Body constitution · 血瘀 xuèyū

Blood Stasis

“The Slow River”
血瘀 · xuèyū

Circulation has lost its sweep — blood moves, but sluggishly, pooling in eddies that show as fixed pain, dark shadows and easy bruising.

Is this you?

Classic signs of Blood Stasis

  • Pain that is fixed in location, sharp or stabbing, often worse at night
  • Bruising easily, or finding bruises you can't explain
  • Dark circles beneath the eyes that rest doesn't shift
  • Dusky, purplish lips or gums; a dull, shadowed complexion
  • Thread veins or spider veins on face or legs
  • Rough, dry, flaky skin patches — the classics call it 肌膚甲錯, "skin like fish scales"
  • For women: dark, clotted periods; sharp cramps that ease once flow starts
  • A history of injuries that "never quite left"
  • Tongue: purplish or dusky, sometimes with dark spots; the veins under the tongue distended and dark
What congeals it further: sitting still for hours, cold — iced drinks, under-dressing — unresolved qi stagnation (today's tension is tomorrow's stasis), smoking, and old injuries left untreated.
The theory

The sentence that rules all of pain

Blood is moved by qi — 氣行則血行, "when qi moves, blood moves." Long stagnation, long sitting, cold (which congeals), old injuries and simple years can slow the river until sediment settles.

「通則不痛,痛則不通」 "Where there is free flow, there is no pain; where there is pain, there is no free flow." Classical medical aphorism · distilled from the Neijing's chapters on pain

The single most useful sentence in Chinese medicine's understanding of pain — and the operating principle of half of what we do in the treatment room.

Lifestyle

  • Break up stillness relentlessly — move for two minutes every half-hour. For this constitution, sitting is not rest; it is sediment
  • Daily rhythmic movement — walking, swimming, cycling, tai chi — enough to warm and loosen, sustained rather than savage
  • Keep warm, especially in cold months and around the period. Cold congeals blood; warmth here is not comfort, it is mechanism
  • Gentle self-massage along calves, thighs and old-injury sites — with oil, toward the heart

Food therapy — foods that move

  • More: the traditional circulators — hawthorn berry (山楂), turmeric, black "wood ear" fungus (黑木耳), onions, garlic, chives, aubergine, a little vinegar; brown sugar–ginger tea in the days before a period
  • Less: iced food and drink (especially around menstruation), heavy greasy meals, excess alcohol

One to try: hawthorn tea — dried hawthorn slices steeped ten minutes after your largest meal. Sharp, bright, and traditionally taken exactly where rich food and slow blood meet.

Acupressure — two movers

血海

Xuehai · SP10

With the knee bent, two thumb-widths above the inner upper corner of the kneecap. Its name is "Sea of Blood" — the classical point for stirring the river. Firm circles, 60 seconds each side. Avoid during pregnancy.

太衝

Taichong · LV3

Top of the foot, groove between big and second toe bones. Moves the qi that moves the blood. Avoid strong stimulation during pregnancy.

血瘀
From our clinic — for this constitution

This one is treatment-room territory

A dedicated constitution blend for Blood Stasis is in development — but be candid with yourself: this is the constitution where hands-on care matters most, and it is the centre of what this clinic does every day. Acupuncture and cupping are Chinese medicine's time-honoured answers to exactly this pattern — fixed pain, old injuries, poor local circulation. Half of our patients report meaningful pain relief within two sessions.

If you live with persistent pain, skip the supplement aisle and come in.

Food supplements support general wellbeing and are not a substitute for medical diagnosis or treatment, nor for a varied and balanced diet and a healthy lifestyle.

Questions

Asked across the treatment couch

Why do you recommend cupping for this pattern?
Cupping is Chinese medicine's traditional tool for exactly this terrain — areas where circulation has slowed and tissue feels congested. The old logic is the free-flow principle: where flow returns, discomfort eases. It's why cupping and acupuncture together are the clinic's standard approach to this constitution.
My pain is years old — is it too late?
Old patterns take more patience than new ones, but "fixed" describes the pain's location, not your prospects. The combination that shifts this terrain is consistency: treatment, daily movement, warmth, and breaking up stillness. Bring the history to a consultation — the story of an old injury is diagnostic gold.
Is this a medical diagnosis?
No. Constitution describes a wellbeing tendency, not a disease. A professional constitutional assessment — tongue, pulse, history — happens in the clinic, and a GP handles medical diagnosis. The two work best side by side.
Can my constitution change?
Yes — that's the point of everything on this page. Constitution shifts with seasons, age, stress and habits. Take this page's advice for a season, then retake the quiz and watch the scores move.
Honest limits

When to seek more than a webpage

  • See your GP first for red-flag changes: unexplained weight loss, persistent unexplained pain, blood where blood shouldn't be, chest pain, breathlessness at rest, new severe headaches, or anything rapidly worsening.
  • Pregnancy changes the rules: some acupressure points on this page are traditionally avoided in pregnancy (marked above), and supplements should be run past your midwife or GP.
  • On medication? Check with your pharmacist or GP before adding botanical supplements.

This guide supports general wellbeing and is not a substitute for medical diagnosis or treatment. Always consult your GP for medical concerns. Food supplements should not be used as a substitute for a varied and balanced diet and a healthy lifestyle.

The other seven

Not quite you? Meet the other constitutions

Most people are a blend — a primary pattern with one or two supporting actors. If parts of this page fit and parts didn't, your answer is probably two doors down.

Ready when you are

Take this page's advice for a season — then tell us what changed

Constitution work is gardening, not surgery. And if you'd like the professional reading — tongue, pulse, history, the full craft — the treatment room is where your pattern gets read properly.

Cheuk's Wellness & TCM · ATCM-registered practitioner (FM 0220069) · 96a High Street, Staple Hill, Bristol