens the Spleen and Stomach.

Why might Si Jun Zi Tang help with neutropenia?

Because it is a formula often recommended to treat the pattern 'Spleen Qi Deficiency' of which neutropenia is a symptom.

Read more about Si Jun Zi Tang here

Liu Jun Zi Tang

Source date: 1107

Number of ingredients: 6 herbs

Key actions: Tonifies Qi. Strengthens the Spleen and Stomach. Clears Phlegm and mucus. Promotes appetite.

Why might Liu Jun Zi Tang help with neutropenia?

Because it is a formula often recommended to treat the pattern 'Spleen Qi Deficiency' of which neutropenia is a symptom.

Read more about Liu Jun Zi Tang here

The five Chinese Medicinal herbs most likely to help treat neutropenia

Why might Ginseng (Ren Shen) help with neutropenia?

Because it is a key herb in Si Jun Zi Tang, a herbal formula indicated to treat the pattern 'Spleen Qi Deficiency' (a pattern with neutropenia as a symptom)

Ginseng is a Warm herb that tastes Bitter and Sweet. It targets the Heart, the Lung and the Spleen.

Its main actions are: Very strongly tonifies the Qi. Tonifies the Lungs and Spleen. Assists the body in the secretion of Fluids and stops thirst. Strengthens the Heart and calms the Shen (mind/spirit).

Read more about Ginseng here

Why might Atractylodes Rhizome (Bai Zhu) help with neutropenia?

Because it is a key herb in Si Jun Zi Tang, a herbal formula indicated to treat the pattern 'Spleen Qi Deficiency' (a pattern with neutropenia as a symptom)

Atractylodes Rhizomes is a Warm herb that tastes Bitter and Sweet. It targets the Spleen and the Stomach.

Its main actions are: Tonifies the Spleen Qi. Fortifies the Spleen Yang and dispels Damp through urination. Tonifies Qi and stops sweating. Calms restless fetus when due to Deficiency of Spleen Qi.

Read more about Atractylodes Rhizomes here

Why might Poria-Cocos Mushroom (Fu Ling) help with neutropenia?

Because it is a key herb in Si Jun Zi Tang, a herbal formula indicated to treat the pattern 'Spleen Qi Deficiency' (a pattern with neutropenia as a symptom)

Poria-Cocos Mushrooms is a Neutral herb that tastes Sweet. It targets the Heart, the Kidney, the Lung and the Spleen.

Its main actions are: Encourages urination and drains Dampness. Tonic to the Spleen/Stomach. Assists the Heart and calms the Spirit.

Read more about Poria-Cocos Mushrooms here

Why might Liquorice (Gan Cao) help with neutropenia?

Because it is a key herb in Si Jun Zi Tang, a herbal formula indicated to treat the pattern 'Spleen Qi Deficiency' (a pattern with neutropenia as a symptom)

Liquorice is a Neutral herb that tastes Sweet. It targets the Heart, the Lung, the Spleen and the Stomach.

Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.

Read more about Liquorice here

Why might Tangerine Peel (Chen Pi) help with neutropenia?

Because it is a key herb in Liu Jun Zi Tang, a herbal formula indicated to treat the pattern 'Spleen Qi Deficiency' (a pattern with neutropenia as a symptom)

Tangerine Peel is a Warm herb that tastes Bitter and Pungent. It targets the Lung and the Spleen.

Its main actions are: Warms the Spleen and regulates the Middle Burner Qi. Dries Dampness and disperses Phlegm from the Lungs and Middle Burner. Reduces the potential for Stagnation caused by tonifying herbs.

Read more about Tangerine Peel here

Other symptoms often associated with neutropenia

Pale complexion Weak voice Poor appetite Loose stools Weakness in the limbs