Chronic Prostatitis - Qi Stagnation-Blood Stasis Pattern

Dr. Li Wei, DACM

Chronic Prostatitis · 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 common pattern in chronic prostatitis, characterized by chronic pelvic pain syndrome with congestion, perineal pain, pelvic discomfort, urinary symptoms, and erectile dysfunction. The core pathogenesis is Qi stagnation and Blood stasis in the pelvic region, causing pelvic venous congestion, microcirculatory disturbance, and chronic pain.

Key Symptoms and Differentiation Points

| Differentiation Dimension | Manifestations |

| :— | :— |

| Primary Symptoms | Perineal pain, pelvic discomfort, urinary symptoms, erectile dysfunction |

| Associated Symptoms | Fixed pain, dark complexion, purple-dark lips, palpable pelvic tenderness |

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

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

| Etiology | Chronic prostatitis, prolonged sitting, pelvic congestion, stress |

Acupuncture Point Prescription

| Point | Location | Function |

| :— | :— | :— |

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

| 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 |

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

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

Herbal Formula

Base Formula: Xue Fu Zhu Yu Tang (血府逐瘀汤)

Composition:

Peach Kernel (Tao Ren), Safflower (Hong Hua), Angelica (Dang Gui), Chuanxiong (Chuan Xiong), Red Peony (Chi Shao), Rehmannia (Sheng Di), Bupleurum (Chai Hu), Immature Bitter Orange (Zhi Ke), Licorice (Gan Cao)

Action: Invigorates blood, resolves stasis, promotes Qi flow, and relieves pain.

Modifications

| Associated Symptoms | Additions/Subtractions |

| :— | :— |

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

| Erectile dysfunction | Add Yin Yang Huo, Ba Ji Tian to warm Kidney Yang |

| Urinary symptoms | Add Shi Wei, Wang Bu Liu Xing to promote urination |

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

Western Mechanism Reference

Chronic pelvic pain syndrome with congestion, pelvic venous congestion, and microcirculatory disturbance. Qi Stagnation-Blood Stasis corresponds to chronic pelvic pain syndrome (CPPS), where pelvic venous congestion and microcirculatory disturbance contribute to chronic pain and discomfort.

References

  1. Surgery of TCM - Chronic Prostatitis with Qi Stagnation-Blood Stasis.

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

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