The difference between awakening the spleen and invigorating the spleen is that they are different in terms of disease mechanism, symptoms and treatment medication. 1. Differences in pathogenesis: Waking up the spleen is a therapeutic method for dampness that traps the spleen, i.e., prompting the spleen and stomach to awaken, emphasizing a series of pathological processes arising from heavy dampness. Strengthening the spleen is a therapeutic approach to spleen qi deficiency, emphasizing a series of pathological processes arising from the deficiency of spleen qi; tonifying the spleen and enhancing its various functions to make it strong and healthy. 2. Symptoms and treatments are different: Dampness trapped in the spleen is characterized by fullness in the epigastric region (stomach and abdomen), heaviness in the limbs (weakness of the limbs, heaviness), nausea and vomiting, headache and headache, etc., which need to be awakened by the spleen, and the treatment is often patchouli zhengqi san, a kind of dampness-eliminating and turbidifying medicine, or patchouli, cardamom, and sandalwood, and other spleen-awakening medicines. Spleen deficiency is characterized by a lack of desire for food and drink, yellowish skin and thinness, and requires strengthening of the spleen, which is usually treated with Spleen Enhancement Pills and Six Gentlemen Pills, or with qi replenishing medicines such as Radix Codonopsis Pilosulae, Poria, Rhizoma Atractylodis Macrocephalae, and so on. The two different treatments of waking up the spleen and strengthening the spleen need to be analyzed by a professional doctor, who will analyze whether the symptoms of deficiency or actuality are present, and reasonably select the prescription and use the medication, do not blindly use the medication on your own, so as to avoid making mistakes by not using the right medication.