Frequent Bleeding in Traditional Chinese Medicine

Understanding different frequent bleeding patterns according to TCM theory

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2
TCM Patterns
17
Formulas
Overview
What causes it 2 TCM patterns documented
How to recognize Symptoms specific to each frequent bleeding pattern
Classical remedies 17 herbal formulas documented

Traditional Chinese Medicine (TCM) offers a unique perspective on frequent bleeding, viewing it as a symptom of disharmony within the body’s energy systems. According to TCM principles, bleeding disorders arise from imbalances in Qi (vital energy), Blood, and the organ systems, particularly the Spleen, Liver, and Kidney.

The occurrence of frequent bleeding signals a deeper imbalance that requires a holistic approach to diagnosis and treatment. TCM emphasizes restoring harmony and balance, aiming not only to stop the bleeding but also to address the root cause behind the disharmony, thereby preventing recurrence.

TCM Patterns for Frequent Bleeding

Each pattern represents a distinct underlying imbalance that can cause frequent bleeding

Blood Stasis

Blood Stagnation

Symptoms 9
Formulas 10

Diagnostic signs

Pulse

Choppy (Se), Firm (Lao), Wiry (Xian)

Tongue

The hallmark tongue finding is a dark purple or dusky body colour, which may be uniform or patchy. Stasis spots (purple or dark dots) can appear anywhere on the tongue surface. The underside of the tongue is especially important: the two sublingual veins are typically engorged, tortuous, and dark purple or even blackish. The tongue coating itself is usually thin and white and is not the primary diagnostic feature. In long-standing cases, the tongue may become somewhat dry if fluids are also affected.

Accompanying symptoms you may experience

Dark face Purple lips Stabbing fixed pain Abdominal masses Purple nails Menstrual cramps Dark menstrual clots Dark menstrual blood
Symptoms 11
Formulas 7

Diagnostic signs

Pulse

Rapid (Shu), Wiry (Xian), Slippery (Hua)

Tongue

The tongue in Heat in the Blood is red to deep red (crimson), reflecting the intensity of Heat in the blood. In moderate presentations, the tongue is red with red spots or prickles, especially on the tip (corresponding to the Heart). The coating is typically thin and yellow, and the tongue surface tends to be dry due to Heat consuming fluids. In more severe presentations, the tongue may approach a crimson or deep red colour, but this indicates progression toward a more serious stage. The sides may also be redder than normal, reflecting Liver involvement. The tongue body often looks older and tougher in texture rather than tender.

Accompanying symptoms you may experience

Feeling of heat Red skin eruptions Thirst Frequent bleeding Bloody sputum Hematochezia Hematuria Vomiting blood

Herbal Formulas for Frequent Bleeding

Traditional Chinese Medicine formulas used to address frequent bleeding

Bai He Di Huang Tang

Addresses these frequent bleeding patterns:

Heat

Da Huang Mu Dan Pi Tang

Addresses these frequent bleeding patterns:

Blood Stasis

Da Huang Zhe Chong Wan

Addresses these frequent bleeding patterns:

Blood Stasis

Dan Shen Yin

Addresses these frequent bleeding patterns:

Blood Stasis

Di Dang Tang

Addresses these frequent bleeding patterns:

Blood Stasis

Gu Jing Wan

Addresses these frequent bleeding patterns:

Heat

Gui Zhi Fu Ling Wan

Addresses these frequent bleeding patterns:

Blood Stasis

Hai Tong Pi Tang

Addresses these frequent bleeding patterns:

Blood Stasis

Hua Ban Tang

Addresses these frequent bleeding patterns:

Heat