I. Physiological functions and pathological core of the spleen​

​1. Physiological properties of the spleen​

• ​innate talentThe spleen and stomach are the officials of the granary, and the five flavors come out of the spleen and stomach (Su Wen - Ling Lan Secret Dictionary: "The spleen and stomach are the officials of the granary, and the five flavors come out of the granary").
• ​the source of vital energy and blood circulation (TCM): If the spleen is deficient, all diseases will arise, and the deficiency of qi and blood will lead to loss of nourishment of the internal organs, and water-dampness and phlegm will be generated within the body.

​2. Core mechanisms of splenic disease​

• ​dysfunction of the qi (TCM): Spleen deficiency and qi subsidence (sagging of internal organs), spleen not regulating blood (bleeding).
• ​stagnant water-wet: Spleen-Yang deficiency (edema), dampness trapping the spleen (abdominal distension and dullness).

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​II. Definitive typing and therapeutic programs for diseases of the spleen system

​General formula for spleen deficiency: moxibustion + manipulation + gua sha.
Moxibustion: Shenque, Yinlingquan, Neiguan, Bashi;
Manipulation: large tendons under the armpits, golden threads, clearing stomach fire, and band chakra;
Pressure points: Neiting, Tushui, Yinbao, Gongsun;
Scraping: Lateral tibia (lower leg section of the stomach meridian).

①, Spleen deficiency and qi trapping:the spleen is not healthy, in digestion and water metabolism of the pathological manifestations.

Symptoms: loss of appetite, eating less, poor digestion, bloating, dry and then loose stools (the spleen is not healthy, and water-dampness stays in the large intestine);
Weakness and low voice (water and grain essence are uploaded to the upper jiao to form zongqi, which is related to speech);
Little food, rice-white urine (essence substances cannot be transported upward to form qi and blood, and go downward into the bladder, resulting in urine as white as rice soup), and fever (subsidence leads to dampness-heat downward injection, and fever in the lower Jiao is formed in the later stage);
Tongue image: thick white moss in the middle burner, slightly yellow in the lower burner;
Symptoms: Chronic dyspepsia, gastric ulcer, chronic enteritis, hepatitis, hepatic edema, malnutrition;
Technique: Gold Line;
Moxibustion: moxibustion for dummies;
Chinese medicine: tonifying the middle and benefiting the qi;
Diet: Yam and rice soup, millet soup.
Yam: Pi is yellow in color and enters the spleen, strengthens the spleen and stops diarrhea (astringent - strengthens the spleen and stops diarrhea), qi and yin are both tonic, not suitable for those who have accumulated food or have dampness-heat in the lower Jiao, and not suitable for those who have preprandial glucose of 6 or more;
jujube: Red skin and yellow flesh, sweet flavor, enters the spleen, sweet, warm and beneficial to Qi;
tangerine peel: Yellow in color and pungent in taste (pungency moves qi), it treats bloating and pain in the stomach and abdomen caused by stagnation of qi in the spleen and stomach.

②, Spleen-Yang deficiency: Qi sinking, Spleen deficiency sinking

 Judgment: deficiency of qi and blood, prolapse of internal organs (gastric prolapse, uterine prolapse, renal prolapse, hemorrhoids, prolapse, etc., because the spleen is responsible for ascending and clearing and bringing nutrients to the whole body, and the deficiency of spleen yang leads to the sinking of qi and the lack of lifting power, thus producing prolapse)

1、Insufficient qi and blood
Diarrhea caused by the inability of the clear qi to rise and the turbid matter to stay up and distend, appearing as a result of the inability of the spleen qi to rise.
 Phenomena: dizziness, abdominal distension

2, visceral prolapse (inability to lift): gastric prolapse, renal prolapse, etc., including hiatal hernia
Symptoms: diarrhea, rice-white urine

3、Fever from internal injuries, damp-heat injection
Conditioning: golden thread + chiropractic, patting Baihui
Dietary treatment: tonic soup, kudzu root soup.

③, the spleen does not regulate blood

Logic: Fire begets earth, and the son can make the mother real. The blood produced by the spleen has to be supplied to the heart, which has the function of transportation. When the spleen qi is weak and the blood does not function properly, there will be blood overflowing from the external veins, resulting in gastrointestinal hemorrhage (blood in the stool), bladder hemorrhage (blood in the urine), subcutaneous hemorrhage (purplish patches on the skin), bleeding from the gums, and metrorrhagia.
Acute treatment: needles.
Medicine: Codonopsis, Astragalus, Ginseng
Treatment of Spleen Qi Weakness: Moxibustion + Yin Bao (invigorates Spleen Qi)

④. Spleen deficiency and edema

Cause: Spleen is the main transport of water, spleen yang insufficiency can not transport, water and dampness within the stop, water can not enter the bladder properly, but stay in the body process can not be metabolized, and the yin forming of the elephant, yin and water piled up in the limbs and other parts of the body.
Phenomenon: Loose stools, bloating
Treatment: Warming and tonifying the Spleen-Yang, inducing diuresis to reduce swelling.
Diet: Poria (tonifying the spleen and inducing dampness), winter melon
General formula: Diarrhea of Stomach Fire + Golden Thread (Yinlingquan + Gongsun)

⑤. Dampness traps the spleen

Symptoms: easily sleepy, head and body sleepiness, weakness of limbs, fullness and bloating of the abdomen, stomach acid reflux
General: Golden Line + Band Chakra

​type of certificate (e.g. medical certificate)​	​core pathogenesis​	​typical symptom​	​Therapeutic principles​	​Representative Remedies/Manipulations​
​depletion of the spleen and trapping of qi (TCM)​	lack of vital energy in the middle Jiaozi (Chinese medicine), and lack of elevation	Sagging internal organs, loose stools, cloudy urine	Tonifying the middle Jiao and benefiting Qi, elevating Yang and lifting the sun	Chinese tonic soup + golden thread lift[^User notes]
​deficiency of spleen yang (TCM)​	Cold arises from yang deficiency, and water-dampness cannot be transported	Abdominal coldness and pain, swelling, thinning of leukorrhea	Warming Yang, dispersing cold, strengthening the spleen and inducing dampness.	Li-Zhong Pills + moxibustion at Shen Que point[^User notes]
​syndrome in which the spleen does not regulate blood​	Qi does not regulate blood, and blood spills outside the veins	Blood in the stool, leakage, purple spots under the skin	Nourishing Qi and taking in Blood, fixing the Chong Ren	Gui Shen Tang + pressure on Yin Bao point[^User notes]
​syndrome of weak spleen and edema​	Spleen deficiency and water flooding, accumulation of Yin water	Swelling of the limbs, abdominal distension like a drum	Warming Yang, inducing diuresis, strengthening the spleen and resolving Dampness	Solid Spleen Drink+Golden Thread Scraping[^User Notes]
​syndrome in which dampness is trapped in the spleen​	Dampness and internal obstruction, loss of healthy movement of the spleen	Difficulty in the head and body, nausea and acid reflux	Drying dampness, transporting the spleen, regulating Qi and harmonizing the middle.	Flat Stomach San + Belt Vein Release[^User's Notes]

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​III. Characteristic therapies and practical guide​

​1. Manipulation and Acupuncture Points​

• ​depletion of the spleen and trapping of qi (TCM)::
  • ​golden thread lift: Lift and pull the Ren Chakra from Tian Tu to Hatou Mei to enhance the power of the Spleen to elevate and clear the body.
  • ​Gongsun acupressure point: Strong stimulation of the Gongsun point (base of the first metatarsal bone) regulates the qi of the spleen and stomach.
• ​depletion of spleen yang (TCM)::
  • ​Moxibustion Shenque + Vital Gate: 15 minutes daily to warm spleen and kidney yang qi (Acupuncture and Moxibustion Dacheng).
  • ​chiropractic (medicine): Lift and pinch the sides of the spine from the coccyx to the neck to stimulate the meridian qi of the spleen meridian.

​2. Analysis of classic formulas​

• ​tonic formula that replenishes the middle stature and strengthens the qi (Chinese medicine): Astragalus replenishes qi, Chaihu raises yang, Atractylodes macrocephala strengthens the spleen, and the three herbs are used to raise and elevate the middle qi (Treatise on the Spleen and Stomach).
• ​lit. solid spleen drink: Hou Pu and Mu Xiang move Qi, Poria and Atractylodis Macrocephalae strengthen the spleen, and Radix et Rhizoma Polygoni Multiflori warms Yang to treat yin-water edema.

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​IV. Food therapy and daily care

​1. Food and Drug Program​

• ​depletion of the spleen and trapping of qi (TCM)::
  • ​Yam and Rice Soup: 100g of yam + round-grained rice cooked porridge to strengthen the spleen and stop diarrhea (both qi and yin tonic, caution for those with food accumulation). (Yam: tonifying spleen and yin, can stop diarrhea, qi and yin double tonic effect, if there is accumulation of food or there is dampness and heat in the lower jiao, yam can not achieve the effect.)
  • ​Astragalus and Red Date Tea: Decoction of Astragalus 10g + Jujubes 5 to tonify Qi and elevate Yang.
  • gruelYam and lotus seed congee, red dates and lotus seed millet congee, barley congee, cinnamon congee, pumpkin congee, lotus root, corn and so on.
  • Soups, rice soup, millet soup
• ​depletion of spleen yang (TCM)::
  • ​Ginger Pork Belly Soup: Stew 15g of ginger + pork belly to warm the middle and disperse the cold.
  • ​Poria cocos and red bean porridgePoria 30g + adzuki bean 20g + round-grained rice to cook porridge to promote water retention and reduce swelling.

​2. Taboo and health​

• Chew slowly, eat regularly​
• dietary taboos: Avoid cold and raw food (iced drinks, sashimi) for a weak spleen, and avoid sweets (cakes, chocolate) for a dampness.
• ​Recommendations for working and resting: The spleen meridian is in season at the sixth hour (9-11 a.m.), and 100 morning belly rubs are good for the spleen and stomach.

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​V. Modern Research and Classical Tracing​

• ​The Yellow Emperor's Classic of Internal Medicine: "Spleen disease and lack of use of the limbs" - Spleen deficiency leads to insufficient qi and blood and loss of nourishment for the limbs.
• ​modern research: Moxibustion at the spleen point elevates pepsin activity in patients with chronic gastritis (Chinese Acupuncture and Moxibustion, 2023).
• ​Tongue Correlation: Points of differentiation between a pale, fat tongue with teeth marks (spleen deficiency and dampness) and a red tongue with little moss (stomach yin deficiency).
• Against my own condition, the symptoms of spleen deficiency and qi subsidence were obvious, and I should have poor digestion and not be able to absorb nutrients. Start doing it seriouslygolden mean, boil a bowl of rice soup in the morning and drink it as water.

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​classifier for sums of money: The therapies described in this article need to be guided by Chinese medicine practitioners for evidence-based diagnosis, and organic lesions (e.g., cirrhosis, megasplenomegaly) need to be treated with a combination of Chinese and Western medicine. The dosage of the formula is the regular dosage for adults, and clinical application requires individualized adjustment.