Types of Constraints in Traditional Chinese Medicine
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English |
CC |
Pinyin |
Primary Layer |
Nature |
Fixed or Dynamic? |
|---|---|---|---|---|---|---|
|
|
Stasis |
瘀 |
Yū |
Blood |
Stasis |
Fixed |
|
|
Stagnation |
滯 |
Zhì |
Qi |
Slowed movement |
Dynamic |
|
|
Depression |
鬱 |
Yù |
Regulatory / Emotional |
Suppressed expression |
Dynamic |
|
|
Coagulation |
凝 |
Níng |
Cold + Fluids/Blood |
Congealed |
Semi-fixed |
|
|
Knot |
結 |
Jié |
Phlegm/Blood |
Knotted mass |
Fixed |
|
|
Obstruction |
阻 |
Zǔ |
Damp/Phlegm |
Blocked passage |
Dynamic |
|
|
Distention |
悶 |
Mèn |
Qi |
Oppressed sensation |
Dynamic |
|
|
Restriction |
格 |
Gé |
Directional |
Rebellious counterflow |
Dynamic |
Conceptual Overview
In Traditional Chinese Medicine, constraint refers to impaired movement, blocked expression, or restricted transformation within a physiological system.
Constraint is not merely obstruction. It may involve stagnation, binding, suppression, improper containment, or failure of outward expression. It may arise from emotion, environment, diet, constitutional weakness, or prolonged imbalance.
Constraint alters rhythm before it alters structure.
It is therefore dynamic.
瘀 (Yū) — Stasis
Core Meaning: Blood that has lost movement and become fixed.
Mechanism
This refers specifically to Blood stasis, not general stagnation. The movement has stopped long enough for material density to form.
Clinical Quality
- Fixed, stabbing pain
- Dark or clotted blood
- Purple coloration
Layer
Material layer (Blood level)
This is not early dysfunction. It is consolidated stagnation.
滯 (Zhì) — Stagnation
Core Meaning: Flow that is slowed or stuck.
Mechanism
Movement exists but is impaired. Nothing has solidified yet.
Clinical Quality
- Distention
- Fullness
- Wandering discomfort
Layer
Usually Qi level.
滯 is dynamic blockage, not yet fixed.
鬱 (Yù) — Depressed / Constraint / Pent-Up
Core Meaning: Suppressed outward expression.
Mechanism
Energy is internally bound. Often emotional in origin.
Clinical Quality
- Irritability
- Mood suppression
- Alternating heat/cold signs
Layer
Regulatory / Liver dynamic.
鬱 implies internal binding, not mechanical blockage.
凝 (Níng) — Coagulation
Core Meaning: Congealed by Cold.
Mechanism
Cold contracts and thickens fluids or Blood.
Clinical Quality
- Sharp pain better with warmth
- Cold-type masses
Layer
Cold-induced material thickening.
凝 emphasizes temperature-induced solidification.
結 (Jié) — Knot
Core Meaning: Tangled or knotted accumulation.
Mechanism
Accumulation that forms a palpable mass.
Clinical Quality
- Nodules
- Lumps
- Phlegm masses
Layer
Often Phlegm + Qi + Blood.
結 is structural tangling.
阻 (Zǔ) — Obstruction
Core Meaning: Physical blockage preventing passage.
Mechanism
Something is blocking a pathway.
Clinical Quality
- Heaviness
- Impaired movement
- Turbidity
Layer
Often Damp or Phlegm.
阻 emphasizes blocked passage, not emotional binding.
悶 (Mèn) — Distention / Oppression
Core Meaning: Stuffy, oppressed sensation.
Mechanism
Qi cannot properly diffuse or descend.
Clinical Quality
- Chest oppression
- Epigastric fullness
- Emotional heaviness
Layer
Qi dynamic (Lung or Middle Jiao).
悶 describes the subjective feeling of constrained movement.
格 (Gé) — Restriction / Rebellion Barrier
Core Meaning: Rebellious counterflow blocked by barrier.
Mechanism
Improper direction due to obstruction between layers.
Example:
- Vomiting because Stomach Qi cannot descend
- Cold blocking Yang from reaching outward
Clinical Quality
- Reversal patterns
- Counterflow
Layer
Directional failure between interior–exterior or upper–lower.
格 emphasizes blocked directionality, not stagnation alone.







