Dry stools due to spleen deficiency are not necessarily caused by internal heat, but may also be caused by coldness of the spleen and stomach (weak and cold spleen and stomach). According to Chinese medicine, the spleen has the function of transporting and transforming water, grain, essence and fluid. When internal heat is present, the spleen’s transport function is limited, affecting the metabolism of water and fluid, and internal heat will deplete the body’s fluid, leading to dryness of the intestines and dryness of the bowels, resulting in the symptom of dry stools that are difficult to move. In addition, it may be accompanied by distention and fullness in the epigastrium (abdomen), nausea (lack of appetite and reduced food intake)), drowsiness, tiredness of the limbs, and heat and bitterness in the mouth. However, deficiency and coldness of the spleen and stomach may also present with symptoms of dry stools. When the spleen and stomach are cold, the cold condenses the stagnant qi, the conduction function of the large intestine is out of order, and it is difficult to push the dregs of the large intestine downward, and then there will be dryness of the stools. This symptom is mostly related to the preference for raw food and cold, and is also accompanied by symptoms such as lack of warmth in the limbs and lightness of the mouth without thirst. If the symptoms of dry stools appear, you should seek professional doctors for diagnosis and treatment.