
How to manage qi deficiency and spleen/stomach weakness in breastfeeding mothers?
I am currently in the lactation period and feel that I have sinking middle Qi and a weak spleen and stomach. How should I manage and improve this condition?

Postpartum mothers often experience significant consumption of vital energy and blood during the birthing process, and the physical burden is further increased by the need for breastfeeding after delivery. This can easily lead to symptoms of sinking middle qi and spleen-stomach weakness. Sinking middle qi may manifest as shortness of breath, fatigue, and internal organ prolapse, while spleen-stomach weakness may result in poor appetite, indigestion, and loose stools.
It is recommended to ensure adequate sleep and avoid excessive fatigue and strenuous physical activity. Diet-wise, it is beneficial to consume foods that strengthen the spleen, improve digestion, replenish qi, and nourish the blood, such as yam, coix seed, red dates, longan, chicken, and fish. Cold, greasy, spicy, and irritating foods should be avoided to prevent additional strain on the digestive system.
Gentle exercises such as walking and yoga can be practiced appropriately to help promote circulation of qi and blood and enhance gastrointestinal motility. Regarding medication, because the mother is breastfeeding, drug use should be approached with caution. It is advisable to seek guidance from a physician when selecting relatively safe herbal remedies, such as Bu Zhong Yi Qi Tang (a classical herbal formula for reinforcing the middle jiao and invigorating qi).
In addition, maintaining a cheerful mood and avoiding significant emotional fluctuations are important, as negative emotions can also impair spleen and stomach function. If symptoms are severe and interfere with daily life or breastfeeding, prompt medical attention should be sought.