TCM pattern

Liver 肝

The Liver governs free coursing — the smooth movement of Qi throughout the body — and stores blood between uses.

Pinyin: Gan · Five Element: Wood · updated

The Liver's stated job in classical Chinese medicine is free coursing: making sure Qi moves freely everywhere, and keeping the course unobstructed. When that function is impaired, the signature symptom is a sense of things being stuck — in the chest, in the flanks, in the throat, in the mood.

It also stores blood. Between uses the blood is held in the Liver, which is why patterns involving the Liver so often present as blood-related problems — scanty periods, muscle cramps, dizziness on standing, numbness. The classical view links this directly to adequate rest, which is where the Liver is said to be replenished.

The Liver's element is Wood, and its season is spring. Its self-care profile is movement, especially stretching and walking, and reliable sleep. Suppression of anger is a recurring classical theme here; whether or not one accepts that framing, it reliably tracks with the tension symptoms this pattern produces.

Signs that suggest this pattern

No single sign establishes a pattern — Chinese medicine reads combinations, not isolated symptoms. If several of these are familiar and have been for a while, it is worth running the Zang-Fu Organ Check to see what the combination scores.

  • Tension or distension in the flanks
  • Irritability or frustration that builds slowly
  • Sighing as an automatic response
  • Muscle tension in the neck and shoulders
  • Menstrual irregularity or premenstrual tension
  • A feeling of things not moving through, generally

Acupoints used for this pattern (1)

Every point below opens the full library entry, including location, technique, frequency and the cautions attached to it.

Foods listed against this pattern (12)

Nature and flavour are the traditional classification. Read the avoid note before changing anything you eat regularly.

Chrysanthemum

Clears heat from the head and eyes: red eyes, headache, irritability, wind-heat at the start of a cold.

Slightly cool · Sweet, bitter

Goji berry

Traditionally used for eyes, lower back, stamina and the Kidney-Liver pair.

Neutral · Sweet

Celery

Clears mild heat and calms a rising Liver: headaches, red eyes and irritability in warm weather.

Cool · Sweet, bitter

Black sesame

Nourishes Yin and blood. Traditionally used for dry hair, early greying, dry stool and lower back weakness.

Neutral · Sweet

Spinach

Nourishes blood and moistens the intestines. Traditionally used for dry stool and a pale complexion.

Cool · Sweet

Rose bud

Moves stuck Liver Qi and lifts a low mood, while gently moving blood.

Warm · Sweet, slightly bitter

Mulberry

Nourishes Yin and blood. Traditionally used for dizziness, early greying and dry stool.

Cool · Sweet

Mint

Disperses wind-heat and frees stuck Qi. Used for a sore throat, a headache and a tight chest.

Cool · Pungent

Chamomile

Settles tension and frees stuck Qi. A gentle evening drink for a tight chest or a busy mind.

Cool · Bitter, sweet

Finger citron (Buddha's hand)

Moves Liver Qi and harmonises the stomach. Used for a tight chest, sighing and bloating when stressed.

Warm · Pungent, bitter

Turmeric

Moves blood and breaks stasis. Traditionally used for fixed, stabbing pain and stiff joints.

Warm · Pungent, bitter

Peach kernel

Moves blood and breaks stasis. Traditionally used for fixed pain and dry stool.

Neutral · Bitter, sweet

Tea formulas listed against this pattern (1)

These are traditional reference formulas. Doses shown are traditional reference amounts, not a prescription — check with a qualified practitioner, especially if you are pregnant, on medication, or managing a condition.

Which assessment identifies this pattern

Patterns that often appear alongside this one

Related vocabulary

Search terms this page covers: liver tcm, liver qi, smooth flow, livermeridian, free coursing liver qi.

This page is wellness education within a traditional framework, not a medical diagnosis. Pattern differentiation in Chinese medicine is not a biomedical diagnostic category and nothing here establishes that you have any condition. Do not use it to decide whether to start, stop or change any treatment. See our disclaimer and editorial policy.