TCM pattern

Qi Constraint 气滞

Qi constraint describes Qi that moves but distends and refuses to disperse — the pressure builds in a specific place instead of clearing.

Pinyin: Qi Zhi · Five Element: Wood · updated

Qi constraint is a more specific version of Qi stagnation. Where general stagnation describes a system-wide sense of being held tight, constraint localises: a particular region refuses to relax, usually the chest, the epigastrium or one flank.

The classic feature is distension — a distended feeling rather than sharp pain. It comes and goes, and it shifts after you relieve pressure. That pattern of coming and going, linked to emotion, is what separates constraint from a fixed structural problem.

Because the pattern is about movement, the practical work is regular, gentle motion of the affected area plus emotional outlet. Acupressure on the outer shoulder line and the feet is commonly used here.

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 TCM Body Constitution Test to see what the combination scores.

  • Distension or pressure in a specific area
  • Pain that comes and goes rather than staying constant
  • A feeling of fullness in the chest or abdomen
  • Symptoms clearly linked to emotional triggers
  • Relief after passing wind, burping or a bowel movement

Acupoints used for this pattern (4)

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

Foods listed against this pattern (7)

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

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: qi constrained, distension, chest oppression, liver qi, stagnant 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.