The TCM constitution refers to the relatively stable characteristics formed during the life process of the human body, based on innate endowment and acquired traits, encompassing morphological structure, physiological function, and psychological state. It represents the individual characteristics of the human body that adapt to the natural and social environment during growth and development. There are nine basic types of TCM constitution. Let’s see which type you belong to, whether it is a偏颇 (biased) type or a虚实夹杂 (mixed) type:
1. Pinghe Tizhi (Balanced Constitution)
Body shape is well-proportioned and strong, personality is cheerful and easy-going, skin is moist, hair is thick and shiny, eyes are bright, lips are rosy, energy is abundant, not easily fatigued, tolerant of cold and heat, sleep is peaceful, appetite is good, and bowel movements are normal. Strong adaptability to natural and social environments, generally healthy.
2. Qi Xu Tizhi (Qi Deficiency Constitution)
Muscles are soft, personality is introverted, emotions are unstable, timid and averse to risk. Generally short of breath, speaks little, voice is low and timid, spirit is lacking, easily fatigued, prone to sweating, dizziness, forgetfulness, low activity level, pale or sallow complexion, lackluster eyes, lips are pale, hair is dull, generally weak constitution, prone to colds, or weak resistance after illness, prone to organ prolapse, etc.
3. Yang Xu Tizhi (Yang Deficiency Constitution)
Generally afraid of cold, especially in the stomach, waist, knees, and back, hands and feet are cold, prefers warm food, discomfort from cold food, loose stools, clear and frequent urination, intolerant to cold pathogens, tolerates summer but not winter. Personality is calm and introverted, spirit is lacking, complexion is pale. Prone to cough, asthma, diarrhea, and arthralgia (arthritis-related diseases).
4. Yin Xu Tizhi (Yin Deficiency Constitution)
Body shape is slender, temperament is irritable, palms and soles are hot, generally prone to dry mouth and throat, facial flushing, dry eyes, prefers cold drinks, dry stools, skin is dry, poor sleep, short urination, generally intolerant to heat, tolerates winter but not summer, intolerant to dryness. Prone to Yin deficiency heat diseases, or after illness, easily shows characteristics of Yin deficiency constitution, prone to dry cough, low fever, insomnia, constipation, diabetes, tuberculosis, oral ulcers, etc.
5. Tan Shi Tizhi (Phlegm-Damp Constitution)
Body shape is somewhat overweight, abdomen is soft and full, personality is gentle, steady, humble, and tolerant, facial skin is oily, eyelids slightly swollen, prone to sweating, generally has a large tongue with thick white coating, often feels sticky in the mouth, excessive phlegm in the throat, easily fatigued, chest tightness, heavy body, prefers rich foods, normal or loose stools, urination is not much or slightly turbid, poor adaptability to rainy or humid environments, prone to rheumatic diseases, diabetes, stroke, chest obstruction, blood stasis (hyperlipidemia), obesity, hypertension, fatty liver, etc.
6. Shi Re Tizhi (Damp-Heat Constitution)
Body is overweight, personality is often irritable and angry, facial skin is oily, prone to acne, eyes are red, tongue is red with yellow greasy coating, easily experiences dry mouth and bitter taste, heavy body, restless, dry or sticky stools, frequent and yellowish urination, men prone to dampness and sweating in the scrotum, women prone to excessive yellow discharge, poor adaptability to hot and humid environments, especially in late summer and early autumn, prone to sores, acne, jaundice, heat, dysuria, oral ulcers, etc.
7. Qi Yu Tizhi (Qi Stagnation Constitution)
Generally slender body, introverted and unstable personality, often feels gloomy, low mood, sensitive and suspicious, easily tense and anxious, feels lonely, emotionally fragile. Generally experiences fullness in the chest and sides, or wandering pain, often accompanied by sighing, belching, or a sensation of a lump in the throat, or breast tenderness, poor sleep, reduced appetite, prone to palpitations, poor adaptability to mental stress, dislikes rainy days, easily feels sad in spring and autumn. Prone to depression, organ distress, lily disease, insomnia, panic, etc.
8. Xue Yu Tizhi (Blood Stasis Constitution)
Commonly seen in thin individuals, introverted personality, easily irritated, forgetful, generally has dark circles under the eyes, hair loss, rough skin, dull complexion or pigmentation, prone to bruising, dry skin with ridges, has patchy bruises, dark tongue, and engorged purple veins under the tongue. Prone to pain, women often experience dysmenorrhea, amenorrhea, or dark purple menstrual blood with clots, prone to bleeding, masses, stroke, chest obstruction, etc.
9. Te Bing Tizhi (Special Constitution)
Special constitution refers to a category of individuals with unique constitutions, including hereditary constitution, fetal constitution, and allergic constitution. Poor adaptability to the environment, prone to allergies, congenital deformities. Common symptoms include nasal congestion, sneezing, asthma, hives, throat itching, purpura; hereditary diseases such as hemophilia, congenital idiocy, five delays, five soft, and解颅 (cranial release); fetal diseases such as fetal heat, fetal cold, fetal fright, fetal obesity, fetal weakness, etc.
Identifying TCM constitution is done through TCM examination to determine the constitution type. Based on individual constitution status, targeted prevention and treatment can be conducted, with personalized preparation of convenient and effective TCM interventions and guidance on diet, emotions, and daily living, timely correcting constitution biases, preventing disease occurrence, and achieving the effect of health preservation and benefit to the body.
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Source: Official Subscription Account of Shandong Province Wending Osteopathic Hospital
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