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Understanding Blood in Traditional Chinese Medicine

  • htmphysician
  • Jan 7
  • 3 min read

Updated: Jan 9

In Traditional Chinese Medicine (TCM), blood is far more than the red fluid seen in modern biomedicine. It is a vital substance that nourishes the organs, supports the mind and emotions, and helps maintain harmony throughout the body.



What Is “Blood” in TCM?

In TCM, blood is a nourishing, grounding substance that:

  • Moistens and supports tissues

  • Calms and anchors the mind (Shen)

  • Works together with Qi (vital energy)

  • Nourishes the organs for healthy function

Unlike modern physiology, TCM views blood as both material and energetic, forming a bridge between body and mind.

A core TCM principle states: “Qi moves the blood, and blood nourishes qi.” This explains why stress, fatigue, and emotional strain can affect circulation and overall vitality.


How Blood Is Formed and Maintained in TCM

TCM describes three organs as central to healthy blood:

1. Spleen (脾) – The Source of Blood

The Spleen transforms food and drink into the nutrients that become blood. Healthy digestion → strong blood production.

2. Liver (肝) – The Storage and Regulator of Blood

The Liver stores blood and ensures its smooth flow. Emotional tension or stress can affect Liver function and stagnate circulation.

3. Heart (心) – The Controller of Blood and the Home of Shen

The Heart circulates blood and houses the Shen, linking physical nourishment to emotional balance.



Common Blood-Related Patterns Seen in TCM

Many symptoms that bring patients to a TCM clinic relate to imbalances in blood.

1. Blood Deficiency (血虛)

Possible symptoms include:

  • Fatigue

  • Dizziness

  • Pale complexion or lips

  • Dry skin or hair

  • Difficulty concentrating

  • Light or irregular menstruation

Typical treatments: Blood-nourishing herbs, supportive diet, gentle acupuncture.

2. Blood Stasis (瘀血)

Blood flow becomes obstructed.

Common signs:

  • Sharp, fixed, or stabbing pain

  • Dark or purplish tongue

  • Menstrual clots

  • Cold limbs

  • Varicose veins or areas of tightness

Typical treatments: Acupuncture to promote flow, cupping, moxibustion, and herbs that invigorate circulation.

3. Heat in the Blood (血熱)

Often associated with skin or inflammatory patterns.

Possible signs:

  • Red or inflamed skin

  • Nosebleeds

  • Irritability or restlessness

  • Feeling warm or feverish at night

Typical treatments: Herbs that clear heat or cool the blood, acupuncture to disperse heat.

4. Blood Cold (血寒)

Circulation slows due to cold.

May present as:

  • Pain relieved by warmth

  • Cold hands and feet

  • Pale complexion

  • Menstrual cramps or delayed periods

Typical treatments: Warming herbs, moxibustion, acupuncture to support healthy flow.


Why Blood Health Matters Especially for Women

Classical TCM texts state: “Women are governed by blood.”

TCM pays special attention to blood in relation to:

  • Menstrual health

  • Fertility

  • Pregnancy and postpartum recovery

  • Emotional regulation

Many women seeking help for PMS, fertility support, menopause, or postpartum care benefit from therapies that nourish or regulate blood.


How a TCM Practitioner Assesses Blood Conditions

During a consultation, a practitioner may use:

  • Pulse diagnosis

  • Tongue examination

  • Medical and menstrual history

  • Sleep, digestion, and mood patterns

  • Energy levels

The goal is to understand the underlying pattern—not just the symptoms—so treatment can be tailored to the individual.



Supporting Healthy Blood at Home

Here are simple, TCM-informed ways to care for blood:

Eat Warm, Nourishing Foods

Soups, stews, whole grains, leafy greens, black sesame, tofu, eggs, dates, and goji berries help support blood nourishment.

Manage Stress Gently

Activities like tai chi, qigong, yoga, or walking help keep Liver blood flowing smoothly.

Rest Properly

Adequate sleep gives the Liver time to replenish blood at night.

Avoid Excessive Cold Exposure

Keeping the abdomen, lower back, and feet warm supports circulation—especially for women.


The TCM Perspective: Blood as a Foundation of Wellness

In TCM philosophy, blood is essential for:

  • Physical nourishment

  • Emotional balance

  • Mental clarity

  • Hormonal harmony

  • Reproductive health


Understanding how TCM views blood can help patients make sense of their individualized treatment plan and support long-term wellness through everyday lifestyle choices - explore more with Health Traditional Medicine today. 

🔹 Book a Consultation Now | Visit Health Traditional Medicine


-TCM Physician Hsiao Yao (萧瑶医师)


 
 
 

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