Which should be replenished first, spleen deficiency or qi deficiency?

Aug 08, 2025 Source: Cainiu Health

Dr. Sun Lianqing

Introduction

The spleen governs transformation and transportation, serving as the source for generating qi and blood. Spleen deficiency may lead to insufficient production of qi and blood,进而 causing qi deficiency. If the predominant symptoms are those of spleen deficiency, such as abdominal distension, poor appetite, and loose stools, it is advisable to first strengthen the spleen in order to promote the generation of qi and blood, thereby improving qi deficiency at its root; subsequent symptoms of qi deficiency will then lessen as spleen deficiency improves. However, if symptoms of qi deficiency are particularly prominent, such as extreme fatigue, shortness of breath, reluctance to speak, and excessive sweating, and spleen deficiency symptoms are relatively mild,

Generally, spleen deficiency and qi deficiency are closely related. In most cases, it is recommended to first strengthen the spleen while simultaneously addressing qi replenishment. If there are any concerns, it is advisable to seek medical consultation in advance. Detailed explanation is as follows:

The spleen governs transformation and transportation, serving as the source of blood and qi production. Spleen deficiency may lead to insufficient generation of blood and qi, subsequently causing qi deficiency. If symptoms such as abdominal distension, reduced appetite, and loose stools (indicative of spleen deficiency) are predominant, strengthening the spleen first can promote the production of blood and qi, thereby improving qi deficiency at its root. Consequently, symptoms of qi deficiency will gradually alleviate as spleen function improves.

If symptoms of qi deficiency are particularly evident, such as extreme fatigue, shortness of breath, reluctance to speak, and excessive sweating, and spleen deficiency symptoms are relatively mild, qi-replenishing measures can be combined along with spleen-strengthening treatment. This synergistic approach helps avoid impaired transformation and transportation that may result from qi replenishment alone.

Regulation should be tailored according to individual symptom severity to avoid blind supplementation. If symptoms are complex or fail to improve, professional guidance should be sought to develop a suitable treatment plan. Additionally, maintaining dietary regularity and avoiding overexertion are important.

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