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TCM Pattern · Tag

Liver qi stagnation (gān qì yù jié)

gān qì yù jié · 肝气郁结

Last reviewed: June 29, 2026

Frustration and physical tightness — "liver" here is a TCM concept, not the anatomical organ

About this page

This page is a cultural reference, not a diagnostic tool. TCM patterns are tags that explain why certain formulas are discussed together — they do not map 1:1 to Western medical diagnoses.

Background

In TCM, "liver" (gān) does not refer to the anatomical organ on the right side of the abdomen. It refers to the functional sphere responsible for the smooth flow of qi — keeping emotions moving, digestion flowing, and menstrual cycles regular. When this "liver qi" gets stuck, the result is a cluster of feelings Western readers might recognize: frustration, chest or rib-side fullness, frequent sighing, a sense that something emotionally is "bottled up." Xiaoyao Wan is the household name for this pattern — its name literally means "free and easy wandering." Danzhi Xiaoyao Wan adds heat-clearing herbs for when the stuck qi has "compressed into fire." Chaihu Shugan Wan targets the pain dimension — when stagnation shows up as tension and ache in the chest and ribs. All three come up under both stress and women's-health concerns, because the "liver" in TCM governs both emotional flow and menstrual regularity.

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Medicines traditionally associated with this pattern

  • Formula · Dān Zhī Xiāo Yáo Wán

    Moutan-Gardenia Free Wanderer

    丹栀逍遥丸

    A "shu-gan jie-yu, qing-re liang-xue" (spread the liver, resolve constraint, clear heat, cool blood) formula from the Ming-dynasty "Essentials of Internal Medicine", the "heat-clearing" expansion of the classic Xiao Yao San.