TCM pattern

Blood Stasis 血瘀

Blood stasis describes circulation that has slowed or become obstructed — dark complexion, fixed pain and a purple or dark tongue.

Pinyin: Xue Yu · updated

Blood stasis means blood is not moving freely — locally stuck, or generally sluggish. In Chinese medicine it is the most fixed of the patterns: Qi stagnation moves and changes, blood stasis settles in one place and stays there. That is why its pain is described as sharp and fixed rather than shifting.

The visible signs are what make this pattern unusually easy to notice: a dusky complexion, persistent dark circles, bruising without a clear cause, purple or mottled lips and tongue. Any one of these is a clue; several together point clearly to circulation being the issue.

Movement is again the primary lever, and here it is specifically circulation-building: sustained walking, swimming, or anything that raises the pulse in a regular way. Warming the extremities matters more than in most patterns, since cold is what slows circulation.

Signs that suggest this pattern

No single sign establishes a pattern — Chinese medicine reads combinations, not isolated symptoms. If several of these are familiar and have been for a while, it is worth running the TCM Body Constitution Test to see what the combination scores.

  • A dull, dark or sallow complexion
  • Dark circles that do not shift with sleep
  • Pain that is fixed, sharp or stabbing rather than shifting
  • Purple, dusky or mottled tongue colour
  • Visible spider veins or bruising easily
  • Painful or clotted periods

Acupoints used for this pattern (2)

Every point below opens the full library entry, including location, technique, frequency and the cautions attached to it.

Foods listed against this pattern (6)

Nature and flavour are the traditional classification. Read the avoid note before changing anything you eat regularly.

Tea formulas listed against this pattern (1)

These are traditional reference formulas. Doses shown are traditional reference amounts, not a prescription — check with a qualified practitioner, especially if you are pregnant, on medication, or managing a condition.

Which assessment identifies this pattern

Patterns that often appear alongside this one

Related vocabulary

Search terms this page covers: blood stasis, poor circulation, dark circles, sharp pain, purple tongue, period pain.

This page is wellness education within a traditional framework, not a medical diagnosis. Pattern differentiation in Chinese medicine is not a biomedical diagnostic category and nothing here establishes that you have any condition. Do not use it to decide whether to start, stop or change any treatment. See our disclaimer and editorial policy.