CELIAC DISEASE (SPRUE)

Clinical Manifestations
  • An autoimmune disease that damages the villi of the Small Intestine and interferes with the absorption of food with an
    intolerance of gluten in wheat, barley, rye and oats. It is a genetic that tends to affect people of European descent.
  • It may be triggered by surgery, pregnancy, childbirth, infection or severe stress.
  • Symptoms include:
    Diarrhea
    Weight loss
    Recurring abdominal distention and pain
    Pale, foul-smelling stools
    Unexplained anemia
    Flatulence
    Joint and bone pain
    Muscle cramps
    Behavioral changes
    Fatigue
    Possible seizures
    Tingling and numbness due to peripheral neuropathy
    Pale-colored sores inside the mouth
    Painful skin rashes
    Tooth discoloration
    Delayed menstruation
    Menorrhagia
    Amenorrhea
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Nausea
  • Clear, frequent urination
  • Lack of thirst
  • Anorexia
  • Vomiting of clear fluid
  • Abdominal distension and pain (sharp)
  • Diarrhea or loose stool
  • Prefers warmth
  • T: Pale or pink
  • C: White
  • P: Slow and tight or Soft
Treatment Principle
  • Regulate the middle
  • Warm the Middle Jiao
  • Disperse Cold
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Clear, frequent urination
  • Abdominal distension
  • Anorexia
  • Nausea
  • Vomiting clear fluid
  • Dull abdominal pain
  • Diarrhea or loose stools
  • Prefers warmth and pressure
  • T: Pale
  • C: White
  • P: Slow and sinking or Soft and weak
Treatment Principle
  • Regulate the Middle
  • Warm the Middle Jiao
  • Disperse Cold
Herb Formulas
Points
Clinical Manifestations
  • Reduced appetite
  • Difficulty digesting
  • Abdominal and epigastric bloating
  • Watery diarrhea
  • Loose stools
  • T: Normal
  • C: Slightly yellow, greasy
  • P: Deficient and frail
Treatment Principle
  • Strengthen the Spleen
  • Harmonize the Stomach
  • Reduce Food Stagnation
  • Stop diarrhea
Herb Formulas
  • Jian Pi Wan
  • For severe Food Stagnation with nausea, belching, vomiting, and abdominal swelling: Ba He Wan
Points
Clinical Manifestations
  • Mild constant epigastric pain; relieved by warmth and pressure
  • Anorexia
  • Abdominal pain and fullness after meals
  • Nausea
  • Vomiting
  • Loose, unformed stools
  • Excessive salivation
  • Cold limbs
  • Lassitude
  • Weakness
  • Sallow or pale, dull complexion
  • Maybe edema
  • Maybe scanty urination
  • Maybe clear, watery, copious vaginal discharge
  • T: Pale
  • C: White and greasy
  • P: Deep, thready and forceless
Treatment Principle
  • Strengthen the Spleen
  • Warm Yang
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • The diarrhea is often watery with undigested food
  • borborygmus and/or periumbilical pain may precede the diarrhea and ease after defecation
  • The patient may be exhausted
  • Body cold
  • Limbs icy
  • Complexion white and shiny
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful, better with warmth and pressure
  • Intolerance of Cold
  • Anorexia
  • Poor digestion
  • Abdominal distention
  • Copious, clear urine
  • Nocturia
  • Fatigue
  • Exhaustion
  • General disinterest
  • Increased desire to sleep
  • Loose stools containing undigested food
  • Edema of face and limbs
  • Dysuria
  • Severe:
    Abdominal ascites
    Fecal incontinence
  • T: Pale, moist and swollen with toothmarks
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow
Treatment Principle
  • Warm and Reinforce the Spleen and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Recurrent diarrhea which may be preceded by cramping abdominal pain
  • The pain is relieved by defecation
  • Diarrhea may alternate with constipation
  • The diarrhea may be explosive and initiated by stress or tension or eating
  • There may be mucus or Blood in the stool
  • Abdominal distention
  • Flatulence or belching may relieve the abdominal discomfort
  • Gas
  • Borborygmus
  • Anorexia
  • Nausea
  • Heartburn
  • Indigestion
  • Distention and pain in the sides or flanks
  • Hypochondriac ache, discomfort or tightness, usually worse on the right side
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Moodiness
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • Shoulder and neck tension
  • Temporal or tension headaches
  • T: Darkish pink or Pale or Slightly red edges
  • C: White and greasy
  • P: Wiry or Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
  • Alleviate pain
  • Stop diarrhea
Herb Formulas
  • Tong Xie Yao Fang
  • With Spleen Qi Deficiency: Si Jun Zi Tangmodified
  • Chinese Patent Medicines:
    Chai Hu Shu Gan Wan
    Xiao Yao Wan
    Mu Xiang Shen Qi Wan
    Shu Gan Wan
    Jian Wei Xiao Yao Wan
    Xiang Sha Yang Wei Wan
Points
Clinical Manifestations
  • Enduring diarrhea
  • Pale colored, foul smelling stools
  • The stools may be mustard colored
  • Maybe explosive diarrhea
  • Maybe burning around the anus after defecation
  • Abdominal distention
  • Painful diarrhea
  • Pale colored mouth sores
  • Fatigue
  • Lack of strength
  • Emaciation
  • T: Pale, dark and swollen
  • C: Slimy and white or Slimy and yellow
  • Slippery, wiry and maybe rapid
Treatment Principle
  • Harmonize the Liver and Spleen
  • Clear Heat
  • Eliminate Dampness
  • Stop diarrhea
Herb Formulas
Points
  • LIV-3, REN-10, REN-11, ST-25, ST-36
    For a pale colored stool and cold limbs: + moxa REN-8
    For foul-smelling stools and a slimy, yellow tongue coat: + ST-44
    For severe Spleen Deficiency: + SP-3
    For severe Liver Stagnation: + PC-6
    For mouth sores: + PC-7
    For Food Stagnation: + ST-21
    For abdominal distention: + REN-12
Clinical Manifestations
  • Enduring diarrhea or loose stools
  • Fatigue
  • Lack of Strength
  • Emaciation
  • Numbness and tingling
  • A pale face
  • Malar flushing
  • Cold extremities
  • Five Sole Heat
  • Dizziness
  • Tinnitus
  • Palpitations
  • Insomnia
  • Night sweats
  • A dry mouth and throat
  • Mouth and/or tongue sores
  • Scanty menstruation
  • Delayed menstruation
  • Amenorrhea
  • T: Tender, red or pale and fat with a red tip
  • C: Little
  • P: Soft and maybe rapid
Treatment Principle
  • Tonify Qi
  • Nourish Yin
  • Clear Heat
  • Eliminate Dampness
  • Stop diarrhea
Herb Formulas
Points
  • KI-7, REN-10, REN-11, ST-25, ST-36
    For pale colored stools and cold limbs: + moxa REN-8
    For foul smelling stools and a slimy, yellow tongue coat: + ST-44
    For severe Yin Deficiency: + SP-6, UB-21
    For severe Spleen Deficiency: + SP-3
    For Liver Qi Stagnation: + PC-6
    For mouth sores: + PC-7
    For Food Stagnation: + ST-21
    For abdominal distention: + REN-12
Clinical Manifestations
  • Absent-mindedness
  • Frequent feelings of extreme sadness with an urge to cry
  • Inability to control one's emotions
  • Irritability
  • Depression
  • Restless sleep
  • May be night sweats
  • Lack of mental focus
  • Tight abdominal muscles
  • Abnormal speech or behavior
  • Disorientation
  • Frequent yawning
  • Sadness
  • Overly sensitive or self-conscious
  • Insomnia
  • T: Red or pale red
  • C: Scanty
  • P: Thready and rapid
Treatment Principle
  • Nourish Heart Blood
  • Calm the Shen
  • Harmonize the Middle Jiao
  • Relax tension
  • Tonify Spleen Qi
Herb Formulas
Points