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Your Gut, the Center of Wellness: Digestive Health in Traditional Chinese Medicine

Updated: Jul 29

Man holding a paper cut out of the intest

If you’ve ever had bloating, gas, constipation, acid reflux, or unpredictable bowel habits, you’re not alone—and you may have turned to various diets, supplements, or medications for relief. But in Traditional Chinese Medicine (TCM), digestive health is far more than just what you eat. It’s considered the foundation of your overall vitality.


In fact, your digestion is so important in TCM that it's often referred to as the “root of post-natal Qi”—the energy you generate from food and drink after birth. When your digestion is strong, your body has the energy to function, heal, and thrive. When it’s weak or out of balance, everything from immunity to sleep to mood can suffer.


Let’s explore how TCM views digestion and how we approach gut health to get you feeling lighter, stronger, and more energized.


The Spleen and Stomach: The Dynamic Duo of Digestion

In TCM, the primary organs responsible for digestion aren’t the intestines—they’re the Spleen and Stomach.

  • The Stomach is like the cooking pot—it “rots and ripens” food, breaking it down into usable parts.

  • The Spleen is the transport system. It extracts the nutrients (what we call “Gu Qi”) and distributes it throughout the body to nourish organs, build Blood, and fuel your Qi.


When this system is working well, food is digested efficiently, nutrients are absorbed, and waste is eliminated smoothly.


But when the Spleen and Stomach are out of balance, digestive symptoms start to appear—often alongside fatigue, brain fog, or weakened immunity.


Common Digestive Issues Through the TCM Lens

Here are just a few examples of how TCM might explain common digestive complaints:


1. Bloating, Heaviness, and Fatigue

Likely due to Spleen Qi Deficiency or Dampness—when your digestive fire is weak and your body struggles to transform and transport fluids.

2. Acid Reflux or Heartburn

Often a result of Stomach Qi Rebellion, where the normal downward movement of digestion is reversed, sending Qi upward.

3. Constipation

Could be from Heat in the Intestines, Yin Deficiency, or Qi Stagnation—each causes dryness, sluggishness, or tension in different ways.

4. Loose Stools or Diarrhea

Frequently tied to Spleen Deficiency, Dampness, or Cold in the abdomen, disrupting the body's ability to process fluids.

5. IBS and Fluctuating Symptoms

Often related to Liver Qi Stagnation attacking the Spleen, where emotional stress impacts digestion, leading to alternating constipation, diarrhea, or abdominal pain.

How TCM Treats Digestive Imbalances

Unlike one-size-fits-all treatments, TCM creates personalized plans based on your pattern of disharmony. We consider not only your digestive symptoms, but also your sleep, energy, emotional health, menstrual cycle (if applicable), and tongue/pulse signs.


Acupuncture

Regular acupuncture helps:

  • Strengthen Spleen Qi

  • Harmonize Stomach function

  • Move stagnant Liver Qi

  • Warm the middle Jiao (digestive center)

  • Calm the nervous system to improve gut-brain balance

Common points may include ST36 (Zusanli) to tonify digestion, SP6 (Sanyinjiao) to support the Spleen, and LR3 (Taichong) to smooth Liver Qi.


Herbal Medicine

Herbal formulas are tailored to your constitution and symptoms. Examples include:

  • Xiang Sha Liu Jun Zi Tang – for bloating, fatigue, and poor appetite

  • Ban Xia Xie Xin Tang – for mixed heat/cold patterns with nausea or reflux

  • Shen Ling Bai Zhu San – for chronic loose stools and fatigue

  • Chai Hu Shu Gan San – for stress-related digestive symptom


These formulas support both symptom relief and deeper healing.


Dietary Guidance

TCM doesn’t focus on calories or macros—it emphasizes how and what you eat to support your digestive fire (or “Spleen Yang”). Key principles include:

  • Favor warm, cooked foods over raw or cold (especially in the morning)

  • Eat regular meals at consistent times

  • Avoid overeating or eating too late at night

  • Limit greasy, sugary, or dairy-heavy foods that produce Dampness

  • Chew thoroughly and avoid distractions while eating


Warming herbs like ginger, cinnamon, and fennel are often used to boost digestion gently.


Mind-Body Connection

The Spleen is especially sensitive to overthinking and worry, while the Liver governs the smooth flow of Qi. Stress, anxiety, and emotional suppression can deeply affect digestion. Practices like meditation, breathwork, tai chi, and acupuncture help regulate the gut-brain axis and reduce emotional impacts on the gut.


In TCM, we don’t just treat your digestive system—we restore its strength, rhythm, and harmony so your entire body can thrive. Whether you’re dealing with a chronic issue like IBS or just feel a little off after meals, TCM offers a comprehensive and compassionate path back to balance.


Want to support your digestion naturally and feel like yourself again? Let’s work together to strengthen your gut and restore your vitality.


Book your acupuncture session today → Here

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© 2023 by Sarah Johnson Acupuncture LLC

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