There is no basis for the question, “How to distinguish between solid and deficiency symptoms of liver depression and spleen deficiency”. Liver Depression and Spleen Deficiency itself is a mixed pattern of deficiency and actuality (both deficiency and actuality manifestations are present in the body), with Liver Depression being the actual state, and Spleen Deficiency caused by multiplying the Spleen being the deficiency state. The basic pathogenesis of Liver Depression and Spleen Deficiency is that the Liver loses its detachment (abnormal function of the Liver) and the Spleen loses its tonicity. The main clinical manifestations are fullness and pain in the chest and ribs, abdominal distension and dullness (lack of appetite and reduced food intake), abdominal pain and desire for diarrhea, and loose stools (stools that are not shaped, and a feeling of not being emptied after passing stools). At the same time, there is a fondness for sighing, depression, or impatience and irritability, etc., with white tongue coating and a slow pulse. The patient’s mood disorders (emotional unhappiness) hurt the liver, and the liver’s lack of organization and expression multiplies the spleen, leading to spleen deficiency. In Chinese medicine, deficiency and reality belong to one of the eight principles of diagnosis, each summarizing the essence of an aspect of the pathology, but in fact they are interconnected, and there is a relationship between the evidence and the evidence of concomitance, mismatch, transformation, and so on. Liver depression and spleen deficiency belongs to a mixed (deficiency and actual manifestations in the body are present) type of evidence, is a mixed relationship between evidence and evidence, and does not need to be forced to separate the identification of deficiency and actual evidence.