Blood Stasis in the Stomach

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Pattern factsheet

Chinese name: 胃血瘀

Pinyin name: Wèi Xuè Yū

Associated TCM concepts: Stomach Blood

Diagnosis

Blood Stasis or Stagnation often causes a pain of a stabbing or boring nature, hence the stabbing epigastric pain. This pain is much more intense than in any of the other Stomach patterns.

Stasis of Blood always manifests with dark-coloured blood, hence the vomiting of dark blood in some cases.

Since the Stomach is related to the Large Intestine, the stasis of Blood extends to it and is manifested with blood in the stools.

The Purple tongue is also a staple symptom of Blood Stasis. Please note that the tongue may not necessarily be Purple: if a patient has clear manifestations of Blood stasis but the tongue is not Purple, it simply means that the Blood stasis is not severe.

Diagnosing Blood Stasis in the Stomach

The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine

Diagnosing a pattern in Chinese Medicine is no easy feat and should be left to professional practitioners.

In particular one has to know how to differentiate between different types of pulses and tongue coatings, shapes and colors. Here patients with Blood Stasis in the Stomach will tend to exhibit wiry (Xian) pulses.

Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Blood Stasis in the Stomach might experience symptoms like severe epigastric pain that may worsen at night, dislike of pressure on epigastric area, nausea or vomiting and possible vomiting of blood (full list here above).

Herbal formulas used to treat Blood Stasis in the Stomach

Ge Xia Zhu Yu Tang

Source date: 1830 AD

Number of ingredients: 12 herbs

Key actions: Invigorates Blood. Eliminates Blood Stagnation below the diaphragm. Stops pain. Promotes Qi movement.

Formula summary

Ge Xia Zhu Yu Tang is a 12-ingredient Chinese Medicine formula with Szechuan Lovage Roots (Chuan Xiong), Safflowers (Hong Hua) and Peach Kernels (Tao Ren) as principal ingredients. Invented in 1830 AD, it belongs to the category of formulas that invigorate Blood and dispel Blood Stagnation.

Besides Blood Stasis in the Stomach, Ge Xia Zhu Yu Tang is also used to treat Blood Stagnation or Liver Blood Stagnation.

Read more about Ge Xia Zhu Yu Tang

Shi Xiao San

Source date: 1108 AD

Number of ingredients: 2 herbs

Key actions: Invigorates Blood. Dispels Blood Stagnation. Eases pain.

Formula summary

Shi Xiao San is a 2-ingredient Chinese Medicine formula with Cattail Pollen (Pu Huang) and Flying Squirrel Faeces (Wu Ling Zhi) as principal ingredients. Invented in 1108 AD, it belongs to the category of formulas that invigorate Blood and dispel Blood Stagnation.

Besides Blood Stasis in the Stomach, Shi Xiao San is also used to treat Blood Stagnation or Liver Blood Stagnation.

Read more about Shi Xiao San