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Blepharitis

How Chinese medicine differentiates blepharitis, the six 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. Vision changes, severe pain, or pus-filled lesions should be assessed medically alongside any acupuncture care.
General Acupuncture Points

Acupuncture points traditionally used for blepharitis — 11 key points, used across the patterns below rather than tied to just one.

PointKey action
G.B.-20Expels exterior Wind, clears Heat, brightens the eyes.
L.I.-4Expels exterior Wind, releases the Exterior, stops pain.
BL-2Expels Wind, clears Heat, brightens the eyes, subdues Liver-Yang.
ST-36Benefits Stomach and Spleen, tonifies Qi and Blood.
SP-9Regulates the Spleen, resolves Dampness.
BL-1Expels Wind, clears Heat, brightens the eyes.
LR-3Subdues Liver-Yang, promotes the smooth flow of Liver-Qi, invigorates Blood.
LR-2Drains Liver-Fire, subdues Liver-Yang.
L.I.-11Clears Heat and cools Blood, resolves Dampness.
KI-3Tonifies the Kidneys (Yin and Yang), benefits Essence.
SP-6Strengthens the Spleen, nourishes Blood and Yin.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence.
BL-18Nourishes and invigorates Liver-Blood.
HE-7Calms the Mind and opens the Mind's orifices, nourishes Heart-Blood.
HE-5Calms the Mind, tonifies Heart-Qi, benefits eyes and head.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Wind-Heat View full pattern →

Clinical manifestations: Sudden eyelid redness and swelling; itching and a burning sensation; an aversion to wind or mild chills.
Tongue: Red tip and edges, thin yellow coating. Pulse: Floating and rapid.
Treatment principle: Disperse Wind-Heat, clear Heat, resolve toxicity.
G.B.-20 ↓ L.I.-4 ↓ EX-HN-5 (Taiyang) ↓ BL-2 ↓
Note: no moxa. Matches Invasion of Lungs by Wind-Heat on the exterior-invasion level — sudden onset, an aversion to wind/chills and a floating-rapid pulse are shared.

2. Damp-Heat in Stomach and Spleen View full pattern →

Clinical manifestations: Sticky yellow discharge and crusting on the eyelashes; heaviness and bloating in the upper abdomen; a sticky or bitter taste in the mouth; loose, sticky bowel movements; poor appetite.
Tongue: Red body with thick yellow greasy coating, especially at the centre and root. Pulse: Soggy, rapid, often slippery.
Treatment principle: Clear Heat and dry Dampness from the digestive system, preventing turbidity from rising to the eyelids.
ST-36 ⊥ SP-9 ↓ BL-1 ⊥ EX-HN-5 (Taiyang) ↓
Note: no moxa. Direct match with Damp-Heat in the Stomach.

3. Liver Fire Blazing View full pattern →

Clinical manifestations: Red, swollen, painful eyelids, possibly with cracking or bleeding; intense irritability and a short temper; a bitter taste in the mouth; a throbbing headache at the temples or crown; a dry mouth and throat.
Tongue: Red body with redder sides, dry yellow coating, possible red prickles. Pulse: Wiry and rapid, full and forceful.
Treatment principle: Drain excess Liver-Fire, clear Heat from the Liver channel.
Note: no moxa. Direct match with Liver-Fire blazing.

4. Toxic-Heat

Clinical manifestations: Pus-filled crusts or ulcers on the eyelid margin; intense, throbbing pain and burning; a feeling of heat or low-grade fever.
Tongue: Red body with prickly thorns and dry yellow coating. Pulse: Rapid and forceful, often slippery.
Treatment principle: Powerfully clear Heat and resolve toxicity, reduce tissue damage and pus formation.
Note: no moxa. No deck on this site has a Toxic-Heat/Fire-poison category, so no pattern link is given here.

5. Kidney and Liver Yin Deficiency View full pattern →

Clinical manifestations: A dry, gritty sensation in the eyes; blurred vision, worse at night; chronic low-grade redness and irritation; soreness and weakness of the lower back and knees; night sweats with heat in the palms and soles.
Tongue: Red, thin body with cracks, little or no coating, dry surface. Pulse: Fine, rapid, wiry, weak in the left Chi position.
Treatment principle: Nourish Liver and Kidney Yin, anchor deficiency Heat, brighten the eyes.
Note: no moxa. Direct match with Kidney- and Liver-Yin deficiency.

6. Heart Fire Blazing View full pattern →

Clinical manifestations: Red, burning eyelids with a sensation of heat; mouth or tongue ulcers with red edges; palpitations and mental restlessness; insomnia with vivid dreams; a bitter taste in the mouth.
Tongue: Red body with a distinctly redder tip, red points on the tip, yellow dry coating. Pulse: Rapid, forceful, overflowing at the left Cun position.
Treatment principle: Clear Heart-Fire, calm the Mind, direct Heat downward.
HE-7 ↓ HE-5 ↓ BL-1 ⊥ EX-HN-5 (Taiyang) ↓
Note: no moxa. Direct match with Heart-Fire blazing.
Related conditions

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