Qi Deficiency 气虚
Qi deficiency means your defensive and transformative Qi runs low, so ordinary effort costs more than it should and colds come easily.
Pinyin: Qi Xu · updated
Qi is not a substance you can hold; it is the body's capacity to move, warm and defend itself. When Qi is strong, effort is cheap and illness bounces off. When Qi is weak, the same effort costs double — which is why people with Qi deficiency describe a heaviness that no amount of rest fully removes.
Traditional Chinese medicine links this pattern strongly to the Spleen and the Lung. The Spleen governs transformation and transport: how food becomes usable energy. The Lung governs the defensive Qi that sits on the surface of the body. Weakening either one leaves you short of both stamina and resistance.
The practical picture is that the recovery curve is wrong, not the effort curve. Someone with Qi deficiency can work hard, but they do not bounce back overnight. This is why constitution sits above energy: the pattern usually has causes you can act on — poor sleep, chronic stress, an irregular diet, or a long illness that has not fully resolved.
Signs that suggest this pattern
No single sign establishes a pattern — Chinese medicine reads combinations, not isolated symptoms. If several of these are familiar and have been for a while, it is worth running the TCM Body Constitution Test to see what the combination scores.
- Fatigue that shows up even after light activity
- Shortness of breath or a weak, thin voice
- A pale, dull complexion
- Spontaneous sweating, especially on the back
- Colds several times a year that take a long time to shift
- Loose stools and a weak appetite
Acupoints used for this pattern (7)
Every point below opens the full library entry, including location, technique, frequency and the cautions attached to it.
ST36 · Zusanli
The classic point for building energy and supporting digestion. Traditionally used for fatigue, poor appetite, bloating, and low resistance to illness.
Stomach meridian
CV6 · Qihai
Known as the sea of Qi. Traditionally used for deep fatigue, weak digestion, a cold lower abdomen and general depletion.
Conception Vessel meridian
CV4 · Guanyuan
Traditionally used to warm and steady the deep reserves: cold hands and feet, frequent night urination, low back coldness and low stamina.
Conception Vessel meridian
KI3 · Taixi
The source point of the Kidney. Traditionally used for lower back ache, ringing in the ears, dry mouth, night sweats and general depletion.
Kidney meridian
BL23 · Shenshu
The Kidney's back point. Traditionally used for lower back ache, knee weakness, ringing in the ears and fatigue.
Bladder meridian
CV17 · Shanzhong
The meeting point of Qi. Traditionally used for chest tightness, sighing, breathlessness and emotional constriction.
Conception Vessel meridian
LU9 · Taiyuan
The Lung's source point. Traditionally used for a weak voice, dry cough, shortness of breath and fragile surface defences.
Lung meridian
Foods listed against this pattern (12)
Nature and flavour are the traditional classification. Read the avoid note before changing anything you eat regularly.
Jujube (red date)
Builds blood and Qi gently. A base ingredient in almost every tonic tea.
Warm · Sweet
Chinese yam
Supports digestion and lung function without being cloying. The safest tonic food for most people.
Neutral · Sweet
Lamb
Warms the deep reserves and builds blood. The traditional winter meat for cold hands and a cold lower back.
Warm · Sweet
Astragalus
Builds Qi and supports defensive energy. Traditionally used for fatigue, a weak voice and catching everything going around.
Warm · Sweet
Pumpkin
Steadies digestion and builds Qi gently. A good staple for a weak or unsettled middle.
Warm · Sweet
Millet
Harmonises the middle and settles the stomach. The traditional congee grain for recovery and a poor appetite.
Cool · Sweet, salty
Beef
Builds Qi and blood steadily. A warming staple for fatigue and a pale complexion.
Warm · Sweet
Oats
Steadies the middle and supports digestion gently. A reliable warm breakfast grain.
Neutral · Sweet
Longan
Nourishes blood and settles the Heart. Used for restless sleep, palpitations and poor memory.
Warm · Sweet
Sweet potato
Builds Qi and steadies the middle. A good grounding staple for the cold months.
Neutral · Sweet
Cordyceps
Supports the Lung and Kidney pair. Traditionally used for a weak voice, a lingering cough and low stamina.
Warm · Sweet
Lotus seed
Steadies the middle and settles the mind. Used for loose stools, restless sleep and a weak appetite.
Neutral · Sweet, astringent
Tea formulas listed against this pattern (4)
These are traditional reference formulas. Doses shown are traditional reference amounts, not a prescription — check with a qualified practitioner, especially if you are pregnant, on medication, or managing a condition.
Jujube & licorice tea
Gentle daily tonic for steady energy and a settled digestion.
3 dried jujubes, 2 slices licorice root
Astragalus & red date tea
Builds Qi and supports defensive energy during the change of seasons.
10 g astragalus slices, 3 jujubes
Longan & jujube tea
Nourishes blood and settles the Heart: restless sleep, palpitations, poor memory.
8 dried longan, 3 jujubes
Yam & poria tea
Supports digestion and lifts post-meal heaviness.
15 g dried yam, 10 g poria
Which assessment identifies this pattern
TCM Body Constitution Test
Nine types, 27 questions, about five minutes. No email, no sign-up — you get the result immediately and an explanation of what it means.
TCM Symptom Pattern Decoder
Twenty-eight questions across eight patterns, ranked by fit rather than a single verdict. Free, no email, results you can act on.
Zang-Fu Organ Check
Twenty questions across the five Zang-Fu systems. You get a score for each and the two weakest named explicitly, with what to do about them.
Patterns that often appear alongside this one
Spleen
The Spleen governs transformation and transport — turning food and drink into usable energy, and moving what has been transformed.
Qi
Qi is the umbrella concept in Chinese medicine — the body's capacity to move, warm, transform and defend, rather than a single substance.
Balanced
A balanced constitution is the reference point the other eight are measured against — no strong lean toward heat, cold, damp or deficiency.
Kidney
The Kidney stores Jing — the constitutional essence that governs growth, ageing and reproduction — and governs water metabolism.
Yang Deficiency
Yang deficiency is insufficient warming function — you feel cold, digest slowly, and move with less spark than the seasons call for.
Yang
Yang names everything warming, activating, expanding and outward-moving — the half of the pair that drives change and defends.
Related vocabulary
Search terms this page covers: qi deficiency, low energy, fatigue tcm, shortness of breath, weak immunity.