Are dark circles or puffiness under the eyes due to kidney deficiency or spleen deficiency?

Many women suffer from pronounced under-eye bags that persist despite adequate rest. Cosmetics such as eyeshadow often fail to fully and effectively conceal these bags, negatively affecting facial appearance and frequently causing distress. So, are under-eye bags caused by kidney deficiency or spleen deficiency?

Are Under-Eye Bags Due to Kidney Deficiency or Spleen Deficiency?

Under-eye bags are commonly attributed to either spleen deficiency or kidney deficiency. Since they primarily result from excessive fluid retention in the body, both spleen and kidney deficiencies can disrupt normal water metabolism, leading to fluid accumulation. When the periorbital tissues become lax and fluid accumulates, the skin tends to sag—forming visible bags. If the underlying cause is spleen deficiency, treatment options may include herbal formulas such as Shen Ling Bai Zhu Wan (Ginseng and Polyporus Powder), Jian Pi Qu Shi Ke Li (Spleen-Strengthening and Dampness-Resolving Granules), Bu Zhong Yi Qi Wan (Tonify the Spleen and Augment the Qi Pills), Jian Pi Wan (Spleen-Strengthening Pills), Gui Pi Wan (Restore the Spleen Pills), Xiang Sha Liu Jun Zi Wan (Costus Root and Amomum Six Gentlemen Pills), Xiang Sha Yang Wei Wan (Costus Root and Amomum Stomach-Nourishing Pills), or Fu Zi Li Zhong Wan (Aconite and Rhizoma Coptidis Warm-the-Middle Pills). If kidney deficiency is the root cause, appropriate remedies include Jin Kui Shen Qi Wan (Golden Cabinet Kidney Qi Pills), Gui Fu Di Huang Wan (Cinnamon Twig and Prepared Rehmannia Pills), Shen Bao Pian (Kidney Tonic Tablets), or You Gui Wan (Rightly Return Pills).

Avoid prolonged screen time on computers, smartphones, and other electronic devices, as the blue light emitted can impair circulation around the eyes, contributing to visual fatigue and under-eye bag formation. Additionally, a habitual preference for cold, raw, or spicy foods may, over time, lead to internal accumulation of cold-dampness—a pattern often manifested as under-eye bags. On top of correcting these unhealthy habits, daily warm compresses and gentle massage around the eyes can help improve local circulation and facilitate absorption of accumulated fluid.

In daily life, maintain a light, balanced diet—avoiding excessively cold or greasy foods—and engage in moderate outdoor physical activity. We hope this information proves helpful to you.