Disclaimer: For educational purposes only.  Do not use as medical advice.

Pattern Names

Spleen and Kidney Yang Deficiency • 脾肾阳虚 • Pí Shèn Yáng Xū

Classification
Category: Zang Fu	Syndrome: Complex

Symptoms
Tongue: pale, swollen, teeth marks, white greasy coating	Pulse: weak, slow, deep
Indications: Early morning diarrhea, Weakness, Fatigue, Cold limbs, Cold lower back, Like pressure, Like warming, Poor appetite, Yin edema, Scanty urine, Painful diarrhea, Low libido, Premature ejaculation, Female infertility, Bright white complexion, Low sperm count, Lassitude, Scanty urination, Night urination, Loose stool, Like lying down [34] • Pale complexion, cold limbs and body, SOB, lassitude, lower back and knee ache and weakness, or lower abdominal cold pain, chronic loose stools or early morning diarrhea, watery stool with undigested food, edema, and difficult urination. Other signs include: a pale and tender tongue, with white slippery coating, and a deep, weak and slow pulse [32] • Whole body edema. Interstitial Cystitis (bladder pressure but no infection) [42]

Keywords

EARLY MORNING DIARRHEA, weakness, cold, poor appetite, aversion to cold [34] • Edema, loose stools, abdominal or lower abdominal pain which is relieved by warmth, and accompanied by general deficiency cold symptoms [32]

Treatment

tonify/ warm Spleen and Kidney yang

Acupuncture

BL20, BL23, DU4, KD3, ST36, Moxa

Herb

Si Shen Wan, Shen Qi Wan, Zhen Wu Tang, Li Zhong Wan, Jin Gui shen Qi Wan

Etiology

1) Constitutional 2) Chronic disease 3) Diet 4) Lifestyle 5) Diarrhea/ edema [Maciocia] • A pattern characterized by yang deficiency in both the Kidney and the Spleen, a loss or the warming and transforming functions that manifests with loose stools or edema as cardinal symptoms. –  Chronic illness, aging, or Living environment (humidity) –  Kidney yang deficient failed transforms qi lead water retention cause edema, difficult urination –  Spleen yang deficient failed T/T, result loose stool with undigested food, bloating, and poor appetite –  Yang deficient lack of force and failed warm function, result cold limbs and body, pale face, fatigue, and slow and weak pulse [Qiao]

Notes

Use Case 1

Use Case 2

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