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Home > Education > Zang Fu > Spleen Qi Deficiency

Spleen Qi Xu - (deficiency)

From "Zang Fu Syndromes," by McDonald and Penner


Irregular eating patterns injure SP Qi.

Excessive mental strain (too much thinking) injures SP.

Protracted chronic disease damages SP Qi.

Clinical Manifestations
Sallow complexion Abdominal and epigastric distention after eating
Fatigue Maybe acid regurgitation or vomiting
Anorexia Loose stools
Four limbs feel tired and heavy Shortness of breath

T: Pale and flabby - may have teethmarks
C: White
P: Even, forceless and Xu


There are a number of possible variations of SP Qi Xu which are sometimes described as separate conditions:

  • SP Not Governing Blood; (Xu type bleeding).
  • Central Qi (or SP Qi) Sinking; (Prolapse).
  • SP Xu Edema; (Edema due to SP Qi or SP Yang Xu).

SP Yang Xu is a more severe form of SP Qi Xu in which the Xu signs and symptoms are more pronounced and there are additional Cold signs and symptoms. (Yang Xu is a Xu Cold condition).

SP Qi Xu can lead to Dampness Accumulating and hence can give rise to Dampness or Phlegm anywhere in the body.

SP Qi Xu can lead to LU Qi Xu, creating a condition called SP Qi Xu and LU Qi Xu.

SP Qi Xu can lead to HT Blood Xu, creating a condition called SP Qi and HT Blood Xu.

SP Qi Xu can occur combined with ST Qi Xu, in which case it is called Central or Middle Qi Xu / Zhong Qi Xu, or Central Qi Insufficient / Zhong Qi Bu Zu.

Associated Western Conditions
Gastric or duodenal ulcer Chronic dysentery
Nervous dyspepsia Chronic hepatitis
Gastric neurosis Intestinal tuberculosis
Chronic gastritis Anemia
Chronic enteritis  
Differential Diagnosis

SP Qi Xu may be differentiated from SP Yang Xu by the presence of additional Cold signs and symptoms in SP Yang Xu such as: cold limbs, feeling chilled, abdominal pain which is relieved by warmth and a slow pulse.

Treatment Principle

Strengthen SP and Benefit Qi.

Common Acupuncture Points

To Strengthen Spleen:

UB-20 / Pishu Back-Shu point for SP.

LIV-13 / Zhangmen Front-Mu point for SP.

SP-3 / Taibai Yuan-Source point of the SP channel.

ST-36 / Zusanli Strengthens SP's transforming and transporting functions.

REN-12 / Zhongwan Reinforces SP.

SP-6 / Sanyinjiao Strengthens SP.

SP-5 / Shangqiu Strengthens SP.

Common Herbal Formulae

Si Jun Zi Tang / Four Gentlemen Decoction

Xiang Sha Liu Jun Zi Tang / Saussurea, Cardamon and the Six Gentlemen Decoction

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