Hematochezia in Traditional Chinese Medicine
Understanding different hematochezia patterns according to TCM theory
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Condition Categories
Condition Categories
Hematochezia, a medical term for blood in stool, signifies a condition where there is visible red to dark blood present in bowel movements. This symptom can point to a variety of underlying conditions ranging from minor issues like hemorrhoids to more serious conditions such as colorectal cancer.
Chronic hematochezia refers to a persistent presence of blood in the feces, indicating a possible ongoing digestive tract problem. Understanding hematochezia is crucial for diagnosing and treating the underlying cause effectively.
In Traditional Chinese Medicine (TCM), hematochezia is viewed through the lens of imbalance and disharmony within the body's organ systems and energy pathways. TCM does not simply see it as a symptom but as a signal of deeper issues related to the flow of Qi (vital energy), Blood, and the balance of some Organs.
Conditions such as Damp-Heat in the Large Intestine or Blood Heat are often considered underlying causes, each requiring a unique approach to restore balance and health.
TCM Patterns for Hematochezia
Heat
Causes: Bloody stools
Damp-Heat in the Large Intestine
Bloody stools
Along with: Abdominal pain, Abdominal fullness, Diarrhea, Hematochezia, Mucous in feces, Smelly stools, Anal burning, Scanty and dark urine, Fever, Excessive sweating, Feeling of heat, Thirst, Feeling of heaviness
Heat in the Blood
Bloody stools
Along with: Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia, Hematuria, Vomiting blood, Cough of blood, Nosebleeds, Excessive menstruation
Heat victorious agitating Blood
Bloody stools
Along with: Restlessness, High fever, Mania, Macules, Vomiting blood, Nosebleeds, Hematochezia, Hematuria
Mind Disturbance
Causes: Bloody stools
Heat victorious agitating Blood
Bloody stools
Along with: Restlessness, High fever, Mania, Macules, Vomiting blood, Nosebleeds, Hematochezia, Hematuria
Blood Deficiency
Causes: Bloody stools
Loss of Blood
Bloody stools
Along with: Nosebleeds, Uterine hemorrhage, Hematuria, Hematochezia, Cough of blood, Vomiting blood, Dark menstrual clots, Excessive menstruation, Bloody sputum
Blood Stasis
Causes: Bloody stools
Stomach Blood Stagnation
Bloody stools
Along with: Nocturnal epigastric pain, Abdominal pain worsened by pressure, Nausea or vomiting, Potential vomiting of blood, Hematochezia
Yang Deficiency
Causes: Dark blood in stool
Kidney and Spleen Yang Deficiency with Empty Cold
Dark blood in stool
Along with: Chronic dysentery, Mucous in feces, Abdominal pain relieved by pressure and warmth
Dampness
Causes: Bloody stools
Damp-Heat in the Large Intestine
Bloody stools
Along with: Abdominal pain, Abdominal fullness, Diarrhea, Hematochezia, Mucous in feces, Smelly stools, Anal burning, Scanty and dark urine, Fever, Excessive sweating, Feeling of heat, Thirst, Feeling of heaviness
Cold
Causes: Dark blood in stool
Kidney and Spleen Yang Deficiency with Empty Cold
Dark blood in stool
Along with: Chronic dysentery, Mucous in feces, Abdominal pain relieved by pressure and warmth
Herbal Formulas for Hematochezia
Traditional Chinese Medicine formulas used to address hematochezia
Xi Jiao Di Huang Tang
Addresses these hematochezia patterns:
Main Actions
- Treats severe fevers and Heat in the Blood system
- Removes Blood Stagnation
Addresses These Hematochezia Pattern Variations
Heat in the Blood
How it manifests:
Bloody stools
Accompanying symptoms:
Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia...
Heat victorious agitating Blood
How it manifests:
Bloody stools
Accompanying symptoms:
Restlessness, High fever, Mania, Macules, Vomiting blood, Nosebleeds...
Loss of Blood
How it manifests:
Bloody stools
Accompanying symptoms:
Nosebleeds, Uterine hemorrhage, Hematuria, Hematochezia, Cough of blood, Vomiting blood...
Shao Yao Tang
Addresses these hematochezia patterns:
Main Actions
- Regulates and harmonizes the Qi and Blood
- Clears Heat
- Dries dampness
- Resolves Toxicity
Addresses These Hematochezia Pattern Variations
Damp-Heat in the Large Intestine
How it manifests:
Bloody stools
Accompanying symptoms:
Abdominal pain, Abdominal fullness, Diarrhea, Hematochezia, Mucous in feces, Smelly stools...
Tao Hua Tang
Addresses these hematochezia patterns:
Main Actions
- Warms the Middle
- Dispels Cold
- Binds up the bowels and stops dysenteric disorders
Addresses These Hematochezia Pattern Variations
Kidney and Spleen Yang Deficiency with Empty Cold
How it manifests:
Dark blood in stool
Accompanying symptoms:
Chronic dysentery, Mucous in feces, Abdominal pain relieved by pressure and warmth
Huan Shao Dan
Addresses these hematochezia patterns:
Main Actions
- Tonifies the Spleen, Heart and Kidneys
- Nourishes Yin and Blood
- Augments Qi
- Tonifies Yang
- Promotes Longevity
Addresses These Hematochezia Pattern Variations
Kidney and Spleen Yang Deficiency with Empty Cold
How it manifests:
Dark blood in stool
Accompanying symptoms:
Chronic dysentery, Mucous in feces, Abdominal pain relieved by pressure and warmth
Gu Jing Wan
Addresses these hematochezia patterns:
Main Actions
- Nourishes Yin
- Clears Heat
- Stops bleeding
- Stabilizes the menses
Addresses These Hematochezia Pattern Variations
Heat in the Blood
How it manifests:
Bloody stools
Accompanying symptoms:
Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia...
Shi Xiao San
Addresses these hematochezia patterns:
Main Actions
- Invigorates Blood
- Dispels Blood Stagnation
- Eases pain
Addresses These Hematochezia Pattern Variations
Stomach Blood Stagnation
How it manifests:
Bloody stools
Accompanying symptoms:
Nocturnal epigastric pain, Abdominal pain worsened by pressure, Nausea or vomiting, Potential vomiting of blood, Hematochezia
Shi Hui San
Addresses these hematochezia patterns:
Main Actions
- Cools the Blood and
- Stops bleeding
- Clears Heat and drains Fire
Addresses These Hematochezia Pattern Variations
Heat in the Blood
How it manifests:
Bloody stools
Accompanying symptoms:
Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia...
Ge Xia Zhu Yu Tang
Addresses these hematochezia patterns:
Main Actions
- Invigorates Blood
- Eliminates Blood Stagnation below the diaphragm
- Stops pain
- Promotes Qi movement
Addresses These Hematochezia Pattern Variations
Stomach Blood Stagnation
How it manifests:
Bloody stools
Accompanying symptoms:
Nocturnal epigastric pain, Abdominal pain worsened by pressure, Nausea or vomiting, Potential vomiting of blood, Hematochezia
Bai He Di Huang Tang
Addresses these hematochezia patterns:
Main Actions
- Moistens the Lungs
- Enriches the Body Fluids
- Clears Heat and cools the Blood
Addresses These Hematochezia Pattern Variations
Heat in the Blood
How it manifests:
Bloody stools
Accompanying symptoms:
Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia...
Hua Ban Tang
Addresses these hematochezia patterns:
Main Actions
- Clears Qi-level Heat
- Cools the Blood
Addresses These Hematochezia Pattern Variations
Heat in the Blood
How it manifests:
Bloody stools
Accompanying symptoms:
Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia...
Qing Ying Tang
Addresses these hematochezia patterns:
Main Actions
- Clears the Nutritive level Heat
- Relieves Fire Toxin
- Removes Heat
- Nourishes Yin
Addresses These Hematochezia Pattern Variations
Heat in the Blood
How it manifests:
Bloody stools
Accompanying symptoms:
Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia...
Qing Re Gu Jing Tang
Addresses these hematochezia patterns:
Main Actions
- Clears Empty Heat
- Tonifies the Kidney Yin
- Stops bleeding
- Supplies Body Fluids
Addresses These Hematochezia Pattern Variations
Heat in the Blood
How it manifests:
Bloody stools
Accompanying symptoms:
Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia...