What are the symptoms of spleen and kidney deficiency?

There are many types of physical weakness. For example, after we engage in heavy physical labor, our body will enter a period of weakness. At this time, if we get enough rest, we will recover. For example, if we feel particularly weak regardless of whether we engage in physical labor or not, this is most likely due to spleen and kidney deficiency. People with weak spleen and kidneys are also prone to pale complexion, frequent urination, weakness in waist and knees, etc., which are all things they need to be vigilant about.

symptom

The symptoms of spleen and kidney yang deficiency include three aspects:

① Yang deficiency and excessive coldness cause stagnation of Qi, which manifests as pale complexion, fear of cold, cold limbs, soreness of waist and knees, and cold pain in the abdomen.

② The water and food cannot flow properly, resulting in abdominal distension, chronic diarrhea and dysentery, or even diarrhea at early morning and clear stool.

③ Water and dampness are rampant, and urination is difficult, the face and limbs are swollen, and in severe cases, the abdomen is swollen like a drum; or there is frequent urination, residual urine, or frequent urination at night. The tongue is pale, fat and has teeth marks, the tongue coating is white and slippery, and the pulse is deep, slow, thin and weak, which is also a sign of Yang deficiency.

Pathogenesis analysis

Spleen and kidney yang deficiency syndrome is characterized by spleen and kidney yang deficiency and internal excess of yin and cold.

Spleen and Kidney Yang Deficiency Tongue Coating The Yang Qi of the spleen and kidney is deficient, and the functions of warming, transporting and transforming, and consolidating are weakened. There will be loose stools, loose stools, or diarrhea at dawn. When Yang Qi is deficient and Yin and cold are excessive inside, there will be fear of cold, cold limbs, cold and pain in the lower abdomen, and pale complexion. When kidney Yang is deficient and bladder qi transformation is disordered, there will be soreness and weakness in the waist and knees, and difficulty urinating. When Yang Qi is deficient and water vapor is excessive, there will be edema of the face and limbs. The tongue is pale and fat, the coating is white and slippery, and the pulse is deep and thready. It is a sign of Yang deficiency and Yin excess.

Differentiation of similar syndromes: This syndrome should be differentiated from simple spleen yang deficiency syndrome and kidney yang deficiency syndrome. Simple spleen yang deficiency syndrome and kidney yang deficiency syndrome are mainly characterized by localization symptoms of their respective organs, while in this syndrome, the symptoms of spleen and kidney yang deficiency appear simultaneously. This syndrome should also be distinguished from the syndrome of Yang deficiency and water overflow. The main symptoms of Yang deficiency and water overflow are edema caused by the overflow of water vapor, while this syndrome is mainly characterized by symptoms of deficiency and cold such as diarrhea, uncontrollable slippery stool, diarrhea at dawn, chills and cold limbs. The difference between this syndrome and general yang deficiency syndrome is that general yang deficiency syndrome has systemic symptoms of deficiency and coldness, while this syndrome also has localized symptoms of spleen and kidney yang deficiency.

Points to note in syndrome differentiation: There are clinical manifestations of spleen yang deficiency, kidney yang deficiency, and symptoms of yang deficiency and internal excess of yin and cold.

Traditional Chinese Medicine Treatment

(1) Take Shenqi Pills with Guizhi Fangfeng decoction. Shenqi Pills are the main prescription for warming the kidney and invigorating Yang. In the formula, cooked rehmannia is sweet and warm and nourishes the kidney, while cornus officinalis and yam nourish the liver and spleen. The three medicines are used together to nourish the kidney, liver and spleen; aconite and cassia twig (or cinnamon) warm the kidney and assist yang; oriental water plantain, poria and moutan bark can clear the turbid qi of the liver, spleen and kidney. The whole formula is warm but not dry, nourishing but not greasy, and focuses on warming the kidney Qi. Use cinnamon twig and saposhnikovia root to disperse the wind-cold on the surface, decoct it into a soup and take it with Shenqi Pills to achieve the purpose of warming the kidney, assisting yang and relieving the exterior.

(2) Take Yougui Pills with a decoction of perilla leaves and ginger. The "You" in Yougui Pills means Mingmen, and Yougui refers to the medicine returning to Mingmen to warm and nourish the kidney yang. In the formula, cooked rehmannia nourishes kidney yin to assist kidney yang; deer antler glue is a product of blood and flesh, salty in taste and warm in nature, warming and nourishing the kidney and Du meridians; cornus fruit, yam, and wolfberry nourish the liver and kidney; dodder seed, cinnamon bark, and aconite warm the kidney and strengthen yang; angelica and eucommia warm and nourish the liver and kidney, dispel cold and strengthen the waist. The whole formula has the effect of warming yang, tonifying the kidney and strengthening the waist. It can be used for patients with kidney yang deficiency who suffer from chills, cold limbs, weak waist and knees, poor appetite, loose stools, pale complexion, or impotence, edema, etc. Boil perilla leaves and ginger in a soup and drink it to dispel wind and cold while warming the yang, which has the benefit of mutually supplementing each other. If the Yang deficiency is not severe, you can first relieve the symptoms and then apply warming and tonifying.

(3) Compound Psoralea corylifolia Granules: This prescription has the effect of warming the liver and kidneys and strengthening the tendons and bones. The prescription uses Psoralea corylifolia and Cynomorium songaricum to warm and nourish the liver and kidneys; Dipsacus asper and Cibotium barometz to strengthen the tendons and bones; Red Peony Root to promote blood circulation and remove blood stasis, and Polygonatum sibiricum to invigorate Qi and nourish Yin. It is suitable for low back and knee pain caused by kidney yang deficiency and lumbar strain. For such patients with wind-cold colds, take compound Psoralea corylifolia granules together with wind-cold exterior deficiency cold granules.

(4) Butianling Tablets are a prescription for nourishing the kidneys, strengthening yang, replenishing essence and nourishing marrow. The prescription uses epimedium, curculigo, psoralea corylifolia, cynomorium songaricum, leek seed, cinnamon, red ginseng, and cnidium monnieri to warm and nourish the kidney yang; uses dog whip, sheep whip, ox whip, donkey whip, mink whip, sea dragon, wolfberry, and deer antler to replenish essence and marrow; and uses Achyranthes bidentata to strengthen tendons and bones. This prescription is suitable for kidney yang deficiency, impotence and premature ejaculation, weak waist and knees, spermatorrhea and spontaneous sweating, chills and cold limbs, fatigue and weakness, etc. Those who suffer from wind-cold can take Butianling tablets with a decoction of perilla leaves and ginger. However, this tablet contains a lot of living things, so it is not advisable to take too much.