The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Black and tarry stools can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like black and tarry stools here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here black and tarry stools is often associated with chest fullness, chest pain and dark face in the pattern “Qi And Blood Stagnation”.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of black and tarry stools we’ve identified five herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat black and tarry stools.
In Chinese Medicine black and tarry stools is a symptom for the pattern "Qi And Blood Stagnation". Below is a small explanation for it with links for more details.
Peach Kernels (Tao Ren) is the king ingredient for Xue Fu Zhu Yu Tang, a formula used for Qi And Blood Stagnation
Pulse type(s): Choppy (Se), Deep (Chen), Fine (Xi)
In addition to black and tarry stools, other symptoms associated with Qi And Blood Stagnation include chest fullness, chest pain and dark face.
From a Western Medicine standpoint Qi And Blood Stagnation is associated with health issues such as Menstrual Cramps, Absence Of Menstruation or Menopausal Syndrome.
Qi And Blood Stagnation is often treated with Xue Fu Zhu Yu Tang, a herbal formula made of 11 herbs (including Peach Kernels - Tao Ren - as a key herb). Xue Fu Zhu Yu Tang belongs to the category of "formulas that invigorate blood and dispel blood stagnation", which might be why it is often recommended for this pattern. Its main action as a formula is: "Invigorates the Blood".
The top herbs in Xue Fu Zhu Yu Tang are Peach Kernels (Tao Ren), Safflowers (Hong Hua) and Szechuan Lovage Roots (Chuan Xiong)
Source date: 1830 AD
Number of ingredients: 11 herbs
Key actions: Invigorates the Blood. Dispels blood Stagnation. Spreads the Liver Qi. Unblocks the channels.
Because it is a formula often recommended to treat the pattern 'Qi And Blood Stagnation' of which black and tarry stools is a symptom.
The top herbs in Shen Tong Zhu Yu Tang are Peach Kernels (Tao Ren), Safflowers (Hong Hua) and Szechuan Lovage Roots (Chuan Xiong)
Source date: 1830
Number of ingredients: 12 herbs
Key actions: Invigorates Blood. Unblocks painful obstruction. Relieves pain. Invigorate Qi. Dispels Blood Stagnation. Unblock Channels.
Because it is a formula often recommended to treat the pattern 'Qi And Blood Stagnation' of which black and tarry stools is a symptom.
The top herbs in Shao Fu Zhu Yu Tang are Szechuan Lovage Roots (Chuan Xiong), Fennel Seeds (Xiao Hui Xiang) and Dried Ginger (Gan Jiang)
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.
Because it is a formula often recommended to treat the pattern 'Qi And Blood Stagnation' of which black and tarry stools is a symptom.
The top herbs in Ge Xia Zhu Yu Tang are Szechuan Lovage Roots (Chuan Xiong), Safflowers (Hong Hua) and Peach Kernels (Tao Ren)
Source date: 1830 AD
Number of ingredients: 12 herbs
Key actions: Invigorates Blood. Eliminates Blood Stagnation below the diaphragm. Stops pain. Promotes Qi movement.
Because it is a formula often recommended to treat the pattern 'Qi And Blood Stagnation' of which black and tarry stools is a symptom.
The top herbs in Chai Hu Shu Gan San are Bupleurum Roots (Chai Hu), Szechuan Lovage Roots (Chuan Xiong) and Coco-Grass Rhizomes (Xiang Fu)
Source date: 1602
Number of ingredients: 7 herbs
Key actions: Disperses Stagnant Liver Qi and Blood. Alleviates pain. Harmonizes Blood.
Because it is a formula often recommended to treat the pattern 'Qi And Blood Stagnation' of which black and tarry stools is a symptom.
Because Szechuan Lovage Root is an ingredient in several formulas indicated to treat black and tarry stools as a symptom, like Shao Fu Zhu Yu Tang or Ge Xia Zhu Yu Tang for instance.
Szechuan Lovage Roots is a Warm herb that tastes Pungent. It targets the Gallbladder, the Liver and the Pericardium.
Its main actions are: Regulates and moves the Blood. Relieves Wind-Cold and pain. Circulates the Qi in the Upper Burner, relieving headaches.
Because Dong Quai is an ingredient in several formulas indicated to treat black and tarry stools as a symptom, like Shen Tong Zhu Yu Tang or Ge Xia Zhu Yu Tang for instance.
Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Heart, the Liver and the Spleen.
Its main actions are: Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation.
Because Coco-Grass Rhizome is an ingredient in several formulas indicated to treat black and tarry stools as a symptom, like Chai Hu Shu Gan San or Ge Xia Zhu Yu Tang for instance.
Coco-Grass Rhizomes is a Neutral herb that tastes Bitter, Pungent and Sweet. It targets the Liver, the Sanjiao and the Spleen.
Its main actions are: Unblocks Stagnant Liver Qi and relieves pain. Regulates the Liver and Spleen. Assists the regulation of menses and relieves pain.
Because Red Peony Root is an ingredient in several formulas indicated to treat black and tarry stools as a symptom, like Xi Jiao Di Huang Tang or Xue Fu Zhu Yu Tang for instance.
Red Peony Roots is a Cool herb that tastes Bitter. It targets the Liver.
Its main actions are: Moves Blood, relieves pain and reduces swelling. Cools the Blood and the Liver.
Because Safflower is an ingredient in several formulas indicated to treat black and tarry stools as a symptom, like Xue Fu Zhu Yu Tang or Shen Tong Zhu Yu Tang for instance.
Safflowers is a Warm herb that tastes Pungent. It targets the Heart and the Liver.
Its main actions are: Moves Stagnant Blood and regulates menses. Relieves pain caused by Blood Stasis.
Chest fullness Chest pain Dark face Purple lips Purple nails Irritability Mood swings Depression Blotchy skin Swelling of the feet