So, you’ve just received a somewhat unusual diagnosis from your acupuncturist, labeled as “Spleen qi deficiency,” leaving you pondering the question, “What exactly is the spleen?”

First allow me to explain qi. In traditional Chinese medicine (TCM), the concept of “qi” refers to the vital life force that flows through our bodies, ensuring optimal health and well-being. 

Now, the spleen is an essential organ within this system, responsible for transforming food into nutrients and energy. When the spleen’s qi (function) becomes deficient, it can lead to a range of physical and emotional symptoms. In addition, some concepts in traditional Chinese medicine are difficult to translate into 1:1 terms in biomedical science. The ancient concept of the “spleen” for example encompasses the pancreas (enzymes, for example), the immune system, and more. In this article, we will explore the concept of spleen qi deficiency, its causes, symptoms, and possible treatments.

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The Symptom Pattern of Spleen Qi Deficiency

Spleen qi deficiency is an extremely common diagnosis in our profession – so why don’t we translate it in layman’s terms? According to an article from The World Journal of Gastroenterology:

“The diagnostic criteria in common are poor appetite, abdominal fullness after meal, loose bowel movements, pale or sallow complexion. The characteristic features of Spleen-Qi deficiency are fatigue, asthenia, atrophied muscle, pale tongue with thin white coating and moderate, weak pulse. Spleen-Yang deficiency is characterized by cold limbs, fear of cold, puffy pale tongue with slippery coating and slow fine pulse.”

The symptoms of spleen Qi deficiency can manifest in various ways, including:

• Digestive Issues: Poor appetite, bloating, abdominal distension, loose stools, and fatigue after eating are common signs of spleen Qi deficiency.
• Fatigue and Low Energy: Due to the impaired production and transportation of Qi, individuals with spleen Qi deficiency often experience chronic fatigue and a lack of vitality.
• Weak Immune System: A weakened spleen function can compromise the immune system, leading to frequent colds, infections, and slow recovery.
• Edema: Fluid retention and edema can occur as the spleen’s ability to regulate body fluids becomes compromised.

Don’t forget, many of these symptoms from a biomedical point of view relate to the functions of other organs, like the pancreas (digestive enzymes), the stomach (low stomach acid), and even the immune system.

Causes of Spleen Qi Deficiency

Several factors can contribute to spleen Qi deficiency. These include:

• Poor Diet: Consuming excessive amounts of cold, raw, or processed foods, as well as irregular eating habits and overconsumption of greasy or sweet foods, can weaken the spleen’s function.
• Emotional Factors: Prolonged stress, worry, and overthinking can disrupt the smooth flow of Qi, leading to spleen Qi deficiency.
• External Factors: Exposure to damp or cold environments, excessive physical exertion, and lack of proper rest can also weaken the spleen.

Treatment and Management of Spleen Qi Deficiency

To address spleen qi deficiency, TCM focuses on restoring balance and strengthening the spleen’s function. Here are some holistic approaches to consider:

• Diet: Emphasize warm, cooked, and easily digestible foods. Include nourishing foods like root vegetables, whole grains, soups, and cooked fruits. Avoid excessive consumption of cold or raw foods, greasy and processed foods, and excessive sugar.
• Herbal Remedies: TCM utilizes specific herbal formulas to tonify the spleen’s qi. Consult a qualified TCM practitioner who can prescribe appropriate herbal remedies tailored to your specific symptoms and constitution.
• Acupuncture: Acupuncture can help stimulate the flow of qi, improve digestion, and support overall well-being. By targeting specific acupuncture points related to the spleen, proper physiological function can be restored.
• Lifestyle Modifications: Adopt a regular and moderate exercise routine, such as walking, yoga, or tai chi, to promote circulation and strengthen the spleen’s qi. Manage stress through relaxation techniques like meditation, deep breathing exercises, and adequate sleep.
• Emotional Well-being: Engage in activities that promote emotional balance, such as spending time in nature, pursuing hobbies, connecting with loved ones, and seeking support from a therapist or counselor if needed.

Read More: 5 TCM Diet Habits for Balanced Eating | Qigong: The Unknown Tool to Change Your Health 

TCM Formulas for Spleen Qi Deficiency

TCM practitioners may also suggest certain herbal formulas or concoctions to help with spleen qi deficiency and related issues.

In a 2017 study, researchers investigated the effectiveness and safety of the Yi Qi Gu Biao (YQGB) pill in treating chronic obstructive pulmonary disease (COPD) with lung and spleen qi deficiency syndrome (FEPCOPD).

They included 64 out of 112 cases in a randomized, double-blind, controlled trial, where patients received either YQGB or a placebo for three months. Results showed that YQGB reduced wheezing symptoms and Traditional Chinese Medicine (TCM) symptoms after one month, and COPD Assessment Test (CAT) and TCM symptoms after three months, compared to the placebo.

YQGB also improved overall health status and TCM symptoms, and shortened durations of cough, sputum, and wheezing. This suggests that YQGB might be a beneficial treatment for FEPCOPD.

The Yi Qi Gu Biao pill consists of the following ingredients:

• Astragalus membranaceus (Huang Qi) 
• Codonopsis pilosula (Dang Shen)
• Atractylodes macrocephala (Bai Zhu) 
• Poria cocos (Fu Ling)
• Glycyrrhiza uralensis (Gan Cao)
• Schisandra chinensis (Wu Wei Zi)
• Platycodon grandiflorus (Jie Geng)
• Perilla frutescens (Zi Su Ye)
• Pinellia ternata (Ban Xia)
• Citrus reticulata (Chen Pi)
• Zingiber officinale (Gan Jiang)

The pill is prepared by decocting the herbs, concentrating the extract, adding honey and starch, and forming into small balls.

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A Basic Breakfast Congee Recipe for Spleen Qi Deficiency

Spleen Qi Congee is a TCM dish designed to support and nourish the spleen and digestive system. This congee typically consists of rice, which is easy to digest, along with ingredients such as ginger, dates, and other herbs known for their spleen-nourishing properties. 

The combination aims to invigorate the spleen function, enhance digestion, and promote overall well-being. Consuming Spleen Qi Congee is often recommended in TCM to address symptoms such as fatigue, poor appetite, and digestive issues, helping to restore balance and harmony within the body according to the principles of traditional Chinese medicine.

Spleen Qi Deficiency Congee Recipe

Ingredients:

• 1 cup white rice
• 4-5 cups vegetable or bone broth
• 1 small piece of ginger, grated
• 2-3 dried red dates
• 1 tablespoon goji berries
• 1 tablespoon honey (optional)

Conclusion

Spleen qi deficiency is a concept rooted in the principles of Traditional Chinese Medicine. While it may seem unfamiliar within the context of Western biomedicine, many individuals have found relief from their symptoms through TCM’s holistic approach. 

By adopting a balanced diet, incorporating herbal remedies, and making positive lifestyle changes, individuals can support their spleen’s qi and restore overall wellness. 

However, it is crucial to consult a qualified TCM practitioner for an accurate diagnosis and personalized treatment plan.

Watch: 7 of the Most Powerful Healing Herbs