Diagnostic Information and Acupuncture and Herbal Treatment of Spleen Qi Deficiency

• For recovery of qi and blood after acute trauma or accident
• For frequent heavy menstrual cycles
• Pale complexion, fatigue, dizziness from qi deficiency
• Vertigo, palpitations, anxiety from blood deficiency

• Do not confuse with Ba Zheng Wan - which is a clearing formula.

• Nausea with possible vomitting from combination of damp with liver qi stagnation causing rebellious qi.
• Dizziness, migraines, and vertigo from damp and liver wind rising.
• Heavy or oppressed sensation of the chest.

This formula should not be used to treat dizziness or vertigo due to liver yang rising patterns.

• Coldness of the limbs, borborygmus with loose stools or diarrhea due to spleen yang deficiency.
• Spontaneous or easy sweating, general fatigue, changes in appetite due to spleen qi deficiency.
• Pale complexion and preference for warm food or drinks due to spleen yang and qi deficiency.
• Shortness of breath and noticable lack of desire to speak may present if both spleen and stomach qi are weak.
• This formula is also commonly used for prolasped organs.

• Use with caution for yin deficient patients.

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• Spleen yang deficiency resulting in coldness of the limbs and/or interior, borborygmus, and possible loose stools or diarrhea.
• Feeling full even with small amounts of food, bloating, epigastric/abdominal pain, possible decrease in appetite.
• Vomitting and nausea especially if it occurs shortly after eating.

• Irritibility or easily prone to outburts or anger.
• Liver disease such as hepatitis, cirrhosis, fatty liver.
• Jaundice - yellowing of the skin, brittle nails, pale complexion.

• Ovoid foods and drugs that tax the liver such as coffee, alcohol, fried foods, etc.
• Use with caution during pregnancy.

• Anxiety/depression/manic issues with a tendency towards losing self-control (crying fits, excessive yawning, etc.) that result from the combination of heart yin deficiency and liver qi stagnation.
• Insomnia, possibly with vivid dreaming and heart palpitations.
• Post-partum depression and milder symptoms of menopause.

• The formula is used to tonify both the spleen and heart which can be damaged from excessive overthinking, compulsions, etc. along with poor dietary habits and stressful lifestyle.  
• Anxiety, phobias, palpitations, insomnia, dream disturbed sleep, poor appetite, pallid complexion.
• In women spleen and heart deficiencies may lead to prolonged periods with little flow or early periods, heavier with pale blood.

• A combination of jia wei xiao yao wan and gui pi wan - similar effects but with more spleen qi and blood tonification.
• A range of stress related issues - essentially mixes of stagnation with underlying deficiencies.
• Potential uses with immune / idiopathic thrombocytopenic purpura (ITP) and other bruising/bleeding issues with appropriate diagnostic factors.

• Derived from the base formula, xiao yao wan, an important formula for liver qi stagnation with herbs added to clear heat.
• Liver qi stagnation - menstrual issues, painful cycles, irregular cycles, breast distention, PMS, acne.
• A range of mild to moderate psychological issues arising from liver qi stagnation such as anxiety, depression, panic disorder, insomnia, anger issues, etc.
• Physical symptoms from liver qi stagnation such as headaches, tightness in the chest, cold hands and feet, various eye issues.

• For stomach and spleen qi deficiency with dampness that has potentially generated mild interior-heat - diarrhea, abdominal pain, poor appetite, epigastric pain.
• May be used in early pregnancy for more deficient patients particularly with a tendency towards miscarriage.
• May be used with pediatric patients for poor appetite and looser stools.

• Wind-cold-damp bi syndromes in qi deficient patients - joint pain possibly with heaviness of the limbs that generally improves with movement.  Rheumatoid arthritis, osteoarthritis, gouty arthritis.  With wind-cold-damp patterns other inflammatory conditions such as fibromyalgia.
• Atrophy from qi and blood stagnation - stroke recovery.

• Fatigue, lethargy, sensation of feeling heavy or cold.
• Low appetite, bloating, borborygmus, loose bowels.
• Impotence, infertility, low libedo.
• Insomnia, night sweats, vivid dreams, nightmares.

• Please note that there are two formulas with the same name but slightly different compositions.  One is from Wang's Wen Re Jing Wei and tonifies the yin more strongly, the other (which is the one discussed here) is from Li's Pi Wei Lun (Discussion of the Spleen and Stomach) and tonifies the spleen more strongly.  Both have similar usages but are not directly interchangeable.  
• Clears summerheat and dries dampness - summer colds and flus, heatstroke - fever, fatigue, excessive sweating with loose stools and heaviness in the body.
• Along with respiratory infections in the right cases certain types of asthma may be appropriate for this formula.
• Dampheat related inflammatory condtions such as Colitis are approprirate with the right underlying factors.
• Chronic Fatigue Syndrome with symptoms of spleen deficiency and heat.
• Wtih the right underlying factors the range of perimenopausal symptoms may be appropriate - low libido, fatigue, water retention, fibroids, heavy cycles.  Where this appear with spleen qi deficiency signs and kidney weakness, this formula may be appropriate.

• Tonifies both qi and blood and nourishes the heart and calms the spirit - generally used for weakness from longer term or deep diseases such as cancer and for a host of other conditions affecting a broad range of the body and psyche such as Chronic Fatigue Syndrome and autoimmune conditions such as Lupus, Scleroderma, MCTD.
• Anemia.
• May be used alone or in conjunction with a formula such as yu ping feng wan to enhance immunity - particularly in patients with frequent colds and flus.
• Raynaud's condition in addition to the other connective tissue issues listed above.
• Micturition syncope, nephritis, cancers of the genitourinary tract.
• Male infertility, possibly with Gui Zhi Fu Ling Wan, for sperm volume and motility issues.
• Along with other immune benefits, hepatitis C.
• Lung cancer.

• Use with caution or seek an alternative in deficiency cases with very pronounced sensations of coldness.  Part of this is due to the relatively neutral (i.e. non warming) aspects of this formula.

• Diarrhea, loose stools, or mucus/greasy stools from damp accumulation in the spleen/stomach.
• Borborygmus, low appetite, fatigue, and/or pale complexion resulting from spleen qi deficiency.
• Colitis, IBS, gastritis, and other types of gastro intenstinal disorders where the predominant TCM pattern is spleen qi deficiency and damp accumulation.

• Use with caution during pregnancy.
• Use with caution with patients that present with yin deficiency. 

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• Irregular menstruation, amenorrhea, excessive uterine bleeding or spotting between cycles. 
• Infertility, history of miscarriage. 

• Use with caution with patients that present with heat signs.

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• A modified version of the base, zhi zhu wan, which is used to treat qi stagnation and food retention from qi deficiency.  This modification includes herbs which add more movement and damp drying.
• Distention and fullness in the epigastric area - bloating, indigestion, gastritis, gastric prolapse.
• Poor appetite (from Spleen Qi Deficiency), anorexia.

• Avoid raw and cold food when taking this formula (and generally for Spleen Qi Deficiency).

• Low appetite, apathy towards eating due to spleen qi deficiency.
• Acid reflux, indigestion, epigastric pain, tendency to feel full even with small quantities of food.
• Food stagnation due to overeating.

• Depression, anxiety, loss of motivation - resulting from liver qi stagnation.
• Fatigue, bloating, changes in appetite from the combination of spleen qi deficiency with liver qi stagnation.
• PMS, breast distention, irregular menstruation and in some cases infertility.

• Use with caution during pregnancy.

• Xiao Ke (wasting and thirsting syndrome), qi and yin deficiencies of the kidney and spleen most commonly seen in the advanced forms of diabetes type II - excessive thirst, excessive urination, strong hunger symptoms, weight loss.
• Cloudy urine especially with detectable sweet scent.