The Spleen (Chinese: 脾; pinyin: pí) is one of the zàng organs stipulated by traditional Chinese medicine (TCM).^[1] It is a functionally defined entity and not equivalent to the anatomical organ of the same name.^[2]

In the context of the zang-fu concept

As a zàng, the Spleen is considered to be a yin organ. Its associated yang organ is the Stomach. Both Spleen and Stomach are attributed to the Earth element.

Regarding its stipulated functions, the Spleen

• governs "transportation and absorption" (运化, pinyin: yùn-huà), i.e. the extraction of jīng weī (精微, lit. "essence bits", usually translated with food essence, sometimes also called jīng qì [精气, essence qi])^[3] – and water – from food and drink, and the successive distribution of it to the other zàng organs.
  • the jīng weī constitutes a large part of the body's acquired qì (the other part coming from breathing, by facilitation of the Lung zàng). In this spirit, the Spleen is also called "root of the postnatal" (后天之本, pinyin: hoùtiān zhī běn)^[4] – as opposed to the congenital qì, which is stored by the Kidney zàng. The Spleen absorbs jīng weī from the food after it has been preprocessed by the Stomach and the Small Intestine, and then distributes it to the whole body, especially upwards to the Lung and Heart, where jīng weī is transformed into qì and xuě (blood). Thus, TCM also describes the Spleen as the source of "production and mutual transformation" (生化, pinyin: shēng-huà)^[5] of qì and xuě.
  • the Spleen distributes the water extracted from the food and distributes it to the whole of the body, especially to the Lung and Kidney zàng, and thus assists the body's water metabolism.
• "contains" (统, pinyin: tǒng)^[6] the blood inside the vessels (this is also one of the functions of qì^[7])
• governs muscles and limbs
• opens into the lips (and mouth)
• houses the yì (意, "thinking")
• governs pondering (思, pinyin: sī)^[8]

Its associated body fluid is saliva.
The Spleen's function (i.e., the Spleen-qì) is said to be strongest between 9 and 11am. When the Spleen is functioning well, digestion will be good, the muscles will be strong and circulation will be efficient. Dysfunction of the Spleen typically presents as diarrhea, malnutrition, edema, weak/atrophic muscles, greasy taste in the mouth, or excessive bleeding and prolapse.^[9] The Spleen is especially weakened by the Pathogenic Factor ''Dampness'' and overthinking.