Spleen dampness and cold

　　This syndrome is often caused by external invasion of cold and dampness, or overeating of cold and raw fruits and vegetables, greasy and sweet foods, leading to internal accumulation of cold and dampness; or deficiency of the spleen Qi, insufficient spleen Yang, and poor transportation of dampness, leading to internal generation of cold and dampness. The main location of the disease is the spleen, and it is also closely related to the lungs and kidneys.
　　

　　This syndrome is often caused by external invasion of cold and dampness, or overeating of cold and raw fruits and vegetables, greasy and sweet foods, leading to internal accumulation of cold and dampness; or deficiency of the spleen Qi, insufficient spleen Yang, and poor transportation of dampness, leading to internal generation of cold and dampness. As a result, cold and dampness affects the spleen, causing the spleen to lose its healthy function, and dampness and water to accumulate and cause problems. The main location of the disease is the spleen, and it is also closely related to the lungs and kidneys. The nature of the disease is mostly a cold and damp实证 (substantial syndrome), and it can also be seen in mixed syndromes of deficiency and excess. The prognosis of the disease is good, and complications are generally rare.

　　Symptoms include abdominal distension, heavy and drowsy head, loss of appetite, nausea and vomiting, lack of thirst, abdominal pain and loose stools, difficulty in urination, and women with thin, white, and fishy leukorrhea. The tongue is fat with white greasy coating, and the pulse is slow, or slow, or soft.

　　When humidity increases, it is advisable to consume salt-free or low-salt diet. People with obesity tend to have dampness, especially at the intersection of summer and autumn, one must pay attention not to hurt dampness and get wet, not to venture into rivers and lakes, not to crave cold drinks, in order to avoid the invasion of dampness from the outside or the generation of dampness internally.
　　During the onset of cholera with vomiting and diarrhea, it is advisable to temporarily refrain from eating. After the vomiting and diarrhea have stopped, the diet should be gradually restored, starting with liquid or semi-liquid food. Severe diarrhea can damage the stomach Qi, and light salt water, rice gruel, and other remedies can be used to nourish the stomach Qi. Abdominal distension patients should avoid eating fried, spicy, and hard foods, and it is advisable to have semi-liquid and non-fibrous foods rich in nutrition.
　　In addition, it is necessary to record the frequency, color, and amount of urine, regularly measure body weight and abdominal circumference to understand the changes in the condition, avoid depression or sudden anger, and quit smoking and drinking. In patients with abdominal distension, there is abdominal distension and effusion.

　　Traditional Chinese medicine diagnosis includes inspection, auscultation, inquiry, and palpation, also known as 'diagnosis method'. The four diagnoses have the characteristics of直观性和朴素性 (intuitiveness and simplicity), directly obtaining information within the range of sensory perception, and doctors immediately analyzing and synthesizing the information to make timely judgments. The basic principle of the four diagnoses is based on the concept of wholeness and the concept of constant movement, and is a specific application of the basic theories of Yin-Yang, the five elements, zang-fu, meridians and collaterals, etiology and pathogenesis.

　　Patients should drink more water; diet should be light; for people with weak spleen and stomach, it is advisable to eat red dates, yam, mung beans, euryale ferox, and lotus seeds. For people with excessive stomach heat, it is advisable to eat pears, lotus root, sugarcane, and honey. For patients with Qi stagnation, it is advisable to eat radishes, Citrus medica, Fortunella hindsii, or use tangerine peel as a seasoning.
　　Patients should avoid spicy foods; avoid smoking and drinking; diet should not be too bitter and cold; avoid cold and raw foods; avoid fatty and greasy foods.

　　The principle of traditional Chinese medicine treatment for cold and dampness affecting the spleen: warming the middle and dispelling cold, strengthening the spleen and transforming dampness.

　　Basic Formula
　　1. Pregelatinized Atractylodes Decoction with Added Herbs: 15 grams of prepared atractylodes, 12 grams of magnolia officinalis, 10 grams of tangerine peel, 12 grams of poria, 12 grams of alisma, 10 grams of fried cinnamomum cassia, 6 grams of licorice. This formula is suitable for abdominal distension and epigastric stuffiness caused by dampness blocking the spleen and stomach.
　　2. Huoxiang Zhengqi Powder: 10 grams of huoxiang, 10 grams of perilla leaves, 10 grams of pericarpium magnoliae, 10 grams of fried atractylodes, 10 grams of magnolia officinalis, 10 grams of pinellia, 10 grams of dahurian angelica, 8 grams of platycodon grandiflorus, 8 grams of licorice, 12 grams of poria. This formula is suitable for vomiting and diarrhea caused by external invasion of cold and dampness.
　　3. Shizhi Decoction: 6 grams of prepared aconite, 10 grams of dried ginger, 10 grams of fried atractylodes, 10 grams of magnolia officinalis, 10 grams of pericarpium magnoliae, 8 grams of costus, 15 grams of poria, 10 grams of licorice, five slices of ginger, and five dates. This formula is suitable for abdominal distension and jaundice caused by cold and dampness affecting the spleen. The above three formulas, after decocting and filtering to obtain 250-300 milliliters of juice, should be taken 2-3 times a day, once a dose.

　　Adjustments and Changes
　　If there is loose stools like water, chest and epigastrium stuffiness, and white greasy tongue coating, you can add 10 grams of polyporus and 6 grams of cinnamon to strengthen the spleen and eliminate dampness; if there are red and white stools, more white than red, accompanied by abdominal pain, you can remove alisma and add 6 grams of cinnamon, 8 grams of prepared ginger, 10 grams of white peony, and 8 grams of costus to disperse cold and regulate Qi to relieve pain; if there is jaundice with a yellowish and dim complexion, use the formula.
　　1. Add 30 grams of Scutellaria baicalensis, 6 grams of prepared aconite, 10 grams of dried ginger, or add 30 grams of Scutellaria baicalensis to the formula. If there is frequent vomiting and diarrhea, and the vomit and diarrhea are like milky water, and the limbs are cold, use the formula.
　　2. Combine the pure Yang Qi pill with aromatic moisture, warming the middle and dispelling cold. If the abdomen is bloated like a sac filled with water and there is a shortage of urine, use the formula.
　　3. Add 12 grams of plantago ovata, 12 grams of polyporus, 10 grams of achyranthes bidentata, 8 grams of uncaria cum baccus, and other herbs for promoting Qi and diuresis.