Chronic Gastritis - Blood Stasis in the Stomach Pattern
TCM differentiation and treatment for chronic gastritis
Chronic Gastritis · Blood Stasis in the Stomach Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Abdomen
Pattern Overview
Blood Stasis in the Stomach is a chronic pattern in advanced chronic
gastritis, characterized by **gastric mucosal microcirculatory
disturbance, epigastric stabbing pain, worse at night, and fixed
location. The core pathogenesis is prolonged disease causing blood
stasis in the gastric collaterals**, leading to microcirculatory
disturbance, impaired epithelial renewal, atrophy, and intestinal
metaplasia.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
|---|
| Primary Symptoms |
|---|
at night |
| Associated Symptoms |
|---|
purple tongue, palpable mass |
| Tongue and Pulse |
|---|
coating, hesitant pulse |
| Pathogenesis | Blood stasis obstructing the gastric collaterals |
|---|
| Etiology |
|---|
microcirculation |
Acupuncture Point Prescription
| Point | Location | Function |
|---|
| Zhongwan (RN12) | 4 cun above the umbilicus |
|---|
Stomach; harmonizes the Stomach |
| Geshu (BL17) | Lower back, 1.5 cun lateral to T7 |
|---|
of the Blood; invigorates Blood and resolves stasis |
| Xuehai (SP10) | On the medial thigh, 2 cun above the patella |
|---|
Invigorates blood and resolves stasis |
| Zusanli (ST36) |
|---|
to the tibial crest | Strengthens Spleen and Stomach; tonifies Qi |
| Neiguan (PC6) |
|---|
| Regulates Qi and relieves pain |
Clinical Recommendation: Filament needle, reducing method; may
combine with cupping on Zhongwan to enhance blood stasis resolution.
Herbal Formula
Base Formula: Shi Xiao San (失笑散) + Dan Shen Yin (丹参饮)
Composition:
Trogopterus Dung (Wu Ling Zhi), Pollen Typhae (Pu Huang), Salvia (Dan
Shen), Sandalwood (Tan Xiang), Amomum (Sha Ren), Licorice (Gan Cao)
Action: Invigorates blood, resolves stasis, and relieves pain.
Modifications
| Associated Symptoms | Additions/Subtractions |
|---|
| Severe pain |
|---|
pain |
| Atrophic changes |
|---|
invigorate blood |
| Intestinal metaplasia |
|---|
Heat and detoxify |
| Fatigue | Add Huang Qi to enhance Qi supplementation |
|---|
Western Mechanism Reference
Gastric mucosal microcirculatory disturbance causing local ischemia,
impaired epithelial cell renewal, atrophy, and intestinal metaplasia.
Blood Stasis in the Stomach corresponds to advanced chronic atrophic
gastritis with intestinal metaplasia, where impaired microcirculation
and reduced epithelial renewal contribute to mucosal atrophy and
precancerous changes.
References
1. Internal Medicine of TCM - Stomach Pain with Blood Stasis.
2. DB-XJB: Dan Shen Yin, Shi Xiao San.
3. WHO. (2023). Digestive health. World Health Organization.
Explore More
- Find your solution at MendGod.com –
Personalized herbal protocols and acupressure tools for digestive
health.
- Deepen your knowledge at TcmCIO.com – Full
research papers and clinical case studies on TCM digestive health.
Related TCM Patterns for Chronic Gastritis
- Liver-Stomach Qi Stagnation
- Spleen-Stomach Deficiency
- Stomach-Yin Deficiency
- Damp-Heat Middle Obstruction
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.