Plantar Fasciitis - Blood Stasis Pattern

TCM differentiation and treatment for plantar fasciitis

Plantar Fasciitis · Blood Stasis Pattern

Updated: June 23, 2026

Reviewed by: Dr. Li Wei, DACM

Reading Time: 6 min

Body Area: Foot


Pattern Overview

Blood Stasis is a chronic pattern in plantar fasciitis, characterized by

chronic plantar pain, sharp fixed pain, and aggravation at night.

The core pathogenesis is **stagnation of blood in the heel

collaterals**, leading to chronic inflammation, fibrosis, and persistent

pain.


Key Symptoms and Differentiation Points

Differentiation Dimension Manifestations
Primary Symptoms

location, worse at night |

Associated Symptoms

limited walking ability |

Tongue and Pulse

coating, hesitant pulse |

Pathogenesis Blood stasis obstructing the heel collaterals
Etiology

standing |


Acupuncture Point Prescription

Point Location Function
BL60 Kunlun

tendon | Unblocks the Bladder meridian; treats heel pain |

KI3 Taixi

tendon | Source point of Kidney meridian; tonifies Kidney Qi |

KI6 Zhaohai 1 cun below the medial malleolus

the Yin linking channel; treats heel pain |

Ashi points Tender spots around the heel

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: 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
Chronic condition

microcirculation |

Weakness Add Huang Qi, Dang Shen to supplement Qi

Western Mechanism Reference

Chronic plantar pain with local microcirculatory disturbance, fibrosis,

and impaired tissue repair. Blood Stasis corresponds to chronic plantar

fasciitis with poor healing, where chronic inflammation and impaired

microcirculation contribute to persistent pain.


References

1. Textbook Standard.

2. WHO. (2023). Musculoskeletal pain. World Health Organization.


Explore More

Personalized herbal protocols and acupressure tools for foot pain

relief.

research papers and clinical case studies on TCM foot health.


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.