If you have Spleen Qi deficiency, should you just use Shenling Baizhu Wan? How should you adjust for Spleen deficiency? Today, I will interpret the summary of Chinese patent medicines for Spleen and Stomach weakness with a doctor, so you will never use the wrong medicine again. Hello everyone, I am Dr. He. In daily life, you will find that although many people have Spleen deficiency, their symptoms are often quite different. Some frequently have unformed stools, while others have excessive phlegm and a heavy body. Therefore, we cannot just use any tonic for the Spleen or any medicine for dampness indiscriminately. Today, I will share the different types of Spleen deficiency and the corresponding Chinese patent medicines for reference.
First, the first type of Spleen deficiency, if your Spleen deficiency is primarily due to Spleen Qi deficiency, we commonly see two situations:
First: If you usually have a poor appetite, feel bloated after eating too much, and have difficulty digesting. Your stools are often unformed, and you generally feel weak and lack energy. When you stick out your tongue, you will see a central indentation, and the tongue is not swollen but has teeth marks on both sides. This is commonly seen in the early stage of Spleen Qi deficiency. In this case, we can refer to a Chinese patent medicine called Si Jun Zi Ke Li (Four Gentlemen Granules). Si Jun Zi Ke Li is derived from Si Jun Zi Tang (Four Gentlemen Decoction), which consists of Dang Shen (Codonopsis), Chao Bai Zhu (Fried Atractylodes), Fu Ling (Poria), and Zhi Gan Cao (Honey-fried Licorice). This combination of four herbs has the effect of tonifying Qi and strengthening the Spleen. If you have Spleen Qi deficiency, this is the right choice for you.
Second: If you often feel extremely fatigued, with noticeable weakness, and your mind feels unclear and heavy, along with issues like gastric prolapse, uterine prolapse, and rectal prolapse, this indicates a sinking of the Middle Qi. This is a further development of Spleen Qi deficiency. We can consider Bu Zhong Yi Qi Wan (Tonify the Middle and Benefit Qi Pill), which can tonify the Middle, boost Qi, and lift the sinking Yang Qi, thus strengthening the Spleen and replenishing Qi, allowing the clear Yang Qi to rise. If your Spleen Qi deficiency is quite severe, this is the right choice for you.
This is the first type of Spleen deficiency, the two most common situations of Spleen Qi deficiency.
Next, we discuss the second type of Spleen deficiency. If your Spleen deficiency is primarily due to excess dampness, we commonly see three situations:
First: If your Spleen deficiency has led to excess dampness, resulting in unformed stools, heavy limbs, and oily skin, and when you stick out your tongue, it appears swollen with teeth marks, you can refer to Shenling Baizhu Wan (Ginseng, Poria, and Atractylodes Pill). Shenling Baizhu Wan also contains the Spleen Qi tonifying Si Jun Zi Tang, along with lotus seeds and yam to replenish deficiency, astringe, and stop diarrhea. However, Shenling Baizhu Wan has many ingredients that strengthen the Spleen and eliminate dampness, such as Bai Bian Dou (White Hyacinth Bean) and Yi Yi Ren (Job’s Tears) to eliminate dampness, and Sha Ren (Amomum) to transform dampness and move Qi, along with Jie Geng (Platycodon) to open the lungs and resolve phlegm. Shenling Baizhu Wan is a Chinese patent medicine that can both tonify the Spleen and eliminate dampness.
If you have particularly heavy dampness, with symptoms like bags under the eyes, a weak and overweight body, or even eczema and edema, you can consider Wu Ling Jiao Nang (Five-Ingredient Pill), which has a stronger diuretic effect.
If you not only have Spleen and Stomach weakness but also frequently experience diarrhea, not just loose stools, we can look at the instructions for Bu Pi Yi Chang Wan (Tonify the Spleen and Benefit the Intestines Pill), which states: “Warm Yang, move Qi, astringe the intestines, and stop diarrhea.” Does this not match the symptoms mentioned above?
This is the second type of Spleen deficiency, the three most common situations of excess dampness.
Next, we discuss the third type of Spleen deficiency. If your Spleen deficiency is primarily due to excessive phlegm, we commonly see two situations:
First, if you have heavy dampness for a long time, it can accumulate into phlegm, leading to excessive phlegm. In this case, we need to strengthen the Spleen, transform dampness, and resolve phlegm. For this situation, we can interpret another Chinese patent medicine called Liujunzi Wan (Six Gentlemen Pill). It is based on the Four Gentlemen and adds Ban Xia (Pinellia) and Chen Pi (Aged Tangerine Peel), which have excellent effects in drying dampness and resolving phlegm.
If you not only have Spleen deficiency and excessive phlegm but also experience significant bloating and excessive gas, this indicates Spleen Qi stagnation due to phlegm dampness obstructing the Spleen and Stomach Qi mechanism. In this case, we can refer to Xiangsha Liujun Wan (Aromatic Sand Six Gentlemen Pill), which adds Mu Xiang (Aucklandia) and Sha Ren (Amomum) to enhance the Spleen and move Qi.
Next, we discuss the fourth type. If your Spleen deficiency is primarily due to Spleen and Stomach cold, we commonly see two situations:
The first situation is primarily cold, which we call cold evil invading the Stomach, mainly caused by a preference for cold foods leading to frequent stomach pain and abdominal distension. We can refer to Liangfu Wan (Ginger and Atractylodes Pill), which is suitable for Spleen and Stomach cold with a focus on cold symptoms.
If you have Spleen and Stomach cold with a focus on deficiency, showing signs of Yang deficiency, such as feeling particularly cold in the abdomen, experiencing stomach pain after eating cold foods, and having diarrhea after consuming cold items, preferring hot drinks and unable to tolerate cold foods, you can refer to Fuzheng Li Zhong Wan (Aconite and Ginseng Decoction), which has excellent warming effects on the Middle and tonifies the Spleen, suitable for Spleen and Stomach cold with a focus on deficiency.
Next, we discuss the fifth type. If your Spleen deficiency is primarily due to Qi and Blood deficiency, for example, if you often have a pale complexion, feel fatigued, and frequently have poor sleep or vivid dreams, this is commonly seen as a deficiency of both the Heart and Spleen. Spleen deficiency and insufficient Qi and Blood cannot nourish the spirit, leading to this situation. We can consider Gui Pi Wan (Restore the Spleen Pill), which tonifies Qi, strengthens the Spleen, nourishes Blood, and calms the spirit. Does this not perfectly match this situation?
Finally, we discuss the sixth type. If your Spleen deficiency is primarily due to poor digestion, for example, if you have particularly poor digestive function, and any greasy or hard-to-digest food causes bloating, even leading to bad breath, and your stools are particularly foul, with a thick tongue coating, this is commonly seen as Spleen deficiency leading to food stagnation. We can consider Baohe Wan (Preserve Harmony Pill), which resolves food stagnation.
These are some common situations of Spleen deficiency and their corresponding Chinese patent medicines. In summary, for Spleen Qi deficiency, the two most common situations are identified; for excess dampness, three common situations; for excessive phlegm, two common situations; for cold deficiency, two situations; for Qi and Blood deficiency, one situation; and for poor digestion, one situation. Have you learned it?
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