TCM Pattern: Blood Deficiency

When the blood loses its moisturizing power and the skin, hair, and tissues dry out

Congratulations! You have taken the first important step and analyzed your current health situation.

On this page you can find out all about this TCM pattern: what it means, which complaints are typical and what you can do about it.

On this page, you will learn:

  • What this pattern means from the perspective of TCM and Western medicine
  • Where your symptoms come from and how they are connected
  • Which specific treatment methods can help you now
  • How to use TCM herbs, acupressure, qigong, and nutrition to rehydrate and nourish your blood, so that your skin, hair, and tissues regain their suppleness

The good news: Blood dryness can be treated very effectively with the right measures. With a moisturizing diet, targeted acupressure, and proven TCM herbs, you can nourish your blood again and relieve dryness from the inside out.

Take your time, Get to know the different treatment approaches—you don't have to implement everything at once. Choose what feels right for you and what you can easily integrate into your everyday life.

Your treatment at a glance:

Which TCM pattern is really behind your complaints?

Degree of
imbalance

Degree of imbalance: MILD

Light to moderate

Typical
treatment duration

Typical duration: 3 months

2-4 months

self-treatment
Possible

Easy to use on your own with our instructions

Well self-treatable

Treatment–
scope

Select at least 1–2 methods

2–3 methods

Proposed
methods

Available methods: 9

Extensive range

Our free TCM analysis shows you your personal TCM pattern in just 10 minutes.

What is blood dryness?

When the blood loses its moisturizing power

The TCM Perspective: Blood as a Moisturizing Life Force

In Traditional Chinese Medicine, blood (Xue) is not merely a carrier of nutrients—it is a precious substance with a central moisturizing function. Blood nourishes all organs and tissues, keeps the skin, hair, tendons, and eyes supple, and provides a home for the spirit (Shen).

Blood dryness (Xue Zao) occurs when the blood loses its moisturizing power. The causes are varied: prolonged blood deficiency, chronic heat that dries up the body’s fluids, excessive stress, or age-related loss of substance. A weakened spleen—the source of blood production—can also contribute to dryness because it does not produce enough nourishing blood.

When the blood dries up, the skin and tissues can no longer be adequately moisturized. The skin becomes rough, flaky, and itchy. The hair loses its luster and becomes brittle. The nails become brittle. The tendons and joints lose their suppleness. And the spirit—which is anchored in the blood of the heart—becomes restless because its foundation is drying up.

The consequences of blood loss: The body „craves“ moisture from within. This dryness is not only evident on the skin but permeates the entire body—dry eyes, dry stools, dry mucous membranes, and a general feeling of dryness.

The typical signs of blood deficiency:

  • Dry, flaky, or cracked skin, especially on the arms and legs
  • Itching — often worse in the evening or at night
  • Brittle, dull hair and hair loss
  • Brittle, thin nails
  • Dry, tired eyes
  • Hard, dry stools and constipation
  • Sleep problems and inner restlessness
  • Irregular or light menstrual periods

The good news: Blood dryness can be treated very effectively with the right measures. Through a blood-nourishing and moisturizing diet, TCM herbs, gentle exercise, and adequate rest, you can restore moisture from within and regain suppleness.

The Western Perspective: Dry Skin and Nutrient Deficiency

From a Western perspective, the TCM pattern of blood dryness can be compared to various conditions, all of which are related to inadequate nourishment and hydration of the tissues. The skin—our largest organ—shows the effects most clearly.

Imagine your blood as an irrigation system: It not only transports oxygen and nutrients, but also ensures that all tissues receive sufficient moisture. When there is a lack of blood, this system no longer functions optimally—the tissues „die of thirst“ from the inside out.

From a Western perspective, common causes include iron deficiency and nutrient deficiencies (particularly omega-3 fatty acids, vitamin A, vitamin E, and zinc), which weaken the skin barrier. Hormonal changes—such as those during menopause—also lead to reduced sebum production and dry skin. Chronic stress increases cortisol levels, which inhibits skin regeneration.

What does modern medicine show?

  • Iron deficiency: Impairs the skin's oxygen supply and contributes to dryness
  • Omega-3 deficiency: Weakens the skin's lipid barrier, leading to moisture loss
  • Vitamin A deficiency: Interferes with cell regeneration and leads to rough, flaky skin
  • Hypothyroidism: Can lead to dry skin, brittle hair, and brittle nails
  • Hormonal changes: A lack of estrogen reduces collagen and hyaluronic acid in the skin
  • Dehydration: Insufficient fluid intake exacerbates dryness

What the research says about this: What TCM refers to as “blood dryness” often stems from measurable nutrient deficiencies and a compromised skin barrier. Dang Gui (angelica root) and Sheng Di Huang (raw rehmannia)—two of the ten herbs in Dang Gui Yin Zi—have been shown in studies to have moisturizing and skin-nourishing properties.

TCM treatment for blood dryness addresses this very issue: It nourishes the blood as the source of internal moisture, strengthens the spleen to improve nutrient absorption, and moisturizes the dry tissues—in a profound and lasting way.

Ask the Yellow Emperor — Your TCM diagnosis explained
Qi Bo | The Yellow Emperor | Dr. Lisa Weber
MASTER OF THE HEALING ARTS | TCM FOUNDER | MODERN PHYSICIAN

What happens when the legendary Yellow Emperor of Traditional Chinese Medicine sits down with his advisor Qi Bo and a modern doctor? They discuss your pattern—using 4,000-year-old knowledge AND the latest science.

Blood Dryness — When the blood loses its moisturizing power and the skin, hair, and tissues become dry

The Yellow Emperor: „Qi Bo, I have noticed people in my kingdom whose skin has become rough and scaly. They complain of excruciating itching; their hair is dull and brittle, and their eyes look tired and dry. What is the cause of this affliction?“

Qi Bo: „Your Majesty, these people suffer from blood dryness—known as Xue Zao. In TCM, blood has a central moisturizing function in addition to its nourishing one. It keeps the skin, hair, tendons, eyes, and all tissues supple and hydrated. When the blood loses its moisturizing power, the tissues dry out from the inside. The skin becomes rough and itchy, the hair loses its luster, and the nails become brittle. It is as if fertile land were slowly withering away because the river that irrigates it is drying up.“

Dr. Weber: „That’s a fitting metaphor! In Western medicine, we know that blood actually plays an important role in supplying the skin with nutrients and moisture. The skin barrier—composed of lipids and moisturizing factors—needs a constant supply via the bloodstream. If nutrients such as iron, omega-3 fatty acids, vitamin A, or zinc are lacking, the skin cannot maintain its barrier function and becomes dry. So the idea that blood ‚moisturizes‘ the tissues has a clear physiological basis!“

The Yellow Emperor: „How does blood dryness differ from a simple blood deficiency?“

Qi Bo: „Your Majesty, that is an important distinction. In the case of blood deficiency, there is a lack of quantity—not enough blood to nourish the body. In the case of blood dryness, the quantity may be sufficient, but the quality of the blood has changed—it has lost its moisturizing essence. Blood dryness often develops from a long-standing blood deficiency: When the blood is depleted over an extended period, it gradually loses its moist nature. But excessive heat in the body can also dry out the blood—just as the sun causes a pond to evaporate. And with age, the blood’s moisturizing power naturally declines because the Yin diminishes.“

Dr. Weber: „Fascinating! This aligns with what we observe in dermatology. There are two mechanisms behind dry skin: First, a lack of nutrients—comparable to anemia. And second, the loss of the skin’s barrier function—comparable to blood dehydration. Even with an adequate supply of nutrients, the skin can become dry if the lipid barrier is compromised. As we age, the skin produces fewer natural moisturizing factors and sebum—exactly what you describe as ‚dwindling Yin‘!“

The Yellow Emperor: „What causes blood dryness?“

Qi Bo: „The causes are manifold, Your Majesty. First: Prolonged blood deficiency—when the blood is depleted over months or years, it slowly dries up. Second: Excessive heat—internal heat caused by stress, spicy foods, or inflammation causes the moisture in the blood to evaporate. Third: Age-related loss of Yin—especially during menopause, the moisturizing power diminishes. Fourth: A weak spleen—if the spleen cannot extract enough nourishing essence from food, the blood cannot be adequately regenerated. Fifth: Liver exhaustion—the liver stores blood and regulates its flow. When the liver is exhausted, the quality of the blood also suffers.“

Dr. Weber: „This aligns remarkably well with modern scientific findings! Chronic anemia has been shown to lead to dry skin. Systemic inflammation—your ‚internal heat‘—activates cytokines that damage the skin barrier. During menopause, estrogen levels drop, which directly reduces collagen production and skin moisture. Malabsorption and digestive problems—your ‚weak spleen‘—prevent the absorption of essential fatty acids and fat-soluble vitamins. And liver disease can actually lead to dry skin because the liver produces proteins that are essential for fat metabolism!“

The Yellow Emperor: „The itching seems to be particularly agonizing. Why does dry skin itch?“

Qi Bo: „Your Majesty, in TCM we say, ‚Where there is dryness, wind arises.‘ When the blood no longer moisturizes the skin, the dryness generates wind—called Feng. This wind travels across the skin’s surface and causes itching. That is why itching caused by blood dryness often moves around—it jumps from one spot to another. And it gets worse in the evening and at night because the blood returns to the liver at night and the supply to the skin decreases.“

Dr. Weber: „This is fascinating from a neurophysiological perspective! We know that dry skin exposes the nerve endings in the epidermis and makes them more sensitive. Histamine release increases, which triggers itching. And sure enough—the itching gets worse in the evening and at night! This is due to circadian rhythms: At night, cortisol levels drop, skin temperature rises, and transepidermal water loss increases. The TCM observation that itching gets worse at night therefore has a clear physiological explanation!“

The Yellow Emperor: „How should blood be used to treat dryness?“

Qi Bo: „Your Majesty, the principle of treatment is: Yang Xue Run Zao—nourishing the blood and moistening dryness. This is achieved in several ways. First: Directly nourishing and moistening the blood—with herbs such as Shu Di Huang (Rehmannia), which deeply nourish the blood and provide moisture. Second: Strengthening the spleen—so that it can extract sufficient nourishing essence from food. Third: Moisturizing foods—black sesame seeds, goji berries, walnuts, and honey nourish the blood and moisturize from within. Fourth: Disperse the wind—if there is itching, the wind caused by dryness must also be treated. And fifth: Get enough rest—the blood regenerates during sleep.“

Dr. Weber: „The nutritional recommendations are scientifically sound! Black sesame is rich in vitamin E and essential fatty acids, which strengthen the skin barrier. Goji berries provide beta-carotene and antioxidants. Walnuts are an excellent source of omega-3 fatty acids, which have been shown to reduce skin dryness. And studies have shown that Shu Di Huang has moisturizing and antioxidant properties! The holistic approach—combining nutrition, herbs, and rest—is the right way to go from a dermatological perspective.“

The Yellow Emperor: „Which traditional remedies help with blood deficiency?“

Qi Bo: „Your Majesty, the foundation of this formula is Si Wu Tang—the Four-Substance Decoction—with moisturizing modifications. Shu Di Huang deeply nourishes the blood, Dang Gui invigorates it, Bai Shao retains it in the liver, and Chuan Xiong moves it. In cases of severe dryness, we add He Shou Wu, which nourishes the blood and essence and strengthens the hair. Or we use Dang Gui Yin Zi—the Angelica Decoction—a special formula for blood dryness accompanied by itching. It combines blood-nourishing herbs with wind-dispelling herbs and is particularly effective for skin problems caused by blood dryness.“

Dr. Weber: „Si Wu Tang is one of the most extensively studied TCM formulas! Studies show that it promotes blood formation and has antioxidant effects. He Shou Wu—known as Fo-Ti—has actually been shown in research to have positive effects on hair growth and skin health. It contains stilbene glycosides, which promote melanin synthesis in hair follicles. Dang Gui contains ferulic acid, which has anti-inflammatory and skin-protective properties. These herbal combinations address both nutrient supply and oxidative stress—both of which are key factors in dry skin!“

The Yellow Emperor: „Wonderful! Let's turn this wisdom into a practical plan.“

THE "3 WISE MEN" METHOD FOR BLOOD DRYNESS

MORNING ROUTINE (Moisten with blood):

  • TCM: A nourishing, moisturizing breakfast—the spleen needs warm, nourishing foods in the morning to help produce blood and body fluids
  • Science: A breakfast rich in healthy fats and antioxidants strengthens the skin barrier from the inside
  • Practical: Warm Oatmeal with Black Sesame Seeds, Walnuts, and Goji Berries
  • TCM: Warm water with goji berries and honey — nourishes the blood and yin in the morning
  • Science: Goji berries provide beta-carotene and vitamin C, and honey helps moisturize the mucous membranes
  • Practical: Steep 10–15 goji berries in warm water, add 1 teaspoon of honey, and eat the berries as well
  • TCM: External skin care — rub sesame oil into dry skin in the morning
  • Science: Sesame oil contains linoleic acid, which strengthens the skin barrier and locks in moisture
  • Practical: After showering, rub a thin layer of sesame oil into your still-damp skin

TAGS STRATEGY (Retaining Moisture):

  • TCM: Enjoy a healthy lunch with hydrating foods — sweet potatoes, avocados, and spinach
  • Science: Sweet potatoes provide beta-carotene, avocados provide healthy fats, and spinach provides iron—all of which are important for skin health
  • Practical: A warm main meal at lunchtime featuring a combination of vegetables, protein, and healthy fats
  • TCM: Acupressure on Spleen 6 (San Yin Jiao) — nourishes the blood and moistens dryness
  • Science: Studies show that stimulating this point improves blood circulation and the supply of nutrients to the skin
  • Practical: 4 fingers wide above the inner ankle on the back of the shin. Massage in circles for 3 minutes per side
  • TCM: Drink plenty of fluids—but make sure they're warm, not cold!
  • Science: Adequate hydration is the foundation of a healthy skin barrier
  • Practical: 1.5–2 L of warm water spread out over the day, along with herbal teas

EVENING RITUAL (blood regeneration):

  • TCM: Gentle Qigong — Strengthens the Center and Promotes Blood Production and Moisturization
  • Science: Gentle movement improves blood circulation and activates the parasympathetic nervous system, which promotes skin regeneration
  • Practical: 10-15 minutes of gentle Qi Gong exercises before dinner
  • TCM: Acupressure on Liver 8 (Qu Quan)—the „Bending Spring“—nourishes the liver’s blood and moistens
  • Science: This point is located on the inner side of the knee and affects blood flow to the lower extremities
  • Practical: On the inside of the knee, in the crease when the knee is bent. Gently press for 3 minutes on each side.
  • TCM: Go to bed early—the blood returns to the liver at night and restores its moisturizing power
  • Science: During deep sleep, growth hormones are released that promote cell regeneration and collagen production
  • Practical: Go to bed before 11 p.m., aim for 7–8 hours of sleep, and keep the bedroom well humidified

The Yellow Emperor: „Qi Bo, how long will it take for the blood deficiency to improve?“

Qi Bo: „Your Majesty, moisturizing the blood requires a little more patience than simply building up the blood, because the dryness has developed over a long period of time. After 2–3 weeks of consistent practice, most people notice: Their skin feels less dry, the itching subsides, and their lips are smoother. After 6–8 weeks, the improvements become more noticeable: the skin becomes softer and more elastic, the hair regains its luster, and the nails become stronger. After 3–4 months, the blood can be noticeably nourished and moisturized—the body feels supple and full of vitality. The duration depends on how long the dryness has persisted and how consistently the treatment is followed.“

Dr. Weber: „That aligns well with our dermatological experience! Skin renewal takes about 28 days—a complete turnover cycle. We see the first improvements in skin dryness after 2–4 weeks of consistent care and dietary changes. For profound changes—such as improved hair quality and nail strength—the body needs 3–6 months, since hair and nails grow more slowly. The TCM recommendation to stick with it for 3–4 months therefore makes a lot of sense from a dermatological perspective!“

The Yellow Emperor: „What must be avoided at all costs when dealing with blood dryness?“

Qi Bo: „Your Majesty, the most important things: First, avoid excessive amounts of spicy and hot spices—chili, pepper, and garlic in large quantities generate internal heat and further dry out the blood. Second, avoid alcohol—it generates damp heat and depletes the Yin substance. Third, not too much coffee—it has a drying effect on the body’s fluids. Fourth, no baths or showers that are too hot—they strip the skin of moisture. Fifth, avoid dry, heated air—it exacerbates external dryness. And sixth, avoid excessive stress—stress generates liver heat, which dries out the blood.“

Dr. Weber: „It’s all backed by science! Capsaicin from hot spices can release histamine and make itching worse. Alcohol is a strong diuretic and causes the body to lose water. Caffeine has a mild diuretic effect and can cause dehydration when consumed in large amounts. Hot showers wash away the skin’s natural oils and destroy the lipid barrier—lukewarm showers are much better! Dry, heated air lowers humidity and increases transepidermal water loss. And chronic stress activates the HPA axis, which directly weakens the skin barrier!“

The Yellow Emperor: „Then the message is clear: Blood dryness is the body’s cry for help—a call for inner hydration. Just as a parched riverbed comes back to life when the water returns—so too can our blood regain its moisturizing power when we nourish and care for it.“

Qi Bo: [smiles] „That is so, Your Majesty. Blood is like a gentle rain that moistens the land and keeps it fertile. With nourishing food, moisturizing herbs, gentle movement, and sufficient rest, we replenish this source of moisture. Then suppleness returns to the skin, luster to the hair, and calm to the mind.“

About our „3 Wise Men“ story

Who are the Yellow Emperor and Qi Bo?

The Yellow Emperor (Huangdi) is said to have lived around 2600 BC and is considered the mythical founder of Chinese culture and medicine. Qi Bo was his most important advisor and personal physician. Their discussions about health, illness, and human nature were recorded in the most important fundamental work of TCM.

The book: Huangdi Neijing

The Huangdi Neijing, also known as The Yellow Emperor's Classic of Internal Medicine, was probably written between 200 BC and 200 AD. It is the oldest surviving work on Chinese medicine and consists of dialogues between the Yellow Emperor and his advisors, mainly Qi Bo.

This work is to TCM what the Bible is to Christianity: the absolute foundation. All the important concepts - yin and yang, the 5 elements, qi, meridians and acupuncture points - are systematically described here for the first time.

Our modern approach: The 3 wise men

In our series „The Three Sages,“ we bring together the Yellow Emperor and Qi Bo with the fictional modern doctor and microbiologist Dr. Weber.

Important note: All three characters and their conversations are purely fictitious and invented by us.

We use this narrative form, similar to the dialogue form in the book Huangdi Neijing, to convey the often complex interrelationships of TCM in an understandable and entertaining way. When the 4,000-year-old emperor is confronted with modern science, enlightening „aha moments“ arise that show that ancient wisdom and new research often speak the same language — just in different words.

This makes TCM lively, understandable and practically applicable for your everyday life.

The dialogs are creative interpretations - not historical documents. For medical questions, please consult a qualified TCM therapist or doctor.

Your treatment options

Blood dryness is very treatable! TCM offers you a variety of effective methods to nourish your blood and moisturize dryness from within. You don't have to do everything at once—choose the methods that work best for you and your daily routine.

Here you will find specific treatment approaches that have been proven effective in TCM for thousands of years and that you can largely apply yourself.

TCM herbs

Herbal medicine (or, in modern terms, phytotherapy) is the MOST IMPORTANT tool of TCM. It is an integral part of every traditional TCM treatment. Today, there is a suitable herbal blend for every TCM pattern.

Dried TCM herbs in earthenware bowls on a rustic, light-colored wooden table, next to them a mortar and pestle, paper bags, and a bundle of herbs

Here's how to find the right herbal blend for you

  • Search online. Enter Blood Deficiency "TCM Herbal Blend" — including the quotation marks — into the search engine of your choice. If you wish, add the following to the search term: Compressed pieces — in our experience, the easiest to take — or Granules. This way, you'll see several providers and can compare them at your leisure.
  • Our Therapist Directory. In the TCM Therapist Directory You can find TCM practitioners in your area who will tailor a TCM herbal blend to your individual constitution.
  • Your TCM Pharmacy. Some pharmacies carry TCM herbal blends or can order them for you. Tell them what you're looking for—or show them this page.

In any case, pay attention to the quality of the TCM herbal blend, not the price—it’s worth taking a look at the list of ingredients.

Not sure which herbal blend is right for your TCM pattern? Write to us. We'll tell you which classic recipe traditionally goes with this pattern and what you should look for when choosing one.

Request a tip on herbal blends

Our Top Tip

Personal support as you go through this transition

Wolfgang, seen from behind, is talking with a woman in her 50s in a bright, cozy conversation room with tea on the table

TCM uses many different methods. Which ones are right for you is the question we hear most often. And it’s not something that can be answered offhand.

That’s why we offer our personalized TCM support. It begins with a free, no-obligation ONLINE initial consultation with Wolfgang.

After that, you’ll receive a personalized support plan outlining all the components and costs as a proposal. If it works for you, we’ll get started: In a second online session (about 30 minutes), Wolfgang will discuss your path with you.

Acupressure

Acupressure is acupuncture without needles. — You can perform these techniques yourself at any time. By applying gentle pressure to specific points, you activate the flow of energy in the meridians, nourish the blood, and moisturize dry areas.

These three points form a powerful combination for nourishing the blood and moistening dryness. Regular stimulation is especially important when the blood is dry — Patient care nourishes the blood and restores moisture to the skin, hair, and tissues.

ACUPUNCTURE POINT: MP 06

Spleen-Pancreas 06

Meeting place of the three Yin - San Yin Jiao
Location acupuncture point Sp 06 Graphic
  • Nourishes blood and yin at the same time
  • Moisturizes dry skin from the inside out
  • Strengthens the spleen as a source of blood formation
  • Regulates menstruation
  • Meeting point of the three Yin meridians (spleen, liver, kidney)

Location: Four finger widths above the highest point of the inner ankle, directly behind the shin.

Application:
Massage in a circular motion twice a day for 2-3 minutes per side with medium pressure. Ideal in the morning and evening. DO NOT use during pregnancy!

Even more details
ACUPUNCTURE POINT: MP 10

Spleen-pancreas 10

Sea of Blood - Xue Hai
Location acupuncture point Sp 10 graphic
  • Main point for nourishing and revitalizing the blood
  • Cools the blood and relieves itching caused by blood dryness
  • Helps with skin problems caused by dried blood
  • Regulates menstruation
  • Hydrates the skin from within

Location: With the knee bent, two thumb widths above the upper inner corner of the kneecap, on the vastus medialis muscle.

Application:
Press twice daily for 2-3 minutes per side with medium pressure or massage in a circular motion. Particularly effective together with MP 06.

Even more details
ACCESSION POINT: Le 08

Liver 08

Winding Spring — Qu Quan
Location acupuncture point Lv 08 graphic
  • Nourishes the liver and blood and moistens dryness
  • Strengthens the liver as a blood reservoir
  • Helps with dry eyes and brittle hair
  • Relieves tension in tendons and ligaments
  • Promotes flexibility throughout the entire body

Location: On the inside of the knee, at the medial end of the knee crease with the knee bent.

Application:
Gently press or massage in small circles for 2–3 minutes on each side twice a day. Especially effective in the evening to promote liver-blood regeneration.

Even more details

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Qi Gong

Qi Gong is moving meditation — Gentle, flowing exercises that harmonize your energy flow and nourish your blood. In cases of blood dryness, these exercises help strengthen your spleen—the source of blood production—activate your liver—the blood reservoir—and stimulate circulation so that moisture can once again reach the dry tissues.

Regular practice of qigong (as little as 10–15 minutes a day) has been shown to have positive effects on blood circulation, tissue hydration, and overall well-being.

QI GONG: Exercise 1

Warm the center

Strengthens the spleen and promotes blood production from within
Wolfgang doing the Qi Gong exercise Warming the Center (5 Elements Qi Gong)

Particularly helpful for:

  • Fatigue and Indigestion
  • Paleness and Lack of Energy
  • Dryness from the inside out
  • Inadequate Nutrient Intake

Effect:
This Earth Element exercise specifically warms and strengthens the center—the spleen, which is the source of blood production. The gentle, circular movements activate digestive power, allowing the spleen to produce blood more effectively, which in turn rehydrates dry tissues.

Exercise explanation
QI GONG: Exercise 2

Collect Qi

Builds up Qi, calms the Shen
Wolfgang doing the Qi Gong exercise Gathering Qi (5 Elements Qi Gong)

Particularly helpful for:

  • General weakness and weakness
  • Inner restlessness and nervousness
  • Dry Skin Caused by Stress and Exhaustion
  • Restless Mind and Sleep Problems

Effect:
This exercise gathers vital energy from all directions and stores it in the body. Since „Qi is the commander of the blood,“ strong Qi supports blood formation and blood flow. When there is enough Qi, the blood can once again better fulfill its moisturizing function—the skin and tissues are nourished from within.

Exercise explanation
QI GONG: Exercise 3

Look backwards

Activates the liver meridian, nourishes the blood
Wolfgang doing the Qi Gong exercise Looking Back (5 Elements Qi Gong)

Particularly helpful for:

  • Stiff Tendons and Neck Due to Dehydration
  • Dry eyes and blurred vision
  • Insufficient Liver-Blood Nourishment
  • Tension in the shoulders and back

Effect:
This Wood Element exercise specifically activates the liver meridian—the liver stores blood and regulates its distribution. The gentle twisting motion keeps the tendons supple and stimulates blood flow to the neck, eyes, and back. It is particularly effective for blood dryness, which manifests as stiff tendons and dry eyes.

Exercise explanation

These Qi Gong exercises are specifically selected to nourish the blood and moisturize dry tissues. They strengthen the spleen as the source of blood production, activate the liver as a blood reservoir, and promote blood circulation.

All of these exercises are especially effective when you do them between 9 and 11 a.m.—that’s when the spleen is at its peak according to the organ clock. During this time, the spleen is particularly effective at producing blood and nourishing the dry tissues from within.

QI GONG:

When and how often?

In the morning or in the morning (ideal):

  • All 3 exercises as a sequence: approx. 15–20 min.
  • Or just 1–2 exercises: approx. 5–10 min.
  • Preferably between 9 and 11 am (spleen time)

In between:

  • Individual exercises as needed (e.g., if you feel tired or have a dry mouth)
  • „Looking Back“ for Stiff Tendons and Dry Eyes

Regularity is more important than duration:

  • It is better to exercise for 10 minutes every day than for 60 minutes once a week.
  • After 2–3 weeks, you will notice the first changes.
  • After 2–3 months of regular practice: noticeably smoother skin and more energy

Pro tip: If you have a blood deficiency, focus on slow, flowing movements. Avoid heavy sweating—it further dehydrates the blood. Qigong offers the perfect balance of gentle movement and deep nourishment from within.

Qi Gong Live every Monday on YouTube

LIVE EVERY MONDAY: QI GONG WITH WOLFGANG

Every Monday at 6:00 p.m. Let's practice together live on YouTube. Among other things, Wolfgang will guide you through a complete qigong sequence — free of charge and suitable for all levels.

Why participate live? ✓ Working out together keeps you motivated ✓ Wolfgang explains the exercises in detail ✓ You can ask questions in the live chat ✓ A set time helps keep your routine on track

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Meridian Yoga — The Yoga of TCM

Meridian Yoga combines yoga with traditional Chinese medicine. The result is a holistic exercise concept for better health and more energy.

The following exercises specifically activate the Heart Meridian—because the heart governs the blood and regulates blood flow to all tissues. When there is blood dryness, the blood’s moisturizing power is depleted, causing the skin, hair, and tissues to dry out. By activating the heart meridian, you promote blood circulation and support the nourishment of dry tissues from the inside out.

MERIDIAN YOGA: Exercise 1

Open heart for the heart meridian

Opens up the chest, promotes blood circulation
Kati doing the Meridian Yoga exercise Open Heart for the Heart Meridian

Particularly helpful for:

  • Cardiovascular problems
  • Breathing problems
  • Stress and inner turmoil
  • Dry, tired skin

Effect:
This exercise opens the heart meridian, which runs along the inner side of the arm. It expands the chest and creates space for the heart. In cases of blood dryness, it helps anchor the Shen in the heart blood and promote blood circulation, which improves moisture in the tissues.

Exercise explanation
MERIDIAN YOGA: Exercise 2

Shell stretch for the heart meridian

Stretches the heart meridian gently while lying down
Kati doing the meridian yoga exercise Shell Stretch for the heart meridian with drawn stretch line

Particularly helpful for:

  • Cardiovascular problems
  • Breathing problems and blood pressure problems
  • Stress and inner turmoil
  • Sleep Problems Caused by Dry Heat

Effect:
The Shell Stretch is a gentle, relaxing exercise that stretches the heart meridian while lying down. It calms the nervous system and promotes restful sleep—especially beneficial during blood dryness, when dry heat makes the mind restless and the body craves moisture.

Exercise explanation

Both exercises activate the heart meridian, which runs along the inner side of the arm and is connected to the heart. The heart governs the blood—by activating this meridian, you promote blood circulation and support the blood’s moisturizing power, which is depleted when the blood is dry.

Particularly effective: Hold each pose for 3–5 breaths, visualizing nourishing, red energy flowing through your dry tissues, moisturizing them, and nourishing them from within.

MERIDIAN YOGA:

When and how often?

Best time:

  • Midday between 11 a.m. and 1 p.m. (heart time)
  • Or in the evening before going to bed for better sleep

Duration:

  • Hold each position for 3–5 breaths.
  • Complete sequence: 10–15 minutes
  • 3–5 times per week for best results

Important:

  • Practice in a calm, warm atmosphere
  • Breathe deeply and slowly during the positions
  • Stretching should be comfortable, never painful.

Pro tip: Combine Meridian Yoga with gentle qigong exercises such as „Warming the Center“ or „Gathering Qi.“ If you have blood dryness, gentle, stretching movements are especially important—avoid strenuous yoga styles and opt for calm, moisturizing practices that won’t further dehydrate the body.

Nutrition according to TCM

„Let food be your medicine.“ — This principle has been followed in TCM for thousands of years. If you have blood dryness, proper nutrition is especially important to rehydrate and nourish your blood.

Blood belongs to the elements Wood (liver) and earth (spleen) and needs warm, moisturizing, nourishing food, to restore its supple strength. Moisturizing foods such as black sesame, avocado, and high-quality oils play a key role in this process.

What you eat, HOW you eat and WHEN What you eat—all of that affects your blood and body fluids.

The Golden Rules for Preventing Blood Dryness

What is good for you:

Foods That Help Keep You Hydrated

  • Black sesame (Top Humidifier!)
  • Walnuts and pine nuts
  • Avocado — Nourishes from the Inside Out
  • Olive oil and sesame oil

Healthy fats moisturize from the inside and nourish the blood!

Blood-nourishing red foods

  • Beets — nourish and hydrate the blood
  • Goji berries - nourish blood and yin
  • Dates and Cherries
  • Pomegranate and red grapes

Red is the color of blood - red food nourishes the blood!

Moisturizing Vegetables

  • Spinach — rich in iron and moisture
  • Sweet Potatoes and Carrots
  • Zucchini and cucumber (cooked)
  • Vegetables Rich in Beta-Carotene

Cooked vegetables provide moisture without overburdening the spleen

Nourishing Soups and Broths

  • Bone broth — deeply moisturizing
  • Chicken Soup with Dates and Goji Berries
  • Congee with Black Sesame Seeds
  • Vegetable Soups with Healthy Oils

Soups are great for keeping you hydrated from the inside out!

What you should avoid:

An Excess of Hot Spices

  • Chili and hot peppers
  • Raw garlic in large quantities
  • Spicy curry pastes
  • Wasabi and hot sauces

Heat dries out the blood even more!

Alcohol

  • Wine, Beer, and Spirits
  • Generates moist heat in the body
  • Depletes yin and bodily fluids
  • Dries out bodily fluids

Alcohol is one of the biggest culprits when it comes to dehydrating the skin!

Dry, baked foods

  • Crackers and Chips
  • Heavily Roasted and Fried Foods
  • Dry bread without anything spread on it
  • Puffed Rice and Rice Crackers

Dry food increases internal dryness!

Coffee in large quantities

  • Has a dehydrating effect on bodily fluids
  • Avoid drinking more than 1 cup a day
  • Better: Green tea or goji tea
  • Avoid drinking too much black tea as well

Caffeine dehydrates you—less is more!

HOW YOU SHOULD EAT:

Cooked and warm

  • Prefer hot meals
  • Soups and stews - easy to digest
  • Vegetables steamed or boiled
  • Also breakfast warm (porridge!)

Regularly and at rest

  • 3 fixed meals a day
  • Biggest meal at lunchtime
  • Light and early in the evening (before 7 pm)
  • Eat in peace, chew well

The spleen loves regularity and warmth!

Drink plenty of fluids (warm!)

  • Warm water
  • Goji tea (eat the berries too!)
  • Date tea (boil 3-5 dates in water)
  • Chrysanthemum Tea with Goji Berries

Warm liquid moisturizes from the inside

IDEAL MENU FOR ONE DAY:

Breakfast (7–9 a.m.):

  • Sesame Porridge with Goji Berries and Walnuts
  • In addition: Goji tea or warm water

Lunch (12–1 p.m.):

  • Sweet Potato Soup with Sesame and Ginger
  • In addition: Whole grain rice or potatoes
  • Or: Spinach with Carrots and Avocado

Dinner (6–7 p.m.):

  • Light Vegetable Soup with Egg and Sesame Oil
  • Or: Steamed Fish with Zucchini
  • In addition: Small portion of rice

Snack if needed:

  • 1 tablespoon black sesame seeds (ground)
  • Or: Handful of walnuts and goji berries
  • Or: Half an avocado with a little salt

The most important rule when changing your diet is:

Start with ONE step!
Don't change everything at once.

Our suggestion for getting started:

  1. Eat 1 tablespoon of black sesame seeds every day — 2 weeks
  2. Introduce a warm breakfast with hydrating ingredients — 2 weeks
  3. Reduce hot spices and alcohol - 2 weeks

Step by step, you'll notice how your blood becomes more hydrated again and your skin, hair, and nails become smoother.

Your blood will thank you!

RECIPE: BLACK SESAME PORRIDGE WITH GOJI BERRIES

Ingredients:

For 2 portions

  • 200 g rolled oats
  • 2 tablespoons black sesame seeds (ground)
  • 2 tbsp goji berries
  • 1 tablespoon walnuts (coarsely chopped)
  • 1 tbsp honey
  • 500 ml water or plant-based milk
  • Optional: 1 pinch of cinnamon
Preparation:
  1. Bring the rolled oats to a boil with water or plant-based milk
  2. Let it soak for 5–8 minutes over low heat
  3. Stir in the ground black sesame seeds
  4. Add the goji berries and let them simmer briefly
  5. Spoon into bowls and sprinkle walnuts on top
  6. Sweeten with honey and enjoy while warm
Effect:

Moisturizes from within and nourishes the blood

Strengthens Yin and nourishes the skin and hair

Gently warms and strengthens the spleen

3–4 times a week — the perfect way to start the day!

RECIPE: SWEET POTATO SOUP WITH SESAME AND GINGER

Ingredients:

For 4 portions

  • 500 g sweet potato
  • 2 tablespoons black sesame seeds
  • 3 slices of fresh ginger
  • 1 small onion
  • 1 l vegetable or chicken stock
  • 2 tablespoons olive oil
  • Salt and pepper to taste
Preparation:
  1. Peel the sweet potato and cut it into cubes
  2. Finely chop the onion and ginger
  3. Heat the olive oil in a pot, then sauté the onion and ginger
  4. Add the sweet potato and sauté briefly
  5. Pour in the broth and let it simmer for 25–30 minutes
  6. Puree until creamy
  7. Season with salt and pepper to taste, then sprinkle with sesame seeds
Effect:

Nourishes and moisturizes the blood from within

Strengthens the spleen and promotes blood formation

Gently warms from the inside and moisturizes

2–3 times a week — ideal for dry skin!

Breathing

Breathing is the bridge between body and mind. In TCM, it is said: „The lungs govern the qi“—according to this concept, through conscious breathing you can directly influence your qi flow and find a deeper sense of calm.

Breathe calmly and slowly: Deep abdominal breathing noticeably calms many people—their breathing becomes deeper, their shoulders relax, and their minds become clearer. The good news: Just 5–10 minutes a day can make a difference in your well-being.

Recommended breathing techniques

ABDOMINAL BREATHING — The basis for every breathing technique

Natural breathing

Abdominal breathing is the most natural and calm form of breathing. According to the teachings of TCM, with every breath you bring qi into your body’s center (Dantian).

Wolfgang shows you step by step, How to learn abdominal breathing correctly—lying down to start with, then later also sitting and standing.

Duration: 9 minutes

Learning abdominal breathing
To the interactive video
4–7–8 BREATHING — Find Peace

Calm Breathing for the Evening

With the 4–7–8 breathing technique, you inhale for 4 seconds, hold your breath for 7 seconds, and exhale for 8 seconds. This steady rhythm helps many people wind down in the evening—ideal when your mind won’t shut off at night.

Perfect for the evening or whenever you want to calm down quickly.

Duration: 9 minutes

To the interactive video
BOX BREATHING — For inner coherence

Professional breathing for focus and calmness

Box Breathing (4 seconds on, 4 seconds hold, 4 seconds off, 4 seconds hold) combines activation and relaxation in perfect balance. This method is used by elite soldiers, athletes, and executives to remain calm and focused even in extremely stressful situations.

A steady 4–4–4–4 rhythm A balance of activity and stillness—many people find it clarifying and grounding.

Duration: 9 minutes

To the interactive video
COHERENT BREATHING — Brings Body and Mind into Harmony

Calm Breathing for Balance

With coherent breathing Breathe in for 5.5 seconds and out for 5.5 seconds. This rhythm brings your heart and breathing into a steady rhythm—a state known as „coherence.“ Many people use it as a regular breathing break in their daily lives.

A nice side effect: The heart and breath settle into a calm, synchronized rhythm.

Duration: 14 minutes

To the interactive video
Coherent Breathing 24/7 Live Stream
To the video
COHERENT BREATHING Around the clock

Our 24/7 livestream on coherent breathing runs non-stop. You can tune in at any time and join in right away.

Perfect for:
✓ Spontaneous breaks to catch your breath in between
✓ If you'd like some gentle breathing guidance
✓ As background while working
✓ For the evening and to wind down
✓ For regular daily practice

relaxation

When your body is relaxed, Things tend to flow more easily. Persistent tension keeps you in a constant state of stress. By using specific relaxation techniques, you signal to your body to calm down and recharge.

Progressive muscle relaxation It is one of the best-known relaxation methods and has been practiced for over 100 years. It helps you become aware of tension, actively let go of it, and achieve a state of deep relaxation—whenever you want.

Recommended relaxation technique

PROGRESSIVE MUSCLE RELAXATION (PMR)

The Classic Relaxation Method

Progressive muscle relaxation according to Jacobson is one of the best-known relaxation techniques worldwide. By deliberately tensing and relaxing individual muscle groups, you learn to consciously recognize tension and release it.

That's what it feels like:
Step by step, the body becomes heavier and calmer, and the breathing more even. Many people make this a regular part of their evening routine to help them fall asleep easily.

Progressive muscle relaxation according to Jacobsen

Maria guides you step by step through the entire exercise—perfect for beginners and advanced practitioners alike.

Duration: 23-minute complete guide

To the guided PMR

Meditation

Meditation calms the mind — and a calm mind is good for your whole being. In TCM, it is said that every emotion affects a specific organ. Through regular meditation, you’ll learn to step away from racing thoughts, find emotional balance, and strengthen your inner center.

Just 10 minutes a day can do a lot to help you find inner peace. As a result, many people find that their daily lives become more relaxed and clear.

Recommended meditations

GUIDED MEDITATIONS FOR EVERY DAY

Your personal meditation library

We have a complete Playlist with over 60 guided meditations, breathing exercises, and relaxation techniques—from short 5-minute meditations for in between to deep 30-minute sessions for intensive practice.

In the playlist you will find:

  • Morning meditations for a mindful start to the day
  • Meditations for restful sleep
  • Breathing meditations for inner peace
  • Meditations for Moments of Calm Amid Stress and Worry
  • TCM standing meditations for all 5 elements
  • Body scan and body journeys
  • Meditations for Peace of Mind and Body
  • Special breathing techniques (4–7–8, coherent breathing, bee breathing)
Playlist with meditations

Perfect for beginners and advanced practitioners. Choose the right meditation for you depending on your time, the time of day, and your needs.

To the meditation playlist

When the blood dries up, the skin and hair lose their luster, the tendons become stiff, and the mind becomes restless. Nourish the blood—and suppleness returns.

- Loosely based on the HUANG DI NEI JING
(The Yellow Emperor's Classic of Internal Medicine)

More tips for your everyday life

In addition to traditional TCM treatment methods There are many small daily habits that can moisturize and nourish your blood. When it comes to blood dryness, the main goal is to preserve moisture in the body and build it up from the inside out—with the right habits, you can effectively nourish your blood and alleviate the dryness.

Sleep and rest

Sufficient sleep

While we sleep, our blood regenerates and hydrates the body:

  • 7–8 hours of sleep per night is ideal
  • Blood regenerates at night—especially between 11 p.m. and 3 a.m.
  • The skin regenerates during deep sleep and absorbs moisture
  • Go to bed before 11 p.m. — the best time for blood regeneration
  • Quality is more important than quantity—deep sleep nourishes and moisturizes the blood
Midday rest

Short breaks during the day help keep your mouth moist:

  • A 10–20-minute nap at lunchtime is ideal
  • Even just closing your eyes and relaxing helps—it provides relief for dry eyes
  • Between 1 and 3 pm is heart time - good for the mind
  • No longer than 30 minutes - otherwise your night's sleep will be disturbed
Avoid revision

Stress generates internal heat and exacerbates dryness:

  • Avoid long work hours—they deplete your body's fluids
  • Plan regular breaks - every 90 minutes.
  • Stress generates internal heat, which depletes existing moisture
  • If you're feeling drained: it's better to do less, but do it consistently
  • Plan sufficient vacation and relaxation

Preserving Moisture — Inside and Out

Air humidity

The right indoor air helps prevent dehydration:

  • Humidifying indoor air — a humidity level of 50–60 % is ideal
  • Be sure to maintain adequate humidity, especially in winter when the air is dry from heating
  • Place bowls of water on the radiator or use a humidifier
  • Ventilate regularly—fresh air is less drying than heated air
  • Air conditioners dry out the air significantly — reduce exposure
Skin Care

Nourish and protect the skin from the outside:

  • Apply sesame oil or almond oil to your skin while it's still damp after showering
  • Don't take too hot a shower—hot water strips the skin of moisture
  • Use mild, moisturizing soaps
  • Apply oil regularly to dry areas—especially your hands, feet, and elbows
  • Avoid using harsh cleaning products
Drinking

Moisten from the inside:

  • Drink 1.5–2 L of warm water or tea per day
  • Goji tea nourishes the blood and yin; chrysanthemum tea is the classic pairing for dry, tired eyes
  • Choose warm water—cold water puts a strain on the spleen
  • Drink throughout the day, not all at once
  • Coffee and alcohol in large quantities can also cause dehydration

Gentle Exercise — Stay Flexible

The right intensity

When you're feeling "blood-dry," flowing movements are ideal:

  • Prefer gentle, flowing movements
  • Qi Gong and Tai Chi — Exercise Without Dehydrating Yourself
  • Walks in the fresh air
  • Gentle yoga — especially the stretching poses
  • Swimming (in warm water) also moisturizes the skin
What you should avoid

Heavy sweating depletes the body's fluids:

  • Intense endurance sports (marathons, HIIT) cause excessive fluid loss
  • Heavy sweating depletes the body's fluids and exacerbates dryness
  • An intense sauna session further dehydrates the body
  • Avoid exercising in hot rooms or during the midday heat
  • Avoid competitive sports during the recovery phase
Stretching Exercises

Especially important in cases of blood deficiency:

  • Dry tendons and ligaments become stiff—regular stretching helps prevent this
  • Gentle stretching in the morning and evening for 5–10 minutes.
  • Fascia yoga or Yin yoga are particularly suitable
  • Stretch slowly and mindfully—never force yourself into a position
  • Stretching promotes blood circulation and nourishes the tissues

For Women: Menstruation and Vaginal Dryness

During menstruation

Take special care of yourself and stay hydrated from the inside out:

  • More rest and sleep than usual
  • Hot food and drinks - no raw food
  • Incorporate hydrating foods such as sesame seeds, goji berries, and dates
  • No intensive sports units
  • Hot water bottle on the stomach if you feel cold
After menstruation

Nourish the blood and replenish moisture:

  • Foods that are particularly moisturizing and nourishing to the blood
  • Include black sesame seeds, goji berries, and walnuts in your daily diet
  • Nourishing Soups with Dates and Angelica Root
  • Continue taking your TCM herbal blend
  • Get extra rest and sleep during the first few days after your period
Menopause

Blood dryness is particularly common during menopause. Declining estrogen levels lead to a natural decrease in the body’s moisturizing substances. The skin, hair, and mucous membranes become drier. TCM methods for moisturizing the blood are particularly valuable during this phase of life and can provide lasting relief from these symptoms.

Important to know

Treating dry blood requires patience and consistent care. Moisturizing the blood is like watering a parched garden—it happens step by step. Pay attention to your body’s signals: dry skin, brittle hair, and itching are signs that you need more moisture and nourishment. With consistent care, you’ll feel your body becoming supple and nourished again.

When to see a doctor? If you experience severe, persistent itching, skin changes that do not heal, suspected thyroid problems, or other concerning symptoms, you should see a doctor. A medical evaluation may also be advisable if you have very dry mucous membranes (eyes, mouth). TCM and Western medicine complement each other perfectly in this regard.

For optimal treatment progress

TCM is not a quick fix for symptoms., but rather a holistic healing process. You will achieve the best results if you consistently integrate the treatment into your daily routine and give your body time to regenerate.

Integration into everyday life

Start with ONE step

Don't try to change everything at once! That's overwhelming and leads to
usually leads to you giving up. Instead:

  • Weeks 1–2: Start taking your TCM herbal blend—along with moisturizing foods (sesame, goji berries, avocado) every day
  • Weeks 3–4: Acupressure on MP 06 and Le 08 daily
  • Week 5-6: Qi Gong daily 10 min.
  • Weeks 7–8: Midterm Assessment — Compare itching, flaking, nails, and hair to how they were at the beginning
  • From week 9: Add further methods as required
Realistic expectations

After 2–3 weeks: First improvements noticeable

  • Initial improvement in skin dryness
  • Less itching
  • Smoother Lips and Skin

After 6–8 weeks: Significant improvements

  • Significantly less dry skin
  • Shinier Hair
  • Less brittle nails

After 3–6 months: Sustainable healing

  • Skin, hair, and nails are noticeably nourished
  • My body feels supple and moisturized
  • Sustainable improvement in well-being

TCM vs. Western medicine

TCM and Western medicine are not mutually exclusive—they complement each other!

When Western medicine is important:

  • In acute emergencies
  • In case of structural damage
  • In case of infections
  • For accurate diagnoses (laboratory, imaging)

Where TCM has its strengths:

  • In case of functional disorders
  • For chronic complaints
  • For prevention
  • For holistic healing

Ideal: Combine both systems! Use Western medicine for
Acute treatment and accurate diagnosis, TCM for lasting healing
and strengthening the body's self-healing powers.

Important: Never stop taking prescribed medication without consulting your doctor first!
Talk to your doctor when you start TCM treatment.

Do you have any questions?

Portrait of Wolfgang Stemer from "Einfach besser Leben"

Wolfgang from meine-tcm.com

TCM is a broad field. Much of it sounds unfamiliar at first glance, and often the real question doesn't arise until you start putting some of it into practice in your daily life.

That's exactly what I'm here for. Write to me—no matter how big or small your question is, whether it’s related to this page or to something else entirely in TCM. I read every message myself and will get back to you. Calmly, clearly, and without any sales pitch.

P.S.: There are no stupid questions. So write to me.

Ask your question

Every step counts

Your body strives for balance—you just need to create the right conditions for it.

Remember:

👣 Every little step counts
You don't have to be perfect. Even one warm meal a day is better than none. Even 5 minutes of qigong is better than no exercise at all.

⏳ Patience pays off
It took your body years to get to this point. Give it time to regain its balance. Change takes time, but it will happen.

🎯 Focus on what you can DO
Don't concentrate on what you are doing „wrong". Focus on every positive step you take.

💚 Be good to yourself
Perfection does not exist. It is acceptable to have an off day occasionally. Tomorrow is a new day when you can continue.

🤝 You are not alone
Thousands of people are walking this path with you. For over 2,000 years, TCM has been guiding people like you on their journey toward greater well-being.

Track Your Progress

TCM analysis questionnaire background graphic

To track your progress, we recommend that you repeat the TCM analysis after about 3 months.

Why does this make sense?
  • You can see how your pattern has changed
  • You can adjust your group as needed
  • It motivates you to keep going
  • You'll figure out which steps work best for you

⚠️ Important: Your answers from today will be stored in encrypted form using a code that you received via email. ONLY with this code will you be able to track your progress later. Be sure to keep the email in a safe place!

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We store:
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