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Bleeding Gums

How Chinese medicine differentiates bleeding gums — distinct from Periodontal Disease and Toothache already covered — the four 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. Bleeding gums with easy bruising elsewhere, or bleeding from multiple sites, needs medical evaluation to rule out a bleeding or blood disorder before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for bleeding gums — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
L.I.-4Expels exterior Wind, regulates Defensive Qi.
ST-44Ying-spring point, drains excess Stomach-Heat.
ST-6Local jaw point, cools the channel.
KI-3Source point, nourishes Kidney-Yin and anchors Yang.
KI-6Nourishes Kidney-Yin, clears Empty-Heat, benefits throat and gums.
BL-23Back-shu point, tonifies Kidney-Yin.
SP-6Supports Yin and Blood, cools Empty-Heat.
SP-10Cools the Blood, invigorates Blood and removes stagnation.
ST-36Tonifies Qi and Blood, strengthens Spleen and Stomach.
BL-20Back-shu point, directly tonifies Spleen-Qi.
REN-6Tonifies original Qi, lifts sinking Qi.
The Four Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Stomach Fire View full pattern →

Clinical manifestations: Gums bleed bright red blood with swelling and pain, foul breath, bitter or sour taste, strong thirst for cold drinks, burning sensation in the stomach area, frequent hunger, constipation with dry hard stools.
Tongue: Red body with a deeper red centre and possible red prickles, thick dry yellow coating. Pulse: Rapid, slippery and forceful, especially strong at right Guan.
Treatment principle: Clear Stomach-Heat, cool the Blood, nourish Yin — addresses Heat rising along the Stomach channel.
Note: no moxa. Direct match with this site's own Stomach-Heat-(or-Phlegm-Heat) slide.

2. Kidney Yin Deficiency with Empty-Heat Blazing View full pattern →

Clinical manifestations: Mild, oozing gum bleeding, teeth feel loose or wobbly, dry mouth worse at night, heat sensation in palms, soles and chest, lower back soreness, tinnitus, night sweats.
Tongue: Red, thin, dry body with little or no coating and possible cracks. Pulse: Fine and rapid, especially weak at rear positions.
Treatment principle: Nourish Kidney-Yin and clear Empty-Heat by addressing the body's depleted cooling reserve that allows unanchored Yang to flare upward.
Note: no moxa given the Empty-Heat. Direct match with this site's own Kidney-Yin-deficiency-Empty-Heat-blazing slide.

3. Heat in the Blood

Clinical manifestations: Bright red spontaneous gum bleeding, bleeding from multiple sites (nose, skin), internal heat sensation worsening at night, restlessness and irritability, thirst for cold drinks.
Tongue: Deep red body with red spots or prickles, thin yellow dry coating. Pulse: Rapid, often wiry and forceful.
Treatment principle: Clear Heat from the Blood level and stop reckless Blood movement that forces Blood out of the vessels systemically.
Note: no moxa. No standalone Heat-in-the-Blood slide exists on this site, a confirmed and recurring absence, so no pattern link is given here.

4. Spleen Not Controlling Blood View full pattern →

Clinical manifestations: Pale, chronically oozing gums with no redness or swelling, fatigue, weakness, shortness of breath, poor appetite and loose stools, pale or sallow complexion.
Tongue: Pale, puffy body with teeth marks and thin white coating. Pulse: Fine and weak, especially at right Guan.
Treatment principle: Tonify Spleen-Qi to restore its ability to contain Blood within the vessels, addressing passive seepage rather than active inflammation.
Note: moxa strongly indicated throughout. Direct match with this site's own Spleen-not-controlling-Blood slide.
Related conditions

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