What are the symptoms of obesity in individuals with a spleen-deficiency constitution?

Nov 10, 2025 Source: Cainiu Health
Dr. Sun Lianqing
Introduction
Symptoms of obesity due to a spleen-deficiency constitution include bodily heaviness and fatigue, abdominal fullness and softness, sticky and poorly-formed stools, poor appetite or frequent hunger, and a sallow, lusterless complexion. These are often related to impaired spleen and stomach function and internal accumulation of phlegm-dampness. If symptoms persist and affect daily life, prompt medical consultation is recommended. 1. Bodily heaviness and fatigue: Weak spleen and stomach function leads to internal retention of dampness.

Obesity associated with a spleen-deficiency constitution is characterized by symptoms such as bodily heaviness and fatigue, abdominal fullness and softness, sticky and poorly formed stools, poor appetite or frequent hunger, sallow and dull complexion, among others. These symptoms are often related to impaired spleen and stomach function and internal accumulation of phlegm-dampness. If symptoms persist and affect daily life, timely medical consultation is recommended.

1. Bodily heaviness and fatigue: Weak spleen and stomach function leads to poor fluid metabolism and internal retention of dampness, resulting in heavy limbs, reluctance to move, easy fatigue after activity, and difficulty recovering even after rest—typical manifestations of obesity due to spleen deficiency.

2. Abdominal fullness and softness: Accumulation of phlegm-dampness in the abdomen causes visible bloating and a soft texture upon palpation, without obvious hard masses. Bloating worsens after meals and may be accompanied by belching and increased flatulence.

3. Sticky and poorly formed stools: Spleen deficiency impairs water metabolism, leading to loose, sticky stools that adhere to the toilet bowl and are difficult to flush away. A sensation of incomplete evacuation is commonly experienced during bowel movements.

4. Poor appetite or frequent hunger: Weakened digestive function of the spleen and stomach results in poor digestion and absorption. Some individuals may experience reduced appetite and feel full quickly after eating small amounts; others, due to impaired transformation and transportation, fail to absorb sufficient energy and thus feel hungry easily, yet develop bloating after eating.

5. Sallow and lusterless complexion: Deficient spleen function fails to properly transform food and fluids into essential nutrients needed to nourish the face, resulting in a yellowish, dull complexion. This may be accompanied by pale lips, low energy, and overall poor vitality.

In daily life, it is advisable to consume spleen-strengthening and dampness-resolving foods such as Chinese yam and coix seed, while avoiding raw, cold, greasy, and rich foods. Engaging in mild physical activities like walking or tai chi can promote blood and qi circulation. Maintaining regular sleep patterns and avoiding late nights is also important to prevent further impairment of spleen and stomach function.