- Chi Kung
- Chan Chuang
- Yì Jīn Jīng
- Yan Xin
- Wu Qin Xi
For Patients & Caregivers
What Is It
Qigong combines body movements, muscle relaxation, meditation, and breathing to improve physical, mental, and emotional health. According to Traditional Chinese Medicine principles, disturbed or blocked flow of qi can produce discomfort and illness within an individual. Free flow of qi is associated with better health.
How It Works
Studies show that qigong practice can have many positive effects, particularly among patients with cancer, chronic illnesses, and breathing problems, as well as older adults. Benefits include improved lung function, mood, sleep, and quality of life, as well as reduced stress, pain, anxiety, and fatigue. It is also beneficial for overall health maintenance, particularly in older adults. Some studies have shown the amount of benefit corresponds to amount of practice.
- Anxiety Clinical studies show that qigong may be helpful for anxiety.
- Blood pressure reduction A few studies show that regular qigong practice can have positive effects on blood pressure levels.
- Breathing difficulty Clinical data show that qigong is effective in improving lung function and breathing efficiency, especially in patients with chronic obstructive pulmonary disease.
- Depression Current data are inconclusive. More research is needed.
- Fatigue Qigong was found useful for reducing chronic fatigue.
- Fibromyalgia Clinical trials have shown benefits of qigong in patients with fibromyalgia.
- Health maintenance A few studies show that qigong can increase activity tolerance and improve balance, endurance and body composition, particularly in older adults.
- Inflammation A randomized study evaluating qigong in cancer patients found that inflammation was greatly reduced after 10 weeks of practice.
- Mental functioning In small studies, qigong practice resulted in improved cognitive function, although this evidence relies on self-reporting.
- Mood Data suggest that qigong practice may improve mood.
- Numbness A small study showed reduction in numbness in breast cancer patients receiving chemotherapy. This may occur because qigong acts as an upper extremity exercise which is often recommended for post-surgery patients to stimulate circulation.
- Pain A few studies have found qigong to positively affect sense of pain in patients after surgery who are receiving chemotherapy and in those who have fibromyalgia.
- Sleep disturbance Qigong may have positive effects on sleep quality.
- Stress Some studies suggest that qigong can reduce stress in cancer patients and in older adults.
Is It Safe
- A few cases of qigong-induced mental disorders have been reported in China. These were thought to result from inappropriate training, and practicing extreme forms of meditation.
- If you are weak, particularly due to chemotherapy, consult your doctor before starting more strenuous forms of qigong practice.
Who Can Provide this Service
Where Can I Get Treatment
For Healthcare Professionals
Developed nearly 5,000 years ago in China, qigong integrates methods of body movement, muscle relaxation, meditation, and respiratory exercise to improve physical, emotional, and psychological health. Traditional Chinese Medicine contends that qigong promotes a balanced flow of qi (chee) within the body. It describes disturbed qi as producing discomfort and illness. Conversely, with free flow of qi, one is believed to be in better health (1) (2). In Asian cultures, qi is a widely accepted concept of vital energy force, although its physical existence has not been demonstrated scientifically.
There are many forms and variations of qigong. In addition, there are some similarities between qigong and tai chi (or taiji), as both are mind–body–spirit integrative exercises (3) and they are often practiced together. Traditionally, qigong is used for therapeutic purposes. In external qigong, a trained master may transmit energy to a recipient with or without touching (5). One might also practice internal qigong by cultivating qi to heal ailments. However, due to lack of scientific evidence and uniform approaches, qigong is rarely used to treat disease in the Western world.
As a form of exercise, qigong can be classified by the level of motion. Static qigong refers to meditation in sitting, standing, and lying-down postures. Dynamic qigong refers to moving meditation, which can also take on many forms (4). Simplified versions, such as the Eight Brocades have been developed so they can be taught to, and practiced, by a large number of people with minimal training. These are also used in clinical studies because they have standardized movements with reproducible effects.
Qi gong, as well as yoga and tai chi, are recommended by an international expert panel for management of knee osteoarthritis (36). In several small studies, regular qigong practice has been shown to benefit patients with hypertension (6), fibromyalgia (7) (41), chronic fatigue (8), tinnitus (9), and other chronic conditions (10). In addition, it may have positive effects on sleep quality and climacteric symptoms in perimenopausal women (11); along with improving muscle endurance, waist-to-hip ratio (WHR), and body mass index (BMI) in middle-aged women (12). Qigong also improved respiratory function and activity tolerance in patients with chronic obstructive pulmonary disease (COPD) (13), cardiorespiratory function and expiratory capacity in patients with hypertension (14), and reduced stress levels along with improving sleep quality, activity levels, immune response, balance and pain in older adults (15) (16) (17) (42). It is considered a low-intensity exercise and may be beneficial for cardiopulmonary rehabilitation (18) (19). But data of qigong’s effectiveness against depression are inconclusive (33) (43).
According to a systematic review, qigong may benefit children with autism spectrum disorder, but larger studies are needed (44).
In oncology settings, qigong may serve as a useful complementary therapy. Clinical studies indicate positive effects on anxiety, mood, depression, quality of life (1) (20) (34); and on physical symptoms such as pain, numbness, dizziness, fatigue, inflammation, and cognitive function (1) (21) (22) (45). Improvements in physical activity patterns and reductions in BMI have also been reported (37). Furthermore, preliminary findings suggest that qigong may help reduce upper limb lymphedema in breast cancer survivors (35), along with conferring psychosocial and physical benefits (46), alleviating persistent post-surgical pain (47) as well as improving cognitive function (48). In patients with advanced NSCLC and GI cancers, compared with strength training, medical qigong had similar effects on psychological function, but not exercise capacity (38). More research is needed to not only confirm these findings, but to fully elucidate the mechanisms by which qigong exerts its positive effects.
Patients should be aware that qigong is not a cancer treatment per se, but can be practiced to help alleviate symptoms associated with cancer and its treatments. Those who are weak, particularly due to chemotherapy, should consult a physician before taking on more strenuous forms of qigong (27).
Mechanism of Action
Qigong incorporates muscle relaxation, breathing exercises, meditation, and body movements to foster a free, stabilized, and unobstructed internal flow of qi (2). Through this mind-body dynamic, qigong can play an integral role in hypothalamic activity, easing both parasympathetic and sympathetic nervous systems (PNS, SNS) towards a state of homeostasis (1) (27). Since blood pressure (BP) level is directly linked to the SNS, the lower BP levels exhibited following qigong exercise are compatible with the stabilization of SNS activity (6) (14). Practice of qigong also modulates urinary catecholamine levels suggesting a positive effect on BP (14). Pulmonary benefits observed are likely due to the focused, deep breathing powered by lower abdominal muscles in an area known as tantien (pronounced dawn-dee-in), which is considered the body’s main energy center. This places less pressure on the lungs, increases lung capacity (13), and improves ventilatory function (14) and breathing efficiency (19). The potential to reduce BMI may also be related to tantien contractions, which strengthens the waist and increases calorific consumption (12). Antidepressive effects have been attributed to increased adiponectin levels (39) and downregulation of hyperactivity in the hypothalamic–pituitary–adrenal axis (10). Qigong may modify inflammation by affecting immune responsiveness through neuroendocrine factors (1) (28). Its positive effect on balance is attributed to the improved use of vestibular input and wider stances (16).
The effect of qigong on numbness in breast cancer patients receiving chemotherapy may be due to its stimulatory action as an upper extremity exercise, which is often recommended for post-surgery patients (21).
Practitioners and Treatments
Organizations such as the National Qigong Association certify Qigong practitioners. The Medical Tai Chi and Qigong Association (MTQA) is working toward an accreditation standard guideline for instructors and training institutions (40).
Qigong classes are offered at hospitals as well as cancer and community centers.