Syndrome of sinking of splenic qi refers to the syndrome due to asthenia of splenic qi and failure of splenic qi to rise. This syndrome is mainly caused by further development of asthenia of splenic qi; or by chronic diarrhea or dysentery, or overstrains; or by multiple delivery and improper nursing after labor which over consume splenic qi.
 
Clinical manifestations:
Prolapsing sensation and distension of epigastrium and abdomen, especially after meal, frequent desire for defecation, prolapsing sensation of anus, or chronic diarrhea, or even prolapse of rectum, or prolapse of uterus, or turbid urine, accompanied by lack of qi, fatigue, lassitude of limbs, low voice or no desire to speak, dizziness, pale tongue with whitish fur and weak pulse. Such manifestations are usually seen in chronic gastritis, digestive ulceration, chronic enteritis, malabsorption syndrome, Crohn's disease, irritable intestinal syndrome, gastroptosis, hepatoptosis, nephroptosis and hysteroptosis, etc.
 
Analysis of symptom:
Prolapsing sensation and distension of epigastrium and abdomen, especially after meal, frequent desire to defecate, prolapsing sensation of anus and chronic diarrhea are due to insufficiency of splenic qi, failure of transformation and transportation, sinking of splenic qi resulting from weakness to rise; gastroptosis, prolapse of rectum and hysteroptosis are due to insufficiency of splenic qi and failure of the viscera to remain in the normal position; turbid urine is due to failure of the sinking splenic qi to transport cereal nutrient, separate the lucidity from turbidity and transmit it to the bladder; lack of qi, fatigue, lassitude of limbs, low voice, no desire to speak, dizziness, pale tongue with white fur and weak pulse are signs of insufficiency of gastrosplenic qi, failure of lucid yang to rise and hypofunction of viscera and tissues.

Key points for syndrome differentiation:
Prolapsing sensation and distension of epigastrium and abdomen, chronic diarrhea, prolapse of anus and dizziness, etc.