Benign Prostatic Hyperplasia - Qi Stagnation-Blood Stasis
TCM differentiation and treatment for benign prostatic
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 |
|---|
incomplete emptying |
| Associated Symptoms |
|---|
lips, palpable prostatic nodule |
| Tongue and Pulse |
|---|
pulse |
| Pathogenesis |
|---|
|
| Etiology |
|---|
circulation |
Acupuncture Point Prescription
| Point | Location | Function |
|---|
| Pangguangshu (BL28) | Lower back, 1.5 cun lateral to S2 |
|---|
point of Bladder meridian; regulates bladder function |
| Sanyinjiao (SP6) | 3 cun above the medial malleolus |
|---|
and Blood; harmonizes the lower Jiao |
| Taichong (LR3) |
|---|
metatarsals | Soothes Liver-Qi and invigorates blood |
| Ciliao (BL32) | In the second sacral foramen |
|---|
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 |
|---|
circulation |
| Prolonged sitting |
|---|
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.
Explore More
- Find your solution at MendGod.com –
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- Deepen your knowledge at TcmCIO.com – Full
research papers and clinical case studies on TCM urology.
Related TCM Patterns for Benign Prostatic Hyperplasia
Last reviewed: June 2026 | Lead author: Dr. Li Wei, DACM | Content updated: Monthly
Disclaimer: This guide is for educational purposes only and does not constitute medical advice. Consult a licensed healthcare provider before starting any treatment.