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From "Zang Fu Syndromes," by McDonald and Penner
Etiology
Overindulgence in cold, raw food and drinks, and fruit and tea
damages SP Yang, reducing SP's ability to transform and transport
Fluids, which leads to Damp Stagnation. Further, the SP Yang Xu
condition is Cold.
Environmental Dampness such as wearing drenched clothes and shoes
after walking in the rain, perspiring heavily or otherwise getting
wet.
External Dampness due to living in damp places damages SP.
Clinical Manifestations
| Distention and fullness of epigastrium and abdomen |
Borborygmus |
| Nausea / vomiting |
Lassitude |
| Anorexia |
Yin jaundice |
| Loose stools |
Heavy head |
| Reduced sensation of taste |
Maybe edema |
| No thirst or preference for hot drinks |
Maybe copious white vaginal discharge
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| Sticky sensation in mouth |
Maybe cold limbs, fear of cold, feeling chilled
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T: Pink C:Thick, white and greasy or sticky
P: Deep and slow
Only when Dampness ascends to the head do symptoms of heavy head,
reduced sensation of taste, sticky sensation in mouth and no thirst
or preference for hot drinks occur. In such cases the tongue coating
is sticky.
Associated Western Conditions
| Acute or chronic gastroenteritis |
Acute or chronic bacterial dysentery |
| Chronic hepatitis
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Cirrhosis of the liver
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Differential Diagnosis
Cold-Damp Distresses SP may be differentiated from Damp-Heat in
SP / ST by the differences between Cold-Damp and Damp-Heat such
as:
| Cold-Damp |
Damp-Heat |
| T: Pink
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T: Pink |
| C: Thick, white and greasy or sticky
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C: Thick, yellow and greasy or sticky |
| P: Deep and slow
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P: Soft and rapid |
| Lack of taste
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Sweet or bitter taste |
Treatment Principle
Warm Cold, Transform Dampness, Harmonize ST and Strengthen SP.
Common Acupuncture Points
To Strengthen SP and Disperse Dampness:
SP-9 / Yinlingquan Used more often for Damp Heat.
ST-36 / Zusanli
SP-6 / Sanyinjiao
UB-20 / Pishu
REN-12 / Zhongwan
To Regulate Qi and Disperse Dampness:
REN-6 / Qihai
To warm, use moxibustion either as warm needle or moxa cones on
a ginger slice. The moxa box is also good for abdominal use. Moxibustion
can be used on any of the above points. Other points are selected
according to signs and symptoms. For instance:
Cold-Damp Dysentery:
ST-25 / Tianshu
ST-37 / Shangjushu
LI-4 / Hegu
*REN-12 / Zhongwan
*REN-6 / Qihai
*SP-6 / Sanyinjiao
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Cold-Damp Vaginal Discharge:
GB-26 / Daimai
UB-30 / Baihuanshu
*REN-6 / Qihai
*SP-6 / Sanyinjiao
REN-4 / Guanyuan
*ST-36 / Zusanli |
Cold-Damp Diarrhea:
ST-25 / Tianshu
UB-25 / Dachangshu
ST-37 / Shangjushu
*ST-36 / Zusanli
*REN-12 / Zhongwan
*REN-6 / Qihai |
Cold-Damp Jaundice (Yin Jaundice):
*SP-9 / Yinlingquan
*ST-36 / Zusanli
GB-24 / Riyue
UB-19 / Danshu
UB-48 / Yanggang
DU-9 / Zhiyang
*UB-20 / Pishu
*LIV-13 / Zhangmen
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*Points which have specific actions on Dampness.
SP-3 / Taibai and SP-5 / Shangqiu are also sometimes used to Strengthen
SP and disperse Dampness, but are less frequently used than the
above points.
Common Herbal Formulae
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