Chronic Prostatitis - Qi Stagnation-Blood Stasis Pattern
TCM differentiation and treatment for chronic prostatitis
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 |
|---|
symptoms, erectile dysfunction |
| Associated Symptoms |
|---|
lips, palpable pelvic tenderness |
| Tongue and Pulse |
|---|
pulse |
| Pathogenesis |
|---|
|
| Etiology |
|---|
congestion, stress |
Acupuncture Point Prescription
| Point | Location | Function |
|---|
| Ciliao (BL32) | In the second sacral foramen |
|---|
and lower back pain |
| Sanyinjiao (SP6) | 3 cun above the medial malleolus |
|---|
and Blood; harmonizes the lower Jiao |
| Taichong (LR3) |
|---|
metatarsals | Soothes Liver-Qi and invigorates blood |
| Pangguangshu (BL28) | Lower back, 1.5 cun lateral to S2 |
|---|
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 |
|---|
Yang |
| Urinary symptoms |
|---|
|
| Prolonged sitting |
|---|
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.
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 Chronic Prostatitis
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.