Differential diagnosis: Patients with deficiency of spleen and damp stagnation may suffer from poor appetite, general weakness, shortness of breath after physical exertion, loose stool, loose and flaccid muscles, pale and puffy tongue, and soft, moderate and weak pulse. patients with a strong stomach and weak spleen may suffer from overeating, dry stool, thirst, dark urine, foul odor in mouth, high blood pressure, red tongue with yellow and greasy coating, and rolling and rapid or wiry and rapid pulse. And patients with disturbance of Chongmai (thoroughfare vessel) and Renmai (conceptional vessel) may suffer from frequent urination, soreness and weakness of waist and legs, irregular menstruation with less uterine discharge, obese abdomen and buttocks, pale and puffy tongue, and deep and thready or soft and thready pulse.
Treatment:
Foot massage: The massage is applied to spleen (34), Stomach (15), kidney (22), lower abdomen (37), thyroid gland (12) and pituitary gland (4) reflecting areas (Fig. 75).
Foot acupuncture:
Mefidianal acupoints: At
Jiexi (ST 41),
Neiting (ST44),
Xiangu (ST43),
Gongsun (SP4),
Shangqiu (SP 5),
Taibai (SP3), a balanced reinforce-reducing technique is applied and the needles are retained for 20 minutes.
Yinbai (SP 1),
Dadun (LR 1),
Taichong (LR 3) and
Taixi (KI3) acupoints may be added for patients with disturbance of Chongmai and Renmai, and moxibustion after acupuncture may be applied to all patients except those with strong stomach and weak spleen.