Qi Stagnation vs. Blood Stasis Constitution: The Approach

Stuck Energy vs. Stuck Matter
Although Qi (energy) and Blood are inseparable (“Qi is the commander of Blood, Blood is the mother of Qi”), constitutions prone to Qi stagnation require a fundamentally different lifestyle and treatment than those with Blood stasis.

Qi Stagnation Constitution: The “Tense Spring”
These people have energy that blocks, often due to emotions.

Features: Frequent sighing, fluctuating pain that shifts, bloating that comes and goes, mood swings, PMS. The wrist is tense (“wiry”).


Approach:The key is movement and relaxation.


Therapy: Herbs that are “aromatic” and open the Qi (such as mint and tangerine peel). Acupuncture focused on circulation.


Lifestyle: Cardiovascular exercise is excellent for keeping the Qi flowing. Creative expression (singing, writing) helps prevent emotional blockages. Avoid heavy, fatty foods that “clog” things up.

Blood Stasis Constitution: The “Fixed Block”
Here, circulation is physically slowed or blocked. This is a deeper, more persistent pattern.

Features: Pain in a fixed spot (stabbing), dark complexion, purple lips or nails, painful menstruation with clots, rough skin (“lizard skin”), varicose veins.


Approach:The key is heating and activating.


– Therapy: Powerful herbs that “break” or move blood (such as peach pit, saffron). Cupping or Gua Sha is very effective in bringing old stasis to the surface.


– Lifestyle: Warmth is essential; cold coagulates blood. Gentle, steady movement (walking, Tai Chi) is better than explosive exercise. Food should be warming and spicy (turmeric, ginger, vinegar) to keep the blood vessels open.


Conclusion
Qi stagnation requires “air” and freedom; blood stasis requires warmth and flow. An incorrect approach (for example, treating Qi stagnation too aggressively) can exhaust the patient, while a too gentle approach to blood stasis is ineffective