Benign Prostatic Hyperplasia - Qi Stagnation-Blood Stasis Pattern

Dr. Li Wei, DACM

Benign Prostatic Hyperplasia · Qi Stagnation-Blood Stasis Pattern

Updated: June 23, 2026

Reviewed by: Dr. Li Wei, DACM

Reading Time: 7 min

Body Area: Pelvis

Pattern Overview

Qi Stagnation-Blood Stasis is a pattern in benign prostatic hyperplasia, characterized by prostatic stromal hyperplasia with congestion, difficult urination, pelvic pain, dark urine, and incomplete emptying. The core pathogenesis is Qi stagnation and Blood stasis in the pelvic region, causing prostatic congestion, stromal hyperplasia, and urinary obstruction.

Key Symptoms and Differentiation Points

| Differentiation Dimension | Manifestations |

| :— | :— |

| Primary Symptoms | Difficult urination, pelvic pain, dark urine, incomplete emptying |

| Associated Symptoms | Fixed pain, dark complexion, purple-dark lips, palpable prostatic nodule |

| Tongue and Pulse | Purple-dark tongue with petechiae, hesitant pulse |

| Pathogenesis | Qi stagnation and Blood stasis in the pelvic region |

| Etiology | Chronic BPH, pelvic congestion, prolonged sitting, poor circulation |

Acupuncture Point Prescription

| Point | Location | Function |

| :— | :— | :— |

| Pangguangshu (BL28) | Lower back, 1.5 cun lateral to S2 | Back-Shu point of Bladder meridian; regulates bladder function |

| Sanyinjiao (SP6) | 3 cun above the medial malleolus | Regulates Qi and Blood; harmonizes the lower Jiao |

| Taichong (LR3) | Dorsum of the foot, between the 1st and 2nd metatarsals | Soothes Liver-Qi and invigorates blood |

| Ciliao (BL32) | In the second sacral foramen | Treats pelvic pain and lower back pain |

Clinical Recommendation: Filament needle, reducing method; may combine with cupping on the lower back to enhance blood stasis resolution.

Herbal Formula

Base Formula: Gui Zhi Fu Ling Wan (桂枝茯苓丸)

Composition:

Cinnamon Twig (Gui Zhi), Poria (Fu Ling), Peach Kernel (Tao Ren), Red Peony (Chi Shao), Moutan (Mu Dan Pi), Licorice (Gan Cao)

Action: Invigorates blood, resolves stasis, and reduces prostatic congestion.

Modifications

| Associated Symptoms | Additions/Subtractions |

| :— | :— |

| Severe pelvic pain | Add Ru Xiang, Mo Yao to relieve pain |

| Palpable nodule | Add San Leng, E Zhu to break up stasis |

| Dark urine | Add Dan Shen, Chi Shao to cool blood and invigorate circulation |

| Prolonged sitting | Add Huang Qi, Dang Shen to supplement Qi and invigorate blood |

Western Mechanism Reference

Prostatic stromal hyperplasia with congestion, microcirculatory disturbance, and pelvic venous congestion. Qi Stagnation-Blood Stasis corresponds to BPH with significant stromal hyperplasia and pelvic congestion, where microcirculatory disturbance and venous congestion contribute to prostatic enlargement and urinary symptoms.

References

  1. Surgery of TCM - BPH with Qi Stagnation-Blood Stasis.

  2. WHO. (2023). Urological health. World Health Organization.

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