Pattern Full

Rebellious Qi

Qì Nì 气逆

Educational content Consult qualified TCM practitioners for diagnosis and treatment

Diagnostic Signs

Diagnostic Considerations

Key characteristic symptoms of this pattern are the nausea, vomiting, belching and coughing.

Causes & Pathology

Common Causes

Pathological Mechanism

Rebellious Qi is an Excess/Full condition and it is another form of Qi Stagnation. In this case, Qi flows in the wrong direction from the normal physiological one for a given Organ or Channel.

The Organs whose Qi should descend are Stomach, Lungs, Heart, Small Intestine, Large Intestine, Kidneys and Bladder. The Rebellious Qi travels upwards and it mostly happens to the Stomach and the Lungs. When the normal downward flow of Stomach Qi is disrupted, nausea, vomiting, belching or hiccupping results. In case of Rebellious Lung Qi, there are the typical symptoms of coughing and asthma.

Rebellious ascending Kidney Qi can also happen and it causes asthma as well. Ascending Heart Qi gives rise to anxiety, restlessness and insomnia.

When the Spleen Qi is rebellious, it goes downwards instead of ascending. It leads to diarrhea and prolapse.

The Liver is a special Organ as its normal physiological Qi goes in all directions, especially upwards. It is because one of its main function is to ensure the smooth flow of Qi throughout the body, in all Organs and in all directions.

Rebellious Liver Qi mostly refers to excessive Qi ascending and it causes symptoms like headache, dizziness, irritability or even faint. It is often caused by emotional stress

In normal times Liver Qi travels horizontally to assists the the Stomach and the Spleen's digestive functions. However, when excessive Liver Qi invades the Stomach, it causes nausea, belching and vomiting. It is one of the precursor patterns for Stomach Qi rebelling upwards.

Excessive Liver can also invades the Spleen and gives rise to symptoms like diarrhoea or alternating constipation and diarrhea.

Sometimes Blood may also travel with rebellious Qi upwards and cause vomiting of blood.

Use Su Zi Jiang Qi Tang for Rebellious Lung Qi. Use Ju Pi Zhu Ru Tang or Xuan Fu Dai Zhe Tang for Rebellious Stomach Qi. Use Chai Hu Shu Gan Tang or Si Ni Tang for Rebellious Liver Qi.

Treatment Approach