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.
How to recognize Dampness in the Spleen
The signs that point most strongly to this pattern:
- Heavy head, heavy limbs, a foggy feeling
- Bloating and fullness after meals
- Nausea, a sticky mouth, no appetite
- Loose, sticky stools
- 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.