Insufficient middle qi (weak spleen and stomach qi) is mostly caused by prolonged illness, overwork, old age or congenital insufficiency or acquired dietary deficiencies. Chinese medicines such as Astragalus Jianzhong Pill can be taken. Insufficient middle qi means that the qi of the spleen and stomach is insufficient and the transportation is out of order, which can be clinically manifested in symptoms such as low qi and laziness (lack of strength, don’t want to talk), loss of appetite, abdominal distension and fullness. Insufficient Qi can be caused by a variety of reasons. 1. Prolonged illness or overwork: Prolonged illness or overwork results in deficiency of positive qi, which damages the qi of the spleen and stomach, resulting in a lack of middle qi. 2. Weakness in old age: when the patient’s body functions decline in old age, the weakening of the spleen and stomach functions may lead to the deficiency of middle qi. 3. Innate deficiency and acquired dietary deficiencies: patients with congenital endowment deficiencies (inborn poor physique and function), weak spleen and stomach functions, and acquired overeating or excessive use of cold and raw food damages the spleen and stomach, which further leads to the deficiency of middle qi. Astragalus Jianzhong Pill and other treatments can be chosen for the symptoms. This drug is composed of Astragalus, Cinnamon, White Peony and other drugs, with the effect of tonifying Qi, dispersing cold, strengthening the stomach and harmonizing the middle, and is used for treating deficiency of middle Qi, shortness of heartbeat and breath, malignant cold (fear of cold) and abdominal pain, and debility of the body. The adverse effects of this drug are not clear, pregnant women, diabetic patients are prohibited. Note that patients with cold and fever should not take this drug. The above drugs are recommended to be taken under medical supervision. There may be other reasons for the lack of vital energy, it is recommended to go to the hospital in time, improve the examination to clarify the cause of the disease, under the guidance of the doctor to give targeted treatment or treatment.