There is no such thing as the five major manifestations of qi deficiency and blood stasis. There are many symptoms of qi deficiency and blood stasis, which can generally be manifested as: tiredness and fatigue, lack of energy and laziness (lack of strength, not wanting to speak); pale or dull color; stabbing pain in the chest and ribs (the collective term for the chest and ribcage area) or other parts of the chest and ribs, refusing to be pressed, with the pain fixed in a fixed place; a pale and dark tongue, or purple spots or points, and an astringent pulse. Qi deficiency and blood stasis syndrome refers to the stagnation of blood flow due to the weakness of qi in transporting blood, with the combination of blood stasis and qi deficiency as the main manifestation. The symptoms of qi deficiency and blood stasis are mainly manifested by a combination of blood stasis and qi deficiency. When qi deficiency and blood stasis occur, most of the factors are physical qi deficiency, or deficiency of viscera and qi at an advanced age, or qi deficiency after a long period of illness, which leads to blood stasis due to poor transportation of blood, thus resulting in qi deficiency and blood stasis at the same time. Qi deficiency leads to reduced function of internal organs, then tiredness (fatigue), less breath and lazy speech; Qi deficiency is unable to promote the blood line, blood does not glorify in the face, then the face is pale, stasis blockage of the veins and collaterals, then the face is dark and stagnant; stasis of the blood line, does not pass, then the pain, so stinging pain refuses to be pressed, fixed and not moving. This syndrome is often seen in heart and liver pathology, so the pain is mostly seen in the chest and hypochondrium. The tongue is pale and dark or has purple spots and purple dots, and the pulse is astringent, which is the sign of qi deficiency and blood stasis. It is recommended to consult a doctor in time to avoid delaying the condition.