TCM pattern · Dampness and phlegm

Dampness in the Spleen

脾虚湿盛 Pi Xu Shi Sheng Spleen system

A weak Spleen has let dampness pile up. Everything is heavy and sticky: a heavy head and limbs, a full bloated stomach, nausea, no appetite, loose sticky stools, puffy ankles, and a thick greasy white coat on the tongue. The tiredness of being waterlogged.

A sponge that cannot wring itself out. The body is damp the way a basement is damp: nothing is wet exactly, but everything is heavy, slow, and a little foul.

4 formulas Updated 2026-10-12 View API data

How to recognize Dampness in the Spleen

The signs that point most strongly to this pattern:

  1. Heavy head, heavy limbs, a foggy feeling
  2. Bloating and fullness after meals
  3. Nausea, a sticky mouth, no appetite
  4. Loose, sticky stools
  5. A thick greasy white tongue coat

Also common

  • Puffy ankles or face
  • Soft weight gain
  • Worse in damp weather
  • Thin discharge
  • No thirst
Tongue
Pale and swollen with a thick white greasy coat.
Pulse
Soft and slippery.

Formulas for Dampness in the Spleen

Herbs that matter most for Dampness in the Spleen

  • Cang Zhu Rhizome of Swordlike Atractylodes Grey atractylodes dries damp and wakes the Spleen.
  • Bai Zhu Rhizome of Largehead Atractylodes White atractylodes strengthens the Spleen and dries damp.
  • Fu Ling Poria Poria drains damp through the urine.
  • Yi Yi Ren Job's Tears Seed Job's tears leach damp and firm the stool.
  • Chen Pi Dried Tangerine Peel Tangerine peel moves qi and dries damp.
  • Sha Ren Villous Amomum Fruit Amomum wakes the Spleen and stops bloating.
  • Huo Xiang Wrinkled Gianthyssop Herb Patchouli clears damp and settles nausea.

How Dampness in the Spleen differs from its look-alikes

  • Spleen Qi Deficiency Plain qi deficiency is tired and loose-stooled with a thin coat. Dampness adds the heaviness, nausea, and thick greasy coat.
  • Phlegm Damp When the damp thickens into phlegm, it shows in the chest and head: a wet cough, dizziness, a lump in the chest. Dampness stays in the gut and limbs.

What drains into Dampness in the Spleen

  • Sweet, greasy, dairy-heavy, and raw food
  • Iced drinks
  • Damp living conditions
  • Sitting all day
  • Spleen qi deficiency that let the damp settle

Food and habits that help Dampness in the Spleen

  • Cut sugar, dairy, greasy food, and iced drinks. They are the damp.
  • Warm, dry, cooked food: rice, barley, Job's tears, ginger, cardamom.
  • Move every day; damp settles in a body that sits.
  • Dry out the house if it is damp.
  • Stop eating when seventy percent full.

What should change as Dampness in the Spleen improves

  • The heavy head and bloating ease within one to two weeks.
  • The thick greasy coat thins; that is the gauge.
  • Stools firm and the puffiness drains over a month.

Conditions where Dampness in the Spleen shows up

Sources

  • Maciocia, The Foundations of Chinese Medicine, 3rd edition Spleen deficiency with dampness.
  • Bensky, Scheid, Ellis and Barolet, Chinese Herbal Medicine: Formulas and Strategies, 2nd edition Ping Wei San, Shen Ling Bai Zhu San.

Important Note

A pattern is a picture, not a diagnosis. Most people carry two patterns at once, and the signs here are the classic ones, not a checklist. Use this page to recognize yourself, read a formula label with understanding, and ask a qualified practitioner a sharper question.