What is your favourite season? Normally Fall is mine. Perhaps it’s because I’ve spent so many years as a perennial student, but the wool scarves, crisp leaves and fresh air (and pumpkin spice!) has always held a special place in my heart.

However, this year fall hit hard. It seems like within a weekend, the temps here in Southern Ontario dropped 10 degrees (celsius) and then within another weekend dropped another 10. We went from shorts weather to winter coats within a few short weeks. As an internet meme stated, “Summer left like it owed someone money” (haha!). 

This rapid change can put pressure on our Spleens.

Now, what does the Spleen have to do with fall or temperature, you ask? In Western Medicine, nothing.

Anatomically, our spleen (located on the left side of the abdomen) is a reservoir for blood. 

In Traditional Chinese Medicine (TCM), however the Spleen is an incredibly interesting and special organ. 

The Spleen in TCM works more like a pancreas. It’s job is to take digested food and turn it into energy, or Qi, for the body to use. The spleen helps transition the body during the change of seasons, particularly from summer to fall. 

  • The Spleen regulates digestion, moving food Qi (the energy the food we eat) into energy that can be used by the body (think of how the pancreas’ job is to release insulin and digestive enzymes to incorporate sugars into cells to be used for energy. 
  • It governs the flesh and muscles (supporting muscle growth from the food we eat). 
  • It governs thought, memory and learning. An overactive or dysfunctional spleen can lead to rumination (overdigestion of thoughts). Digesting and incorporating too many thoughts can overload the spleen (think studying or ingesting large amounts of information—note the analogy to digesting food here!) 
  • The spleen manages blood (moving energy and substance around the body to nourish the skin and hair). 
  • It also supports immune function (or Wei Qi)
  • It gives us mental and physical energy 
  • The spleen regulates our intellect and spirit as well as emotions (enthusiasm, sadness and worry). 

During the change of season our Spleens are workinghard. Deficient Spleen Qi (or energy) can lead to an accumulation of mucus, digestive issues (bloating, constipation, diarrhea), fatigue, depression, muscle weakness, bruising and bleeding disorders. 

Cravings for sweet can damage the Spleen (but also be a result of Spleen Qi deficiency). Phlegm and dampness (another word for weight gain in Chinese Medicine) can accumulate if the spleen is congested and having trouble cleanly converting energy from our food into energy from the body. 

So think of typical fall symptoms (particularly if we consider that Fall is the time we are ingesting more information and mentally busier with back-to-school for students): congestion, susceptibility to colds and flus, fatigue, sluggishness, lower mood. 

Spleen Qi deficiency can also cause dry skin and lips, a swollen tongue, feelings of sadness, rumination and worry. Prolonged spleen qi deficiency can lead to Spleen Yang Deficiency (feelings of deep fatigue, coldness, swelling and weight gain). 

How do we support Spleen Qi? 

  • Regulating our consumption of sugar (avoiding refined sugar and consuming natural sugars from starchy vegetables and fruit instead). 
  • Taking time to rest the mind (meditation, yoga, prioritizing sleep)
  • Protecting the “windgate” or back of the neck using scarves to protect our immune system (the wind gate is where “cold” gets into the body). 
  • Consuming nourishing and easy-to-digest foods that are warm and slow-cooked. Think soups and stews, bone broths, congee, root veggies, beef and chicken, warming spices like ginger, cardamom, cinnamon, etc. (hello, pumpkin spice!) 
  • Consuming warm drinks like herbal teas like President’s Choice “feeling soothed” or “feeling revitalized” or “feeling energized” (all containing herbal combos that support Spleen and adrenal health). 
  • Considering taking adaptogenic herbs like schisandra, astragalus, codonopsis, goji, Lycii and wild yam (some of which are ingredients in change of season soup) which support our adrenals and immune system. 
  • Supporting the emotions, engaging in laughter, cuddles, and play more often to take the focus off the mind and thoughts and support deeper, spleen-y emotions like enthusiasm and child-like play. 

Because fall hit so hard, I didn’t have time to get into my Spleen routines. I went from cold smoothies in the morning and lots of coffee to feeling tired, sluggish and congested–ugh! 

Now that we’re well into October and Canadian Thanksgiving has past, I am remembering my Spleen practices. These involve spending time in the kitchen to create warm stews (cooking beef and vegetables with curry spices) and bone broths. I’ve given up coffee and started consuming copious amounts of green and herbal tea. 

I’ve started taking herbs to support gut health like oregano and ginger. 

I’ve gotten back into taking a probiotic. 

And, finally, I’ve started taking my cod liver oil to get a healthy dose of vitamin D and vitamin A to support immunity and mood. 

It’s also important to spend as much time outside as possible. Days are getting shorter and our exposure to mood-elevating and stimulating sunlight is getting sparser and sparser. We’re spending more time inside as we work on sedentary projects that tax the mind but leave the body unattended to. 

While many patients state that they find it hard to get outside when the days cool off, I urge you to consider that cold exposure is the single most important thing you can do to prepare your mind and immune system for winter.

Get outside daily (without sunglasses–if appropriate for you) and go for a walk. Enjoy the fall colours. Protect your windgate. Breathe in the fresh air. 

Cold exposure increases your body’s ability to create antioxidants. It also “hardens” the body for cold resilience making the transition to winter much more enjoyable. 

And, of course, remember to tend to your spleen as the days get colder and shorter.

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