As a common pathological state in clinical practice，

Chong Mai Wei Bing

（冲脉为病） is typically manifested as rebellious

qi

and a sense of urgency. It often involves various diseases caused by the disorder of

qi

circulation. From the perspectives of theoretical foundation， pathological characteristics， and clinical differentiation and treatment， this paper elaborates on the characteristics of

Chong Mai

（冲脉） as the cause of disease， including three main manifestations： upward

qi

surge， upward

yin

fire， and upward water-

qi

. Among these， the upward

qi

surge is further categorized into four aspects：

Chong

Qi

（冲气） counterflow， counterflow of stomach

qi

， counterflow of kidney

qi

， and counterflow of liver

qi

. Three major treatment methods are proposed： pacifying the

Chong Mai

and reversing the counterflow， consolidating

Chong Mai

to subdue fire， and warming

Chong Mai

to resolve

qi

and promote water flow. This paper summarizes its practical application in clinical diagnosis and treatment， aiming to deepen the understanding of the functional and pathological mechanisms of

Chong Mai

， and to provide insights and methods for the traditional Chinese medicine diagnosis and treatment of various diseases.