Infertility - Blood Stasis Pattern
TCM differentiation and treatment for infertility with
Infertility · Blood Stasis Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Pelvis
Pattern Overview
Blood Stasis is a common pattern in infertility, characterized by
**pelvic adhesions, endometriosis, tubal obstruction,
hypercoagulability, and immune-inflammatory factors**. The core
pathogenesis is Blood stasis in the uterus and pelvic region,
leading to tubal obstruction, endometrial dysfunction, and impaired
implantation.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
|---|
| Primary Symptoms |
|---|
menstrual blood with dark clots |
| Associated Symptoms |
|---|
lips, palpable masses |
| Tongue and Pulse |
|---|
pulse |
| Pathogenesis |
|---|
region |
| Etiology |
|---|
trauma, hypercoagulability |
Acupuncture Point Prescription
| Point | Location | Function |
|---|
| Xuehai (SP10) | On the medial thigh, 2 cun above the patella |
|---|
Invigorates blood and resolves stasis |
| Sanyinjiao (SP6) | 3 cun above the medial malleolus |
|---|
menstruation and nourishes Blood |
| Diji (SP8) |
|---|
meridian | Xi-Cleft point of Spleen; treats acute pelvic pain |
| Ciliao (BL32) | In the second sacral foramen |
|---|
and pelvic pain |
| Hegu (LI4) |
|---|
metacarpals | Regulates Qi and relieves pain |
Clinical Recommendation: Filament needle, reducing method; may
combine with cupping on the lower abdomen to enhance blood stasis
resolution.
Herbal Formula
Base Formula: Shao Fu Zhu Yu Tang (少腹逐瘀汤) or Ge Xia Zhu Yu Tang
(膈下逐瘀汤)
Composition:
Fennel Seed (Xiao Hui Xiang), Dried Ginger (Gan Jiang), Myrrh (Mo Yao),
Angelica (Dang Gui), Chuanxiong (Chuan Xiong), Cinnamon (Rou Gui),
Trogopterus Dung (Wu Ling Zhi), Pollen Typhae (Pu Huang), Licorice (Gan
Cao)
Action: Invigorates blood, resolves stasis, warms the uterus, and
relieves pain.
Modifications
| Associated Symptoms | Additions/Subtractions |
|---|
| Endometriosis | Add Tao Ren, Hong Hua to invigorate blood |
|---|
| Tubal obstruction |
|---|
collaterals |
| Hypercoagulability |
|---|
microcirculation |
| Pelvic pain | Add Yan Hu Suo, Ru Xiang to relieve pain |
|---|
Western Mechanism Reference
Pelvic adhesions, endometriosis, tubal obstruction, hypercoagulability,
and elevated immune-inflammatory factors. Blood Stasis corresponds to
infertility with pelvic pathology, where endometriosis, adhesions, and
hypercoagulability contribute to tubal obstruction and impaired
implantation.
References
1. Gynecology of TCM - Infertility with Blood Stasis.
2. Xiong Jibai: Blood Stasis uses Tao Hong Si Wu Tang/Shi Xiao San.
3. WHO. (2023). Infertility fact sheet. World Health Organization.
Explore More
- Find your solution at MendGod.com –
Personalized herbal protocols and acupressure tools for women's health.
- Deepen your knowledge at TcmCIO.com – Full
research papers and clinical case studies on TCM infertility management.
Related TCM Patterns for Infertility
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.