The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Preliminary reading: What is a pattern? The Liver in Chinese Medicine The concept of Blood The concept of Blood Stagnation
Key attributes
Chinese name: 肝血郁结 Pinyin name: Gān Xuè Yù Jié
Pattern nature: Full
Pattern hierarchy: Specific pattern under Blood Stagnation
Common combinations: Heart Blood Deficiency with Liver Qi Stagnation
Causes
Precursor patterns: Phlegm Liver Qi Stagnation Liver Blood Deficiency and three other possible precursors
Common causes: 1. Emoional stress, 2. Diet, 3. Overwork
Diagnosis
Common symptoms: Dry skin Epistaxis Infertility Purple lips Purple face and nine other symptoms
Pulse type(s): Wiry (Xian)
Tongue description: Purple tongue or purple spots on sides.
Treatment
Treatment principle: Smooth the Liver, move Qi and Blood, eliminate Stagnation.
Common formulas: Xiao Yao San Chai Hu Shu Gan San Ge Xia Zhu Yu Tang and one other formulas
Liver Blood Stagnation usually develops from other patterns and Liver Qi Stagnation, Cold and Heat are the three most common ones. Sometimes Qi Deficiency, Blood Deficiency and Phlegm can also be the precursors.
Liver Qi Stagnation is the most common cause. If left unchecked for a while without being addressed properly, it eventually leads to stagnant Blood in the Directing and Penetrating Vessels. Both vessels have a great impact on the menstruation function in women. It can typically cause dark and clotted menstrual blood as well as menstrual cramps and irregular periods.
Pain caused by Liver Blood Stagnation is often sharp and stabbing. It usually fixed in one place in the abdomen or chest. Sometimes swelling or mass comes along as well. It usually happens to women, but occasional men can also experience pain due to Liver Blood Stagnation.
The Liver stores Blood and it manifests in the nails. Therefore Stagnant Liver Blood causes purple or darkness in patients' lips, tongue, face and nails. Sometimes there may be vomiting of Blood and epistaxis if the Liver Channel is blocked.
Liver Blood Stagnation shouldn't be taken lightly as it can potentially lead to very serious conditions such as coronary heart disease or stroke.
Precursor patterns: Liver Blood Stagnation can derive from Phlegm Liver Qi Stagnation Liver Blood Deficiency Liver Qi Deficiency Obstruction Of the Spleen By Dampness with Liver Qi Stagnation Pericardium Blood Stagnation
Emoional stress: Prolonged suppressed or overly expressed frustration, anger or resentment can largely disturb the normal Qi circulation and cause Qi Stagnation in the Liver, which then can develops to Liver Blood Stagnation.
Diet: Unhealthy diet rich in stimulants, drugs, fatty and oily foods, recreational drugs, alcohol, coffee, black tea can give to Liver Qi Stagnation, which then develops to Liver Blood Stagnation.
Overwork: Overwork without sufficient rest over a long term can cause Liver Qi Stagnation, which may develop to Liver Blood Stagnation.
Diagnosing a pattern in Chinese Medicine is no easy feat and should be left to professional practitioners. In particular one has to know how to differentiate between different types of pulses and tongue coatings, shapes and colors as well as learn to read from a long list of seemingly unrelated symptoms.
Pulse type(s): Wiry (Xian)
Tongue description: Purple tongue or purple spots on sides.
Main symptoms: Dry skin Epistaxis Infertility Purple lips Purple face Purple nails Abdominal pain Painful period Abdominal masses Purple petechiae Vomiting of blood Hypochondrial pain Irregular menstruation Dark clots in menstrual blood
Diagnosis commentary: Key characteristic symptoms of this pattern are the dark and clotted menstrual blood and purple tongue.
Smooth the Liver, move Qi and Blood, eliminate Stagnation.
The top herbs in Chai Hu Shu Gan San are Bupleurum Roots (Chai Hu), Szechuan Lovage Roots (Chuan Xiong) and Coco-Grass Rhizomes (Xiang Fu)
Source date: 1602
Number of ingredients: 7 herbs
Key actions: Disperses Stagnant Liver Qi and Blood. Alleviates pain. Harmonizes Blood.
Chai Hu Shu Gan San is a 7-ingredient Chinese Medicine formula. Invented in 1602, it belongs to the category of formulas that promote Qi movement.
Besides Liver Blood Stagnation, Chai Hu Shu Gan San is also used to treat Rebellious Qi or Heart Vessel obstructed.
The top herbs in Xiao Yao San are Bupleurum Roots (Chai Hu), Dong Quai (Dang Gui) and White Peony Roots (Bai Shao)
Source date: 1107 AD
Number of ingredients: 6 herbs
Key actions: Harmonizes the function of Liver and Spleen. Relieves Liver Qi stagnation. Nourishes the Blood.
Xiao Yao San is a 6-ingredient Chinese Medicine formula. Invented in 1107 AD, it belongs to the category of formulas that harmonize Liver-Spleen.
Besides Liver Blood Stagnation, Xiao Yao San is also used to treat Liver Qi Deficiency or Rebellious Liver Qi invading the Spleen.
The top herbs in Ge Xia Zhu Yu Tang are Szechuan Lovage Roots (Chuan Xiong), Safflowers (Hong Hua) and Peach Kernels (Tao Ren)
Source date: 1830 AD
Number of ingredients: 12 herbs
Key actions: Invigorates Blood. Eliminates Blood Stagnation below the diaphragm. Stops pain. Promotes Qi movement.
Ge Xia Zhu Yu Tang is a 12-ingredient Chinese Medicine formula. Invented in 1830 AD, it belongs to the category of formulas that invigorate Blood and dispel Blood Stagnation.
Besides Liver Blood Stagnation, Ge Xia Zhu Yu Tang is also used to treat Blood Stagnation or Qi And Blood Stagnation.
The top herbs in Shi Xiao San are Cattail Pollen (Pu Huang) and Flying Squirrel Faeces (Wu Ling Zhi)
Source date: 1108 AD
Number of ingredients: 2 herbs
Key actions: Invigorates Blood. Dispels Blood Stagnation. Eases pain.
Shi Xiao San is a 2-ingredient Chinese Medicine formula. Invented in 1108 AD, it belongs to the category of formulas that invigorate Blood and dispel Blood Stagnation.
Besides Liver Blood Stagnation, Shi Xiao San is also used to treat Blood Stagnation or Qi And Blood Stagnation.
Avoid hot, spicy, caffeinated, fried and greasy foods. Also avoid nuts and nut butters, avocados, cheese and dairy, chips of all kinds, turkey and red meats, alcohol.
Avoid drinks such as coffee, black tea, cocoa, colas and chocolate, drugs and stimulants.
Eat plenty of grains, legumes, vegetables and dark leafy greens, such as kale, collards, dandelion, mustard, beet and mustard greens. Lemon juice also helps decongest the Liver.
Try other therapies such as moxibustion, cupping over the back and breathing exercises.
Blood is a form of Body Fluids and both elements are inter-transformable. Therefore, Stagnant of Liver Blood can impair Body Fluids generation and cause general Dryness.