↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Slight weight loss; a pale or sallow complexion; poor appetite or picky eating; loose stools; abdominal bloating after eating; fatigue and low energy; irritability and fussiness.
Tongue: Pale, slightly puffy with tooth marks on the edges, thin white coating. Pulse: Weak and soft, especially at the right middle position.
Treatment principle: Gently tonify Spleen-Qi and restore digestive capacity without overwhelming the system.
2. Spleen Deficiency with Dampness
Clinical manifestations: Marked weight loss with a bloated belly; abdominal bloating after eating; loose stools; irritability and fussiness; heaviness of the limbs and body.
Tongue: Pale, swollen body with teeth marks, white greasy coating, moist surface. Pulse: Soggy and slowed, sometimes slippery.
Treatment principle: Strengthen Spleen function and resolve accumulated Dampness and food stagnation.
Note: gentle moxa applicable on ST-36. This pattern has no explicit Cold marker, so it is not linked to this site's \"Cold-Dampness invading the Spleen\" slide — no pattern link is given here.
3. Qi and Blood Deficiency
Clinical manifestations: Extreme weight loss and muscle wasting; dry, wrinkled, scaly skin; a low-grade fever or heat sensation; pale lips and nail beds; dizziness and heart palpitations; fatigue and low energy; night sweats.
Tongue: Pale body, may be thin or have teeth marks, thin white coating. Pulse: Deep, thready, weak.
Treatment principle: Simultaneously replenish Qi and Blood to reverse severe wasting and rebuild Spleen function.
Note: gentle moxa applicable. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.
Clinical manifestations: A dry, gritty eye sensation; light sensitivity; redness at the inner/outer eye corners; blurred vision, especially in dim light; night sweats; heat in the palms, soles, and chest; restless sleep with vivid dreams; irritability and fussiness.
Tongue: Red, thin body with cracks, little or no coating, dry surface. Pulse: Fine, rapid, wiry; weak in the left Chi and Guan positions.
Treatment principle: Nourish Liver-Blood and Kidney-Yin to moisten the eyes and tissues, clear deficiency Heat.
Clinical manifestations: Recurrent mouth or tongue ulcers with red edges; irritability and fussiness; a red, flushed face with a heat sensation; thirst for cold drinks; bad breath; dark yellow urine.
Tongue: Red body with a distinctly redder tip, often with red points, yellow dry coating. Pulse: Rapid and forceful, especially at the left front (Heart) position.
Treatment principle: Clear excess Heart-Fire and drain Heat from the upper burner, while nourishing Yin.
Clinical manifestations: Swelling or puffiness of the ankles and limbs; cold hands and feet with an aversion to cold; loose stools; poor or picky appetite; a dull abdominal pain improved by warmth and pressure; scanty urination; a pale, lustreless face.
Tongue: Pale, puffy, tender with teeth marks, white slippery coating. Pulse: Deep, slow, weak, especially soft at the right Guan position.
Treatment principle: Warm and strengthen Spleen-Yang to restore digestive fire and improve nutrient absorption.