Liver Qi Stagnation: Depression of Qi of Liver

Liver Qi Stagnation is a major way to understand signs of stress and how to help them. It’s the Chinese Jewel in the Crown!
Woman Worrying - why does my stomach hurt?
Photo by Anh Nguyen on Unsplash

Liver Qi Stagnation is very common in both sexes, but probably slightly more so in women. This is such an important subject that we’ve actually got a page on just Qi stagnation, which helps to explain how it causes other more serious conditions.


Symptoms include:

  • distension in the abdomen and
  • distending pain in the sides (the costal hypochondriac region)
  • distending sensation in the chest (sometimes people say their chest feels ‘stuffy’ or ‘blocked up’)
  • … and/or breasts eg before the periods
  • chest discomfort
  • belching
  • sighing
  • sensation of a foreign body – something ‘stuck’ – in the – throat
  • irregular menses

There is usually an emotional dimension too

A strong tendency to feel depressed with frequent sighing, self-doubt, crying and impatience, even outbreaks of temper.

Often bowel movements are uncomfortable or difficult, or there is pain in the bowels relieved by bowel movements. Pain tends to be tightening, drawing, pulling or it may move around from place to place.

Tongue: colour may be normal or red at the sides, with a thin coating
Pulse: wiry

The key symptoms are this feeling of distension, or what some people call a ‘stuffy’ feeling, eg in the chest, and the emotional picture.

Mostly these sensations aren’t caused by any organic change in the liver organ itself. Instead, they’re from emotional factors, the main ones being anger or frustration. (However, other emotions can cause it too.) These cause dysfunction along the Liver acupuncture channel where the sensations are experienced. (Sometimes you get these sensations along the Gallbladder channel – the Liver’s paired organ – too.)

By the way, when you have Stagnant Liver Qi, you may not realise it. You’ll just be depressed, moody, angry or upset! (Others will eventually notice, however.)

Apart from taking some exercise to help improve your condition, don’t try to treat yourself unless you really know what you’re doing!

Penny Brohn (she who started the Bristol Cancer Help Centre) once remarked that ‘sick people’ take ‘sick’ decisions. That definitely applies to anyone with Liver Qi Stagnation.

Bringing together what needs to be done is one of your Liver energy’s functions. When your Liver Qi isn’t flowing smoothly you’ll tend to do the wrong thing. Partly that will also be because your Gallbladder energy isn’t working properly, the Gallbladder being the ‘partner’ of your Liver.

Or you’ll feel powerless to decide what’s right for you.

Get someone else to treat you!

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Other reasons for distension

Organic changes resembling Stagnant Liver qi can be caused by enlargement of the liver organ, hepatitis and cirrhosis…

Distension of the abdomen can also arise in many other conditions that include Stagnant Liver Qi as part of their symptom picture.

Just a few examples:

  • eating a diet too high in sugars or in foods that turn rapidly to sugar (high glycaemic foods) leads to excess lactic acid, which can produce distension, along with many other problems. Of course, the fact that you are eating this kind of food may be because you are feeling depressed or emotional. So, indirectly, this could also be due to Liver Qi stagnation.
  • distension occurs from poor tone, over-eating and increase in ‘flab’ and fats in the abdomen
  • loss of vital fluids including blood can lead to flatulent bloating.


There are many more examples, but the distension related to Stagnant Liver Qi is usually dependent on emotional factors, so it comes and goes depending on emotional reactions.

Another pointer to it being Stagnant Liver Qi is that distension doesn’t always occur over the whole area of the abdomen. Instead it might just be over parts of it.  Palpating the distended area often makes the distension move elsewhere, like gas. (And yes, Liver Qi stagnation often does cause flatulence – ‘gas’!)

Stagnant Liver qi can affect other energy organs (the Chinese medical name for them is zang-fu) such as the StomachSpleenHeartLungs, and other channels and organs, such as the oesophagus.

In practice (ie clinically) you don’t often get all these symptoms at the same time. For example, distending pains in the costal (side) and hypochondria and lower abdomen seldom coexist.

How do you get Liver Qi Stagnation?

The main cause is mental ‘irritation’.

This is a nice term covering many mental and emotional conditions, including anger, resentment, fear, frustration and melancholy. Being urged to do something when there isn’t time for it is a classic for producing this syndrome – especially if you don’t want to do it, or can’t see why it should be done at all, either now, or by you.

One of the reasons Eastern philosophies emphasise the importance of a calm mind is to minimise the likelihood of Stagnant Liver Qi.

If Qi is flowing smoothly, then Liver Qi stagnation doesn’t occur. Any action or therapy which eases the flow of Liver Qi will ease Liver Qi stagnation. For example, taking exercise is often effective as it pushes Qi round the body, so it can’t stagnate.

Exercise moves Qi blocked by Liver Qi stagnation to move
Exercise – Photo by Aan Nizal on Unsplash

Problems arise where circumstances prevent free motion of Qi. For example, if someone is criticised by other people but dare not speak up despite his anger, you have a recipe for Stagnant Liver qi.

Effects on other organs

Where Stagnant Liver Qi ‘attacks’ the Stomach, the descending function of the Stomach will be disrupted and so there may be not only the usual Liver Qi stagnation symptoms such as distension and a stuffy feeling in the chest, but also nausea, sighing or belching.

But if the chief pain is in the epigastrium (the area above  your belly-button and below your ribs) and is better for belching, always suspect Liver Qi stagnation first.

If Liver qi stagnation ‘attacks’ your oesophagus (the tube from your throat to your stomach), it will feel like a foreign object is stuck in your throat, blocking it. This is traditionally described as being like a stuck ‘plum-stone’, but you might feel it as the inability to swallow, or a tightness there.

A characteristic of Liver Qi stagnation is that, unless it has been around for a long time, the symptoms tend to go when the problem is solved or when you are not thinking about it.

It also eases when you are laughing, because laughing – assuming it is from something joyfully funny – moves your energy out of what is called your Wood phase and on into what is called your Fire phase. (I’ve explained this in my book on Qi Stagnation, below, but it’s a big topic for this website and is not ready yet.)


Menstrual problems


Heart Blood Yin Yang


When the Chong channel (sometimes called the Penetrating channel) is affected by this syndrome, you get irregular menses and abdominal pain. The Chong channel, one of the ‘extra-ordinary’ channels, is also called the ‘Sea of Blood’ and is intimately connected with the quantity, quality and flow of Blood.

Being intimately connected to the monthly cycle, the chong channel is also affected by Qi stagnation. Indeed, one could say that the monthly cycle can produce or exacerbate Liver Qi stagnation if there is the slightest trace of Qi stagnation around in the first place.

You can read even more about how Liver Qi Stagnation, this most vital of the Liver functions, affects your life, here.

Syndromes of the Liver in Chinese Medicine

1. Liver Qi Stagnation (this page)

2. Liver Fire (‘flare-up of Fire in the Liver’)

3. Cold stagnation in the Liver channel

4. Stagnation of Liver Blood

5. Liver Wind (‘Stirring of Liver Wind by Heat’)

6. Damp-heat of Liver and Gall-Bladder

7. Liver Yin deficiency

8. Liver Yang rising

9. Liver Blood deficiency

Return from Liver Qi Stagnation to Liver Functions

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