Xue Fu Zhu Yu Tang

Drive Out Stasis in the Mansion of Blood Decoction

Move Blood • Regulate Qi • Open the Chest • Release Stagnation

Xue Fu Zhu Yu Tang is one of the most important classical formulas for treating Blood Stasis combined with Qi stagnation, particularly when obstruction occurs in the chest and upper body. Created by the renowned Qing dynasty physician Wang Qing Ren in Yi Lin Gai Cuo (Correction of Errors in Medical Classics), it is considered one of the premier formulas for chronic stasis patterns.

Unlike formulas that only move Blood, Xue Fu Zhu Yu Tang combines Blood-moving herbs with Qi-regulating, Blood-nourishing, and Heat-clearing components. This allows it to address both the physical stagnation and the emotional constraint that often accompany long-standing stasis.

When patients present with fixed pain, chest tightness, irritability, headaches that worsen at night, menstrual irregularities, emotional heaviness, or symptoms following trauma, Xue Fu Zhu Yu Tang is often one of the first formulas practitioners consider.

Beyond traditional pain patterns, this formula has become highly valued in modern practice for chronic stagnation patterns involving trauma, unresolved stress, emotional constraint, and persistent circulation issues.

Traditional Indications

• Blood stasis in the chest
• Qi stagnation
• Fixed chest pain
• Chest tightness
• Nighttime headaches
• Irritability
• Dark lips or complexion
• Depression associated with stagnation
• Traumatic injury recovery
• Menstrual irregularities from stasis
• Painful menstruation with clots

TCM Pattern

Qi Stagnation and Blood Stasis Obstructing the Chest

Xue Fu Zhu Yu Tang invigorates Blood, moves Qi, disperses stasis, opens the chest, regulates menstruation, and restores smooth circulation.

Modern Clinical Applications

Many practitioners reach for Xue Fu Zhu Yu Tang when supporting patients experiencing:

• Chronic pain with fixed location
• Post-traumatic stagnation
• Emotional trauma patterns
• Chest tightness associated with stagnation
• Migraine patterns with Blood stasis signs
• PMS with clotting and pain
• Endometriosis-related stagnation patterns
• Post-concussive symptoms
• Long-standing stress patterns
• Depression with constraint and physical symptoms
• Tight shoulders and muscular tension from stagnation

Its unique ability to address both emotional and physical stagnation makes it one of the most versatile Blood-moving formulas in clinical practice.

Ingredients

Tao Ren — 18%
Chuan Xiong — 18%
Dang Gui — 18%
Chi Shao — 18%
Sheng Di Huang — 18%
Niu Xi — 18%
Hong Hua — 13.5%
Chai Hu — 13.5%
Jie Geng — 13.5%
Zhi Ke — 13.5%
Gan Cao — 9%

Based on classical ratios and standard modifications using selected safe herbal substitutes where appropriate.

Crafted using our signature Two-Cured Decoction™ process—combining a traditional hot water decoction with a secondary high-proof alcohol extraction—to capture both water-soluble and alcohol-soluble herbal constituents for a full-spectrum tincture.

Practitioner Favorites

Lower Abdominal Blood Stasis

50% Xue Fu Zhu Yu Tang + 50% Shao Fu Zhu Yu Tang

Excellent when stagnation is more concentrated in the lower abdomen, especially with menstrual pain, cold sensations, clotting, or pelvic discomfort.

Blood Stasis with Blood Deficiency

50% Xue Fu Zhu Yu Tang + 50% Tao Hong Si Wu Tang

A favorite combination when moving Blood must be balanced with deeper Blood nourishment and support.

Menstrual Cold with Stasis

50% Xue Fu Zhu Yu Tang + 50% Wen Jing Tang

Excellent when Blood stasis is combined with Cold signs, deficient nourishment, and gynecological weakness.

Single Herb Pairings

For further customization, consider adding:

Yan Hu Suo or Ru Xiang / Mo Yao — when stronger pain relief and Blood movement are needed.

Wu Wei Zi or Suan Zao Ren — when sleep disturbance, restlessness, or Shen involvement accompanies stagnation.

Urban Herbs Practitioner Advantage

Every 16 oz amber bottle is designed for fast, customized dispensing in clinical practice. Blend Xue Fu Zhu Yu Tang with complementary formulas to create individualized prescriptions in minutes—giving your patients the convenience of a liquid tincture while providing your practice with a flexible, space-saving herbal pharmacy.

Double-extracted. Ready to dispense. Built for practitioners.

Why Practitioners Keep Xue Fu Zhu Yu Tang on the Shelf

Every practitioner eventually encounters the patient who says,

"I feel stuck. My body feels tight, my emotions feel heavy, and nothing seems to move."

That patient often reflects the classic Xue Fu Zhu Yu Tang presentation.

Its strength comes from recognizing that chronic symptoms often develop when Qi and Blood circulation become obstructed over time. Physical trauma, emotional stress, grief, and unresolved tension can all contribute to patterns where movement becomes restricted.

Practitioners frequently reach for Xue Fu Zhu Yu Tang when supporting:

• Chronic pain patterns
• Trauma recovery
• Chest tightness
• Migraines with stasis signs
• Menstrual pain and clotting
• Endometriosis patterns
• Emotional constraint
• Long-standing stress
• Tight shoulders and muscular tension
• Patients who feel physically or emotionally “stuck”

Because Urban Herbs tinctures are designed for blending, Xue Fu Zhu Yu Tang becomes even more versatile when combined with formulas that nourish Blood, warm the channels, regulate menstruation, or support emotional balance.

For many practitioners, it is the formula they consider when the body needs circulation restored and stagnation released.

One bottle. A timeless solution for moving Blood, regulating Qi, and freeing what has become stuck.

Practitioner Snapshot

Category

Blood-Stasis & Qi-Regulating Formulas

Primary Actions

• Moves Blood
• Breaks Stasis
• Regulates Qi
• Opens the Chest
• Relieves Pain
• Harmonizes Circulation

Best For

• Chronic pain
• Chest tightness
• Trauma-related stagnation
• Migraines
• PMS with clots
• Endometriosis patterns
• Emotional constraint
• Blood stasis
• Fixed pain

Pairs Well With

• Shao Fu Zhu Yu Tang
• Tao Hong Si Wu Tang
• Wen Jing Tang
• Dang Gui Shao Yao San
• Xiao Yao San

Clinical Personality

⭐⭐⭐⭐⭐ Blood Stasis Resolution
⭐⭐⭐⭐⭐ Qi Movement
⭐⭐⭐⭐☆ Pain Relief
⭐⭐⭐⭐☆ Emotional Stagnation
⭐⭐⭐⭐☆ Gynecological Support

Clinical Pearl

Xue Fu Zhu Yu Tang is one of the classic formulas every practitioner associates with the phrase “move what is stuck.” Its hallmark indication is a patient with long-standing Qi and Blood stagnation—where emotional stress, trauma, or physical injury has created obstruction.

Its brilliance lies in its layered approach. Tao Ren, Hong Hua, Chuan Xiong, Dang Gui, and Chi Shao move and nourish Blood; Chai Hu, Jie Geng, and Zhi Ke regulate Qi and open the chest; Niu Xi guides movement downward; and Sheng Di Huang protects against excessive dryness.

For practitioners, Xue Fu Zhu Yu Tang remains an essential formula for patients whose symptoms reflect not only pain, but a deeper pattern of blocked movement in both body and emotion.