Diseases of the Spleen



Picture A. Spleen. B, C, E. Veins of the Spleen
Der gantzen Artzenei
, Dryander, 1542

‘Spleen’ disease refers to diseases affecting the Spleen. The Spleen is most affected by Damp and Melancholy which are associated with Spleen Pain or ‘Obstruction’, Hardness and Tumors of the Spleen. Spleen Disease can also be viewed in the greater context of Damp and Melancholy diseases in general.

In TCM, the Spleen is the source of our Qi (via the Spleen’s control over digestion) and so medicines for Spleen Deficiency increase body energy. In TCM, Medicines to strengthen the Spleen and increase Qi are regularly added to those that clear Damp. This is due to the Spleen invariably being weak if Damp has occurred. The same can be said of Melancholy.

Western Tradition

Simples
Dodder
Maidenhair
Agaric
Black Hellebore
Polypody
Centaury
Orris
Lapis Lazuli

Special Medicines:
Chebula 7 (Tibetan) is a special medicine for Spleen diseases: used for pain, injury or hardness of the Spleen.


Splenis aeritudines eradicant –
Eradicates Spleen disease

Diacurcuma Magna

Amomum 19 (Ko la 19) (Tibetan Medicine)
Chebula 7 (A ru bdun pa) (Tibetan)

Oil of Spikenard
Oil of Euphorbium


Splenis doloribus, & oppilationibus conferunt – Spleen pain and obstruction

There will be swelling and pain over the Left side.

Simples:
1. Ash bark infused in Wine, taken for 9 mornings.
2. Hart’s Tongue infused in Wine.
3. Decoction of Elder root
4. Willow twig and bark decoction (
Syrian ‘Book of Medicine’, Budge, 1913)
5. Coral taken dries the Spleen (hardness due to damp)
6. Powder of a Fox burnt given in drink.
7. Goat Dung decocted and taken is effective for hardness and obstruction of the Spleen.
8. Take burnt Stag Horn with wine. (
Syrian ‘Book of Medicine’, Budge, 1913)
9. Calf Bile in Cabbage water (
Syrian ‘Book of Medicine’, Budge, 1913)

Topically:
1. Willow leaf stamped with salt and applied to the area of the Spleen.
2. Dock root beaten with vinegar and applied.
3. Tamarisk leaves soaked in vinegar and applied

4. Soak linen cloth in the patients urine and apply to the place. (Brunschwig, 1561)

Syrup of Polypody
Syrup Diarrhodon
Vinegar of Squill
Oxymel of Roots
Troches of Agrimony

Troches of Agnus Castus
Troches of Lacca (Mesue)

Troches of Gallia Sebellinae (Mesue)
Indian Pills (Mesue)
Pills of Rhubarb (Mesue)
Hiera Pachii

Electuary of Calamint (Galen)
Electuary of Saffron Lesser (Diacrocon Minores) (Mesue)
Philonium Romanum (Galen)
Athanasia Greater (Nicholas)
Oil of Orris
Oil of Bay

Oil of Caper
Plaster of Mustard


Amomum 19 (Ko la 19) (Tibetan Medicine)
Chebula 7 (A ru bdun pa) (Tibetan)


Splenis oppilationes aperiunt, & purgant –
Spleen obstruction open and cleanse

Decoction of Stoechas
Decoction of Dodder (Rhasis)
Syrup of Two Roots

Syrup of Five Roots
Syrup of Apple Comp
Vinegar Syrup of 2 Roots
Oxymel Comp
Confection of Winter Cherries
Troches of Agrimony
Troches of Lacca (Mesue)

Troches of Agaric
Troches of Lacca (Trochisci de Lacca) (Mesue)

Athanasia Greater (Nicholas)
Pills of Rhubarb (Mesue)
Pills of Sebellina
Indian Pills
Oil of Sesame

Oil of Capers



Spleen, Phlegm and Damp Obstruction
Vinegar of Squill

Syrup of Polypody
Syrup of Two Roots
Syrup of Five Roots
Powder of Cinnamon (Mesue)

Indian Electuary Lesser (Mesue)
Indian Electuary Greater (Mesue)
Pills of Agaric (Mesue)
Pills of Mastic (Mesue)

Chebula 7 (A ru bdun pa) (Tibetan)


Splenis apostema, & duritiem resolvunt –
Resolve Spleen abscess and hardness

Oxymel of Broom flower or seed
Oxymel of Calamint
Troches of Capers
Diasulphur
Diachylon Plaster
Plaster of Meliot
Plaster of Opopanax
Oil of Sesame
Oil of the Philosophers



To Purge in Spleen Obstruction or Hardness
Greater Polycrest Pills (Pil. Aggregative Majores)
Golden Pills (Nicholas)

Pills of Fumitory (Avicenna)


Pills of Agaric (Mesue)
Pills of Lapis Lazuli 1 (Mesue)
Arab Confect Purging Melancholy (Confect. Hamech)
Holy Bitters (Hiera Picra)
Electuary of Dates (Diaphoenicum) (Mesue)
Electuary of Senna (Diasenna) (Nicholas)


To strengthen after
Abbots Confection of Roses (Diarrhodon Abbatis)
Aromatic Rose Compound (Aromaticum Rosatum)
Powder of Anise Compound (Dianisum) (Mesue)
Troches of Agrimony

Troches of Gum Lacca (Trochisci de Lacca) (Mesue)
Troches of Capers Root-bark (Mesue)
Electuary of Bayberries (Electuarium de Baccis Lauri)

TCM Classification

Spleen Qi Deficiency
Poor appetite, nausea, fatigue, pale tongue and a weak pulse
Si Jun Zi Tang
Shen Ling Bai Zhu San
Bu Zhong Yi Qi Tang


Spleen Yang Deficiency
As for Spleen Qi deficiency but more severe, with more signs of Cold, loose stool, deep and weak pulse
Zhong Wan
Fu Zi Li Zhong Wan



Spleen Yang Deficiency with Cold Accumulation
As for Spleen Yang deficiency with Constipation, abdominal pain that feels better with warmth,
Wen Pi Tang


Spleen Damp
As for Spleen Qi deficiency with more nausea, greasy tongue coating, slippery pulse
Liu Jun Zi Tang
Xiang Sha Liu Jun Zi Tang





Special Formulas

1. SCLEROSIS OF THE SPLEEN
    Fern root
    Wormwood
    Savin tops                         equal parts
This was commended. (Ettmuller)


2. SPLEEN HARDNESS
    Wormwood
    Celandine
    Germander
    Fern root
    Senna
    Black Hellebore
    Galangal
    Zedoary
    Raisins
    Cream of Tartar

3. PLASTER FOR SPLEEN HARDNESS (1)
    Fenugreek
    Mustard
    Barley meals                    equal parts


4. PLASTER FOR SPLEEN HARDNESS (2)
    Gum Ammoniac
    Bdellium
    Myrrh
    Frankincense
Powder, mix in vinegar, dip cotton into it and apply. (Syrian ‘Book of Medicine‘, Budge, 1913)


5. PLASTER FOR PROTRACTED SPLEEN HARDNESS
    Lesser Cardamon
    Greater Cardamon
    Pyrethrum
    Mustard
    Fenugreek                           equal parts
Powder, mix with vinegar and oil and apply as a plaster over the spleen, replace daily. (Syrian ‘Book of Medicine‘, Budge, 1913)