Peripheral Neuropathy - Blood Stasis Pattern
TCM differentiation and treatment for peripheral
Peripheral Neuropathy · Blood Stasis Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Whole Body
Pattern Overview
Blood Stasis is a common pattern in peripheral neuropathy, characterized
by nerve damage with numbness, sharp pain, and aggravation at night.
The core pathogenesis is **stagnation of blood in the peripheral nerve
collaterals**, leading to impaired nerve perfusion, numbness, and pain.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
|---|
| Primary Symptoms |
|---|
feet, worse at night |
| Associated Symptoms |
|---|
complexion, purple-dark lips |
| Tongue and Pulse |
|---|
coating, hesitant pulse |
| Pathogenesis |
|---|
collaterals |
| Etiology |
|---|
compression |
Acupuncture Point Prescription
| Point | Location | Function |
|---|
| BL17 Geshu | Lower back, 1.5 cun lateral to T7 |
|---|
the Blood; invigorates Blood and resolves stasis |
| SP10 Xuehai | On the medial thigh, 2 cun above the patella |
|---|
Invigorates blood and resolves stasis |
| BL40 Weizhong |
|---|
| He-Sea point of Bladder meridian; treats leg pain |
| Ashi points | Tender spots in the affected areas |
|---|
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 numbness | Add Ji Xue Teng, Dan Shen to improve circulation |
|---|
| Burning pain |
|---|
pain |
| Weakness |
|---|
blood |
Western Mechanism Reference
Nerve damage with numbness, microcirculatory disturbance, and impaired
nerve perfusion. Blood Stasis corresponds to peripheral neuropathy with
significant vascular impairment, where reduced blood flow to the nerves
contributes to ischemia, pain, and sensory loss.
References
1. Textbook Standard.
2. WHO. (2023). Peripheral neuropathy fact sheet. World Health
Organization.
Explore More
- Find your solution at MendGod.com –
Personalized herbal protocols and acupressure tools for nerve pain
relief.
- Deepen your knowledge at TcmCIO.com – Full
research papers and clinical case studies on TCM nerve health.
Related TCM Patterns for Peripheral Neuropathy
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.