Blood Stagnation
Blood Stagnation
Educational content • Consult qualified TCM practitioners for diagnosis and treatment
Diagnostic Signs
Purple tongue
Choppy (Se), Firm (Lao), Wiry (Xian)
Key Characteristic Symptoms
Diagnostic Considerations
Key characteristic symptoms of this pattern are the pain that is boring, stabbing and fixed in one place. The pain is often around the chest area. Dark or purple face, lips, nails and tongue are the other typical manifestations.
Causes & Pathology
Common Causes
Prolonged or intense emotional stress disturbs the Mind (Shen) and causes disharmony in Organs, Qi and Blood.
According to TCM, all 7 emotions (Anger, Joy, Sadness, Worry, Pensiveness, Fear, and Shock) has some effect on Qi and Blood Stagnation. Pensiveness and Worry are supposed to knot Qi the most and cause Qi Stagnation, which then lead to Blood Stagnation.
On the other hand, the Liver stores the Blood and this function can be largely disturbed by anger.
Traumas or severe injures such as bruises, sprains and swelling can cause Blood stasis under skins.
Difficult childbirth, abortion, miscarriage and menopause or other genealogical diseases can cause Blood Stagnation.
Pathological Mechanism
Blood Stagnation - also often referred to as "Blood Stasis" - is where the Blood flow is heavily restricted in all or parts of the body. It is one of the most important diagnostic conditions in Chinese Medicine because it is frequently the cause of intractable pain syndromes anywhere in the body.
It differs from Qi Stagnation: pain associated with stagnant Qi tends to move and change locations and intensity of sensation, while Stagnant Blood results in a fixed stabbing pain. Also when a stagnant Qi doesn't lead to skin symptoms, Blood Stagnation often leads to signs on the skin such as purple blotches or bruises, purple lips, face and nails.
The causes for Blood stagnation can include:
Qi Stagnation: this is the most common cause of Blood Stagnation since Qi moves Blood. As a result if Qi stagnates then Blood stagnates.
Qi Deficiency: again, Qi moves Blood. Therefore it is logical that if Qi becomes too weak, this would result in its Blood-moving function not being performed optimally.
Heat in the Blood: this may cause the Blood to condense and therefore stagnate.
Blood Deficiency: since Qi and Blood move together, a Blood Deficiency over the long term may result in a Qi Deficiency which, as explained above, may induce Blood Stagnation.
Interior Cold: Cold congeals Blood which slows down its flow.
Phlegm: although Phlegm doesn't directly induce Blood Stagnation, it is an aggravating factor.
Liver disorders: since the Liver "stores the Blood".
Spleen disorders: since a function of the Spleen is to maintain Blood in the vessels.
Traumas or severe injuries
Difficult childbirth, abortion, miscarriage and menopause
Some gynecological diseases
Blood Stagnation is a condition of toxicity which the main distinguishing symptom is pain that is fixed in one place, and is of a boring or stabbing character. Most commonly the pain is located in the lower abdominal area.
To determine this, lie on your back with legs flexed, then rather gently at first, palpate the lower abdomen below the umbilicus, especially the left and right sides. If there is severe Blood Stagnation, you will usually feel pain upon palpation. Milder Stagnation may result in lumps or swelling in the area.
Other symptoms of Blood Stagnation can include traumatic swelling, blotchy skin, increase in skin capillaries, red spots and varicosities, coarseness of the skin and discoloration, itchy scalp, shoulder stiffness, dizziness and numbness. The tongue may exhibit a purplish cast especially noticeable on the sides, and there may be a tendency to bleed. There may be a feeling of abdominal fullness, even when there isn't any, especially in women before menses.
The Organ that is most frequently affected by Blood Stagnation is the Liver. Other Organs that are commonly affected are the Heart, Lungs, Stomach, Intestines and Uterus.
Treatment Approach
Treatment Principle
Invigorate Blood and Qi, Unblock the Liver Stagnation
Recommended Herbal Formulas
Tao He Cheng Qi Tang
Dispels Heat and, Eliminates Blood Stagnation
Da Huang Mu Dan Pi Tang
Clears Stagnant Heat in the intestines, Reduces swelling and disperses lumps
Gui Zhi Fu Ling Wan
Invigorates the Blood, Transforms Blood Stasis
Di Dang Tang
Breaks up and dispels Blood Stagnation
Dan Shen Yin
Invigorates the Blood and removes Blood Stagnation, Promote Qi movement
Da Huang Zhe Chong Wan
Breaks up and dispels Blood Stagnation, Generates new Blood
San Zhong Kui Jian Tang
Clears Heat and resolves Toxicity, Reduces swelling
Hai Tong Pi Tang
Invigorates the Blood, Disperses swelling
Huang Qi Gui Zhi Wu Wu Tang
Augments the Qi, Warms and harmonizes the channels
Yu Lin Zhu
Tonifies Kidney Yang, Consolidates the Penetrating and Directing Vessel (Chong Mai, Ren Mai)
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