Deficiency of the spleen qi

Clinical manifestations : Sallow complexion, emaciation, lassitude, dislike of speaking, reduced appetite, abdominal distension, loose stools ; or a bearing - down sensation in the abdominal region, viscera ptosis, prolapse of the anus ; a pale tongue with a thin, white coating and a slowing - down, weak or soft, thready pulse.

Etiology and pathology : The syndrome is due to weakness after a prolonged illness, to overstrain and stress or to improper diet, all of which damage the spleen qi. Weakness of the spleen qi implies hypofunction in transportation and transformation, which gives rise to reduced appetite, abdominal distension and loose stools. Dysfunction of the spleen in transportation and transformation produces an insufficient source of qi and blood, the result being sallow complexion, emaciation, lassitude and dislike of speaking. Weakness after a prolonged illness binders the spleen qi in ascending, and instead it sinks, resulting in bearing - down sensation in the abdominal region and possible prolapse of the uterus, prolapse of the anus, gastroptosis or renal ptosis. A pale tongue with thin, white coating, and a slowing - down, weak pulse or a soft thready pulse are all signs of deficiency of qi.