Logout 📊 Admin
🏠 Home

Fat Malabsorption

How Chinese medicine differentiates fat malabsorption (greasy, floating stools) into the 6 patterns behind it, and the points for each. Distinct from this site's own Malnutrition and Loss of Appetite pages. Acupuncture only — no herbs.

Persistent greasy, floating, or foul-smelling stools need medical evaluation to identify the underlying cause — pancreatic, biliary, and intestinal conditions can all present this way.
General Acupuncture Points

Acupuncture points traditionally used for fat malabsorption — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm. Regulates Stomach-Qi.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen Deficiency with Dampness

Clinical manifestations: Loose, greasy, floating stools; abdominal bloating that worsens after meals; heaviness in the limbs; poor appetite; fatigue and mental fogginess.
Tongue: Pale, swollen with scalloped edges, white greasy moist coating. Pulse: Soggy and slow, soft and weak, especially at the right middle position.
Treatment principle: Tonify Qi, strengthen the Spleen, drain Dampness to restore the Spleen's transforming capacity.
Note: Confirmed absent again: standalone Spleen-Deficiency-with-Dampness has no matching deck slide on this site.

2. Damp-Heat in Stomach and Spleen View full pattern →

Clinical manifestations: Foul-smelling oily stool that leaves a greasy film, abdominal heaviness, a bitter taste, a sensation of incomplete evacuation, a thick yellow greasy tongue coating.
Tongue: Red with a thick yellow greasy coating, heaviest at the centre and root. Pulse: Soggy and rapid, often slippery.
Treatment principle: Clear Heat and dry Dampness to restore the Spleen's separation function.

3. Phlegm-Dampness in the Middle-Burner

Clinical manifestations: Greasy sticky stools with a sense of incomplete evacuation, a heavy bloated sensation after meals, a body that feels heavy and sluggish, a bland taste, drowsiness and mental fogginess.
Tongue: Pale and swollen with teeth marks, thick white greasy coating. Pulse: Slippery, often slow or soggy.
Treatment principle: Dry Dampness, transform Phlegm, regulate Qi to relieve the middle-burner obstruction.
Note: Confirmed absent again: standalone Phlegm-Dampness-in-the-Middle-Burner has no matching deck slide on this site.

4. Kidney and Spleen Yang Deficiency View full pattern →

Clinical manifestations: Early-morning diarrhea, undigested food and a greasy film in the stools, cold hands feet and lower back, abdominal pain that eases with warmth, sore weak lower back, chronic fatigue.
Tongue: Pale, swollen, puffy with teeth marks, white slippery coating. Pulse: Deep, weak, slow, especially feeble in the rear and right middle positions.
Treatment principle: Warm Kidney-Yang, strengthen the Spleen, astringe the intestines to rekindle the digestive fire.

5. Cold-Damp Invading the Spleen View full pattern →

Clinical manifestations: Watery oily stools, loud abdominal gurgling, symptoms that worsen with cold weather or cold foods, dull cold abdominal pain, a heavy sensation in the body and limbs, feeling cold.
Tongue: Pale, swollen with teeth marks, thick white greasy excessively moist coating. Pulse: Soggy or slippery and slow.
Treatment principle: Disperse Cold and resolve Dampness to restore the Spleen's transport function.

6. Liver Qi Stagnation View full pattern →

Clinical manifestations: Episodic loose greasy stools, abdominal bloating and distension that worsens with emotional stress or anger, irritability and frequent sighing, rib-side discomfort or tightness.
Tongue: Normal or slightly dark, red or slightly purple sides, thin white coat. Pulse: Wiry, taut like a guitar string.
Treatment principle: Soothe Liver-Qi stagnation and strengthen the Spleen to resolve the stress-induced greasy stools.
Related conditions

Spot an error, or have more to add? Send it to admin on WhatsApp and it'll be corrected/added here.