Root Causes of Bleeding in TCM

Explore below more details about what might cause Bleeding according to TCM.

  • By Syndrome
  • By Organ
  • Qi Sinking
  • Blood Stasis
  • Heat
  • Spleen
Detailed description of the cause

Qi Sinking

Qi Sinking is a pattern of disharmony in TCM where the body's energy, or Qi, is thought to "sink" or drop down. Imagine a balloon slowly deflating and falling; that's similar to what happens with Qi Sinking. This can lead to feelings of heaviness, fatigue, and even physical symptoms like prolapse of organs or frequent urination. It's as if the body's energy, which usually supports and holds things in place, isn't able to do its job properly. TCM views this as an imbalance where the uplifting and supporting qualities of Qi are weakened.... see more

Qi Sinking Patterns That Can Lead to Bleeding

Pattern Name Relevant Symptoms Relevant Formulas
Spleen Qi Sinking Hemorrhage, Lack of appetite, Slight abdominal distension after eating Bu Zhong Yi Qi Tang
Detailed description of the cause

Blood Stasis

Blood Stasis in TCM is a concept where the blood flow in the body is not as smooth or efficient as it should be. Imagine a river that's supposed to flow freely, but instead, it's getting blocked or moving too slowly in some parts. This can lead to various health issues, like pain that feels sharp or stabbing, dark bruises, and a complexion that looks purplish. TCM believes that good health relies on the smooth and vibrant flow of Qi and blood throughout the body, so when blood gets stuck, it's like a traffic jam in your body, leading to discomfort or health problems.... see more

Blood Stasis Patterns That Can Lead to Bleeding

Pattern Name Relevant Symptoms Relevant Formulas
Blood Stagnation Frequent bleeding episodes, Tendency to bleed, Dark face, Purple lips, Stabbing fixed pain, Abdominal masses, Purple nails, Menstrual cramps, Dark menstrual clots, Dark menstrual blood, Lumps... see more Tao He Cheng Qi Tang | Da Huang Mu Dan Pi Tang | Gui Zhi Fu Ling Wan | Di Dang Tang | Dan Shen Yin | Da Huang Zhe Chong Wan | San Zhong Kui Jian Tang | Hai Tong Pi Tang | Huang Qi Gui Zhi Wu Wu Tang
Detailed description of the cause

Heat

In TCM "Heat" signifies an excess of Yang energy, leading to an imbalance where heat predominates over the body's cool Yin aspects. This condition is metaphorically akin to an internal over-heating. Symptoms indicative of Heat can include feelings of warmth, fever, sweating, irritability, red face, thirst with a preference for cold drinks, and a rapid pulse. The tongue may appear red with a yellow coating. Unlike the common interpretation of heat in terms of temperature, in TCM, it represents a state of hyperactivity or inflammation in the body.... see more

Heat Patterns That Can Lead to Bleeding

Pattern Name Relevant Symptoms Relevant Formulas
Heat in the Blood Frequent bleeding episodes, Frequent bleeding episodes in stools urine or vomit, Feeling hot, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia, Hematuria, Vomiting blood, Hemoptysis, Nosebleeds, Excessive menstruation... see more Xi Jiao Di Huang Tang | Gu Jing Wan | Shi Hui San | Bai He Di Huang Tang | Hua Ban Tang | Qing Ying Tang | Qing Re Gu Jing Tang
Detailed description of the cause

Spleen

In TCM the Spleen plays a vital role in digestion and transformation, converting food into energy and nutrients, and overseeing the distribution of Qi and Blood. It's also crucial in maintaining the health of muscles and limbs and ensuring the blood remains within the vessels. When the Spleen malfunctions in TCM, it can lead to a variety of issues such as digestive disorders, fatigue, weak muscles, bloating, and a feeling of heaviness. It can also cause a pale complexion, poor appetite, and a tendency to bruise easily. Emotionally, a Spleen imbalance is often associated with excessive worry or overthinking, reflecting its role in the interplay between physical and mental health.... see more

Spleen Patterns That Can Lead to Bleeding

Pattern Name Relevant Symptoms Relevant Formulas
Spleen Qi Sinking Hemorrhage, Lack of appetite, Slight abdominal distension after eating Bu Zhong Yi Qi Tang

TCM Herbal Formulas for Bleeding

Explore below some TCM herbal formulas used to address bleeding, organized by cause and by formula type.

  • By Cause
  • By Formula Type
  • Qi Sinking
  • Blood Stasis
  • Heat
  • Formulas that invigorate blood and dispel blood stagnation
  • Formulas that clear nutritive-level heat
  • Formulas that clear heat from deficiency
  • Formulas that nourish yin and tonify
  • Formulas that tonify qi
  • Formulas that clear heat and resolve toxicity
  • Formulas that clear internal abscesses and sores
  • Formulas that clear external abscesses and sores
  • External formulas for external disorders
  • Formulas that warm the meridians and disperse cold
  • Formulas that secure irregular uterine bleeding and stop vaginal discharge
  • Formulas that stop bleeding
  • Formulas that clear heat from qi and blood

All Formulas Recommended for Bleeding Caused by Blood Stasis

Formula Patterns Suitable For
Tao He Cheng Qi Tang Blood Stagnation
Da Huang Mu Dan Pi Tang Blood Stagnation
Gui Zhi Fu Ling Wan Blood Stagnation
Di Dang Tang Blood Stagnation
Dan Shen Yin Blood Stagnation
Da Huang Zhe Chong Wan Blood Stagnation
San Zhong Kui Jian Tang Blood Stagnation
Hai Tong Pi Tang Blood Stagnation
Huang Qi Gui Zhi Wu Wu Tang Blood Stagnation

All Formulas Recommended for Bleeding Caused by Heat

Formula Patterns Suitable For
Xi Jiao Di Huang Tang Heat in the Blood
Gu Jing Wan Heat in the Blood
Shi Hui San Heat in the Blood
Bai He Di Huang Tang Heat in the Blood
Hua Ban Tang Heat in the Blood
Qing Ying Tang Heat in the Blood
Qing Re Gu Jing Tang Heat in the Blood

All "formulas that invigorate blood and dispel blood stagnation" recommended for bleeding

Formula Patterns Suitable For (if applicable)
Tao He Cheng Qi Tang Blood Stagnation
Gui Zhi Fu Ling Wan Blood Stagnation
Di Dang Tang Blood Stagnation
Dan Shen Yin Blood Stagnation
Da Huang Zhe Chong Wan Blood Stagnation

All "formulas that clear nutritive-level heat" recommended for bleeding

Formula Patterns Suitable For (if applicable)
Xi Jiao Di Huang Tang Heat in the Blood
Qing Ying Tang Heat in the Blood

All "formulas that clear heat from deficiency" recommended for bleeding

Formula Patterns Suitable For (if applicable)
Bai He Di Huang Tang Heat in the Blood
Qing Re Gu Jing Tang Heat in the Blood

TCM Herbs for Bleeding

Explore below some TCM herbs used to address bleeding, organized by herb category.

  • By Herb Category
  • Herbs that stop bleeding
  • Herbs that invigorate the blood
  • Tonic herbs for yin deficiency
  • Herbs that clear heat and dry dampness
  • Herbs that cool the blood
  • Herbs for external application
  • Warm/Acrid herbs that release the exterior
  • Herbs that clear heat and purge fire and/or clear summer heat
  • Herbs that expel parasites
  • Cool/Acrid herbs that release the exterior
  • Herbs that stabilize and bind
  • Tonic herbs for qi deficiency
  • Purgative herbs that drain downward
  • Herbs that drain dampness
  • Herbs that dispel wind and dampness
  • Tonic herbs for blood deficiency

"Herbs that stop bleeding" recommended for bleeding

Herb Formulas they belong to (if applicable)
Japanese Thistle (Da Ji) Shi Hui San
Agrimony (Xian He Cao) Not applicable
Bletilla Rhizomes (Bai Ji) Not applicable
Kaolinite (Bai Shi Zhi) Not applicable
Lotus Roots (Ou Jie) Not applicable

"Tonic herbs for Yin Deficiency" recommended for bleeding

Herb Formulas they belong to (if applicable)
Glossy Privet Fruits (Nu Zhen Zi) Er Zhi Wan
Eclipta Herbs (Mo han lian) Er Zhi Wan
Tortoise Plastrons (Gui Ban) Gu Jing Wan
Lily Bulbs (Bai He) Bai He Di Huang Tang

"Herbs that cool the Blood" recommended for bleeding

Herb Formulas they belong to (if applicable)
Water Buffalo Horns (Shui Niu Jiao) Xi Jiao Di Huang Tang | Qing Ying Tang
Field Thistles (Xiao Ji) Shi Hui San
Unprepared Rehmannia (Di Huang) Qing Re Gu Jing Tang

"Herbs for external application" recommended for bleeding

Herb Formulas they belong to (if applicable)
Calomelas (Qing Fen) Not applicable
Catechu (Er Cha) Not applicable

"Warm/Acrid herbs that release the Exterior" recommended for bleeding

Herb Formulas they belong to (if applicable)
Cinnamon Twigs (Gui Zhi) Gui Zhi Fu Ling Wan | Huang Qi Gui Zhi Wu Wu Tang
Angelica Roots (Bai Zhi) Hai Tong Pi Tang

"Herbs that clear Heat and purge Fire and/or clear Summer Heat" recommended for bleeding

Herb Formulas they belong to (if applicable)
Anemarrhena Rhizomes (Zhi Mu) San Zhong Kui Jian Tang
Gypsum (Shi Gao) Hua Ban Tang