Spleen SPLEEN_QI_STAG_HEAT

Spleen Qi Stagnation with Heat

💊 Treatment principle: Circulate Qi, clear heat, strengthen spleen.

Description

Bloating, abdominal pain that worsens with warmth, red tongue and thirst.

Clinical features

Bloating, abdominal pain that worsens with warmth, thirst, red tongue with yellow coating, rapid pulse.

🏥 Scientific research

Western understanding:

Spleen Qi stagnation with Heat correlates with abdominal bloating triggered by heat, burning diarrhea, and thirst. Characterized by bloating in hot weather, burning diarrhea, and a weak rapid pulse.

Research evidence:

Research evidence for these patterns is emerging. Systematic reviews show acupuncture benefits for digestive disorders, cardiovascular conditions, and pain management. Studies demonstrate efficacy for IBS, angina, and functional dyspepsia. Large-scale RCTs recommended for temperature-sensitive pattern differentiation.

⚠️ Cautions

Caution in febrile conditions. Avoid warming techniques. Monitor temperature.

📚 References

Zhang Y, et al. Acupuncture for angina. Heart. 2019. Wang L, et al. Acupuncture for IBS. Gut. 2020. Li M, et al. Acupuncture for functional dyspepsia. Gastroenterology. 2018. WHO Standard Acupuncture Point Locations. 2008.

✅ Cupping advice

Highly effective
Technique: Moving
⏱️ Duration: 15 minutes
📅 Frequency: 1x per week
💪 Intensity: Moderate
Clinical notes:

Bewegende cupping is zeer effectief bij dit stagnatie syndroom

Special notes:

Use massage oil on the skin. Slowly glide cups along meridian direction. Very effective for neck pain, shoulder stiffness, low back pain and muscle knots.

🚫 Contraindications:

Pregnancy (back/abdomen), varicose veins, wounds, acute inflammation, fever

Recommended cupping points:
LI4 primary
Hegu 合谷
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LR3 primary
Taichong 太冲
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SP10 primary
Xuehai 血海
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BL-18 primary
Ganshu 肝俞
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GB34 secondary
Yanglingquan 阳陵泉
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TE-5 secondary
Waiguan 外關
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BL-12 secondary
Fengmen 風門
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📍 Acupuncture points

LI4 Primary
Hegu 合谷
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ST36 Primary
Zusanli 足三里
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CV12 Primary
Zhongwan 中脘
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LI11 Secondary
Quchi 曲池
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ST-44 Adjuvant
Neiting 内庭
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🔥 Moxa advice

strongly recommended
Recommended moxa points:
ST36 indirect moxa (ginger)
Zusanli 足三里
⏱️ Duration: 600 seconds
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CV12 indirect moxa (ginger)
Zhongwan 中脘
⏱️ Duration: 600 seconds
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📜 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