TCM pattern

Spleen 脾

The Spleen governs transformation and transport — turning food and drink into usable energy, and moving what has been transformed.

Pinyin: Pi · Five Element: Earth · updated

The Spleen is the organ of transformation. Its function is to take what arrives as food and drink, separate the useful part from what is not, and send the useful part onward to where it is needed. Everything else in the system depends on that step succeeding.

This is why so many other patterns eventually arrive at the Spleen. Poor transformation creates dampness; insufficient lifting creates heaviness; a Spleen unable to hold leads to bruising. In the classical hierarchy the Spleen is paired with the Stomach, and the two are treated as one system — the Stomach receives and the Spleen transforms.

Its element is Earth, and its season is late summer. Practically, supporting the Spleen means regular meals eaten warm and unhurried, avoiding overeating, and keeping digestion moving with modest daily activity. The heavy, sweet, greasy end of the diet is what pushes it closest to overload.

Signs that suggest this pattern

No single sign establishes a pattern — Chinese medicine reads combinations, not isolated symptoms. If several of these are familiar and have been for a while, it is worth running the Zang-Fu Organ Check to see what the combination scores.

  • A weak or variable appetite
  • Loose stools, or stools that feel unfinished
  • Heaviness after meals, or mental fog after eating
  • Yellowish or puffy skin, and puffy eyelids
  • Bruising easily
  • Chronic damp or heavy, tired legs

Acupoints used for this pattern (1)

Every point below opens the full library entry, including location, technique, frequency and the cautions attached to it.

Foods listed against this pattern (13)

Nature and flavour are the traditional classification. Read the avoid note before changing anything you eat regularly.

Jujube (red date)

Builds blood and Qi gently. A base ingredient in almost every tonic tea.

Warm · Sweet

Chinese yam

Supports digestion and lung function without being cloying. The safest tonic food for most people.

Neutral · Sweet

Coix seed (pearl barley)

The classic food for draining dampness: heaviness, puffiness and loose stools. Sold as pearl barley in most shops.

Cool · Sweet, bland

Aged citrus peel

Moves Qi, dries dampness and helps phlegm clear. The standard partner to rich or heavy meals.

Warm · Pungent, bitter

Astragalus

Builds Qi and supports defensive energy. Traditionally used for fatigue, a weak voice and catching everything going around.

Warm · Sweet

Pumpkin

Steadies digestion and builds Qi gently. A good staple for a weak or unsettled middle.

Warm · Sweet

Millet

Harmonises the middle and settles the stomach. The traditional congee grain for recovery and a poor appetite.

Cool · Sweet, salty

Finger citron (Buddha's hand)

Moves Liver Qi and harmonises the stomach. Used for a tight chest, sighing and bloating when stressed.

Warm · Pungent, bitter

Beef

Builds Qi and blood steadily. A warming staple for fatigue and a pale complexion.

Warm · Sweet

Oats

Steadies the middle and supports digestion gently. A reliable warm breakfast grain.

Neutral · Sweet

Longan

Nourishes blood and settles the Heart. Used for restless sleep, palpitations and poor memory.

Warm · Sweet

Sweet potato

Builds Qi and steadies the middle. A good grounding staple for the cold months.

Neutral · Sweet

Lotus seed

Steadies the middle and settles the mind. Used for loose stools, restless sleep and a weak appetite.

Neutral · Sweet, astringent

Tea formulas listed against this pattern (3)

These are traditional reference formulas. Doses shown are traditional reference amounts, not a prescription — check with a qualified practitioner, especially if you are pregnant, on medication, or managing a condition.

Which assessment identifies this pattern

Patterns that often appear alongside this one

Related vocabulary

Search terms this page covers: spleen tcm, spleen meridian, digestion tcm, spleen qi, stomach spleen.

This page is wellness education within a traditional framework, not a medical diagnosis. Pattern differentiation in Chinese medicine is not a biomedical diagnostic category and nothing here establishes that you have any condition. Do not use it to decide whether to start, stop or change any treatment. See our disclaimer and editorial policy.