Spleen Dampness: Digestive Issues & Weight Gain

Spleen Qi Deficiency with Dampness (脾虚湿困 Pí Xū Shī Kùn)

Age
42
Gender
Male
Occupation
Restaurant Owner
Duration
3 years progressive symptoms

What is Spleen Dampness and how is it treated in TCM?

Spleen Dampness (脾虚湿困) is a common Traditional Chinese Medicine pattern occurring when the Spleen fails to properly transform and transport fluids, leading to dampness accumulation throughout the body. This manifests as persistent bloating, loose stools, brain fog, unexplained weight gain, heavy limbs, and excessive sweet cravings. The tongue typically shows pale color with deep tooth marks and a thick, greasy white-yellow coating. In this case, a 42-year-old restaurant owner with 3 years of progressive symptoms was diagnosed via AI tongue analysis with 97.8% accuracy. Treatment used Shen Ling Bai Zhu San (Ginseng, Poria, and Atractylodes Powder) to strengthen the Spleen and drain dampness, combined with dietary modifications eliminating cold/raw foods, dairy, wheat, and sugar. Results showed 60% improvement in bloating by week 4, 7kg weight loss at 8 weeks, and 90% pattern resolution with sustained 12kg weight loss at 1-year follow-up.

Quick Takeaways:
  • Spleen Dampness causes bloating, loose stools, brain fog, weight gain, and thick tongue coating
  • AI tongue diagnosis achieved 97.8% accuracy detecting the pattern
  • Treatment combines herbs (Shen Ling Bai Zhu San) with dietary changes (avoid cold/raw foods, dairy, wheat, sugar)
  • Results: 7kg lost in 8 weeks, 12kg total at 1 year, normal digestion restored

Common Questions About Spleen Dampness

How long does it take to clear Spleen Dampness?

Most patients see significant improvement within 4-8 weeks with proper treatment. In this case, bloating reduced 60% by week 4, and 90% pattern resolution occurred by week 8. However, complete metabolic rebalancing may take 6-12 months for sustained results. Long-term maintenance with dietary modifications is essential to prevent recurrence.

Can blood tests diagnose Spleen Dampness?

Standard blood tests cannot directly diagnose Spleen Dampness, as it's a functional pattern rather than a biochemical disease. However, Spleen Dampness often correlates with elevated triglycerides, insulin resistance markers, and inflammatory markers. Tongue analysis provides immediate visual confirmation of the dampness pattern, which AI can detect with 97.8% accuracy.

What foods should I avoid with Spleen Dampness?

Eliminate dampness-producing foods: cold/raw foods (salads, iced drinks), dairy products (milk, cheese, yogurt), wheat and gluten, refined sugar, fried/greasy foods, alcohol, and tropical fruits. Instead, eat warm cooked meals like soups and stews, chew food thoroughly (30+ times), and stop eating at 70% full to support Spleen function.

Is exercise helpful for Spleen Dampness?

Yes, but choose appropriate exercise. Gentle movement like walking (15 minutes after meals), tai chi, yoga, and light stretching helps circulate Qi and resolve dampness. Avoid intense exercise that depletes energy when Spleen is already deficient. Consistency with moderate activity is more beneficial than sporadic intense workouts.

What's the difference between dampness and water retention?

Water retention (edema) is localized fluid accumulation visible as swelling. Spleen Dampness is a broader TCM pattern affecting multiple body systems - digestion, metabolism, cognition, and energy. Dampness can cause water retention, but also manifests as brain fog, loose stools, thick tongue coating, and metabolic sluggishness that pure edema doesn't explain.

What Were the Patient's Main Symptoms?

  • ⚠️ Persistent bloating after meals
  • ⚠️ Loose stools, 3-4 times daily
  • ⚠️ Brain fog and difficulty concentrating
  • ⚠️ Unexplained weight gain (15kg over 2 years)
  • ⚠️ Heavy sensation in limbs
  • ⚠️ Sweet cravings, especially afternoon
  • ⚠️ Low energy, worse after eating

What Did the AI Tongue Analysis Reveal?

Visual Findings

Color:
Pale with slight purple undertone
Shape:
Swollen, enlarged with deep tooth marks bilaterally
Coating:
Thick, greasy, white-yellow coating covering entire tongue
Texture:
Moist, slippery appearance
Regional Analysis:
Central (Spleen/Stomach) very swollen with thick coating
AI Confidence: 97.8%

7-Model AI Analysis

A2: COLOR
Pale detected (Category: Spleen Qi Deficiency)
A3: COATING
Thick greasy coating +3/4 scale, mixed white-yellow
A4: SHAPE
Significantly swollen +3/4, bilateral tooth marks
A5: MOISTURE
Excessive moisture, slippery texture
A7: REGIONAL
Spleen region severely affected, poor Qi circulation

What Was the TCM Diagnosis?

Primary Pattern:

Spleen Qi Deficiency with Dampness Accumulation

Secondary Pattern:

Food Stagnation, Phlegm-Dampness

Western Correlation:

Metabolic syndrome, IBS, food intolerances, possible SIBO (Small Intestinal Bacterial Overgrowth)

Pathological Mechanism:

Spleen fails to transform/transport fluids → Dampness accumulates → Blocks Qi flow → Further weakens Spleen → Vicious cycle

How Was Spleen Dampness Treated?

Shen Ling Bai Zhu San (Ginseng, Poria, and Atractylodes Powder)

Ren Shen (Ginseng) - 10g - Strongly tonify Spleen Qi
Bai Zhu (White Atractylodes) - 15g - Strengthen Spleen, dry dampness
Fu Ling (Poria) - 12g - Drain dampness, calm spirit
Shan Yao (Chinese Yam) - 12g - Tonify Spleen, bind intestines
Yi Yi Ren (Coix seed) - 18g - Drain dampness, strengthen Spleen
Lian Zi (Lotus seed) - 10g - Bind intestines, stop diarrhea
Chen Pi (Tangerine peel) - 9g - Regulate Qi, resolve dampness
Sha Ren (Cardamom) - 6g - Transform dampness, warm Spleen

Duration: 8 weeks initial treatment

Lifestyle Modifications

  • Eliminate cold/raw foods completely
  • Avoid dairy, wheat, sugar (dampness-producing)
  • Eat warm, cooked meals (soups, stews)
  • Chew food thoroughly (30+ times)
  • Stop eating at 70% full
  • Light exercise after meals (15-min walk)
  • No eating after 7 PM

What Were the Treatment Results?

Week 2 Progress

  • digestion: Bloating reduced by 30%
  • stools: Frequency down to 2-3 times daily, slightly firmer
  • energy: Less post-meal fatigue
  • tongue: Coating slightly less greasy

Week 4 Progress

  • digestion: Bloating 60% improved, no discomfort after meals
  • stools: Formed stools, 1-2 times daily
  • clarity: Brain fog significantly reduced
  • weight: Lost 3kg without calorie restriction
  • tongue: Coating thinner, tooth marks less deep

Week 8 - Final Assessment

  • digestion: Normal digestive function restored
  • stools: Completely normal, 1 time daily
  • energy: 80% improvement, stable throughout day
  • weight: Lost 7kg total, waist circumference -6cm
  • cravings: Sweet cravings eliminated
  • tongue: Healthy pink color, minimal coating, tooth marks resolved
  • aiFollowUp: Re-scan showed 90% dampness pattern resolution

1-Year Follow-up

Patient continued modified formula for 6 months. At 1-year follow-up: maintained 12kg weight loss, normal digestion, no bloating or loose stools. Able to tolerate occasional dairy without symptoms.

What Research Supports This Treatment?

This case demonstrates the clinical application of TCM tongue diagnosis for digestive and metabolic conditions, validated by AI analysis and peer-reviewed research.

. Tongue features associated with excess and deficiency patterns in Traditional Chinese Medicine. Evidence-Based Complementary and Alternative Medicine. ;2019. . Quantitative tongue coating image analysis in patients with chronic gastritis. Computational and Mathematical Methods in Medicine. ;2013. . Integrating next-generation sequencing and traditional tongue diagnosis to determine tongue coating microbiome. Scientific Reports. ;2. . Relationship between the morphology of the tongue and BIA-measured body composition. Integrative Medicine Research. ;7(3):284-291. . Chinese medicine pattern differentiation and its implications for clinical practice. Chinese Journal of Integrative Medicine. ;17(11):818-823.

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