Spleen Qi Sinking

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Pattern factsheet

Chinese name: 脾气下陷

Pinyin name: Pí Qì Xià Xiàn

Associated TCM concepts: Spleen Qi Qi Collapsing or Qi Sinking


Common symptoms: Obesity Tiredness Lassitude Pale face Weak Limbs and twelve other symptoms

Pulse type(s): Weak (Ruo)

Tongue color: Pale

The causes of Spleen Qi Sinking is quite similar to the ones of Spleen Qi Deficiency, which are unbalanced diet, unhealthy eating habits, emotional stress or Damp environment. Other than these, people who have to stand up for long hours every day have a tendency to contract this pattern. 

When the Spleen Qi sinks, it fails to raise Qi so that it can not hold the Organs in their original places in Lower and Middle Burners. Therefore some Organs prolapse such as the Uterus, the Anus, the Bladder or the Stomach. Also, patients often complain about frequent and urgent urination as well as Heavy Menstruation. This occurs more obviously if this pattern is paired with Kidney Qi sinking. 

The treatment principle is to tonify Spleen Qi and raise Qi.

Diagnosing Spleen Qi Sinking

The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine

Diagnosing a pattern in Chinese Medicine is no easy feat and should be left to professional practitioners.

In particular one has to know how to differentiate between different types of pulses and tongue coatings, shapes and colors. Here patients with Spleen Qi Sinking will tend to exhibit weak (Ruo) pulses as well as a pale tongue.

Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Spleen Qi Sinking might experience symptoms like feeling of bearing down, poor appetite, tiredness and lassitude (full list here above).

Herbal formulas used to treat Spleen Qi Sinking

Bu Zhong Yi Qi Tang

Source date: 1247

Number of ingredients: 10 herbs

Key actions: Tonifies Qi of the Spleen and Stomach (Middle Burner). Raises the Yang. Detoxifies. Lifts what has sunken.

Formula summary

Bu Zhong Yi Qi Tang is a 10-ingredient Chinese Medicine formula with Milkvetch Roots (Huang Qi) as a principal ingredient. Invented in 1247, it belongs to the category of formulas that tonify Qi.

Besides Spleen Qi Sinking, Bu Zhong Yi Qi Tang is also used to treat Qi Deficiency or Qi Collapsing or Qi Sinking.

Read more about Bu Zhong Yi Qi Tang

Diet recommendations

Eat only cooked foods, including rice, millet, meat (especially red beef), winter squash, adzuki beans, vegetables, greens, congee and warm drinks such as warm milk with ginger, cinnamon or cardamom and honey.

Avoid cold, raw vegetables and fruits, juices, iced drinks, ice cream and frozen yogurt, salads, uncooked foods and the excessive use of sugar and other sweeteners.

Most important herbs used to treat Spleen Qi Sinking