Pericardium Blood Stagnation

At a glance

Key attributes

Chinese name: 心包血瘀      Pinyin name: Xīn Bāo Xuè Yū

Pattern nature: Full

Pattern hierarchy: Specific pattern under Blood Stagnation

Causes

Precursor patterns: Liver Qi Stagnation Pericardium Qi Stagnation

Common causes: Emotional stress

Diagnosis

Common symptoms: Chest pain Purple lips Palpitations Purple nails Chest fullness and four other symptoms

Pulse type(s): Knotted (Jie), Wiry (Xian)

Tongue description: Purple on the side of the entire tongue

Treatment

Treatment principle: Regulate the Pericardium and the Heart, calm the Mind, invigorate Blood in the chest.

Common formulas: Xue Fu Zhu Yu Tang

Pathology

The Mind resides in both the Heart and the Pericardium and it can be greatly impacted by Blood Stagnation in both Organs. Therefore all mental related symptoms of Pericardium Blood Stagnation are very similar to the ones of Heart Blood Stagnation

However, the chest related symptoms such as sensation of pain, stiffness or oppression only happen to the Pericardium as it is located in the middle of the chest. The Pericardium channel also go though the chest. The pain mentioned here is severe, like the feeling of stabbing or pricking in the chest. It can also spread to the inner aspect of the left arm or to the shower. 

Due to the connection between the Pericardium and the Lung Channel, the patients may also experience light short of breath. 

Finally, the patients may also have period cramps with dark and clotted menstrual blood. It is due to the relationship between the Pericardium and the Uterus

Causes

Precursor patterns: Pericardium Blood Stagnation can derive from Liver Qi Stagnation Pericardium Qi Stagnation

Emotional stress : Prolonged emotional stress, such as anxiety, grief, worry and guilt has severe impact on Qi and Blood circulation, especially in the chest area. Actually the chest is regarded as the the most likely part of the body for accumulating negative feelings.  In additional to that, the Mind, which use the Heart Blood as its physiological basis, can be greatly disturbed by these emotions. The constrains of the Mind can give rise to the Stagnation of Qi and Blood of the Heart and the Pericardium.

Diagnosing Pericardium Blood Stagnation

Pulse type(s): Knotted (Jie) or wiry (Xian)

Tongue description: Purple on the side of the entire tongue

Main symptoms: Chest pain Purple lips Palpitations Purple nails Chest fullness Painful period Shortness of breath Dark clots in menstrual blood Stifling sensation in the chest

Diagnosis commentary: Key characteristic symptoms of this pattern are the stabbing chest pain and purple lips.

Treating Pericardium Blood Stagnation

Treatment principle

Regulate the Pericardium and the Heart, calm the Mind, invigorate Blood in the chest. 

Herbal formulas used to treat Pericardium Blood Stagnation

Xue Fu Zhu Yu Tang

Source date: 1830 AD

Number of ingredients: 11 herbs

Key actions: Invigorates the Blood. Dispels blood Stagnation. Spreads the Liver Qi. Unblocks the channels.

Formula summary

Xue Fu Zhu Yu Tang is a 11-ingredient Chinese Medicine formula. Invented in 1830 AD, it belongs to the category of formulas that invigorate Blood and dispel Blood Stagnation.

Besides Pericardium Blood Stagnation, Xue Fu Zhu Yu Tang is also used to treat Heart Blood Stagnation or Heart Vessel obstructed.

Read more about Xue Fu Zhu Yu Tang

Related conditions

Hypertension Intercostal neuralgia Migraine Trigeminal neuralgia Depression Psychosis Coronary artery disease Rheumatic valvular heart disease Cor pulmonale Thoracic strains Costochondritis Postconcussion syndrome

Consequence patterns

Liver Blood Stagnation

The Liver and Pericardium channel are related within the Terminal Yin (Jue Yin) channels. Therefore Pericardium Blood Stagnation may cause Liver Blood Stagnation or vice versa. 

Phlegm

Blood and Phlegm are two forms of Body Fluids and they have great impact of each other. Blood Stagnation condenses the Blood and thus accumulates Phlegm. 

Dryness

Prolonged Pericardium Blood Stagnation can cause Phlegm and lead to Dryness of other part of the body, especially in elderly patients.