Tonifying the spleen, one of the tonifying methods, is a method for treating spleen deficiency.The spleen is the foundation of acquired life, the source of qi and blood biochemistry, and the essence and qi of the five internal organs all depend on the transport and transformation function of the spleen.Therefore, spleen deficiency can lead to deficiency of other organs, and diseases of other organs often affect the spleen, forming spleen deficiency syndrome.When the spleen is deficient, clinically, it may show delayed reception, abdominal distention, diarrhea, loose stools, fatigue, edema, muscle wasting, and bleeding in the stool, bleeding, and women's menorrhagia.Tonifying the spleen can make the spleen strong and invigorate the spleen, and restore the function of the spleen to normal in transportation, clearing, regulating blood, nourishing muscles and limbs.Commonly used spleen tonics include ginseng, codonopsis pilosula, atractylodes macrocephala, yam, yunling, lotus meat, etc.Spleen deficiency syndrome mainly includes spleen qi deficiency and spleen yang deficiency.The specific application of invigorating the spleen can be divided into invigorating the spleen and qi, warming and invigorating the spleen yang, invigorating qi and raising yang, invigorating qi and absorbing blood, etc.[1]
It is applicable to the treatment of spleen qi weakness.The evidence shows that the patient has a slow stupor, loose stool, little qi and lazy speech, lassitude and fatigue, muscle wasting, pale face, pale tongue and white fur, slow pulse, etc., which are often treated with Sijunzi Decoction.If diarrhea is the main symptom, Shenling Baizhu Powder can be used for treatment.
Warming and tonifying spleen yang
It is applicable to the treatment of spleen yang deficiency syndrome.The evidence shows that there is little appetite for abdominal distention, cold pain in the epigastric cavity and a preference for warm pressing, weak mouth and thirst, warm limbs or hands and feet, loose stool, no melting after grain completion, or edema of limbs, and poor urination. Women can see that leucorrhea is numerous and thin, the tongue is light and tender, the fur is white and slippery, and the pulse is thin or weak. They are often treated with Lizhong Pill or Xiaojianzhong Decoction.If there is edema in the limbs and urination is not favorable, the spleen strengthening powder can be used.Women with more leucorrhea and thin leucorrhea can use complete ribbon soup.
Invigorate qi and promote yang
It is applicable to the treatment of weak temper, spleen failure and depressed temper.The symptoms are dizziness, timid language, shortness of breath and fatigue, little spontaneous sweating and eating, swelling and diarrhea when eating, or anal prolapse for a long time, or uterine prolapse in women.The tongue is pale with white fur, and the pulse is weak. It is often treated with Buzhong Yiqi Decoction (see Shengyang).
Invigorate qi and absorb blood
It is applicable to the treatment of weak temper and spleen not regulating blood.In addition to the general symptoms of spleen qi deficiency or spleen yang deficiency, there are many kinds of bleeding, such as bloody stool, epistaxis, and women's menorrhagia.Guipi decoction is commonly used for treatment.
The method of invigorating the spleen is often used in combination with other therapies.The spleen yang depends on the warmth of the kidney yang. Every time the kidney yang deficiency leads to the spleen yang deficiency, the kidney yang is easily damaged by the spleen yang deficiency for a long time. The spleen and kidney yang deficiency occurs, which shows cold shape, cold limbs, pale complexion, cold pain in the waist and knees or in the abdomen, lower benefit and elimination of grain, or diarrhea at the fifth hour (abdominal pain and diarrhea at dawn). The spleen and kidney are used together to warm and nourish the spleen and kidney, and usually treated with Sishen Pills.Liver disease easily affects the spleen and leads to spleen deficiency.For example, in the syndrome of liver stagnation and spleen deficiency, in addition to the general symptoms of spleen deficiency, there are also chest and flank distension, pain, good rest, mental depression or irritability, which are commonly treated with Xiaoyao Powder.
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Clinical precautions: Abdominal pain, diarrhea, edema caused by pathogenic factors such as wind cold, turbid phlegm, excess water and dampness, stagnant diet, and bleeding caused by blood heat or blood stasis should not be treated with spleen tonifying method.[1]
