Abstract： The postoperative stress response following carbon dioxide pneumoperitoneum has become a major factor limiting rapid recovery in patients undergoing laparoscopic surgery. Its mechanism is complex，involving multiple organs，and there is no unified diagnosis or treatment protocol in traditional Chinese medicine. The authors posit that this stress response is closely related to dysfunction of the liver and spleen，with turbid qi-a unique pathological product of this procedure-serving as a key causative factor. This article elucidates the pathogenic process of turbid qi in liverspleen disharmony， focusing on the mechanisms of wood depression failing to disperse and earth stagnation with pathogen accumulation. It proposes that the liver，bearing turbid qi，over-restricting on the spleen，leading to turbid qi retention in the spleen-earth and generating turbid pathogens. Based on the principles that "treating wood depression resolves all depressions" and "the spleen qi permeates all five zang-organs"， the therapeutic strategy of soothing the liver and strengthening the spleen is established. Treatment should distinguish primary or secondary aspects of liver depression versus spleen-earth stagnation，with flexible modifications according to specific postoperative symptoms to achieve a holistic approach addressing both physical and psychological aspects.