Five Accumulations and Six Gatherings
Updated 2026-08-03
INTRODUCTION
English translation pending.
CORE DEFINITION
Five accumulations and six gatherings is the classical Chinese medical classification of abdominal masses. Ji, the accumulations, are attributed to the zang organs, have a fixed location, and hurt in one spot, corresponding to congealed blood or phlegm; ju, the gatherings, are attributed to the fu organs, shift location, and come and go, corresponding to qi stagnation. The fixed or mobile character of a mass is used to judge whether the pattern is deep and hard to treat or superficial and easier to resolve.
SCAFFOLDING EFFECT
Reduce cognitive load
- Palpation Test: Press the mass and check whether it stays put or slips away. - Fixed or Mobile: Treat fixed masses as blood or phlegm and mobile ones as qi. - Depth Reading: Use the distinction to judge how deep and how serious the pattern is.
Anchor fast decisions
Qi moves, so a mass formed by qi stagnation appears, shifts, and disappears as the flow of qi changes. Blood and phlegm congeal in one place, so the mass stays where it formed and resists pressure. The behavior of the mass under the hand therefore reveals which substance is stuck, and that in turn determines how slowly or quickly it can be resolved.
MINIMUM ACTION
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Source support: Explicit
- baike.baidu.comhttps://baike.baidu.com/item/%E4%BA%94%E7%A7%AF%E5%85%AD%E8%81%9Averified
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