Hip Arthritis - Blood Stasis Pattern
TCM differentiation and treatment for hip arthritis with
Hip Arthritis · Blood Stasis Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 6 min
Body Area: Hip
Pattern Overview
Blood Stasis is a serious pattern in hip arthritis, characterized by
avascular necrosis, sharp fixed pain, and aggravation at night. The
core pathogenesis is severe stasis of blood in the hip joint,
leading to impaired blood supply, bone ischemia, and progressive joint
destruction.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
|---|
| Primary Symptoms |
|---|
location, worse at night |
| Associated Symptoms |
|---|
joint damage |
| Tongue and Pulse |
|---|
coating, hesitant pulse |
| Pathogenesis |
|---|
hip joint |
| Etiology |
|---|
disease |
Acupuncture Point Prescription
| Point | Location | Function |
|---|
| GB30 Huantiao |
|---|
trochanter | Master point for hip pain; on the Gallbladder meridian |
| BL54 Zhibian | 3 cun lateral to the sacral hiatus |
|---|
lower back pain |
| SP10 Xuehai | On the medial thigh, 2 cun above the patella |
|---|
Invigorates blood and resolves stasis |
| Ashi points | Tender spots around the hip joint |
|---|
invigoration and pain relief |
Clinical Recommendation: Filiform needle, reducing method; cupping
at Ashi points may be used to enhance blood stasis resolution.
Herbal Formula
Base Formula: Tao Hong Si Wu Tang (桃红四物汤)
Composition:
Peach Kernel (Tao Ren), Safflower (Hong Hua), Angelica (Dang Gui),
Chuanxiong (Chuan Xiong), Red Peony (Chi Shao), Rehmannia (Sheng Di)
Action: Invigorates blood, resolves stasis, nourishes blood, and
relieves pain.
Modifications
| Associated Symptoms | Additions/Subtractions |
|---|
| Severe pain | Add Ru Xiang, Mo Yao to relieve pain |
|---|
| Bone necrosis | Add Gu Sui Bu, Niu Xi to nourish bones |
|---|
| Weakness | Add Huang Qi, Dang Shen to supplement Qi |
|---|
Western Mechanism Reference
Avascular necrosis with impaired blood supply, bone ischemia, and
progressive joint destruction. Blood Stasis corresponds to avascular
necrosis of the femoral head, where compromised blood supply leads to
bone death and joint collapse.
References
1. Textbook Standard.
2. WHO. (2023). Musculoskeletal pain. World Health Organization.
Explore More
- Find your solution at MendGod.com –
Personalized herbal protocols and acupressure tools for hip pain relief.
- Deepen your knowledge at TcmCIO.com – Full
research papers and clinical case studies on TCM arthritis health.
Related TCM Patterns for Hip Arthritis
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.