TCM Pattern Diagnosis: Liver Qi (Chi) Stagnation
- integrativemediaphdv
- Jun 4
- 3 min read
Updated: 5 days ago
Liver Qi Stagnation in Traditional Chinese Medicine (TCM)
Pattern Description
Liver Qi Stagnation (肝气郁结) is one of the most common patterns diagnosed in Traditional Chinese Medicine (TCM). The Liver in TCM governs the smooth flow of Qi (energy) throughout the body and supports emotional balance, digestion, and the regulation of menstruation. When Liver Qi becomes constrained or stagnant, it can lead to a variety of physical and emotional symptoms.
Causes
Emotional stress (especially anger, frustration, or resentment)
Irregular diet and overeating
Sedentary lifestyle
Hormonal imbalances
Key Symptoms
Sensation of fullness or distention in the chest or hypochondrium (rib-side pain)
Frequent sighing
Irritability or mood swings
Depression or low motivation
Premenstrual tension or breast tenderness
Irregular or painful menstruation
Digestive issues such as bloating, gas, or alternating constipation and diarrhea
A wiry pulse
A normal or slightly red tongue, possibly with thin white coating
Diet Recommendations
General Principles
Eat regularly and mindfully
Avoid overeating and late-night meals
Reduce stimulants (caffeine, alcohol, greasy or spicy foods)
Foods to Encourage Smooth Liver Qi
These foods help move Liver Qi and support overall digestive and emotional balance:
Cooling and Light Foods:
Green leafy vegetables (dandelion, spinach, kale)
Celery
Cucumbers
Chives
Mint
Chrysanthemum tea
Sour Foods (small amounts stimulate Liver function):
Lemon and lime
Vinegar (in moderation)
Pickled vegetables
Apples and berries
Warming, Qi-moving foods:
Ginger
Garlic
Onions
Turmeric
Cardamom
Black pepper (in moderation)
Grains and Seeds:
Millet
Barley
Brown rice
Flaxseeds
Foods to Limit or Avoid
Fried or greasy foods
Excessive meat or dairy
Processed sugar
Alcohol
Caffeine (excess)
Ice-cold drinks
Suggested Acupuncture Points
Acupuncture can help restore the smooth flow of Liver Qi and balance the body's systems.
Point | Location | Function |
LV3 (Taichong) | Dorsum of the foot, in the depression proximal to the first and second metatarsal bones | Moves Liver Qi, calms the mind |
LI4 (Hegu) | Between the thumb and index finger | Moves Qi throughout the body, commonly paired with LV3 (Four Gates) |
GB34 (Yanglingquan) | Below the lateral aspect of the knee, in the depression anterior and inferior to the head of the fibula | Benefits Liver and Gallbladder, resolves Qi stagnation |
PC6 (Neiguan) | 2 cun above the wrist crease, between tendons | Regulates emotions and supports digestion |
CV17 (Shanzhong) | Midline of the chest, level with the fourth intercostal space | Opens the chest, regulates Qi, and calms the spirit |
Herbal Formula Recommendations
Herbal medicine plays a vital role in treating Liver Qi Stagnation. Below are commonly used formulas:
1. Xiao Yao San (逍遥散 – Free and Easy Wanderer Powder)
Functions: Soothes Liver, strengthens Spleen, nourishes Blood
Indications: Emotional stress, irregular menstruation, fatigue, digestive discomfort
2. Chai Hu Shu Gan San (柴胡疏肝散 – Bupleurum Powder to Spread the Liver)
Functions: Stronger Qi-moving formula
Indications: Rib-side pain, irritability, stronger Qi stagnation with little deficiency
3. Jia Wei Xiao Yao San (加味逍遥散 – Augmented Free and Easy Wanderer)
Functions: Soothes Liver, clears heat, nourishes Blood
Indications: Liver Qi stagnation with signs of heat (red eyes, bitter taste, irritability)
Note: Herbal formulas should be prescribed by a licensed practitioner after proper diagnosis to ensure suitability and avoid contraindications.
Lifestyle and Mind-Body Practices
In addition to acupuncture and diet, lifestyle changes can significantly support Liver Qi movement.
Recommended Practices:
Qi Gong or Tai Chi – Promote Qi flow and emotional regulation
Walking and Light Exercise – Move stagnant Qi
Journaling or Counseling – Process unresolved emotions
Adequate Sleep – Especially between 11 PM and 3 AM (Liver time)
Conclusion
Liver Qi Stagnation is a pattern that speaks deeply to the interplay of emotional and physical health. With a combination of acupuncture, appropriate dietary changes, herbal support, and mindful living, one can greatly alleviate the symptoms and restore the smooth flow of Qi, leading to a more balanced and harmonious state of well-being.
If you're experiencing symptoms of Liver Qi Stagnation, it’s best to consult a licensed TCM practitioner for a tailored treatment plan. Contact our clinic and book your Private Consultation with Dr. Craig Thomas (AP2406) or Dr. Luke Rizzo (AP4197) at www.TallahasseeChineseMedicine.com .
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