TCM diagnosis: Liver Qi stagnation + Spleen Qi deficiency

On this page, you will learn:

• What this diagnosis means from the point of view of TCM and Western medicine
• Where your symptoms come from and how they are connected
• Which specific treatment methods can help you now
• How you can use TCM herbs, acupressure, Qi Gong and nutrition to get your liver Qi flowing again and strengthen your spleen at the same time

The good news: This combination of liver qi stagnation and spleen qi deficiency is very common in TCM practice and can be treated well with the right measures. You can restore your balance with targeted acupressure, Qi-moving exercises, a strengthening diet and proven TCM herbs.

Take your time, Get to know the different treatment approaches—you don't have to implement everything at once. Choose what feels right for you and what you can easily integrate into your everyday life.

In traditional Chinese medicine, the liver and spleen have a close, dynamic relationship with each other. The liver belongs to the element wood, the spleen to the element earth. According to the control cycle of the five elements, wood controls earth, which means that the liver regulates the spleen. As long as this relationship is harmonious, everything functions smoothly.

However, if the liver qi stagnates - i.e. can no longer flow freely - this control becomes too strong. The liver „overcomes“ the spleen, depresses it and weakens its Qi. In TCM, this is referred to as „Mù Kè Tǔ“ - wood overcomes earth. It is one of the most common combined patterns in TCM practice.

In TCM, the liver is responsible for the free flow of Qi throughout the body. When this flow stagnates - due to stress, suppressed emotions, frustration or an irregular lifestyle - the Qi accumulates. This congestion typically manifests itself through feelings of tension in the flanks, frequent sighing, irritability and a feeling as if something is stuck in the throat.

The spleen is the „center“ of the body - it transforms food into Qi and blood and transports the nutrients to where they are needed. If the spleen is weakened by the stagnant liver, it can no longer fulfill this task. The result: digestive problems, flatulence, soft stools, tiredness and a general feeling of heaviness.

The typical signs of this combination:

Signs of liver qi stagnation:

• Feeling of tension and pressure in the flanks and under the ribcage
• Irritability, frustration and mood swings
• Frequent sighing - the body's attempt to move the Qi
• Globe sensation in the throat - as if something is stuck
• Tension headaches, especially at the temples
• For women: PMS, breast tenderness before menstruation, irregular periods

Signs of spleen qi deficiency:

• Flatulence and bloating, especially after eating
• Soft or mushy stools, alternating with constipation
• Tiredness and lack of energy, especially after eating
• Loss of appetite or cravings for sweets
• Feeling of heaviness in the limbs
• Pale face, teeth marks on the tongue

The special thing about this pattern: The two syndromes reinforce each other. The more the liver qi stagnates, the weaker the spleen becomes. And the weaker the spleen, the less Qi is available to the body - which exacerbates the stagnation. Breaking this vicious circle is the key to successful treatment.

From a Western perspective, the combination of liver qi stagnation and spleen qi deficiency corresponds to a condition that modern medicine describes as a functional digestive disorder in connection with chronic stress. The connections between the psyche and digestion are now explained by the gut-brain axis.

Imagine that your digestive system has its own „brain“ - the enteric nervous system, also known as the „abdominal brain“. It contains more nerve cells than the spinal cord and communicates constantly with the brain via the vagus nerve. When you are under stress, the brain sends stress signals to the intestines, which disrupt digestion. This is exactly what TCM describes as „liver overcomes spleen“.

Chronic stress overactivates the sympathetic nervous system - the body is in „fight or flight“ mode. In this state, digestion is slowed down because the body needs its energy for other purposes. The result: reduced enzyme production, slowed peristalsis, impaired nutrient absorption - precisely the symptoms of spleen qi deficiency.

What does modern medicine show?

• Irritable bowel syndrome (IBS): One of the most common functional bowel disorders - strongly stress-related
• Functional dyspepsia: upper abdominal complaints without organic findings - „nervous stomach“
• Biliary dyskinesia: Disturbed bile flow due to stress - corresponds to liver Qi stagnation
• Cortisol dysregulation: Chronic stress disrupts digestive enzymes and intestinal motility
• Serotonin imbalance: 95% of serotonin is produced in the gut - stress disrupts this production
• Visceral hypersensitivity: increased sensitivity to pain in the abdomen during stress

Modern research confirms: The TCM diagnosis of „liver overcomes spleen“ correlates strongly with what science describes as a gut-brain axis disorder. Studies show that TCM formulations such as Xiāo Yáo Sǎn (Free Wanderer Powder) can improve gut-brain communication, lower cortisol levels and normalize digestive function.

This is exactly where TCM treatment comes in: It frees the stagnant liver Qi (lowers the stress level), strengthens the spleen (supports digestion) and restores harmonious communication between the liver and spleen - holistically, sustainably and gently.

Liver Qi stagnation with Spleen Qi deficiency is very treatable! TCM offers you a variety of effective methods to get your liver Qi flowing again and strengthen your center. You don't have to do everything at once - choose the methods that suit you and your everyday life.

Here you will find specific treatment approaches that have been proven effective in TCM for thousands of years and that you can largely apply yourself.

TCM herbs are the basis every classic TCM treatment. The carefully compiled mixtures have a synergistic effect — this means that the individual herbs reinforce each other's effects and balance out any possible side effects.

What modern medicine is only just discovering—the power of plant substances—has been used successfully by TCM for over 2,500 years.

Why BS+ for liver qi stagnation with spleen qi deficiency?

Liver qi stagnation with spleen qi deficiency causes a double problem: The stagnant liver qi attacks the already weakened spleen - and this is precisely what hits digestion particularly hard. The spleen can no longer transform food properly, while the stagnant liver causes flatulence, bloating and stool irregularities. In TCM, this pattern is called „wood overcomes earth“. The intestinal flora suffers from this double burden and becomes unbalanced.

BS+ delivers 11 prebiotic fibers and thus specifically supports the development of healthy intestinal flora. Well-nourished intestinal flora strengthens the transformative power of the spleen and at the same time relieves the entire digestive tract - so that the liver qi has less surface to attack and the center regains its strength.

Especially important for liver qi stagnation with spleen qi deficiency:

• Strengthens the weakened center and supports the spleen in the transformation of food
• Reduces flatulence and bloating caused by liver-spleen disharmony
• Promotes regular bowel movements and breaks the cycle of stagnation and weakness

Acupressure is acupuncture without needles. - you can apply them yourself at any time. In the case of liver qi stagnation with spleen qi deficiency, it is particularly important both to release the stagnated liver qi and to strengthen the weakened spleen.

These three points form a powerful combination for precisely this pattern: Le 03 is the key point of this diagnosis - It moves the stagnant liver qi and restores the flow of energy. MP 06 strengthens the spleen and nourishes the blood, while Ma 36 strengthens Qi and digestion. Together they bring the liver and spleen back into balance.

Qi Gong is moving meditation - Gentle, flowing exercises that harmonize your energy flow and release blockages. In the case of liver qi stagnation with spleen qi deficiency, these exercises have a double effect: they get the stagnated liver qi moving again and at the same time strengthen your center - so that the spleen regains its digestive and transformational power.

Regular practice of Qi Gong (as little as 10-15 minutes a day) has been shown to have positive effects on Qi flow, digestion and emotional balance - precisely the three areas most affected by this diagnosis.

These Qi Gong exercises are specially selected for the treatment of liver qi stagnation with spleen qi deficiency. The first exercise releases the stagnated Liver Qi, the second strengthens the Spleen as the center of your digestive power, and the third brings both organ systems into harmony.

The ideal exercise time is in the morning between 7 and 9 am (stomach time) or between 9 and 11 am (spleen time). This supports the digestive power and at the same time gets the liver Qi moving early in the day - before tension can build up. The exercises are also valuable in the evening to release the accumulated stress of the day and go into the night feeling relaxed.

Meridian Yoga combines yoga with traditional Chinese medicine. The result is a holistic exercise concept for better health and more energy.

The following exercises specifically activate the stomach meridian - the earth element. Liver Qi stagnation with spleen Qi deficiency weakens the spleen/stomach system because the stagnant liver attacks the earth. The Stomach meridian runs along the front of the body and is closely connected to the Spleen - by activating it you support the Spleen's ability to transform food and transport nutrients. In this way, you strengthen the center from the outside and help the earth element to withstand the encroachment of wood.

Both exercises activate the stomach meridian and thus strengthen the earth element, which is weakened by the stagnant liver in this diagnosis. The tree with acupressure grounds and strengthens the center, while the bow opens the entire front and allows the stomach meridian to flow freely.

Particularly effective: Combine these meridian yoga exercises with the Qi Gong exercise „Looking backwards“ (for the liver). This creates a complete treatment that addresses both aspects of the diagnosis - relaxing the liver and strengthening the center. Hold each position for 3-5 breaths, visualizing warm, golden energy flowing through your core and nourishing your digestive power.

„Let food be your medicine.“ - This principle has been valid in TCM for thousands of years. In the case of liver qi stagnation with simultaneous spleen qi deficiency, the right diet is particularly important - because you have to address two organs at the same time.

This diagnosis concerns the elements Wood (liver) and earth (spleen). Your diet has two objectives: The stagnant liver qi with Qi-moving foods flow again - and at the same time, the weakened spleen with warm, easily digestible and nourishing food strengthen. The trick is to combine the two.

What you eat, HOW you eat and WHEN you eat - all of this influences the harmony between your liver and spleen.

Start with ONE step!
Don't change everything at once.

Our suggestion for getting started:

1. Establish a hot breakfast (porridge with pumpkin) - 2 weeks
2. Integrate turmeric, fennel and ginger as spices into every meal - 2 weeks
3. Reduce alcohol, coffee, cold drinks and raw food - 2 weeks

Step by step, you will notice how your Qi flows again, your digestion becomes calmer and the tension subsides.

Your liver and spleen will thank you!

Breathing is the bridge between body and mind. In TCM, we say: „The lungs govern qi“ — through conscious breathing, you can directly influence your energy flow, harmonize all organ systems, and activate your self-healing powers.

Studies show: Proper breathing activates the parasympathetic nervous system (rest & regeneration), massages the internal organs from within, improves oxygen supply, and reduces stress hormones. The good news: Just 5–10 minutes a day can have a measurable effect on your overall well-being.

When your body is relaxed, all organ systems can function optimally. Chronic tension blocks your body's self-healing powers and keeps you in a state of constant stress. Through targeted relaxation techniques, you activate the parasympathetic nervous system and send your body the signal: „Now I can regenerate, heal, and build strength.“

Progressive muscle relaxation is one of the most researched relaxation methods and has been used successfully for over 100 years. It helps you to recognize tension, actively release it, and achieve a state of deep relaxation—whenever you want.

Meditation calms the mind — and a calm mind harmonizes the body. In TCM, we know that every emotion affects a specific organ. Through regular meditation, you learn to break out of destructive thought patterns, find emotional balance, and strengthen your inner core.

Modern studies confirm: Meditation has been proven to change brain structure, reduce stress hormones, strengthen the immune system, and improve self-healing powers. Just 10 minutes a day can change your life forever.

In addition to traditional TCM treatment methods there are many small everyday habits that can get your liver qi flowing again and strengthen your spleen. When the wood overcomes the earth - i.e. the liver weakens the spleen - relaxation, regularity and gentle exercise are needed above all to restore balance.

Reduce stress

Emotional congestion is poison for the liver qi:

• Do not accumulate frustration and anger - they block the flow of Qi
• Giving space to emotions - suppressed feelings increase stagnation
• Regularly „blow off steam“ - in a healthy form, not explosively
• Learning to set limits - excessive demands nourish liver qi stagnation
• Use relaxation techniques such as progressive muscle relaxation or meditation

Creative forms of expression

Creativity moves the liver qi:

• Painting, drawing or designing - creative expression releases inner blockages
• Writing - a diary or free writing helps to process emotions
• Making music or consciously listening to music - sounds move the Qi
• Dancing - combines creative expression with physical movement
• Singing - opens the chest area and allows the Qi to flow

Nature and fresh air

The wood element loves nature:

• Regular walks in the countryside - preferably every day
• Trees and plants nourish the wood element and soothe the liver
• Fresh air and space release the feeling of inner constriction
• Gardening combines exercise, nature and grounding

Breathing exercises

Conscious breathing moves the Qi:

• Use deep sighing consciously - it is a natural Qi mover
• Practice abdominal breathing - 5-10 minutes a day is enough
• Let go as you exhale - tension and stagnation are released
• Breathing exercises before going to bed help you fall asleep

Hot meals

The spleen loves warmth:

• Prefer cooked food - it is easier to digest
• Also eat breakfast warm (porridge, congee, warm soup)
• Raw food only as a side dish, not as a main meal
• Avoid cold drinks, even in summer
• Soups and stews are ideal for strengthening the spleen

Eat regularly

The spleen likes rhythm:

• 3 meals at fixed times
• Largest meal at lunchtime (when digestive power is at its strongest)
• Eat light and early in the evening (before 7 pm)
• Reduce snacks between meals - the spleen needs breaks
• Don't eat too late - the spleen needs rest at night

Avoid brooding

Worries weaken the spleen:

• Excessive thinking directly depletes the spleen energy
• Don't work or watch the news while eating
• Breaking through spirals of worry - through exercise or conscious distraction
• Meditation and mindfulness help to calm the mind
• Actively solve problems instead of endlessly brooding

The right movement

Moderate, rhythmic movement is ideal:

• Regular walks - preferably in nature
• Swimming - steady exercise without overexertion
• Cycling - rhythmic and beneficial for the Qi flow
• Dancing - releases emotional blockages and moves the liver qi
• Qi Gong and Tai Chi - gently move the Qi and strengthen the center

What you should avoid

Some habits reinforce stagnation:

• Prolonged sitting - blocks the flow of Qi throughout the body
• Excessively intense sport - exhausts the already weak spleen
• Exercise when you are angry or frustrated - boosts the liver qi
• Competitive sport to the point of exhaustion - further weakens the spleen qi
• Lack of movement - stagnant Qi needs movement to flow

Exercise after eating

A short walk aids digestion:

• 10-15 minutes of slow walking after eating
• Helps the spleen to transform food
• Do not lie down immediately after eating
• Light housework or gentle stretching is also good

Reduce alcohol

The liver suffers from alcohol:

• Alcohol generates heat and moisture - both of which put a strain on the liver
• Even small amounts can increase Qi stagnation
• Wine and beer in particular put additional strain on the spleen
• Best avoided altogether or limited to rare occasions

Enough sleep

The liver regenerates at night:

• Between 1 and 3 a.m. is liver time - you should sleep deeply then
• Go to bed before 11 p.m. - the blood returns to the liver and regenerates itself
• 7-8 hours of sleep are ideal
• Avoid working late or brooding in the evening
• A quiet evening ritual helps you let go of the day

Reduce eye strain

The liver opens into the eyes:

• Prolonged screen work depletes the liver blood and increases stagnation
• Take an eye break every 30-45 minutes - look into the distance
• Eye exercises: Circle your eyes, blink consciously
• Reduce screen time in the evening - also for better sleep

Nourish the wood element

Greenery and nature strengthen the liver:

• The color green nourishes the wood element - surround yourself with green plants
• Eat green vegetables - broccoli, spinach, chard, herbs
• Spending time in nature - forests and parks have a particularly healing effect
• In spring - the season of the wood element - pay particular attention to the liver

Harmonizing the liver and spleen takes time and patience. The two organs influence each other - when the liver qi flows freely again, the spleen also recovers and a strong center gives the liver the support it needs. Pay attention to your body's signals: irritability, bloating and tiredness show that you need more relaxation and regular meals. With consistent care, you will notice how your digestion stabilizes and your mood becomes more balanced.

When to see a doctor? If you have persistent severe abdominal pain, unwanted weight loss, permanent loss of appetite, bloody stools or depressive moods, you should definitely consult a doctor. TCM and Western medicine complement each other perfectly here - a conventional medical examination provides certainty, and TCM methods support your recovery in a natural way.

TCM is not a quick fix for symptoms., but rather a holistic healing process. You will achieve the best results if you consistently integrate the treatment into your daily routine and give your body time to regenerate.

Start with ONE step

Don't try to change everything at once! That's overwhelming and leads to
usually leads to you giving up. Instead:

• Week 1-2: Change your diet - warm, easily digestible food, Qi-moving spices
• Week 3-4: Acupressure Le 03 and Ma 36 daily
• Week 5-6: Qi Gong 10 min. daily - „Looking backwards“ and „Warming the center“
• Week 7-8: Supplement TCM herbal mixture (Xiāo Yáo Sǎn)
• From week 9: Add further methods as required

Realistic expectations

After 2–3 weeks: First improvements noticeable

• Less flatulence and bloating
• Better mood and less irritability
• Lighter body feeling

After 6–8 weeks: Significant improvements

• Significantly better digestion
• Fewer feelings of tension and sighing
• More energy in everyday life

After 3–6 months: Sustainable healing

• Liver Qi flows harmoniously again
• Spleen is strengthened, digestion stable
• Emotional balance and sustainable energy

TCM vs. Western medicine

TCM and Western medicine are not mutually exclusive—they complement each other!

When Western medicine is important:

• In acute emergencies
• In case of structural damage
• In case of infections
• For accurate diagnoses (laboratory, imaging)

Where TCM has its strengths:

• In case of functional disorders
• For chronic complaints
• For prevention
• For holistic healing

Ideal: Combine both systems! Use Western medicine for
Acute treatment and accurate diagnosis, TCM for lasting healing
and strengthening the body's self-healing powers.

Important: Never stop taking prescribed medication without consulting your doctor first!
Talk to your doctor when you start TCM treatment.