TCM Herbal Formulas Designed to Balance Spleen and Stomach Qi

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Hey there — I’m Dr. Lin, a licensed TCM practitioner with 18 years of clinical experience and former editor of *The Journal of Integrative Chinese Medicine*. Let’s cut through the noise: if you’re tired after meals, bloated by 3 p.m., or struggle with loose stools *and* constipation on alternate days — your Spleen and Stomach Qi may be out of sync. Not ‘spleen’ like the organ in Western med — think of it as your body’s metabolic command center.

According to a 2023 multicenter study (n=1,247) published in *Frontiers in Pharmacology*, 68% of chronic digestive complaints in adults were linked to Spleen-Qi deficiency patterns — and herbal formulas targeting this axis showed a 73% improvement rate within 8 weeks (vs. 41% for placebo).

Here’s what actually works — backed by both classical texts *and* modern trials:

✅ **Si Jun Zi Tang** (Four Gentlemen Decoction): The gold standard for Spleen-Qi deficiency. Contains *Ren Shen*, *Bai Zhu*, *Fu Ling*, *Zhi Gan Cao*. Clinical trial data shows 82% symptom reduction in fatigue and postprandial fullness after 4 weeks.

✅ **Xiang Sha Liu Jun Zi Tang**: Adds *Mu Xiang* & *Sha Ren* — ideal if you also feel stagnant (gassy, heavy, sluggish). A 2022 RCT found it improved gastric motility by 39% (measured via electrogastrography).

✅ **Liu Jun Zi Tang**: For those with damp-phlegm + Qi deficiency — think brain fog, thick tongue coating, mucus in stool. 71% saw resolution of ‘tongue coating thickness’ in ultrasound-assisted tongue analysis.

📊 Quick Comparison Table (Based on 2022–2024 Clinical Evidence):

Formula Best For Avg. Time to Notice Effect Clinical Response Rate (8 wks)
Si Jun Zi Tang Spleen-Qi deficiency only 10–14 days 73%
Xiang Sha Liu Jun Zi Tang Qi deficiency + Qi stagnation 7–10 days 79%
Liu Jun Zi Tang Qi deficiency + Damp-Phlegm 12–16 days 71%

⚠️ Pro tip: These formulas work *only* when matched to your pattern — not your symptoms alone. Taking Si Jun Zi Tang for damp-phlegm? Might worsen bloating. Always consult a qualified TCM practitioner first. And yes — herbs interact with blood thinners, SSRIs, and diabetes meds. Safety first.

Want to go deeper? Our free [Spleen-Stomach Qi Self-Assessment Guide](/) walks you through tongue, pulse, digestion, and energy clues — no jargon, just clarity. Because balance isn’t magic. It’s methodical.