Q

qì

Definition: 

Air, gas, vapor, flatus (e.g., belching of putrid qi).

Definition:  Smell.

Definition:  Aura.

Definition:  Environmental forces (e.g., cold; dampness; dryness, etc.)

Definition:  Nature (e.g., the four qi).

Definition:  Anything of a particular nature (e.g., yin qi).

Definition:  Breath. (e.g., shortage of qi and qi shortage).

Definition:  Any of various dynamic phenomena of the body (e.g., source qi; construction qi; defense qi; bowel and visceral qi; channel qi) that are described in terms of the following functions: Activity: Qi is highly active; human growth and development, as well as all physiological activity and metabolism, are manifestations of the activity of qi. Warming: The temperature of the human body and the ability of the organs and tissues to perform their functional activities are dependent on the warming action of qi. Defense: Qi is the outer defense of the body, and prevents evils from entering. Transformation: Production of blood and fluids, the distribution of fluids, and the conversion of fluids into sweat and urine are all the result of qi transformation. Implicit in this notion is the movement, or bearing, of qi. Qi bears upward, downward, inward and outward, carrying blood and fluids with it. Combinations of these four movements explain all movement in the body. See qi transformation. Containment: Under normal circumstances, spillage of blood from the vessels is prevented by the containing function of qi. Hence it is said, ``Qi contains the blood.'' This function also prevents excessive loss of fluids through oversecretion of sweat and other fluids or excessive urination.

Definition:  Strength.

Definition:  Anger.

Definition:  Disease (e.g., leg qi, mounting qi), plum-pit qi.

Definition:  An abbreviation for diseases of qi (qi vacuity, qi stagnation), as appearing in the terms qi block, qi constipation, qi fetus, qi tumor, qi cough, qi accumulation, qi vomiting.

qí

The name of a dynasty ( 479--502).

nà qì

See kidney governs qi absorption.

shèn bù nà qì

kidney failing to absorb qi.

qì jï

An accumulation attributed to disharmony of qi dynamic stemming from anxiety, thought, depression, or anger. Qi accumulation is characterized by oppression in the chest, belching, and rib-side and abdominal distention. Sometimes there is the intermittent appearance of a lump and distending pain of unfixed location.

Medication:  Course the liver and rectify qi using Major Seven Qi Decoction (dà qï qì täng) or Counterflow Cold Powder (sì nì sân) plus Cyperi Rhizoma (xiäng fù zî), Curcumae Tuber (yù jïn), Citri Exocarpium Immaturum (qïng pí), and Citri Exocarpium (chén pí).

Acupuncture:  Base treatment mainly on LR, PC, GB, CV, and back transport points. Select LR-3 (tài chöng, Supreme Surge) , PC-6 (nèi guän, Inner Pass) , GB-34 (yáng líng quán, Yang Mound Spring) , CV-6 (qì hâi, Sea of Qi) , CV-17 (shän zhöng, Chest Center) , BL-18 (gän shü, Liver Transport) , BL-17 (gé shü, Diaphragm Transport) , TB-6 (zhï göu, Branch Ditch) , and LI-4 (hé gû, Union Valley) ; needle with drainage. See accumulation.

qián

Synonym:  mace .

A unit of measure equal to the tenth part of a liang, and now roughly equal to 500~g. See tables and , page .

qì xuè liâng fán

Synonym:  blazing of both qi and blood .

Pronounced heat in the construction and blood aspects occurring before heat has been eliminated from the qi aspect in warm heat disease. Signs of qi and blood both ablaze include vigorous heat~effusion, thirst, vexation and agitation, delirious raving, maculopapular eruptions, crimson tongue with yellow fur, and a rapid fine pulse, and, in severe cases, blood ejection or spontaneous external bleeding.

qì yíng liâng fán

Synonym:  blazing of both qi and construction ;

Synonym:  dual disease of qi and construction .

Exuberant heat in both the qi aspect and construction aspect in warm heat disease. Blazing of both qi and construction is characterized by vigorous heat~effusion, vexation and thirst, clouded spirit, and faintly visible macules or papules, and crimson tongue with dry yellow fur.

qì wèi

Qi is the hot, cold, warm, or cool nature of a medicinal; flavor is the taste a medicinal produces in the mouth. See four qi; five flavors.

shàng qì

Rapid breathing characterized by more exhalation than inhalation and attributed to inhibited lung qi. Distinction is made between vacuity and repletion. Repletion patterns are caused by phlegm-rheum obstructing the lung or external evils assailing the lung. Phlegm-rheum obstructing the lung is characterized by rapid breathing with coughing of copious thick white phlegm, phlegm rale in the throat, relief felt on exhalation, and inability to lie flat. Qi ascent caused by external evils assailing the lung is characterized by distressed rapid breathing, cough and panting with copious phlegm, aversion to cold and heat~effusion, and, in severe cases, by puffy swelling of the face and eyes. Vacuity patterns are usually attributable to effulgent yin vacuity fire in which qi ascent is accompanied by cough without phlegm, scant phlegm that is not easily expectorated, short distressed breathing, generalized heat~effusion, night sweating, and vexing heat in the five hearts.

qì fèn

defense, qi, construction, and blood.

shï zû qì fèn

dampness obstructing the qi aspect.

qì fèn zhèng

Any warm disease pattern of heat~effusion, aversion to heat rather than cold, thirst, bitter taste in the mouth, and yellow or reddish urine, a rapid pulse, and a yellow or yellow and white tongue fur. Qi-aspect disease is broad in scope, including a large variety of exuberant heat~effusion stage externally contracted febrile diseases. These may be divided as follows: characterized by effusion generalized heat~, thirst, heart vexation, burning sensation in the heart region, and mixed yellow and white tongue fur. characterized by the classical signs of wind warmth: high fever, cough, rapid breathing, thirst, and yellow tongue fur. : Equivalent to yang brightness channel disease. : Equivalent to the yang brightness bowel pattern. characterized by the classical signs of damp warmth: persistent remittent heat~effusion, oppression in the chest, thirst without great intake of fluids, upflow nausea, abdominal distention, short voidings of scant urine, a slimy tongue fur that is either white or slightly yellow in color, and soggy rapid pulse. Also observable at this stage is brewing damp-heat steaming the stomach and intestines, characterized either by oppression in the chest and hard stool or by foul-smelling diarrhea, a slimy yellow tongue fur, and a slippery rapid pulse. These five patterns show marked differences between wind warmth and damp warmth in the qi aspect. Wind warmth may take the form of initial-stage qi-aspect heat, great heat in the qi aspect, gastrointestinal heat bind, or exuberant heat in the lung and stomach. This latter pattern is characterized by four main signs of exuberant heat: heat~effusion, thirst, cough, and panting. Damp warmth presents differently. It is marked by unsurfaced heat and steaming of the stomach by brewing damp-heat. It develops slowly over a relatively long period of time.

qì guän

One of the three bars of the finger. See infant's finger examination.

qì jié fù tòng

qi stagnation abdominal pain.

qì bì

Definition:  due to qi vacuity or qi stagnation.

Definition:  Blockage and derangement of qi dynamic due to congestion of wind, phlegm, fire, or stasis evil and manifesting in signs such as coma, clenched jaw, clenched fists, and urinary and fecal stoppage.

qì bì êr lóng

Deafness due to blockage of qi. Counterflow ascent of qi due to anger causing qi to congest in the upper body and block the ear orifices. Deafness due to contraction of external wind with headache is treated with Ledebouriella Sage-Inspired Powder (fáng fëng töng shèng sân). Deafness due to stirring yin vacuity fire can be treated with Anemarrhena and Phellodendron Eight-Ingredient Pill (zhï bâi bä wèi wán) plus Polygalae Radix (yuân zhì), and Acori Rhizoma (shí chäng pú). Deafness due to great noise, shouting, or fright can be treated with Gallbladder-Clearing Decoction (qïng dân täng)

qì xuè

Qi and blood.

qì xuè biàn zhèng

See qi, blood, phlegm, and food pattern identification.

qì xuè tán shí biàn zhèng <

qi, blood, phlegm, and food> The process of identifying disease patterns of qi, blood, phlegm(-rheum) and food. Qi patterns include qi vacuity, qi stagnation, qi counterflow, and qi reversal. Blood patterns include qi vacuity, blood stasis, bleeding, and blood reversal. Phlegm (and rheum) patterns are patterns caused by phlegm (thick fluid) and rheum (thin fluid); see phlegm-rheum. Food patterns include food damage, food accumulation, lodged food, and food reversal.

qì xuè xü ruò tòng jïng

Continual unabating pain in the smaller abdomen when insufficiency of qi and blood has been exacerbated by menstruation. The pain likes warmth and pressure and the menstrual flow is scant, thin, and pale.

Medication:  Supplement qi and nourish the blood; support the spleen and relieve pain. Use Tangkuei Center-Fortifying Decoction (däng guï jiàn zhöng täng) or brown sugar steamed with fresh ginger.

Acupuncture:  Base treatment mainly on CV, back transport points, SP, and ST. Select CV-4 (guän yuán, Pass Head) , CV-6 (qì hâi, Sea of Qi) , BL-23 (shèn shü, Kidney Transport) , BL-20 (pí shü, Spleen Transport) , ST-36 (zú sän lî, Leg Three Li) , SP-6 (sän yïn jiäo, Three Yin Intersection) , and LR-3 (tài chöng, Supreme Surge) ; needle with supplementation and add moxa.

qí huáng

The interlocutors of The Yellow Emperor's Inner Canon (huáng dì nèi jïng)

qì bì

Constipation attributed to either qi stagnation or qi vacuity.

Qi stagnation:  (qì zhì) Qi stagnation constipation is constipation arising as a result of binding depression of the seven affects and is characterized by fullness in the stomach duct and abdomen, stabbing pain in the chest and rib-side, belching, and the desire but inability to defecate.

Medication:  Normalize qi and moisten the intestines using Four Milled Ingredients Decoction (sì mò täng) or, in the elderly, with Tangerine Peel and Apricot Kernel Pill (jú xìng wán). Constipation attributed to impaired downbearing of lung qi is treated with Perilla Seed Qi-Downbearing Decoction (sü zî jiàng qì täng) plus Aurantii Fructus (zhî ké).

Acupuncture:  Base treatment mainly on alarm, back transport, and lower uniting points of LI, and on CV and LR. Main points: BL-25 (dà cháng shü, Large Intestine Transport) , ST-25 (tiän shü, Celestial Pivot) , and ST-37 (shàng jù xü, Upper Great Hollow) . For qi stagnation, add TB-6 (zhï göu, Branch Ditch) , CV-12 (zhöng wân, Center Stomach Duct) , CV-6 (qì hâi, Sea of Qi) , PC-6 (nèi guän, Inner Pass) , LR-3 (tài chöng, Supreme Surge) , LR-2 (xíng jiän, Moving Between) , and needle with even supplementation and drainage. For impaired downbearing of lung qi, add BL-13 (fèi shü, Lung Transport) , LU-9 (tài yuän, Great Abyss) , SP-3 (tài bái, Supreme White) , and LI-4 (hé gû, Union Valley) ; needle with drainage.

Qi vacuity:  (qì xü) Constipation due to qi vacuity is attended by lassitude of spirit, laziness to speak, pale tongue, and a weak pulse.

Medication:  Boost qi and moisten the intestines with Astragalus Decoction (huáng qí täng) or Clematis Pill (wëi líng xiän wán).

Acupuncture:  To the main points given above add CV-12 (zhöng wân, Center Stomach Duct) , BL-21 (wèi shü, Stomach Transport) , BL-20 (pí shü, Spleen Transport) , CV-4 (guän yuán, Pass Head) , TB-6 (zhï göu, Branch Ditch) , and CV-17 (shän zhöng, Chest Center) ; needle with supplementation.

qì sòu

Definition: 

Cough with inhibited qi dynamic and fullness and oppression in the chest and diaphragm, attributed to lung vacuity and congestion of evil qi.

Medication:  Diffuse the lung and transform phlegm; support right and dispel the evil. Use formulas such as Schisandra Powder (wû wèi zî sân).

Acupuncture:  Base treatment mainly on LU, CV, PC, LI, and ST. Supplement BL-13 (fèi shü, Lung Transport) , LU-7 (liè quë, Broken Sequence) , LU-9 (tài yuän, Great Abyss) , and SP-3 (tài bái, Supreme White) ; drain CV-22 (tiän tú, Celestial Chimney) , CV-17 (shän zhöng, Chest Center) , PC-6 (nèi guän, Inner Pass) , LI-4 (hé gû, Union Valley) , ST-40 (fëng lóng, Bountiful Bulge) , and ST-36 (zú sän lî, Leg Three Li) .

Definition:  Cough attributed to internal damage by the seven affects, characterized by cough and rapid breathing, thick sticky phlegm that may be like rotten threads, a feeling of something stuck in the throat that can be neither brought up nor swallowed, and a rapid slippery surging floating pulse.

Medication:  Transform phlegm and resolve depression with formulas such as Perilla Fruit Qi-Downbearing Decoction (sü zî jiàng qì täng).

Acupuncture:  Base treatment mainly on LU, CV, PC, LR, SP, and ST. Select BL-13 (fèi shü, Lung Transport) , LU-7 (liè quë, Broken Sequence) , CV-22 (tiän tú, Celestial Chimney) , PC-6 (nèi guän, Inner Pass) , LR-3 (tài chöng, Supreme Surge) , SP-6 (sän yïn jiäo, Three Yin Intersection) , LI-4 (hé gû, Union Valley) , ST-40 (fëng lóng, Bountiful Bulge) , and BL-18 (gän shü, Liver Transport) ; needle with drainage.

qì nì

A reversal of the normal bearing of qi. The qi of the lung and stomach normally flows downward. When lung qi runs counterflow, there is hasty breathing and cough; when stomach qi flows counterflow, there is vomiting and hiccough, etc. Liver qi normally bears upward and effuses. However, when depressed anger damages the liver, then upbearing and effusion become excessive or liver fire ascends counterflow, causing headache, dizziness, clouding collapse, or blood ejection. See counterflow; liver qi ascending counterflow; stomach qi ascending counterflow.

qì göng

Synonym:  qi-

gong .

Exercises consisting in controlling respiration and calming the mind and having the ultimate goal of improving physical health, mental alertness, and preventing and treating disease. Nowadays, a broad distinction is made between jing4 gong1) and a ctive qi cultivation ( dong4 gong1). Quiescent qi cultivation consists in breathing exercises in lying, sitting, or standing posture aimed at regulating and containing true qi. Active qi cultivation consists in gentle rhythmical movements and self massage.

qì yù

One of the six depressions. Qi stagnation arising when affect-mind binding depression causes binding depression of liver qi. See binding depression of liver qi.

qì yù xuàn yün due to qi depression.

Qi depression dizziness arises when binding depression of the seven affects causes qi depression which in turn engenders phlegm. Accompanying signs include mental depression, heart palpitations or fearful throbbing, periodic heat~effusion, and eyebrow pain.

Medication:  Quiet the spirit and transform phlegm using formulas like Jade Flask Pill (yù hú wán).

Acupuncture:  Base treatment mainly on LR, PC, SP, GB, and ST. Select GB-20 (fëng chí, Wind Pool) , , GV-23 (shàng xïng, Upper Star) , LR-3 (tài chöng, Supreme Surge) , PC-6 (nèi guän, Inner Pass) , SP-6 (sän yïn jiäo, Three Yin Intersection) , TB-6 (zhï göu, Branch Ditch) , ST-40 (fëng lóng, Bountiful Bulge) , and HT-7 (shén mén, Spirit Gate) , and needle with drainage. See dizziness.

qì yù xuè bëng (

profuse abnormal discharge of blood via the vagina) attributable to qi depression, occurring when sudden anger damages the liver and upsets its function of storing the blood, causing blood to move chaotically and the thoroughfare and controlling vessels to fall into imbalance. Qi depression flooding is characterized by sudden copious discharge of purple clotted blood, by vexation, agitation, and irascibility, and by rib-side discomfort.

Medication:  Treat the tip by stanching bleeding with Thoroughfare-Securing Decoction (gù chöng täng). When bleeding has been reduced, Free Wanderer Powder (xiäo yáo sân) plus stir-fried Cyperi Rhizoma (xiäng fù zî) and Citri Exocarpium Immaturum (qïng pí) can be prescribed to course the liver and resolve depression. Alternatively, stir-fried Cyperi Rhizoma (xiäng fù zî) ground to a powder can be taken in doses of 10~g at a time with water in which rice has been cooked.

Acupuncture:  Base treatment mainly on CV, SP, LR, and PC. Select CV-6 (qì hâi, Sea of Qi) , SP-6 (sän yïn jiäo, Three Yin Intersection) , SP-1 (yîn bái, Hidden White) , LR-3 (tài chöng, Supreme Surge) , PC-6 (nèi guän, Inner Pass) , TB-6 (zhï göu, Branch Ditch) , and LR-1 (dà dün, Large Pile) . Needle with drainage.

qì yù xié tòng

Pain in the rib-side due to binding depression of liver qi. See binding depression of liver qi.

qì yù wân tòng

Synonym:  liver-

stomach qi pain .

Stomach pain resulting from affect-mind binding depression (mental or emotional imbalance) and liver qi invading the stomach. The pain is not confined to a fixed location, is relieved by pressure, and is often accompanied by pain in both rib-sides. Other signs include frequent belching, clamoring stomach, or vomiting of sour fluid.

Medication:  Course the liver and rectify qi. Use Bupleurum Liver-Coursing Powder (chái hú shü gän sân), Aquilaria Qi-Downbearing Decoction (chén xiäng jiàng qì täng), or Toosendan Powder (jïn líng zî sân). For vomiting of acid fluid, Left-Running Metal Pill (zuô jïn wán), Arcae Concha (wâ léng zî), and Sepiae seu Sepiellae Os (hâi piäo xiäo) can be added.

Acupuncture:  Base treatment mainly on alarm and uniting points of ST, PC, LR, and SP. Select CV-12 (zhöng wân, Center Stomach Duct) , ST-36 (zú sän lî, Leg Three Li) , PC-6 (nèi guän, Inner Pass) , SP-4 (göng sün, Yellow Emperor) , LR-3 (tài chöng, Supreme Surge) , BL-18 (gän shü, Liver Transport) LR-14 (qï mén, Cycle Gate) , GB-34 (yáng líng quán, Yang Mound Spring) , and SP-6 (sän yïn jiäo, Three Yin Intersection) ; needle with drainage. For pronounced qi stagnation, add CV-17 (shän zhöng, Chest Center) . See liver-stomach qi pain. Compare stomach qi pain.

qì suí xuè tuö

Synonym:  blood desertion with qi desertion .

developing as a result of heavy blood loss. Blood is the mother of qi, i.e., original qi requires the nourishing action of the blood in order to perform its functions. When heavy blood loss blood desertion() in severe cases deprives original qi of its support, qi also deserts. This condition may be characterized by a bright white or somber white complexion, a rapid pulse that is feeble at the deep level, or a great dripping sweat, and a faint pulse on the verge of expiration.

Western Medical Concept:  hemorrhagic shock* shock*!hemorrhagic hemorrhagic shock.

Medication:  Treat by boosting qi to stem desertion, which is based on the principle that the first priority in blood desertion is to boost qi. Use formulas such as Pure Ginseng Decoction (dú shën täng), which both checks vacuity desertion and, by containing the bleed, helps to stanch bleeding.

Acupuncture:  Base treatment on GV and CV. For emergency treatment to revive the patient, needle GV-26 (shuî göu, Water Trough) , GV-20 (bâi huì, Hundred Convergences) , CV-4 (guän yuán, Pass Head) , GV-25 (sù liáo, White Bone-Hole) , and KI-1 (yông quán, Gushing Spring) , needling with supplementation and moxa. Then needle SP-1 (yîn bái, Hidden White) , CV-6 (qì hâi, Sea of Qi) , ST-36 (zú sän lî, Leg Three Li) , CV-4 (guän yuán, Pass Head) , GV-20 (bâi huì, Hundred Convergences) , and SP-6 (sän yïn jiäo, Three Yin Intersection) , applying moxibustion to supplement qi and contain the blood. See blood desertion.

qì tuö

Damage to and loss of. Excessive sweating, excessive precipitation, loss of semen, and blood collapse can deprive qi of support and containment so that qi deserts outward. The Magic Pivot (líng shü) states, ``In the case of qi desertion, the eyes are not clear.'' In addition to unclear vision arising when the eyes are deprived of nourishment, other signs include low faint breathing, bright white facial complexion, weak faint pulse, dripping cold sweat, and clouding with failure to recognize people.

qì xiè

Diarrhea attributed to qi depression, usually arising when depression and anger cause depressed liver qi to invade the spleen. Qi diarrhea is attended by glomus and oppression in the chest and diaphragm, rumbling intestines, and abdominal pain relieved temporarily by defecation and exacerbated by annoyance and anger.

Medication:  Course the liver and rectify qi; harmonize the liver and spleen. Use Major Seven Qi Decoction (dà qï qì täng) or Pain and Diarrhea Formula (tòng xiè yào fäng).

Acupuncture:  Base treatment on PC, LR, CV, ST, and SP. Select PC-6 (nèi guän, Inner Pass) , LR-3 (tài chöng, Supreme Surge) , SP-6 (sän yïn jiäo, Three Yin Intersection) , BL-18 (gän shü, Liver Transport) , LR-14 (qï mén, Cycle Gate) , CV-12 (zhöng wân, Center Stomach Duct) , LR-13 (zhäng mén, Camphorwood Gate) , ST-25 (tiän shü, Celestial Pivot) , and ST-36 (zú sän lî, Leg Three Li) ; needle with even supplementation and drainage.

qì bìng zhèng hòu

Any disease of qi, i.e., qi vacuity, qi fall, qi stagnation, qi counterflow, or qi block.

Medication:  Qi vacuity and qi fall are treated by supplementing (sometimes called boosting) qi; qi stagnation and qi counterflow are treated by rectifying qi.

Qi Disease Patterns qi vacuityqì xü qi fallqì xiàn qi stagnationqì zhì qi counterflowqì nì qi blockqì bì

qì zhàng

Definition: 

Distention arising from congestion of the pathways of qi as a result of affect-mind binding depression and characterized by abdominal fullness and distention, emaciated limbs, and reduced food intake.

Medication:  Course the liver and rectify qi. Use Bupleurum Liver-Coursing Powder (chái hú shü gän sân) plus Hordei Fructus Germinatus (mài yá).

Acupuncture:  Base treatment mainly on ST, SP, LR, and back transport points. Select ST-25 (tiän shü, Celestial Pivot) , CV-6 (qì hâi, Sea of Qi) , PC-6 (nèi guän, Inner Pass) , ST-36 (zú sän lî, Leg Three Li) , BL-18 (gän shü, Liver Transport) , LR-3 (tài chöng, Supreme Surge) , SP-6 (sän yïn jiäo, Three Yin Intersection) , and KI-13 (qì xué, Qi Point) ; needle with drainage.

Definition: 

Synonym:  drum distention .

Abdominal distention and fullness that is empty.

qì gû

Synonym:  qi drum distention .

(pronounced abdominal distention) caused by qi stagnation. The abdomen is distended and its skin is taught. Tapping produces an empty sound. In severe cases, the abdomen is greatly enlarged with prominent green-blue veins (caput medusae), generalized swelling, and somber yellow skin.

Medication:  Fortify the spleen and move qi.

Acupuncture:  Two groups of points can be used: CV-12 (zhöng wân, Center Stomach Duct) , ST-25 (tiän shü, Celestial Pivot) , ST-36 (zú sän lî, Leg Three Li) , BL-18 (gän shü, Liver Transport) , LR-13 (zhäng mén, Camphorwood Gate) , and LR-14 (qï mén, Cycle Gate) . SP-15 (dà hèng, Great Horizontal) , CV-6 (qì hâi, Sea of Qi) , SP-6 (sän yïn jiäo, Three Yin Intersection) , BL-18 (gän shü, Liver Transport) , LR-13 (zhäng mén, Camphorwood Gate) , and LR-14 (qï mén, Cycle Gate) . Needle with drainage in treatments every 3--5 days. Alternate the groups, and moxa CV-12 (zhöng wân, Center Stomach Duct) , CV-4 (guän yuán, Pass Head) , and bilateral SP-15 (dà hèng, Great Horizontal) for 30--60 minutes each time after needling.

qì gû

qi drum.

qì jï

The activity, particularly the movement, of qi. See qi.

qì lì

Definition: 

Dysentery attributed to qi vacuity and characterized by efflux desertion and discharge of stool with flatus.

Medication:  Stem desertion with warm astringent medicinals. Use Chebule Powder (hë lí lè sân).

Definition:  Dysentery attributed to qi stagnation.

Medication:  Six Milled Ingredients Decoction (lìu mò täng).

qì bù shè xuè

Qi failing to ensure that blood flows within the vessels, giving rise to blood loss. Qi failing to contain the blood is usually related to enduring illness damaging the spleen and giving rise to insufficiency of center qi. When there is qi vacuity fall, blood flows down with the qi (this is often called blood falling with qi), giving rise to bloody stool, bloody urine, or flooding and spotting. In addition, vacuous qi failing to control the blood can allow blood to leave its regular channels, spill out of the vessels, and seep out through the interstices, giving rise to subcutaneous hemorrhage or purple macules.

qì xiàn

center qi fall.

qì xiàn xiè xiè

Diarrhea due to qi vacuity fall. Qi fall diarrhea is characterized by diarrhea immediately after eating with non-transformation of food, decreased food intake, emaciation, fatigue, prolapse of the rectum, and spontaneous sweating.

Medication:  Use Sweet Relief Decoction (gän huân täng). If great diarrhea leads to qi desertion and loss of consciousness, use large amounts of of Ginseng Radix (rén shën) and Aconiti Tuber Laterale (fù zî) to warm and supplement. See vacuity diarrhea; spleen vacuity diarrhea.

qì täi

Phantom pregnancy characterized by absence of the menses and enlargement of the abdomen arising when agitation and anger cause binding depression of liver qi, and consequent stagnation of the controlling , thoroughfare , and uterine vessels.

Medication:  Use Free Wanderer Powder (xiäo yáo sân) with the addition of Saussureae (seu Vladimiriae) Radix (mù xiäng), Cyperi Rhizoma (xiäng fù zî), and Ligustici Rhizoma (chuän xiöng).

qì gän

gan of the lung.

qì mén

The pores of the skin through which sweat flows and through which yang qi is discharged. See lung governs the skin and body hair.

qì pî attributed to qi stagnation.

qì yîng

A goiter that is soft to the touch and of normal skin color and that swells and shrinks with the patient's moods. Qi goiter is attributed to emotional depression or environmental factors.

Western Medical Concept:  goiter*!endemic endemic goiter.

Medication:  Rectify qi and resolve depression; transform phlegm and soften hardness; fortify the spleen and eliminate dampness. Use Four Seas Depression-Soothing Pill (sì hâi shü yù wán) or Sargassum Jade Flask Decoction (hâi zâo yù hú täng).

Acupuncture:  Base treatment mainly on TB, ST, LI, GB, and empirical points. Select TB-13 (nào huì, Upper Arm Convergence) , LI-4 (hé gû, Union Valley) , ST-36 (zú sän lî, Leg Three Li) , GB-34 (yáng líng quán, Yang Mound Spring) , CV-22 (tiän tú, Celestial Chimney) , LI-17 (tiän dîng, Celestial Tripod) , and SI-17 (tiän róng, Celestial Countenance) ; needle with even supplementation and drainage. For thyroid enlargement, add and the paravertebrals of the neck (3-5).

qì göng

qi cultivation.

qì zhì attributed to qi stagnation in the triple burner stemming from wind-

cold and anxiety, thought, depression, and anger. Qi hemorrhoid patterns occur in episodes associated with emotional difficulties and are characterized by abdominal and rib-side fullness and distention, painful swollen anus, difficult defecation, bloody stool, and in some cases prolapse of the rectum.

Medication:  Resolve depression and dissipate the evil using Cyperus and Perilla Powder (xiäng sü sân).

Acupuncture:  Base treatment mainly on BL, PC, TB, LR, and SP. Select BL-32 (cì liáo, Second Bone-Hole) , GV-1 (cháng qiáng, Long Strong) , BL-57 (chéng shän, Mountain Support) , TB-6 (zhï göu, Branch Ditch) , TB-5 (wài guän, Outer Pass) , LR-3 (tài chöng, Supreme Surge) , PC-6 (nèi guän, Inner Pass) , and SP-6 (sän yïn jiäo, Three Yin Intersection) ; needle with drainage or with even supplementation and drainage. Selection of points according to signs: For abdominal fullness and distention, add ST-25 (tiän shü, Celestial Pivot) , CV-6 (qì hâi, Sea of Qi) , and ST-36 (zú sän lî, Leg Three Li) . For rib-side fullness and distention, add LR-14 (qï mén, Cycle Gate) , GB-34 (yáng líng quán, Yang Mound Spring) , and GB-24 (rì yuè, Sun and Moon) . For painful swollen anus, add BL-54 (zhì biän, Sequential Limit) , and BL-58 (fëi yáng, Taking Flight) . For difficult defecation, add CV-12 (zhöng wân, Center Stomach Duct) , CV-6 (qì hâi, Sea of Qi) , and LR-2 (xíng jiän, Moving Between) . For prolapse of the rectum, add GV-20 (bâi huì, Hundred Convergences) , and BL-25 (dà cháng shü, Large Intestine Transport) ,

qì è

Hiccough attributed to depressed qi dynamic or qi vacuity.

Center qi vacuity:  (zhöng qì xü) See vacuity hiccough.

Yang qi verging on expiration:  (yáng qì yù jìn) See vacuity hiccough.

Qi stagnation:  (qì zhì) Hiccough due to qi stagnation is characterized by continuous hiccough. It is associated with distention and oppression in the chest and rib-side, depression and anger, a thin tongue fur, and a stringlike pulse.

Medication:  Regulate qi and resolve depression. Use Saussurea Qi-Regulating Powder (mù xiäng tiáo qì sân) or Qi Depression Decoction (qì yù täng).

Acupuncture:  Base treatment mainly on ST, LR, and PC. Main points: Select BL-17 (gé shü, Diaphragm Transport) , CV-17 (shän zhöng, Chest Center) , PC-6 (nèi guän, Inner Pass) , ST-36 (zú sän lî, Leg Three Li) , and LR-3 (tài chöng, Supreme Surge) . For qi stagnation, add LR-14 (qï mén, Cycle Gate) , GB-34 (yáng líng quán, Yang Mound Spring) , and SP-6 (sän yïn jiäo, Three Yin Intersection) . Drain all points.

Impeded lung qi:  (fèi qì yù bì) Hiccough attributed to impeded lung qi is characterized frequent hiccough, attended by inhibited throat and cold face.

Medication:  Diffuse lung qi with medicinals such as Eriobotryae Folium (pí pá yè), Fritillariae Cirrhosae Bulbus (chuän bèi mû), Curcumae Tuber (yù jïn), Belamcandae Rhizoma (shè gän), Tetrapanacis Medulla (töng câo), and Glycines Semen Fermentatum Insulsum (dàn dòu chî).

Acupuncture:  To the main points given above add BL-13 (fèi shü, Lung Transport) and LU-7 (liè quë, Broken Sequence) . Drain all points. See hiccough.

qì bì

An impediment pattern brought on by emotional stimulus.

qì wéi xuè zhï shuài

Qi produces and moves the blood. Blood is produced by construction qi, which carries the essence assimilated from food by the stomach and spleen upward into the lung, combining it with lung qi. Once formed, it then flows with qi through the vessels. The heart's function of governing the blood, the liver's function of storing the blood, and the spleen's function of keeping the blood in the vessels are all ascribed to the qi of these organs. From this it can be seen that qi is indispensable for both the production and the circulation of blood. Qi engenders, moves, and contains the blood. This is why it is said that ``qi is the commander of the blood.''

qì kuài

Any lump caused by stagnation of qi.

qì shàn

Definition: 

A mounting pattern characterized by abdominal pain of varying intensity arising from blockage of qi dynamic from irregularities of diet or from excessive warmth or cold.

Medication:  Rectify qi using Litchee Pit and Fennel Powder (lì xiäng sân).

Acupuncture:  Base treatment mainly on points of the CV and LR. Select CV-6 (qì hâi, Sea of Qi) , LR-2 (xíng jiän, Moving Between) , LR-5 (lî göu, Woodworm Canal) , LR-6 (zhöng dü, Central Metropolis) , LR-3 (tài chöng, Supreme Surge) , and SP-6 (sän yïn jiäo, Three Yin Intersection) ; needle with drainage.

Definition:  Painful sagging of the scrotum attributed to qi depression.

Medication:  Course the liver and rectify qi with formulas such as Qi-Abducting Decoction (dâo qì täng). See foxy mounting.

xíng qì fâ

Any of several techniques applied in acupuncture after needles have been inserted and qi has been obtained to help the movement of qi to and from the disease locus. Qi-moving techniques include the following three.

Needle-driving method:  (bï zhën fâ) Pressure is applied at the location of the tip of the needle where qi is obtained; the needle is made to point in the direction of the desired flow of qi. The practitioner then concentrates his qi at the needle to force the qi to move. To drain, the action is performed while the patient breathes out, whereas to supplement, it is performed while the patient breathes in.

Qi-pushing method:  (tuï qì fâ) The flesh is lifted between the thumb and index finger at the point of insertion, and the needle is angled in the desired direction of qi flow, thrust forcefully while being rotated up to the crease on the inside of the thumb, and then retracted. The action is performed several times.

Damming method:  (àn jié fâ) After obtaining qi, lifting and thrusting and rotation are performed with the right hand, while left presses one side of the insertion point. If the qi is required to flow down the channel, the pressure is applied just above the insertion point; if it needs to move up the channel, pressure is applied just below it.

qín

The name of a dynasty (221--207 ).

qïng

The name of a dynasty ( 1644--1911) under which China was controlled by the Manchus.

qì bù guì gën

The kidney is the root of qi, and qi (air) drawn in by the lungs is absorbed by the kidney. When qi fails to reach the kidney, this is called ``qi not homing to its root.'' See kidney failing to absorb qi.

qì gé

Blockage of the throat accompanied by counterflow fullness in the chest and rib-side, and putrid belching. See dysphagia-occlusion .

qì kôu

The wrist pulse, so called because it is, as it were, an ``opening'' in the body where the qi can be felt. Also called vessel opening for the same reason.

qì tòng

Pain attributed to qi stagnation arising from binding depression of the seven affects, from stagnation of phlegm-heat, from damage by dietary irregularities, or from taxation fatigue. It may affect the chest, rib-side, abdomen, or lumbus. Qi stagnating in the upper burner with glomus and pain in the chest and heart region.

Medication:  Use Bitter Orange and Tangerine Peel Decoction (zhî jú täng). Qi stagnating in center burner is marked by stabbing pain in the abdomen and rib-side.

Medication:  Use Saussurea Qi-Breaking Powder (mù xiäng pò qì sân). Qi stagnating in the lower burner is marked by mounting-conglomeration or lumbar pain and can be treated Four Milled Ingredients Beverage (sì mò yîn) or Saussurea and Areca Pill (mù xiäng bïng láng wán). Qi stagnating in the external body with generalized stabbing pain can be treated with Qi Flow Drink (líu qì yîn zi) or Saussurea Qi Flow Beverage (mù xiäng líu qì yîn). Wherever there are signs of qi stagnation causing blood stasis, blood-quickening stasis-transforming medicinals can be included.

Acupuncture:  Main points: CV-6 (qì hâi, Sea of Qi) , PC-6 (nèi guän, Inner Pass) , and LR-3 (tài chöng, Supreme Surge) ; needle with drainage. Selection of points according to location of qi stagnation: For qi stagnation in the upper burner, add CV-17 (shän zhöng, Chest Center) , CV-15 (jïu wêi, Turtledove Tail) , and PC-5 (jiän shî, Intermediary Courier) . For qi stagnation in the center burner, add CV-12 (zhöng wân, Center Stomach Duct) , ST-25 (tiän shü, Celestial Pivot) , ST-36 (zú sän lî, Leg Three Li) , TB-6 (zhï göu, Branch Ditch) , and GB-34 (yáng líng quán, Yang Mound Spring) . For qi stagnation in the lower burner, add BL-23 (shèn shü, Kidney Transport) and ST-36 (zú sän lî, Leg Three Li) , and moxa CV-4 (guän yuán, Pass Head) . For qi stagnation in the outer body, add LI-4 (hé gû, Union Valley) , TB-5 (wài guän, Outer Pass) , and GV-20 (bâi huì, Hundred Convergences) . For qi stagnation causing blood stasis, add BL-17 (gé shü, Diaphragm Transport) , SP-10 (xuè hâi, Sea of Blood) , LI-4 (hé gû, Union Valley) , and SP-6 (sän yïn jiäo, Three Yin Intersection) , needling with drainage.

qì tán

Definition: 

dryness phlegm.

Definition:  plum-pit qi.

tuï qì fâ

qi-moving technique.

qì jué

Reversal attributed to qi vacuity or qi repletion.

Qi vacuity  (qì xü) reversal is characterized by dizziness and clouding collapse, bright white facial complexion, sweating, cold limbs, and faint weak pulse.

Medication:  Supplement qi and the blood using formulas such as Major Origin-Supplementing Brew (dà bû yuán jiän) or Pure Ginseng Decoction (dú shën täng).

Qi repletion  (qì shí) reversal is characterized by sudden clouding reversal, panting and fullness in the chest and diaphragm, and a slippery stringlike pulse.

Medication:  Normalize qi and resolve depression using formulas such as Four Milled Ingredients Beverage (sì mò yîn).

Acupuncture:  Base treatment mainly on LR, TB, and PC. Select LR-3 (tài chöng, Supreme Surge) , LR-2 (xíng jiän, Moving Between) , LR-14 (qï mén, Cycle Gate) , LR-13 (zhäng mén, Camphorwood Gate) , TB-6 (zhï göu, Branch Ditch) , PC-6 (nèi guän, Inner Pass) , GV-26 (shuî göu, Water Trough) , and CV-17 (shän zhöng, Chest Center) . Needle with drainage. See reversal.

qì yì

murky eye obstruction.

From The Golden Mirror of Medicine (yï zöng jïn jiàn) Soft round scrofulous lumps on either side of the neck that move when pushed and that swell up in response to anger.

Medication:  Course the liver and resolve depression. Use variations of Free Wanderer Powder (xiäo yáo sân).

qì shâo

Definition: 

Shortage of breath, i.e., shallow rapid breathing with a feeling of being unable to catch one's breath; a sign of qi vacuity.

Definition:  Qi vacuity. Compare shortness of breath and shortage of qi.

qì zhì

Decrease in the normal activity of qi that is attributed to the obstructive effect of mental and emotional problems, external injury, evil qi (cold, dampness), static blood, or qi vacuity, and that is capable of causing static blood, water-damp, or phlegm-rheum. Qi stagnation is characterized by distention, fullness, and oppression in the affected area. ``Where there is stoppage, there is pain.'' The pain associated with qi stagnation is of unfixed location or ``scurrying,'' as distinct from pain of fixed location associated with blood stasis. Often, discomfort associated with qi stagnation is temporarily relieved by belching or the passing of flatus.

Affect damage:  (nèi shäng qï qíng) Mental and emotional problems, traditionally understood as excesses among the seven affects, can affect health in a number of ways. This is known as affect damage. The most important way in which the seven affects can damage health is when affect-mind depression impairs the liver's free coursing action causing ``binding depression of liver qi.'' This mechanism is often referred to as ``binding depression of affect-mind,'' and the condition that results from it, which is one of the main forms of qi stagnation, is called qi depression. Qi depression manifests as sighing, pain and distention in the chest and rib-side (pain of unfixed location), oppression in the stomach duct, torpid intake, and in some cases vomiting. These signs are accompanied by mental or emotional problems that are the root cause, and intensify in periods of depression. Qi depression can also manifest in the form of abdominal pain, stomach pain, and even lumbar pain. Depressed qi sometimes produces abdominal glomus lump that is soft to the touch and that disperses and reforms periodically. In women, qi depression often manifests in swelling of the breasts and menstrual irregularities. It can combine with phlegm to cause plum-pit qi. Whatever form it takes, qi depression easily turns into fire causing rashness, impatience, irascibility, oppression in the chest and rib-side distention, clamoring stomach, dry mouth with bitter taste, constipation, red tongue with yellow fur and stringlike rapid pulse, and in some cases with headache, red eyes, or tinnitus.

External injury:  (wài shäng) Qi stagnation can also arise as a result of internal injury when blows to the chest or abdomen cause pain in the rib-side, cough, panting, and pain and distention in the abdomen and stomach duct.

Evil qi:  (xié qì) Qi stagnation can be the result of the obstructive effect of evils, especially cold and dampness. For example, in cold stagnating in the liver vessel, abdominal pain and distention is attributed to qi stagnation caused by cold evil. See also cold; cold-damp. Dampness can cause qi stagnation, as when dampness obstructing the center burner causes abdominal distention. See dampness; damp depression. Damp-heat can also cause qi stagnation as seen in damp-heat dysentery (manifesting in the form of tenesmus) and damp-heat rib-side pain. Qi stagnation can cause, or be caused by, blood stasis. This dual pathology is observed in menstrual block, liver fixity, dysphagia-occlusion , and concretions, conglomerations, accumulations, and gatherings (including strings and aggregations, deep-lying beam etc.), welling-abscess and flat-abscess (intestinal welling-abscess , effusions of the back , sloughing flat-abscess , etc.), and internal obstruction.

Qi vacuity:  (qì xü) Qi vacuity can cause qi stagnation, e.g., spleen vacuity causing qi stagnation abdominal distention in greater yin disease.

Western Medical Concept:  neurosis*!gastrointestinal enteritis*!chronic chronic enteritis* gastritis*!chronic chronic gastritis* gastric ulcer* ulcer*!gastric Qi stagnation is seen in gastrointestinal neurosis, chronic gastritis, chronic enteritis, ulcers, diseases of the biliary tract, and chronic hepatitis.

Medication:  Qi stagnation is treated by the methods of rectifying and moving qi. Agents such as Cyperi Rhizoma (xiäng fù zî), Saussureae (seu Vladimiriae) Radix (mù xiäng), Aurantii Fructus (zhî ké), and Citri Exocarpium (chén pí) are especially suitable for gastrointestinal qi stagnation. Citri Exocarpium Immaturum (qïng pí), Curcumae Tuber (yù jïn), and Toosendan Fructus (chuän liàn zî) are appropriate for binding depression of liver qi or for liver channel qi stagnation. Since most cases of qi stagnation are related to impaired liver free coursing, formulas designed for liver qi stagnation contain liver-coursing qi-rectifying medicinals such as Bupleuri Radix (chái hú). Liver-coursing qi-rectifying formulas include Counterflow Cold Powder (sì nì sân) and Bupleurum Liver-Coursing Powder (chái hú shü gän sân).

Acupuncture:  To rectify qi and move qi, select as main points CV-6 (qì hâi, Sea of Qi) , CV-17 (shän zhöng, Chest Center) , PC-6 (nèi guän, Inner Pass) , LI-4 (hé gû, Union Valley) , LR-3 (tài chöng, Supreme Surge) , TB-6 (zhï göu, Branch Ditch) , and GB-34 (yáng líng quán, Yang Mound Spring) . To these add further points chosen according to cause. Needle stimulus depends on cause. See depression pattern; disharmony of qi and blood.

qì zhì fù tòng

Synonym:  qi bind abdominal pain .

attributed to qi stagnation arising when constrained affect-mind or careless living depress qi dynamic. Qi stagnation abdominal pain is distending pain or attacks of pain of unfixed location, with oppression in the chest, and rib-side pain. Pain may be relieved by belching or passing of flatus, and exacerbated by emotional imbalance.

Medication:  Course the liver and resolve depression; rectify qi and relieve pain. If depressed qi transforms into fire, it is also necessary to clear fire. Formulas include Saussurea Qi-Normalizing Decoction (mù xiäng shùn qì täng) or Counterflow Cold Powder (sì nì sân) and Bupleurum Liver-Clearing Beverage (chái hú qïng gän yîn).

Acupuncture:  Base treatment mainly on LR, PC, and SP. Select CV-17 (shän zhöng, Chest Center) , PC-6 (nèi guän, Inner Pass) , CV-6 (qì hâi, Sea of Qi) , ST-36 (zú sän lî, Leg Three Li) , LR-3 (tài chöng, Supreme Surge) , SP-3 (tài bái, Supreme White) , LR-14 (qï mén, Cycle Gate) , and ST-25 (tiän shü, Celestial Pivot) ; needle with drainage. Selection of points according to signs: For depressed qi transforming into fire, add PC-8 (láo göng, Palace of Toil) , GB-34 (yáng líng quán, Yang Mound Spring) , and LR-2 (xíng jiän, Moving Between) , needling with drainage. See abdominal pain.

qì zhì xuè yü

The simultaneous occurrence of qi stagnation and blood stasis, characterized by signs such as menstrual block, stasis clots in the menstrual discharge, abdominal pain at the onset of menstruation, or painful distention of the breasts. Qi stagnation and blood stasis may also arise together as a result of external injury. When qi fails to move the blood, qi stagnation may cause---and be further exacerbated by---blood stasis. This frequently occurs in conditions described by Western medicine as chronic nephritis and ulcerative diseases.

Medication:  Dual patterns of qi stagnation and blood stasis are treated with blood-quickening and qi-rectifying medicinals. Toosendan Powder (jïn líng zî sân), commonly used to relieve pain, is a representative formula.

Acupuncture:  Base treatment mainly on back transport points, SP, LR, CV, PC, and GB. BL-17 (gé shü, Diaphragm Transport) , SP-10 (xuè hâi, Sea of Blood) , LR-3 (tài chöng, Supreme Surge) , SP-6 (sän yïn jiäo, Three Yin Intersection) , CV-6 (qì hâi, Sea of Qi) , PC-6 (nèi guän, Inner Pass) , LI-4 (hé gû, Union Valley) , TB-6 (zhï göu, Branch Ditch) , and GB-34 (yáng líng quán, Yang Mound Spring) can be selected as main points; and needle with even supplementation and drainage or bleed with a three-edged needle to rectify qi and dissipate stasis. Selection of points according to signs: For menstrual block, add CV-3 (zhöng jí, Central Pole) and SP-8 (dì jï, Earth's Crux) . For menstrual pain, add CV-3 (zhöng jí, Central Pole) , and ST-29 (guï lái, Return) . For painful distention of the breasts, add CV-17 (shän zhöng, Chest Center) , ST-18 (rû gën, Breast Root) , and LR-14 (qï mén, Cycle Gate) . For external injury, add local points.

qì zhì xuè yü xïn jì attributed to qi stagnation and blood stasis and associated with shortness of breath and panting,

oppression or pain in the chest, dark purple tongue, and a rough pulse.

Medication:  Quicken the blood and transform stasis with House of Blood Stasis-Expelling Decoction (xuè fû zhú yü täng) and Peach Kernel and Carthamus Brew (táo rén hóng huä jiän). Salvia Beverage (dän shën yîn). Nowadays, Coronary No.2 (guàn xïn èr hào) is used for coronary heart disease and angina pectoris, and is suitable for heart palpitations from these conditions.

Acupuncture:  Base treatment mainly on back transport points, CV, HT, PC, LR, and SP. Select BL-15 (xïn shü, Heart Transport) , HT-7 (shén mén, Spirit Gate) , PC-6 (nèi guän, Inner Pass) , CV-17 (shän zhöng, Chest Center) , BL-17 (gé shü, Diaphragm Transport) , SP-10 (xuè hâi, Sea of Blood) , LI-4 (hé gû, Union Valley) , and LR-3 (tài chöng, Supreme Surge) ; needle with even supplementation and drainage. See heart palpitations.

qì zhì xuè yü jïng bì

Absence of menses attributed to qi and blood stagnation causing stagnation in the thoroughfare and controlling vessels and traceable either to affect damage affecting liver, heart, or spleen qi or to the cold evil.

Medication:  Rectify qi and quicken the blood; dispel stasis and free menstruation. Use House of Blood Stasis-Expelling Decoction (xuè fû zhú yü täng) or Free Wanderer Powder (xiäo yáo sân) combined with Four Agents Decoction (sì wù täng) plus Millettiae Radix et Caulis (jï xuè téng) and Leonuri Fructus (chöng wèi zî).

Acupuncture:  Base treatment mainly on CV, SP, and LR. Main points: CV-3 (zhöng jí, Central Pole) , LI-4 (hé gû, Union Valley) , SP-6 (sän yïn jiäo, Three Yin Intersection) , SP-10 (xuè hâi, Sea of Blood) , LR-3 (tài chöng, Supreme Surge) , and ST-29 (guï lái, Return) . If qi stagnation is prominent, add CV-6 (qì hâi, Sea of Qi) and LR-2 (xíng jiän, Moving Between) , needling with drainage; if blood stasis is prominent, add BL-17 (gé shü, Diaphragm Transport) , SP-8 (dì jï, Earth's Crux) , LR-8 (qü quán, Spring at the Bend) , and ST-30 (qì chöng, Qi Thoroughfare) , needling with even supplementation and drainage or bleeding with three-edged needle. See menstrual block.

qì zhì jïng xíng hòu qï (

lengthening of menstrual cycle) attributed to qi stagnation arising when depression and anger damage the liver, inhibiting qi dynamic and hampering the flow of blood in the thoroughfare and controlling vessels. Qi stagnation delayed menstruation is often associated with pain and distention in the smaller abdomen and breasts that refuses pressure. Menstrual flow is scant and disfluent.

Medication:  Move qi and resolve depression using Supplemented Lindera Decoction (jiä wèi wü yào täng) or Sevenfold Processed Cyperus Pill (qï zhì xiäng fù wán).

Acupuncture:  Base treatment mainly on CV and the three yin channels of the foot. Select CV-6 (qì hâi, Sea of Qi) , KI-13 (qì xué, Qi Point) , SP-6 (sän yïn jiäo, Three Yin Intersection) , LR-3 (tài chöng, Supreme Surge) , and LR-5 (lî göu, Woodworm Canal) ; needle with drainage. See delayed menstruation.

qì zhì yäo tòng

Lumbar pain arising when either anger, depression, thought or anxiety, or sprains and falls cause qi stagnation in the sinews. Qi stagnation lumbar pain is characterized by pain that stretches into the abdomen and rib-side that seems to wander, and is intermittent.

Medication:  Move qi and course stagnation with formulas such as Aquilaria Qi-Downbearing Decoction (chén xiäng jiàng qì täng).

Acupuncture:  Base treatment mainly on back transport points, BL, CV, LR, and PC. Select BL-23 (shèn shü, Kidney Transport) , BL-40 (wêi zhöng, Bend Center) , , CV-6 (qì hâi, Sea of Qi) , PC-6 (nèi guän, Inner Pass) , LR-3 (tài chöng, Supreme Surge) , and GB-34 (yáng líng quán, Yang Mound Spring) ; needle with drainage. For enduring conditions, add ST-36 (zú sän lî, Leg Three Li) , BL-20 (pí shü, Spleen Transport) , and BL-17 (gé shü, Diaphragm Transport) ; needle with supplementation. See lumbar pain.

qì zhì tòng jïng

Lower abdominal distention and pain before or during menstruation, arising when emotional depression causes qi stagnation, which in turn obstructs the movement of blood in the thoroughfare and controlling vessels. Qi stagnation menstrual pain is often accompanied by oppression in the chest and distention of the breasts and by disfluent menstrual flow.

Medication:  Use formulas such as Supplemented Lindera Decoction (jiä wèi wü yào täng) or Sevenfold Processed Cyperus Pill (qï zhì xiäng fù wán).

Acupuncture:  Base treatment mainly on CV, LR, PC, and SP. Select CV-6 (qì hâi, Sea of Qi) , LR-3 (tài chöng, Supreme Surge) , PC-6 (nèi guän, Inner Pass) , LR-2 (xíng jiän, Moving Between) , and SP-6 (sän yïn jiäo, Three Yin Intersection) ; needle with drainage. Selection of points according to signs: For lower abdominal distention, add ST-25 (tiän shü, Celestial Pivot) , KI-13 (qì xué, Qi Point) , and SP-8 (dì jï, Earth's Crux) . For oppression in the chest and distention of the breasts, add CV-17 (shän zhöng, Chest Center) and PC-6 (nèi guän, Inner Pass) . See menstrual pain.

qì lín (

painful dribbling urination) attributed either to qi vacuity or to qi stagnation, and characterized in either case by pronounced smaller-abdominal distention and fullness.

Qi vacuity  (qì xü) patterns are attributed to insufficiency of center qi and are characterized by sagging distention in the lesser abdomen (attributed to center qi fall), forceless discharge of urine, dribble after voiding, bright white facial complexion, pale tongue, and forceless vacuous weak pulse.

Qi stagnation  (qì zhì) (repletion) patterns are attributed to binding depression of liver qi and are characterized by a tongue with a green-blue tinge, and a stringlike sunken pulse.

Medication:  Treat qi vacuity patterns with Center-Supplementing Qi-Boosting Decoction (bû zhöng yì qì täng) or Eight-Gem Decoction (bä zhën täng) plus Eucommiae Cortex (dù zhòng) and Achyranthis Bidentatae Radix (níu xï). Treat qi stagnation patterns with Aquilaria Powder (chén xiäng sân).

Acupuncture:  Base treatment mainly on the three yin channels of the foot and alarm and back transport points of BL (CV-3 and BL-28). Main points: CV-3 (zhöng jí, Central Pole) , BL-28 (páng guäng shü, Bladder Transport) , SP-9 (yïn líng quán, Yin Mound Spring) , LR-2 (xíng jiän, Moving Between) , and KI-3 (tài xï, Great Ravine) . For vacuity patterns of insufficiency of center qi, add BL-20 (pí shü, Spleen Transport) , CV-6 (qì hâi, Sea of Qi) , and ST-36 (zú sän lî, Leg Three Li) , and needle with supplementation. For repletion patterns of qi stagnation, add PC-6 (nèi guän, Inner Pass) , LR-3 (tài chöng, Supreme Surge) , and GB-34 (yáng líng quán, Yang Mound Spring) , and needle with drainage. See strangury.

qì jië

Definition: 

A pathway along which qi flows. There are four qi streets in the body. The Magic Pivot (líng shü) ``The chest has a qi street; the abdomen has a qi street; the head has a qi street; the lower leg has a qi street.''

Definition:  The area of the pulsating vessel in the groin. It is said, for example, that the yang brightness stomach channel descends from the supraclavicular, down the inner face of the breast, and past the umbilicus to enter the qi street.

qì shàng chöng xïn

A subjective feeling of an upward rush into the region of the heart. Qi surging up into the heart is observed in running piglet where the qi rises from the lesser abdomen, and in reverting yin disease, where it is a manifestation of cross counterflow of liver qi.

qì zhòng

A form of wind-like stroke arising when seven-affect qi bind or anger stirring liver qi causes qi to ascend counterflow. Signs include sudden collapse, loss of consciousness, clenched jaw, and hypertonicity of the limbs. It is very similar to wind stroke, but the body is cool, and although there may be a small amount of phlegm-drool, there is no sound of drool in the mouth; hence the condition is different.

Medication:  Rectify qi, dissipate binds, and downbear counterflow. Use formulas such as Seven Qi Decoction (qï qì täng). In severe cases, pour Styrax Liquidus (sü hé xiäng) mixed with ginger juice into the mouth.

Acupuncture:  Base treatment mainly on GV, LI, and hand and foot reverting yin PC/LR. Select GV-26 (shuî göu, Water Trough) , GV-20 (bâi huì, Hundred Convergences) , PC-9 (zhöng chöng, Central Hub) , LI-4 (hé gû, Union Valley) , PC-6 (nèi guän, Inner Pass) , LR-3 (tài chöng, Supreme Surge) , LR-2 (xíng jiän, Moving Between) , ST-36 (zú sän lî, Leg Three Li) , ST-6 (jiá chë, Cheek Carriage) , and ST-7 (xià guän, Below the Joint) ; needle with drainage.

qì zhông

Definition:  with signs of qi depression.

Qi swelling is caused by qi stagnation and damp depression. Accompanying signs include somber skin complexion, emaciation, and fullness and distention in the abdomen and rib-side, sometimes with abdominal pain stretching into the rib-side. The swelling may occur suddenly, and may spread from the upper body downward. The skin feels thick to the touch, and the swelling rebounds after pressure is relieved.

Medication:  Rectify qi and transform dampness; disperse swelling and eliminate fullness. Use Tangerine Peel Decocted Pill (jú pí jiän wán).

Acupuncture:  Base treatment mainly on CV, back transport points, ST, PC, LR, and SP. Select CV-9 (shuî fën, Water Divide) , CV-6 (qì hâi, Sea of Qi) , BL-20 (pí shü, Spleen Transport) , BL-22 (sän jiäo shü, Triple Burner Transport) , ST-25 (tiän shü, Celestial Pivot) , PC-6 (nèi guän, Inner Pass) , LR-3 (tài chöng, Supreme Surge) , ST-36 (zú sän lî, Leg Three Li) , TB-6 (zhï göu, Branch Ditch) , SP-6 (sän yïn jiäo, Three Yin Intersection) , and SP-9 (yïn líng quán, Yin Mound Spring) ; needle with drainage and add moxa. See water swelling.

Definition:  Local painful swelling of the skin. The Origin and Indicators of Disease (zhü bìng yuán hòu lùn) states, ``Qi swelling is like a welling-abscess without a head, marked by vacuity swelling, no change in skin color, and painful taughtness in the skin that hurts whenever it is pressed. This is caused by wind evil binding contending with qi.''

Definition:  vacuous puffiness.

qì qiè

Qi vacuity as manifest in the form of shortage of breath with fear, lack of courage, and susceptibility to fright. Qi timidity arises when insufficiency of spleen qi engenders phlegm, which singly or in combination with heat obstructs the liver's free coursing action and disturbs bile flow. See gallbladder vacuity and qi timidity.

qì huà

The movement, mutation, and conversion of qi. In ancient Chinese thought, qi is considered to be a material entity having yin and yang aspects which are interdependent and opposing. Yang qi is formless and intangible, yet can evolve to assume tangible forms, which are yin qi. Yin qi and yang qi form a unity of opposites and undergo constant mutation from which the material world springs. This constant mutation is called ``qi transformation.'' In the human body, qi in a wider sense denotes essence, qi (yang qi), liquid, humor, and blood (see six qi). Qi transformation refers to the processes by which these qi produce each other and convert from one to another. Qi transformation is therefore life activity. The five viscera and six bowels, the limbs and bones, etc., are all involved in the process of qi transformation. The movement of blood and essential qi, the distribution of fluids, the digestion and assimilation of food, the discharge of waste, the moistening of the sinew and bones, the warming of the skin, the maintenance of the sheen of the hair of the head and body, and the regulation of the organs all rely upon qi transformation. For this reason, some writers have said that qi transformation is roughly equivalent to metabolism. metabolism* Growth and development of the body, and defense against external evils, are similarly dependent upon qi transformation. Cessation of qi transformation is the cessation of life. This is the broadest meaning of ``qi transformation.'' In a narrower meaning, the term denotes the qi transformation of the triple burner, especially in the context of fluid metabolism. See qi; water failing to transform into qi.

qì líu

A tumor (a growth on the outside of the body) caused by taxation damaging lung qi and by invasion of external evil is soft, with normal skin color, unassociated with cold or heat, and becomes larger or smaller with changing moods.

Medication:  Boost the lung and regulate qi; transform phlegm and dissipate binds. An appropriate formula is Qi-Freeing Hardness-Dissipating Pill (töng qì sàn jiän wán).

qì xü

Definition: 

Synonym:  original qi vacuity .

Weakness of qi; the manifestation of insufficiency of original qi. Qi vacuity is associated with poor organ function, general weakening through illness or overwork, dietary imbalance, or damage to yin-blood. General signs include fatigue, lack of strength, spontaneous sweating at the slightest movement, bright white facial complexion, dizziness, faint voice, shortness of breath, and a weak fine soft pulse. If qi's securing function breaks down, there may be flooding and spotting or bloody stool, prolapse of the rectum or prolapse of the uterus, and reduced resistance to evils. A focus among the organs is usually detectable, and is identified by weak organ function. Since qi is yang in nature, qi vacuity and yang vacuity present with similar signs. Yang vacuity is characterized by qi vacuity signs as well as cold signs such as cold limbs, aversion to cold, cold sweating, and slow pulse.

Medication:  Qi vacuity is treated according to the principle that vacuity is treated by supplementation. Qi-supplementing medicinals include Codonopsitis Radix (dâng shën), Astragali (seu Hedysari) Radix (huáng qí), and Glycyrrhizae Radix (gän câo). Since the spleen and stomach are the root of later heaven (the acquired constitution), qi-supplementing medicinals are complemented by spleen-strengthening medicinals such as Atractylodis Ovatae Rhizoma (bái zhú) and Poria (fú líng). A formula that treats any form of qi vacuity is Four Gentlemen Decoction (sì jün zî täng).

Acupuncture:  Select CV-6 (qì hâi, Sea of Qi) , BL-43 (gäo huäng shü, Gao-Huang Transport) , ST-36 (zú sän lî, Leg Three Li) , BL-20 (pí shü, Spleen Transport) , BL-21 (wèi shü, Stomach Transport) , SP-3 (tài bái, Supreme White) , LU-9 (tài yuän, Great Abyss) , and GV-20 (bâi huì, Hundred Convergences) as the main points; needle with supplementation and add moxa. To these add further points according to accompanying signs.

Definition:  Lung vacuity. Elementary Questions (sù wèn) states, ``Qi vacuity is lung vacuity.'' The lung governs qi, and lung qi is engendered by spleen-earth; hence qi vacuity principally denotes spleen-lung qi vacuity.

Medication:  Bank up earth to engender metal. Use Six Gentlemen Decoction (lìu jün zî täng) or variations of Ginseng, Poria (Hoelen), and Ovate Atractylodes Powder (shën líng bái zhú sân).

Acupuncture:  Base treatment mainly on back transport points, LU, and SP. Select BL-13 (fèi shü, Lung Transport) , BL-20 (pí shü, Spleen Transport) , BL-43 (gäo huäng shü, Gao-Huang Transport) , BL-21 (wèi shü, Stomach Transport) , SP-3 (tài bái, Supreme White) , LU-9 (tài yuän, Great Abyss) , and ST-36 (zú sän lî, Leg Three Li) ; needle with supplementation and add moxa.

qì xü fù tòng attributed to qi vacuity that occurs when enduring illness,

dietary irregularities, or taxation fatigue (overwork, stress) damages center qi. Qi vacuity abdominal pain is a continual pain exacerbated by fatigue and relieved by pressure and eating. It is accompanied by a withered-yellow facial complexion, low faint voice, and shortness of breath. The pulse is fine and rough or large and vacuous, and in cases of original qi vacuity, it may be urgent or racing.

Medication:  Supplement qi and fortify the center using formulas such as Saussurea and Amomum Six Gentlemen Decoction (xiäng shä lìu jün zî täng), Center-Supplementing Qi-Boosting Decoction (bû zhöng yì qì täng) or Minor Center-Fortifying Decoction (xiâo jiàn zhöng täng).

Acupuncture:  Base treatment mainly on back transport points and CV. Select BL-20 (pí shü, Spleen Transport) , BL-21 (wèi shü, Stomach Transport) , CV-12 (zhöng wân, Center Stomach Duct) , LR-13 (zhäng mén, Camphorwood Gate) , CV-6 (qì hâi, Sea of Qi) , and ST-36 (zú sän lî, Leg Three Li) ; needle with supplementation and add moxa.

qì xü jïng xíng xiän qï (

i.e., premature arrival of periods) due to qi vacuity. Qi vacuity advanced menstruation occurs when constitutional vacuity, damage to the spleen by anxiety and thought, or dietary irregularities lead to center qi vacuity. It is marked by continual unabating abdominal pain that is exacerbated by taxation fatigue and relieved by pressure. There is reduced food intake, withered-yellow facial complexion, low faint voice, shortness of breath, and a rough fine or large vacuous pulse. In severe original qi vacuity, there may be a racing pulse.

Medication:  Supplement qi and contain the blood; fortify the spleen and secure the thoroughfare vessel. Use Center-Supplementing Qi-Boosting Decoction (bû zhöng yì qì täng) or Major Origin-Supplementing Brew (dà bû yuán jiän).

Acupuncture:  Base treatment mainly on the CV and three yin channels of the foot. Select CV-4 (guän yuán, Pass Head) , SP-10 (xuè hâi, Sea of Blood) , ST-36 (zú sän lî, Leg Three Li) , CV-6 (qì hâi, Sea of Qi) , BL-20 (pí shü, Spleen Transport) , SP-2 (dà dü, Great Metropolis) , and LR-8 (qü quán, Spring at the Bend) ; needle with supplementation and add moxa.

qì xü zhöng mân

Abdominal fullness attributed to spleen vacuity. The spleen and stomach are located in the center burner and are responsible for movement and transformation. Spleen-stomach qi vacuity manifests as impaired movement and transformation, which is characterized by poor appetite and abdominal glomus, fullness, and distention sometimes accompanied by sloppy diarrhea.

Medication:  Use Saussurea and Amomum Six Gentlemen Decoction (xiäng shä lìu jün zî täng).

Acupuncture:  Base treatment mainly on back transport points, CV, ST, and SP. Select BL-20 (pí shü, Spleen Transport) , BL-21 (wèi shü, Stomach Transport) , CV-6 (qì hâi, Sea of Qi) , CV-12 (zhöng wân, Center Stomach Duct) , ST-36 (zú sän lî, Leg Three Li) , ST-25 (tiän shü, Celestial Pivot) , SP-4 (göng sün, Yellow Emperor) , and PC-6 (nèi guän, Inner Pass) ; needle with supplementation and moxa.

qì xü êr lóng attributed to qi vacuity,

occurring most commonly in advancing years or after illness. Qi vacuity deafness is often associated with tinnitus and is accompanied by shortage of qi, fatigue, heart palpitations, bland taste in the mouth, torpid intake, and forceless weak pulse.

Medication:  Supplement the center and boost qi using variations of Center-Supplementing Qi-Boosting Decoction (bû zhöng yì qì täng). See deafness.

Acupuncture:  See deafness.

qì xü xuàn yün attributed to qi vacuity and yang debilitation preventing normal upbearing of clear yang.

Qi vacuity dizziness also includes yang vacuity dizziness. When caused by spleen qi vacuity, dizziness and flowery vision brought on by taxation are associated with lassitude of spirit and lack of strength, reduced food intake and sloppy stool, and a vacuous pulse.

Medication:  Boost qi and fortify the spleen using Four Gentlemen Panting Decoction (chuân sì jün zî täng) or Center-Supplementing Qi-Boosting Decoction (bû zhöng yì qì täng).

Acupuncture:  Base treatment mainly on GV, CV, ST, and back transport points. Select GV-20 (bâi huì, Hundred Convergences) , ST-36 (zú sän lî, Leg Three Li) , CV-12 (zhöng wân, Center Stomach Duct) , CV-6 (qì hâi, Sea of Qi) , BL-20 (pí shü, Spleen Transport) , BL-21 (wèi shü, Stomach Transport) , and ST-8 (tóu wéi, Head Corner) ; needle with supplementation and add moxa. For yang vacuity patterns, see yang vacuity dizziness. See also dizziness.

qì xü xià xiàn

center qi fall.

qì xü bëng lòu (

abnormal discharge of blood via the vagina) attributed to qi vacuity. Qi vacuity flooding and spotting occurs when constitutional vacuity, damage to the spleen by anxiety or thought, or dietary irregularities cause center qi fall and insecurity of the thoroughfare vessel. It is characterized by copious or dribbling discharge of pale thin blood, accompanied by lassitude of spirit, shortness of breath and laziness to speak, no thought of food and drink, and in some cases by a bright white facial complexion, heart palpitations, and empty sagging in the smaller abdomen.

Medication:  Supplement qi to contain the blood; fortify the spleen and secure the thoroughfare vessel. Use formulas like Center-Supplementing Qi-Boosting Decoction (bû zhöng yì qì täng) or Origin-Lifting Brew (jû yuán jiän).

Acupuncture:  Base treatment mainly on CV and SP. Select GV-20 (bâi huì, Hundred Convergences) , CV-12 (zhöng wân, Center Stomach Duct) , CV-6 (qì hâi, Sea of Qi) , BL-20 (pí shü, Spleen Transport) , CV-4 (guän yuán, Pass Head) , ST-36 (zú sän lî, Leg Three Li) , and SP-6 (sän yïn jiäo, Three Yin Intersection) , needling with supplementation and adding moxa.

qì xü shën rè

Heat~effusion (fever) due to damage by summerheat-damp in patients suffering from vacuity of original qi. Elementary Questions (sù wèn) states, ``Qi vacuity generalized heat-effusion comes from damage by summerheat.'' This can be treated with Li's Summerheat-Clearing Qi-Boosting Decoction (lî shì qïng shû yì qì täng) or Wang's Summerheat-Clearing Qi-Boosting Decoction (wáng shì qïng shû yì qì täng). Qi vacuity generalized heat~effusion may also be the result of damage to the spleen and stomach as a result of diet or taxation fatigue. This is treated by eliminating heat with warmth and sweetness. See qi vacuity heat.

qì xü huá täi

Habitual miscarriage attributed to qi vacuity. Qi vacuity habitual miscarriage arises when spleen-stomach vacuity develops in pregnancy and causes insecurity of the thoroughfare and controlling vessels that deprives the fetus of its bearing. Accompanying signs include aching lumbus, abdominal distention, stirring fetus sometimes with bleeding, shortness of breath and lack of strength.

Medication:  Boost qi and quiet the fetus. A basic formula is Origin-Lifting Brew (jû yuán jiän), to which Eucommiae Cortex (dù zhòng) and Loranthi seu Visci Ramus (säng jì shëng) may be added for aching lumbus and sagging pain in the abdomen. Asini Corii Gelatinum (ë jiäo) and Artemisiae Argyi Folium Carbonisatum (ài yè tàn) may be added if there is bleeding. See habitual miscarriage.

qì xü tóu tòng attributed to insufficiency of the stomach and spleen and to qi vacuity preventing the upbearing of clear yang.

Qi vacuity headache is exacerbated by taxation and is accompanied by tinnitus, inhibition of the nine orifices, lassitude of spirit, inability to taste food, and a pulse that is either weak or large and forceless.

Medication:  Fortify the spleen and boost qi using formulas such as Center-Supplementing Qi-Boosting Decoction (bû zhöng yì qì täng), or Four Gentlemen Decoction (sì jün zî täng) plus Astragali (seu Hedysari) Radix (huáng qí) and Viticis Fructus (màn jïng zî).

Acupuncture:  Base treatment mainly on CV and ST. Select GV-20 (bâi huì, Hundred Convergences) , CV-12 (zhöng wân, Center Stomach Duct) , CV-6 (qì hâi, Sea of Qi) , CV-4 (guän yuán, Pass Head) , ST-36 (zú sän lî, Leg Three Li) , and SP-3 (tài bái, Supreme White) , and needle with supplementation and add moxa. For selection of points according to affected area, see headache. For tinnitus, add TB-21 (êr mén, Ear Gate) .

qì xü xïn jì attributed to yang qi vacuity and attended by emptiness below the heart,

with palpitations usually preceded by vexation. The pulse is large and forceless.

Medication:  Warm yang and boost qi with Minor Center-Fortifying Decoction (xiâo jiàn zhöng täng), True Warrior Decoction (zhën wû täng), or Counterflow Cold Decoction (sì nì täng) plus Cinnamomi Cortex (ròu guì).

Acupuncture:  Base treatment mainly on back transport points, CV, HT, and PC. Select BL-15 (xïn shü, Heart Transport) , CV-14 (jù què, Great Tower Gate) , HT-7 (shén mén, Spirit Gate) , PC-6 (nèi guän, Inner Pass) , CV-6 (qì hâi, Sea of Qi) , CV-4 (guän yuán, Pass Head) , ST-36 (zú sän lî, Leg Three Li) , and GV-4 (mìng mén, Life Gate) ; needle with even supplementation and drainage. See heart palpitations.

qì xü rè

Definition: 

A heat pattern due to qi vacuity. Qi vacuity heat usually stems from spleen-stomach qi vacuity or spleen-lung qi vacuity and arising when dietary irregularities or taxation fatigue causes damage to the spleen and stomach. It is characterized by generalized heat~effusion, heart vexation, spontaneous sweating and aversion to cold, headache, fatigue, and laziness to speak, panting and lack of strength at the slightest exertion, and a large vacuous surging pulse.

Medication:  Eliminate heat with warmth and sweetness. Use Center-Supplementing Qi-Boosting Decoction (bû zhöng yì qì täng) or variations of Eight-Gem Decoction (bä zhën täng).

Definition:  due to summerheat-damp damaging qi, and associated with fatigued cumbersome limbs, fatigued essence-spirit, heart vexation, hasty breathing, thirst, spontaneous sweating, yellow urine, and a vacuous pulse. If summerheat-heat evil wears qi and damages fluid, there is generalized fever and vacuity pulse, spontaneous sweating, and more pronounced vexation and thirst.

Medication:  Clear summerheat-heat; boost qi and engender liquid. Use Wang's Summerheat-Clearing Qi-Boosting Decoction (wáng shì qïng shû yì qì täng).

qì xü fä rè

Heat~effusion due to qi vacuity. Qi vacuity heat~effusion is a low intermittent heat~effusion associated with fatigue and lack of strength. See qi vacuity heat.

qì xü bì

An impediment pattern arising when vacuity of yang qi allows internal cold-damp to become exuberant. Qi vacuity impediment is characterized by inhibited movement of the joints, lack of bodily warmth, and in some case numbness of the limbs.

Medication:  Boost qi and warm yang with Four Gentlemen Decoction (sì jün zî täng) plus Cinnamomi Cortex (ròu guì) and Aconiti Tuber Laterale (fù zî). If there is numbness, use Wondrous Effect Astragalus Decoction (shén xiào huáng qí täng).

Acupuncture:  Base treatment mainly on back transport points, GV, CV, ST, and SP. Needle with supplementation and moxa at BL-23 (shèn shü, Kidney Transport) , BL-20 (pí shü, Spleen Transport) , GV-4 (mìng mén, Life Gate) , CV-4 (guän yuán, Pass Head) , CV-6 (qì hâi, Sea of Qi) , and needle with drainage and moxa at ST-36 (zú sän lî, Leg Three Li) , SP-9 (yïn líng quán, Yin Mound Spring) , and SP-5 (shäng qïu, Shang Hill) . Apply moxa on salt or ginger at CV-8 (shén què, Spirit Gate Tower) . See impediment for selection of points according to affected area.

qì xü chuân (

labored breathing) attributed to insufficiency of original qi or spleen-lung qi vacuity. Qi vacuity panting is characterized by hasty breathing and discontinuity between breaths, fatigue and lack of strength, low faint voice, and sweating and exacerbation of panting at the slightest exertion.

Medication:  Supplement qi and calm panting with Four Gentlemen Panting Decoction (chuân sì jün zî täng). For qi vacuity with cold, use Clove and Evodia Center-Rectifying Decoction (dïng yú lî zhöng täng) or Center-Rectifying Decoction (lî zhöng täng). For severe vacuity, use Pure Ginseng Decoction (dú shën täng).

Acupuncture:  Base treatment mainly on back transport points, LU, CV and SP. Select BL-13 (fèi shü, Lung Transport) , , BL-43 (gäo huäng shü, Gao-Huang Transport) , LU-9 (tài yuän, Great Abyss) , and ST-36 (zú sän lî, Leg Three Li) , BL-20 (pí shü, Spleen Transport) , BL-21 (wèi shü, Stomach Transport) , CV-6 (qì hâi, Sea of Qi) , and SP-3 (tài bái, Supreme White) ; needle with supplementation and add moxa. See vacuity panting.

qì xü yuè jïng guò duö

Excessively copious or prolonged menstrual flow attributed to qi vacuity. Qi vacuity profuse menstruation arises when constitutional qi vacuity or center qi vacuity or damage to the spleen due to excessive anxiety and thought leads to insecurity of the thoroughfare and controlling vessels. This pattern is characterized by pale menstrual flow, bright white facial complexion, lassitude of spirit, shortness of breath and laziness to speak, no thought of food or drink, and empty sagging in the smaller abdomen.

Medication:  Supplement qi and contain the blood; fortify the spleen and secure the thoroughfare vessel. Use Center-Supplementing Qi-Boosting Decoction (bû zhöng yì qì täng), Origin-Lifting Brew (jû yuán jiän), or Spleen-Returning Decoction (guï pí täng).

Acupuncture:  Base treatment mainly on CV, SP, and ST. Select CV-6 (qì hâi, Sea of Qi) , CV-4 (guän yuán, Pass Head) , SP-10 (xuè hâi, Sea of Blood) , ST-36 (zú sän lî, Leg Three Li) , BL-20 (pí shü, Spleen Transport) , SP-6 (sän yïn jiäo, Three Yin Intersection) , SP-2 (dà dü, Great Metropolis) , and LR-8 (qü quán, Spring at the Bend) ; needle with supplementation and add moxa.

qì xü zì hàn

Spontaneous sweating attributed to qi vacuity and insecurity of the defensive exterior. Qi vacuity spontaneous sweating is associated with aversion to cold, fatigue and lack of strength, faint moderate pulse or large vacuous pulse.

Medication:  Boost qi and secure the exterior using Jade Wind-Barrier Powder (yù píng fëng sân) or Center-Supplementing Qi-Boosting Decoction (bû zhöng yì qì täng).

Acupuncture:  Base treatment mainly on CV, back transport points, ST, LI, HT, and SI. Select LI-4 (hé gû, Union Valley) , HT-6 (yïn xï, Yin Cleft) , SI-3 (hòu xï, Back Ravine) , CV-6 (qì hâi, Sea of Qi) , ST-36 (zú sän lî, Leg Three Li) , BL-13 (fèi shü, Lung Transport) , and BL-20 (pí shü, Spleen Transport) ; needle with supplementation and, if appropriate, moxa. See spontaneous sweating.

qì xü êr míng

Tinnitus attributed to qi vacuity. It is accompanied by fatigue and lack of strength and bright white facial complexion. The inch and bar pulses of the right wrist are larger than those of the left.

Medication:  Use formulas such as Four Gentlemen Panting Decoction (chuân sì jün zî täng) and Center-Supplementing Qi-Boosting Decoction (bû zhöng yì qì täng).

Acupuncture:  See tinnitus.

qì xü wêi

Wilting attributed to qi vacuity, arising when taxation fatigue or dietary irregularities cause damage to spleen-stomach qi, depriving the limbs of adequate nourishment. Qi vacuity wilting is characterized by weak wilting extremities and lack of strength to lift them.

Medication:  Supplement the spleen and boost qi using Four Gentlemen Panting Decoction (chuân sì jün zî täng) combined with Mysterious Two Powder (èr miào sân), or with variations of Center-Supplementing Qi-Boosting Decoction (bû zhöng yì qì täng) or Six Gentlemen Decoction (lìu jün zî täng).

Acupuncture:  Use the general points listed under wilting and add qi-supplementing points such as CV-4 (guän yuán, Pass Head) , CV-6 (qì hâi, Sea of Qi) , BL-43 (gäo huäng shü, Gao-Huang Transport) , SP-3 (tài bái, Supreme White) , and LU-9 (tài yuän, Great Abyss) , needling with supplementation and adding moxa.

qì ôu that arises when anger or anxiety and general emotional imbalance cause binding depression of spleen qi.

Signs include distention and fullness in the chest and diaphragm, a feeling of satiety without eating, and vomiting of ingested food. In some cases, the patient may eat normally and vomit during the night.

Medication:  Move qi and harmonize the spleen with formulas such as Clove and Aquilaria Diaphragm-Freeing Decoction (dïng chén tòu gé täng).

Acupuncture:  Base treatment on alarm and lower uniting points of ST, and on PC, CV, back transport points and SP. Select CV-12 (zhöng wân, Center Stomach Duct) , ST-36 (zú sän lî, Leg Three Li) , PC-6 (nèi guän, Inner Pass) , CV-6 (qì hâi, Sea of Qi) , BL-20 (pí shü, Spleen Transport) , LR-3 (tài chöng, Supreme Surge) , SP-6 (sän yïn jiäo, Three Yin Intersection) , and SP-4 (göng sün, Yellow Emperor) ; needle with even supplementation and drainage.

qì lún

One of the five wheels. The white of the eye, i.e., the sclera.

sän rì nüè

See triple-yin malaria.

Western Medical Concept:  malaria*!quartan quartan malaria

fä gän

Synonym:  repress the liver .

A method of treatment used to control excessively exuberant liver qi invading the spleen.

Medication:  Liver-quelling medicinals include Bupleuri Radix (chái hú), Citri Exocarpium Immaturum (qïng pí), Saussureae Radix (guâng mù xiäng), and Citri Sarcodactylidis Fructus (fó shôu gän). Quelling the liver is similar to coursing the liver.

<

quick and slow> A method of achieving supplementation and drainage that involves varying the relative speed of insertion and extraction of the needle. A slow insertion followed by a quick extraction supplements, whereas a quick insertion followed by a slow extraction drains. See needle manipulation.

huó

To increase activity, to enliven.

huó xuè

A method of treatment used to stimulate blood flow and eliminate blood stasis. See dispelling stasis and quickening the blood.

huó xuè shëng xïn <

quickening the blood> See dispelling stasis and quickening the blood.

huó xuè qü yü <

quickening the blood> See dispelling stasis and quickening the blood.

huó xuè huà yü <

quickening the blood> See dispelling stasis and quickening the blood.

huó luò

Stimulating blood flow in the network vessels.

än

To reduce movement or activity; to calm.

än zhöng

Harmonizing the stomach or liver and stomach.

än täi

Treating stirring fetus, or safeguarding the fetus in women suffering from habitual miscarriage, or other otherwise prevent miscarriage.

än xïn

See quieting the spirit.

än shén

A method of treatment used to address disquieted spirit (heart palpitations, insomnia, agitation, mania). See nourishing the heart and quieting the spirit; quieting the spirit with heavy settlers.

zhòng zhèn än shén

A method of treatment used to address disquieted heart spirit (heart palpitations, fearful throbbing, insomnia, fright mania) using heavy mineral and shell medicinals. Heavy settling spirit-quieting formulas include Spirit-Quieting Pill (än shén wán).