What medication should be taken for spleen deficiency?

Aug 18, 2025 Source: Cainiu Health

Dr. Sun Lianqing

Introduction

Under normal circumstances, spleen deficiency is a common syndrome in traditional Chinese medicine (TCM), often caused by irregular diet, excessive fatigue, or an imbalanced lifestyle. Common symptoms include loss of appetite, abdominal distension, and loose stools. Patients may take medications such as Ren Shen Jian Pi Wan (Ginseng Spleen-Strengthening Pills), Shen Ling Bai Zhu San (Powder of Codonopsis and Atractylodes), Xiang Sha Liu Jun Wan (Fruit and Rhizome Six Gentlemen Pills), Bu Zhong Yi Qi Wan (Spleen-Qi Tonifying Pills), or Fu Zi Li Zhong Wan (Processed Aconite Restoring the Middle Pills) according to medical advice. A detailed analysis is as follows:

Generally speaking, spleen deficiency is a common syndrome in traditional Chinese medicine (TCM), often caused by irregular diet, excessive fatigue, or insufficient rest. Common symptoms include poor appetite, abdominal distension, and loose stools. Patients may take medicines such as Ren Shen Jian Pi Wan (Ginseng Spleen-Strengthening Pills), Shen Ling Bai Zhu San, Xiang Sha Liu Jun Wan, Bu Zhong Yi Qi Wan, or Fu Zi Li Zhong Wan according to medical advice. Detailed analysis is as follows:

1. Ren Shen Jian Pi Wan (Ginseng Spleen-Strengthening Pills)

Composed of ginseng, white atractylodes, poria, and other medicinal materials, these pills have the effect of strengthening the spleen and replenishing qi, harmonizing the stomach, and stopping diarrhea. They can improve symptoms caused by spleen weakness, such as indigestion, nausea, vomiting, abdominal pain, and loose stools. They are suitable for spleen deficiency accompanied by food stagnation.

2. Shen Ling Bai Zhu San

Containing ginseng, poria, white atractylodes, and other ingredients, this formula can strengthen the spleen and stomach and benefit lung qi. It works well for regulating symptoms caused by spleen deficiency, such as reduced appetite, loose stools, shortness of breath, coughing, and limb fatigue. It is especially suitable for individuals with spleen deficiency accompanied by qi deficiency.

3. Xiang Sha Liu Jun Wan

Composed of saussurea root, cardamom, codonopsis, and other herbs, this formula has the function of invigorating qi, strengthening the spleen, and harmonizing the stomach. It can relieve symptoms caused by spleen deficiency with qi stagnation, such as indigestion, belching with poor appetite, epigastric and abdominal distension, and loose stools. It is suitable for spleen deficiency accompanied by qi stagnation.

4. Bu Zhong Yi Qi Wan

Containing astragalus, codonopsis, white atractylodes, and other ingredients, these pills have the effect of replenishing middle-jiao qi, uplifting the yang, and lifting the sinking. They can be used to treat symptoms caused by spleen deficiency with qi sinking, such as fatigue, poor appetite with abdominal distension, chronic loose stools or diarrhea, and anal heaviness.

5. Fu Zi Li Zhong Wan

Composed of aconite, dried ginger, codonopsis, and other ingredients, these pills have the effect of warming the middle-jiao and strengthening the spleen. They are suitable for symptoms caused by cold deficiency of the spleen and stomach, such as cold abdominal pain, vomiting, diarrhea, and cold extremities. They are particularly suitable for spleen deficiency with cold patterns.

In daily life, it is important to develop good habits and avoid eating raw, cold, or greasy foods, such as ice-cold beverages and fatty meats, to prevent additional strain on the spleen and stomach and promote recovery.

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