Qi And Blood Stagnation

At a glance

Key attributes

Chinese name: 气滞血瘀      Pinyin name: Qì Zhì Xuè Yū

Pattern nature: Full combined pattern

Pattern(s) it combines from: Blood Stagnation Qi Stagnation

Causes

Common causes: Emotional stress

Diagnosis

Common symptoms: Dark face Chest pain Depression Amenorrhea Purple lips and fourteen other symptoms

Pulse type(s): Choppy (Se), Deep (Chen), Fine (Xi)

Tongue description: Purple tongue with dark spots

Treatment

Treatment principle: Invigorate Qi and Blood, expel Stagnation especially in the Liver.

Common formulas: Xue Fu Zhu Yu Tang Shen Tong Zhu Yu Tang Shao Fu Zhu Yu Tang and three other formulas

Pathology

The typical symptoms of Qi stagnation are distension, oppression and swelling. There are also emotional issues like mood swing, depression or irritability. However, the Blood Stagnation is more on pains and purple color manifestation on skin, face, lips and nails. 

Qi Stagnation can cause the latter pattern, as vicious circle, the Blood Stagnation worsens the Qi flow. The Liver is responsible for overall Qi circulation of the body and it also stores the Blood. Therefore, the malfunction of the Liver can cause both patterns at the same time. That's the reason many of the symptoms are located in chest area. 

Causes

Emotional stress: 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.

Diagnosing Qi And Blood Stagnation

Pulse type(s): Choppy (Se), deep (Chen) or fine (Xi)

Tongue description: Purple tongue with dark spots

Main symptoms: Dark face Chest pain Depression Amenorrhea Purple lips Mood swings Purple nails Irritability Blotchy skin Chest fullness Painful period Abdominal masses Lochia retention Dark colored blood Swelling of the feet Black and tarry stools Irregular menstruation Boring fixed stabbing pain Dark clots in menstrual blood

Diagnosis commentary: Key characteristic symptoms of this pattern are the pain that is boring, stabbing and fixed in one place. There are also manifestations like distention or oppression. Patients also suffer from emotional problems such as mood swings, depression or irritability.

Treating Qi And Blood Stagnation

Treatment principle

Invigorate Qi and Blood, expel Stagnation especially in the Liver

Herbal formulas used to treat Qi And Blood Stagnation

Chai Hu Shu Gan San

Source date: 1602

Number of ingredients: 7 herbs

Key actions: Disperses Stagnant Liver Qi and Blood. Alleviates pain. Harmonizes Blood.

Formula summary

Chai Hu Shu Gan San is a 7-ingredient Chinese Medicine formula. Invented in 1602, it belongs to the category of formulas that promote Qi movement.

Besides Qi And Blood Stagnation, Chai Hu Shu Gan San is also used to treat Rebellious Qi or Liver Blood Stagnation.

Read more about Chai Hu Shu Gan San

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 Qi And 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

Shao Fu Zhu Yu Tang

Source date: 1830 AD

Number of ingredients: 10 herbs

Key actions: Expels Cold and warm the menstruation Blood. Stops pain. Invigorates Blood. Dispels Blood stagnation.

Formula summary

Shao Fu Zhu Yu Tang is a 10-ingredient Chinese Medicine formula. Invented in 1830 AD, it belongs to the category of formulas that invigorate Blood and dispel Blood Stagnation.

Besides Qi And Blood Stagnation, Shao Fu Zhu Yu Tang is also used to treat Blood Stagnation or Cold in the Uterus.

Read more about Shao Fu Zhu Yu Tang

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. Invented in 1830 AD, it belongs to the category of formulas that invigorate Blood and dispel Blood Stagnation.

Besides Qi And Blood Stagnation, 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. Invented in 1108 AD, it belongs to the category of formulas that invigorate Blood and dispel Blood Stagnation.

Besides Qi And Blood Stagnation, Shi Xiao San is also used to treat Blood Stagnation or Liver Blood Stagnation.

Read more about Shi Xiao San

Shen Tong Zhu Yu Tang

Source date: 1830

Number of ingredients: 12 herbs

Key actions: Invigorates Blood. Unblocks painful obstruction. Relieves pain. Invigorate Qi. Dispels Blood Stagnation. Unblock Channels.

Formula summary

Shen Tong Zhu Yu Tang is a 12-ingredient Chinese Medicine formula. Invented in 1830, it belongs to the category of formulas that regulate Blood.

Besides Qi And Blood Stagnation, Shen Tong Zhu Yu Tang is also used to treat Phlegm in the Channels joints and muscles.

Read more about Shen Tong Zhu Yu Tang

Related conditions

Prolonged periods Menopausal syndrome Absence of menstruation Menstrual cramps

Special highlight: the link between menstrual cramps and Qi And Blood Stagnation

Bupleurum Roots (Chai Hu) is the key herb for Xiao Yao San, a formula used for menstrual cramps caused by Qi And Blood Stagnation

Qi and Blood Stagnation is one of the most common patterns behind painful periods and it often comes along other patterns. For instance, when there is dysmenorrhea due to Qi and Blood Deficiency as the main pattern, some degree of Qi or Blood Stagnation often occurs at the same time. Similarly the pattern Cold in the Uterus, another frequent cause of menstrual cramps, also causes Blood Stagnation

According to Chinese Medicine, the Liver and the Penetrating Vessel are the body parts most...Read more about menstrual cramps

Special highlight: the link between absence of menstruation and Qi And Blood Stagnation

Szechuan Lovage Roots (Chuan Xiong) is the key herb for Ge Xia Zhu Yu Tang, a formula used for absence of menstruation caused by Qi And Blood Stagnation

This is an Excess type of Amenorrhoea. This means that the periods are absent because Blood is stagnated rather than being insufficient. 

Qi and Blood Stagnation discussed here typically occurs in the Liver. It normally results from emotional factors such as anger, frustration, resentment, irritation, worry or anxiety. If it is not treated for a long period of time, stagnated Blood can not flow freely from the Liver to fill the Penetrating Vessels and the Uterus. Therefore the menstruation...Read more about absence of menstruation