Spleen SPLEEN_QI_REBELLION

Spleen Qi Rebellion

💊 Treatment principle: Descend Spleen Qi, harmonize stomach.

Description

Nausea, vomiting, bloating and poor appetite.

Clinical features

Nausea, vomiting of food, bloating, poor appetite, heavy sensation, white tongue coating, slippery pulse.

🏥 Scientific research

Western understanding:

Spleen Qi rebellion correlates with severe bloating, nausea, and vomiting. Characterized by epigastric fullness, belching, and a wiry pulse.

Research evidence:

Research evidence for these patterns is emerging from both Chinese and Western studies. Systematic reviews show acupuncture benefits for respiratory diseases, cardiovascular conditions, and gastrointestinal disorders. Case series demonstrate positive outcomes for organ prolapse and chronic stasis patterns. Large-scale RCTs recommended for specific pattern differentiation.

⚠️ Cautions

Caution in conditions with vomiting or severe cough. Ensure patient is stable. Avoid needling during acute episodes if severe.

📚 References

Zhang Y, et al. Acupuncture for COPD. Chest. 2020. Wang L, et al. Acupuncture for GERD. J Gastroenterol. 2019. Li M, et al. Acupuncture for chronic kidney disease. Kidney Int. 2018. WHO Standard Acupuncture Point Locations. 2008. Maciocia G. Foundations of Chinese Medicine. 2015.

⚡ Cupping advice

Moderately effective
Technique: Dry
⏱️ Duration: 10 minutes
📅 Frequency: 1-2x per week
💪 Intensity: Moderate
Clinical notes:

Standaard droge cupping kan worden overwogen als aanvullende therapie

Special notes:

Local cupping on painful points or along the affected meridian. Suitable for chronic pain, joint disorders and muscle stiffness.

🚫 Contraindications:

Acute inflammation, fever, bleeding tendency, skin infections, pregnancy (back/abdomen)

Recommended cupping points:
LI4 primary
Hegu 合谷
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ST36 primary
Zusanli 足三里
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GV-14 primary
Dazhui 大椎
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BL23 secondary
Shenshu 肾俞
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GB-20 secondary
Fengchi 風池
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GB20 secondary
Fengchi 风池
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BL12 secondary
Fengmen 风门
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📍 Acupuncture points

ST36 Primary
Zusanli 足三里
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PC6 Primary
Neiguan 内关
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CV12 Secondary
Zhongwan 中脘
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SP6 Adjuvant
Sanyinjiao 三阴交
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⚠️ Moxa advice

specialist only

📜 Herbal formulas

Xiaoyao San 逍遥散
🧠 TCM pattern:

Liver-Qi stagnation

📋 Indications:

PMS, depression, bloating, flank pain

📖 Classical source: Taiping Huimin Heji Jufang
🚫 Contraindications:

Zheng qi deficiency

⚠️ Safety warnings:

Safe; may cause mild diarrhea with prolonged use