Hip Pain - Qi Stagnation with Blood Stasis Pattern
TCM differentiation and treatment for hip pain with Qi
Hip Pain · Qi Stagnation with Blood Stasis Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 6 min
Body Area: Hip
Pattern Overview
Qi Stagnation with Blood Stasis is a common pattern in hip pain,
characterized by **traumatic bursitis, sharp fixed pain, and aggravation
at night. The core pathogenesis is trauma causing Qi stagnation and
Blood stasis in the hip collaterals**, leading to bursal inflammation,
swelling, and pain.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
|---|
| Primary Symptoms |
|---|
location, worse at night |
| Associated Symptoms |
|---|
limping |
| Tongue and Pulse |
|---|
coating, hesitant pulse |
| Pathogenesis |
|---|
the hip collaterals |
| Etiology | Hip injury, fall, sports trauma, overuse |
|---|
Acupuncture Point Prescription
| Point | Location | Function |
|---|
| GB30 Huantiao |
|---|
trochanter of femur | Master point for hip pain; on the Gallbladder
meridian |
| BL54 Zhibian | 3 cun lateral to the sacral hiatus |
|---|
lower back pain |
| LR3 Taichong |
|---|
metatarsals | Soothes Liver Qi and regulates Qi flow |
| Ashi points | Tender spots around the hip |
|---|
invigoration and pain relief |
Clinical Recommendation: Filiform needle, reducing method; cupping
or pricking at Ashi points may be used to enhance blood stasis
resolution.
Herbal Formula
Base Formula: Fu Yuan Huo Xue Tang (复元活血汤)
Composition:
Bupleurum (Chai Hu), Angelica (Dang Gui), Peach Kernel (Tao Ren),
Safflower (Hong Hua), Pangolin Scales (Chuan Shan Jia), Trichosanthes
Root (Tian Hua Fen), Rhubarb (Da Huang), Licorice (Gan Cao)
Action: Invigorates blood, resolves stasis, promotes Qi flow, and
reduces swelling.
Modifications
| Associated Symptoms | Additions/Subtractions |
|---|
| Severe pain | Add Ru Xiang, Mo Yao to relieve pain |
|---|
| Swelling | Add Dan Shen, Chi Shao to improve microcirculation |
|---|
| Weakness | Add Huang Qi, Dang Shen to supplement Qi |
|---|
Western Mechanism Reference
Traumatic bursitis with local hematoma, microcirculatory disturbance,
and inflammatory response. Qi Stagnation with Blood Stasis corresponds
to traumatic hip bursitis, where soft tissue injury and localized
bleeding cause inflammation and pain.
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 joint health.
Related TCM Patterns for Hip Pain
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.