Finger Joint Pain · Blood Stasis Pattern

Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 6 min
Body Area: Hand


Pattern Overview

Blood Stasis is a chronic pattern in finger joint pain, characterized by chronic joint deformity, sharp fixed pain, and aggravation at night. The core pathogenesis is prolonged stasis of blood in the finger joint collaterals, leading to joint deformity, chronic inflammation, and persistent pain.


Key Symptoms and Differentiation Points

Differentiation DimensionManifestations
Primary SymptomsSharp, stabbing pain in finger joints, fixed location, worse at night
Associated SymptomsJoint deformity, swelling, limited movement, tenderness
Tongue and PulsePurple-dark tongue with petechiae, thin white coating, hesitant pulse
PathogenesisBlood stasis with fibrosis obstructing the joint collaterals
EtiologyChronic arthritis, repeated trauma, prolonged inflammation

Acupuncture Point Prescription

PointLocationFunction
LI5 YangxiOn the wrist crease, radial sideSource point of Large Intestine meridian; treats wrist and finger pain
SP10 XuehaiOn the medial thigh, 2 cun above the patellaInvigorates blood and resolves stasis
BA Xie (Eight Evils)Between the fingers, at the web marginsLocal points; treats finger joint pain and stiffness
Ashi pointsTender spots around the finger jointsLocal blood 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 SymptomsAdditions/Subtractions
Chronic joint deformityAdd San Leng, E Zhu to break up stasis
Severe painAdd Ru Xiang, Mo Yao to relieve pain
SwellingAdd Dan Shen, Ji Xue Teng to improve microcirculation

Western Mechanism Reference

Chronic joint deformity with microcirculatory disturbance, fibrosis, and impaired tissue repair. Blood Stasis corresponds to chronic finger joint arthritis with significant joint damage, where chronic inflammation and impaired microcirculation lead to joint deformity.


References

  1. Textbook Standard.
  2. WHO. (2023). Musculoskeletal pain. World Health Organization.

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