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Alternating Diarrhea and Constipation

How Chinese medicine differentiates bowel habits that swing between loose and hard stools — distinct from Diarrhea, Constipation and IBS already covered — the three patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Alternating bowel habits with weight loss, blood, or fever need medical evaluation before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for alternating diarrhea and constipation — 5 key points, used across the patterns below rather than tied to just one.

PointKey action
LR-3Subdues Liver-Yang. Promotes the smooth flow of Liver-Qi.
ST-36Benefits Stomach and Spleen. Regulates the Intestines.
REN-12Tonifies Stomach and Spleen. Regulates Stomach-Qi.
SP-6Strengthens the Spleen. Resolves Dampness.
LR-2Drains Liver-Fire and subdues Liver-Yang.
The Three Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Rebellious Liver-Qi Invading the Spleen View full pattern →

Clinical manifestations: Abdominal pain preceding diarrhea that improves after a bowel movement, alternating loose and hard stools, irritability with sighing, rib-side distension, emotional stress triggers.
Tongue: Normal or slightly pale body, possible teeth marks, thin white coating. Pulse: Wiry overall, distinctly wiry at the left Guan, softer at the right Guan.
Treatment principle: Soothe Liver-Qi, harmonize the Liver-Spleen relationship, normalize bowel movement.
Note: moxa applicable on the tonifying points. Direct exact-name match with this site's own Rebellious-Liver-Qi-invading-the-Spleen slide.

2. Obstruction of Spleen by Dampness With Liver-Qi Stagnation View full pattern →

Clinical manifestations: Sticky, incomplete bowel movements, alternating loose and dry stools, post-meal bloating, heaviness of the body, low mood, foggy sensation.
Tongue: Pale, swollen body with teeth marks, white greasy coating thicker centrally. Pulse: Slippery and wiry, soggy at the right Guan, wiry at the left Guan.
Treatment principle: Resolve Dampness, soothe Liver stagnation, strengthen Spleen transformation.
Note: moxa applicable on the tonifying points. Direct exact-name match with this site's own Obstruction-of-Spleen-by-Dampness-with-stagnation-of-Liver-Qi slide — a rare full-title match, also used for Loss of Taste, Apathy and Yellow Eyes.

3. Liver-Qi Stagnation With Spleen-Qi Deficiency Transforming Into Heat

Clinical manifestations: Wandering rib-side pain, bitter taste, irritability with a quick temper, dry mouth, fatigue, occasional loose stools alternating with dry hard constipation, heat sensation.
Tongue: Red body with redder sides, teeth marks, thin to thick yellow slightly greasy coating. Pulse: Wiry and rapid, the left Guan particularly wiry.
Treatment principle: Cool Heat, soothe Liver stagnation, strengthen Spleen-Qi, stabilize bowel rhythm.
Note: moxa applicable on the tonifying points. This combined Liver-stagnation-with-Spleen-deficiency-transforming-into-Heat picture has no matching slide anywhere on this site — the same confirmed-absent category first identified for Febrile Seizures — so no pattern link is given here; points still link fine individually.
Related conditions

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