There is no such thing as 20 symptoms of Zhong Qi insufficiency. There are more symptoms of Zhong Qi insufficiency (weak spleen and stomach qi), which can be manifested in the areas of qi and blood, respiration, and organs. 1. Qi and blood: Patients with deficiency of middle qi may suffer from deficiency of qi and blood, and the patient’s pulse may become weak and feeble, beating without regularity and other phenomena. The patient’s complexion looks dull, tired and haggard. 2. Breathing: The patient’s breathing will show a series of changes, such as a weak voice, shortness of breath, etc., and in severe cases, there may be a loss of voice. 3. Organs: Patients may have prolapsed organs and decreased metabolic functions. For example, uterine prolapse, anal prolapse, prolapse of internal organs, metrorrhagia (excessive menstrual flow or spotting), prolonged diarrhea, lower abdominal distension and other symptoms. Some patients also have back pain and lower limb muscle weakness. As the symptoms of each patient with deficiency of middle qi are different, if the body develops uncomfortable symptoms, it should consult a doctor for examination and standardized treatment in a timely manner.