[Concept]

Spleen deficiency with dampness retention is also known as spleen deficiency, cold-dampness encumbering spleen, and dampness spleen yang. This syndrome may be caused by spleen qi being first deficient and water-dampness not flowing, causing dampness to trap the spleen; or because spleen yang is weak and cold-dampness stops gathering the middle energizer, resulting in spleen yang being trapped by dampness. It's all caused by spleen deficiency first and dampness later. It can also be caused by internal attack of external dampness, impregnation of spleen soil, injury to spleen qi or cutting down of spleen yang. The syndrome/pattern of spleen deficiency with dampness encumbrance includes two aspects, one is spleen deficiency (spleen qi deficiency, spleen yang deficiency), and the other is water-dampness stoppage.

The main clinical manifestations of syndrome/pattern of spleen deficiency with dampness encumbrance are: stomach stuffiness disease, abdominal pain, reduced diet or no desire to eat, sticky mouth, nausea and vomiting, large loose stool, thin stool, sleepiness in the limbs heavy body, heaviness of head such as wrapping, complexion shallow yellow, dull and sluggish, or even swollen limbs, often increased whiteness in women, pale or fat tongue, white slippery or white greasy coating, wet and slow pulse.

Syndrome/pattern of spleen deficiency with dampness encumbrance is commonly seen in "phlegm-fluid retention", "vomiting", "diarrhea", "cholera", "jaundice", "edema" and other diseases.

syndrome/pattern of spleen deficiency with dampness encumbrance should be compared with " spleen qi deficiency syndrome/pattern ", " spleen yang deficiency syndrome/pattern ", " spleen-kidney yang deficiency syndrome/pattern ", " syndrome/pattern of kidney deficiency and water diffusion "equal phase identification.

[Identification Processing]

cold-dampness pathogenic qi means disease, either external invasion of dampness evil, or cold-dampness internal growth. There is deficiency syndrome/pattern and there is excess syndrome/pattern. The location of disease is mostly in the lungs, spleen and kidneys, and the key lies in the spleen, so Suwen. Zhizhenyao Da Lun said: "ll dampness syndromes ith swelling and fullness are ascribed to the spleen." Jingyue Quanshu． "Dampness Syndrome/Pattern" says: "People who have insufficient qi, pudendal coldness and yang qi often have this syndrome." The manifestations of spleen deficiency and cold-dampness in different syndromes also have their own characteristics.

1. If you see syndrome/pattern of spleen deficiency with dampness encumbrance due to phlegm-fluid retention, it is spleen qi deficiency. The water and dampness cannot be converted into body fluids, and the dampness is accumulated and stopped drinking, which stains the lungs. If the expectoration is heavy, white and thin in color, combined with little food, bloating, loose stool, lack of strength, white and greasy tongue coating, slippery or wet pulse, invigorating spleen and drying dampness should be treated, and Two should be used. Old Ingredients Decoction ( Hejiju Fang );
2. Or spleen yang deficiency and cold-dampness encumbering spleen, chronic cough disease wheezing, cold drinks in the body, phlegm-fluid retention amount There are many and foamy, and there is fear of cold, cold limbs or swollen face. The treatment should be to warm the spleen and lungs and dissolve the drink. Potia, Licorice, Schisandra, Ginger and Asarum Decoction ( Jingui Yaolue );
3. or spleen yang, if water does not melt and accumulates in the stomach, there will be a vibrating sound in the stomach, fullness in the chest and hypochondrium, coldness in the back as big as a palm, nausea, and vomiting Clear water, phlegm and saliva, palpitation, shortness of breath, blurred vision, tongue coating, slippery white tongue, stringy and slippery pulse, should be treated by warming the spleen and resolving retained fluid. Use Poria, Cinnamon Twig, Bighead Atractylodes and Licorice Decoction ( Jingui Yaolue ).

In short, cold-dampness turns into drink and eventually becomes yin pathogen, so Jingui Yaolue. "Treatment of Phlegm-fluid Cough Retention Disease Pulse and Pulse" puts forward the treatment principle: "Those with phlegm-fluid retention disease should be treated with warm medicine."

1. If the syndrome/pattern of spleen deficiency with dampness encumbrance is seen during vomiting, the vomiting is mostly clear water and phlegm, usually watery mouth, anorexia, dizziness, palpitation, white coating, slippery pulse, the reason is spleen yang Lack of energy, cold-dampness, middle resistance, failure of clear yang to rise, caused by upward reversal of turbid yin, should be treated by warming the middle and resolving dampness, downbearing counterflow to stop vomiting, and should be treated with Pineilia combined with Poria, Cinnamon Twig, Bighead Atractylodes and Licorice Decoction ( Jingui Yaolue ) addition and subtraction.
2. If syndrome/pattern of spleen deficiency with dampness encumbrance is seen in diarrhea, or spleen yang is insufficient, water failing to transform into qi and cold-dampness is endogenous, or overeating raw and cold food, or dampness plugs invading externally, dysfunction of spleen in transportation , disorder of ascending and descending, indistinctness of clear and turbidity, indigestion, loose or even watery stools, abdominal pain, bowel borborygmus, white and greasy tongue coating, slow pulse, spleen yang due to internal water-dampness and spleen yang, in mild cases, it is better to warm For spleen drying dampness, use Stomach-Calming Powder ( Hejiju Fang ), Stomach Poria Decoction ( Danxi Xinfa
3. For diarrhea caused by internal invasion of external dampness and dampness trapped in the spleen and earth, symptoms such as aversion to cold with fever, headache, soreness in the limbs, and stickiness in the mouth should be treated with aromatic herbs resolving dampness to strengthen the spleen and widen the middle. Use Patchouli Qi-Righting Powder ( Hejiju Fang ).
4. If cholera disease shows syndrome/pattern of dampness encumbering spleen yang, the onset of illness will be sudden, with vomiting and diarrhea, dozens or even dozens of lines a day, diarrhea with undigested food or rice swill, not very smelly and filthy, Abdominal pain in the chest and coldness in the limbs, due to cold-dampness, stagnation in the middle energizer and spleen yang, so the clear and turbidity are not distinguished, vomiting and diarrhea, the treatment should be aromatic drying dampness, warming the middle and spleen, use Patchouli Qi-Righting Powder, Priceless Qi-Righting Powder (Hejiju Fang).
5. If syndrome/pattern of cold-dampness disturbing spleen is seen in jaundice disease, the symptoms are yin jaundice, yellow and dull, lack of food, fear of cold mental fatigue, loose stool, white and greasy tongue coating, thin and slow pulse , it is due to the weak Zhongyang, the cold-dampness is blocked, and the gall fel overflows, so the body and eyes turn yellow. The treatment should be Wen Shen, invigorating spleen and resolving dampness, and Virgate Wormwood Cold-Extremities Decoction ( Zhangshi Yitong ).
6. If the syndrome/pattern of dampness encumbering spleen yang is seen in disease with edema, then the edema is below the waist. If you press it, you will feel concave, cold limbs, loose stool, difficulty in urination, coating tongue, white slippery, slow and slow pulse. □ Spleen yang is a symptom of spleen yang sluggishness and internal dampness. Treatment should be warming and activating spleen yang, promoting urination and draining dampness. Spleen-Strengthening Decoction ( Jisheng Fang ).

syndrome/pattern of spleen deficiency with dampness encumbrance is also common in people with weak obesity. The so-called "fat people are more damp". It is often seen that the body is fat but the muscles are not suitable, fatigue and sleepiness, lack of strength, shortness of breath spontaneous Sweating, resulting in phlegm accumulation and accumulation of fluids, or edema of the lower limbs, or leukorrhea in women, a fat and tender tongue with many tooth marks, and a slow and moist pulse. Among the six qi, dampness is the dominant qi in summer and autumn. Therefore, in every summer and autumn season, when you are exposed to rain and dew, or go into rivers, or you are greedy for cold drinks, the dampness will come in from the outside or grow from the inside, and it will invade the spleen and cause dampness syndrome. proof.

[Type Evidence Identification]

1. spleen qi deficiency syndrome/pattern and syndrome/pattern of spleen deficiency with dampness encumbrance: The spleen is responsible for grinding water grains, and is domination in circuit by element qi. Failure to grind grains manifests as less food, bloating, diarrhea, lack of strength, complexion shallow yellow, fatigue and weight loss, pale tongue, and weak pulse; in the syndrome/pattern of spleen qi insufficiency, the syndrome of insufficiency of water and dampness can be seen, which is Spleen qi deficiency is caused by the loss of health and movement, so the key to spleen qi deficiency lies in poor movement of the spleen. The main treatment is to strengthen the spleen, which can be supplemented by drying dampness agents. If spleen deficiency persists for a long time, the water dampness does not change, or external dampness attacks internally, causing tangible dampness to stop gathering in the middle energizer, or to block spleen qi. In addition to spleen qi deficiency, its manifestations include sleepiness in the limbs, heaviness of the body, and a dull head. Symptoms of excess dampness such as wrapping, sticky mouth, nausea and vomiting will form a syndrome/pattern of spleen deficiency with dampness encumbrance. In addition to strengthening the spleen, aromatic herbs must be used to resolving dampness as the method of treatment. Removing dampness will strengthen the spleen, and removing evil will lead to righteousness. Complex: If water-dampness prevails inside and blocks the spleen yang, in addition to the symptoms of spleen qi due to dampness, there will also be fear of cold limbs, or edema of the lower limbs, and leukorrhea in women. It is also a syndrome/pattern of spleen deficiency with dampness encumbrance, and the treatment should be warm spleen yang and cold-dampness. In short, spleen qi deficiency is purely a deficiency syndrome/pattern. And spleen deficiency with dampness retention is a positive evidence of deficiency-type pathogen.
2. spleen yang deficiency syndrome/pattern and syndrome/pattern of spleen deficiency with dampness encumbrance: due to spleen yang deficiency, water and dampness do not change, spreading over the muscles, and syndrome/pattern of spleen deficiency with dampness encumbrance in cold-dampness There is little difference between the two types of edema caused by internal overflow and spleen yang obstruction. Their mechanism of disease is basically the same. The clinical manifestations of both are edema, and in both cases, there is significant swelling below the waist. The difference is that spleen yang deficiency syndrome/pattern is mainly characterized by yang deficiency, such as fear of cold, cold limbs, cold waist and pain, which should be treated with warming yang; while syndrome/pattern of spleen deficiency with dampness encumbrance, although there is also fear of cold Symptoms of spleen yang deficiency such as cold limbs are relatively mild. The symptoms of excess pathogen are more obvious. In addition to edema below the waist, there are also heavy body, limb sleepiness, fatigue, somnolence, epigastric tightness, sticky mouth, etc. Symptoms and treatment should include warming yang and drying dampness, resolving dampness and draining dampness. Distinguish by capital.
3. spleen-kidney yang deficiency syndrome/pattern and syndrome/pattern of spleen deficiency with dampness encumbrance: spleen-kidney yang deficiency syndrome/pattern due to insufficient spleen yang, water and moisture cannot be transformed; kidney yang is not sufficient, disturbance of qi transformation, Syndrome/pattern of spleen deficiency with dampness encumbrance, syndrome/pattern of spleen deficiency with dampness encumbrance, cold-dampness encumbering spleen, spleen deficiency, edema caused by flooding of water, symptoms It is mild and has no symptoms of kidney yang deficiency. It manifests as lumpago, diarrhea before dawn, and even impotence. The symptoms of spleen-earth syndrome due to dampness include chest tightness, nausea, vomiting, heavy body, and heaviness of head. etc., which is more obvious than spleen-kidney yang deficiency syndrome/pattern. Therefore, it is not difficult to distinguish between the two syndromes. syndrome/pattern of kidney deficiency and water diffusion and syndrome/pattern of spleen deficiency with dampness encumbrance. The former is due to insufficient kidney yang, qi failing to promote water transformation, yin does not follow yang, so edema is the main symptom, and there are cold limbs and fear of cold, lumpago, soft limbs, long clear urine, impotence, deep pulse and other symptoms of kidney yang deficiency; syndrome/pattern of spleen deficiency with dampness encumbrance Although spleen yang deficiency can also cause water to overflow the skin due to spleen failure to resolving dampness, but Its manifestations are mainly spleen yang deficiency and internal accumulation of dampness, such as chest tightness, desire to vomit, body sleepiness, heaviness of head and other symptoms, which are different from syndrome/pattern of kidney deficiency and water diffusion.