Spleen-Yang deficiency manifestations

Spleen-Yang deficiency is manifested as a pale and dull color of the tongue with a white, moist coating and a slow, deep and weak pulse, particularly in the second position on the right side. 

Fu Ling is sweet, bland and neutral, and enters the Heart, Spleen, Stomach, Lung and Kidney meridians. It is able to drain out dampness by promoting urination. It can also tonify the Spleen and calm the mind. Because it is sweet and bland, it drains out dampness without the side effect of injuring the Yin and Yang of the body. In the condition of Spleen-Yang deficiency, it is often used as an assistant for treating accumulation of water and dampness in the Middle-Jiao. The manifestations are heaviness of the body, distension of the abdomen and difficult urination. 

Zao Xi Tu is warm and astringent, and enters the Spleen and Stomach meridians. It warms the interior and stops bleeding in both the Middle- and Lower-Jiao, such as bleeding from the stomach, intestines and uterus. Moreover, it binds up the intestines and stops diarrhea. It is more suitable for conditions of Spleen-Yang deficiency, such as chronic colitis, which manifests as abdominal pain and cramp, diarrhea, intestinal hemorrhage, cold hands and feet, and a pale complexion. 

This formula primarily treats Spleen-Qi and Yang deficiency. In fact, it treats a chronic syndrome of deficiency of the Middle-Jiao, where the Yin and blood are also deficient due to long-term Yang and Qi deficiency. The Yang and Qi deficiency are manifested as intermittent, spasmodic abdominal pain that responds favorably to local application of warmth and pressure, reduced appetite, and cold and sore extremities. The Qi and blood deficiency are manifested as a lusterless complexion, palpitations, a pale tongue and a thready pulse. The Yin deficiency shows in low-grade fever, dry mouth, dry throat and irritability. 

This formula can warm the Yang, strengthen the Spleen, move the Qi and drain the water. It treats severe accumulation of water in the body due to Spleen-Yang and Kidney-Yang deficiency. The manifestations are severe edema, particularly of the abdomen and legs, cold hands and feet, no thirst, fullness and distension of the chest and abdomen, soft stool, a thick and sticky tongue coating and a deep and slow pulse. 

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