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TCM Pattern · Tag

Blood stasis (xuè yū)

xuè yū · 血瘀

Last reviewed: June 29, 2026

Circulation that feels stuck or blocked — broader than a blood clot

About this page

This page is a cultural reference, not a diagnostic tool. TCM patterns are tags that explain why certain formulas are discussed together — they do not map 1:1 to Western medical diagnoses.

Background

In TCM, xuè yū (blood stasis) is broader than a blood clot in the Western sense. It describes any state where blood is not flowing freely — a fixed, stabbing pain (as opposed to a moving, aching one), dark or purplish discoloration, lumps or masses, and in women's health, menstrual clots or a delayed, painful period. The "stuckness" can arise from trauma, from cold congealing the blood, from qi failing to move it, or from long-standing deficiency that leaves the vessels empty and sluggish. Guizhi Fuling Wan addresses blood stasis in the lower abdomen — its classic application is masses or pain in the uterus area. Dieda Wan addresses traumatic blood stasis — the kind that follows a fall, impact, or sports injury. Both share the same "stuck blood" logic, but one arises from internal accumulation and the other from external force.

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Medicines traditionally associated with this pattern

  • Formula · Guì Zhī Fú Líng Wán

    Cinnamon and Poria

    桂枝茯苓丸

    A gentle, five-ingredient formula from the Han dynasty, originally used for "masses below the waist" in women, and now one of the most commonly prescribed gynecological formulas in both Chinese and Japanese kampo practice.

  • Formula · Diē Dǎ Wán

    Bone-Setting Pills

    跌打丸

    A trauma-oriented "huo-xue xiao-zhong" (invigorate blood and reduce swelling) formula associated with Lin Daoren's "Secret Treatise on Bone-Knitting", one of the standard Chinese household formulas for bruises and knocks.