Qi Collapsing or Qi Sinking

At a glance

Preliminary reading: What is a pattern? The concept of Qi

Key attributes

Chinese name: 气陷      Pinyin name: Qì Xiàn

Pattern nature: Empty

Pattern hierarchy: General pattern

Causes

Precursor patterns: Qi Deficiency

Common causes: 1. Physical over-exertion, 2. Difficult birth-giving

Diagnosis

Common symptoms: Tiredness Hemorrhoids Listlessness Anus prolapse Uterus prolapse and nine other symptoms

Pulse type(s): Empty (Xu), Weak (Ruo)

Tongue description: Pale tongue with white coating

Treatment

Treatment principle: Tonify and rise Qi

Common formulas: Bu Zhong Yi Qi Tang

Pathology

Qi Collapse (or "Qi Sinking") is a form of Qi Deficiency so there are overlapping symptoms such as general weakness, fatigue, aversion to speak, short of breath, dizziness and etc. 

On top of that, the weakened Qi fails to perform its holding functions, hence the prolapsing of the Organs. The patients also feels the bearing down of the abdomen. The Qi also can not hold Body Fluids, resulting in frequent and urgent urination,  incontinence as well as extreme chronic diarrhea. 

Causes

Precursor patterns: Qi Collapsing or Qi Sinking can derive from Qi Deficiency

Physical over-exertion: Qi Collapsing or Sinking derives from Qi Deficiency. Prolonged working without proper rest can make the situation worse.

Difficult birth-giving : A difficult birth-giving can exhaust the general Qi. Thus the Organs of the Lower Burner fail to hold Qi properly.

Diagnosing Qi Collapsing or Qi Sinking

Pulse type(s): Empty (Xu) or weak (Ruo)

Tongue description: Pale tongue with white coating

Main symptoms: Tiredness Hemorrhoids Listlessness Anus prolapse Uterus prolapse Kidney prolapse Vagina prolapse Bladder prolapse Stomach prolapse Chronic diarrhoea Intestines prolapse Incontinence of urine Frequent and urgent urination Bearing down sensation in abdomen

Diagnosis commentary: Key characteristic symptoms of this pattern are the fatigue, listlessness and prolapse of Organs such as Stomach, Uterus, Intestines, anus, vagina or Bladder.

Treating Qi Collapsing or Qi Sinking

Treatment principle

Tonify and rise Qi

Herbal formulas used to treat Qi Collapsing or Qi Sinking

Bu Zhong Yi Qi Tang

Source date: 1247

Number of ingredients: 10 herbs

Key actions: Tonifies Qi of the Spleen and Stomach (Middle Burner). Raises the Yang. Detoxifies. Lifts what has sunken.

Formula summary

Bu Zhong Yi Qi Tang is a 10-ingredient Chinese Medicine formula. Invented in 1247, it belongs to the category of formulas that tonify Qi.

Besides Qi Collapsing or Qi Sinking, Bu Zhong Yi Qi Tang is also used to treat Qi Deficiency or Spleen Qi Sinking.

Read more about Bu Zhong Yi Qi Tang

Diet recommendations

Balance diets and try these foods that rich in nutrition but also easy to digest such as rise, meat, fish, shrimps. Avoid cold, raw, spicy or greasy foods.