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Boils (Furunculosis)

How Chinese medicine differentiates boils, 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. A boil with spreading redness, red streaking, fever, or one on the face near the nose/upper lip needs urgent medical evaluation — these can indicate a more serious infection.
General Acupuncture Points

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

PointKey action
L.I.-4Expels exterior Wind, regulates Defensive Qi.
L.I.-11Clears Heat and cools Blood.
DU-14Clears Heat, releases the Exterior and expels exterior Wind.
SP-10Cools the Blood, invigorates Blood and removes stagnation.
SP-6Tonifies the Spleen and Stomach, resolves Dampness, benefits urination.
SP-9Regulates the Spleen, resolves Dampness, master point for draining Dampness.
BL-40Cools the blood, clears Summer-Heat.
ST-36Tonifies Qi and Blood, tonifies the Stomach and Spleen.
REN-6Tonifies Original Qi, lifts sinking Qi.
LR-3Subdues Liver-Yang, promotes the smooth flow of Liver-Qi and Blood.
LR-2Clears Liver Fire and subdues Liver-Yang.
KI-3Tonifies the Kidneys, benefits Essence.
KI-6Nourishes Kidney-Yin, clears Empty-Heat.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Toxic-Heat

Clinical manifestations: Red, swollen, hot, painful lump that may form a yellow pus head; fever, feeling of heat throughout the body, intense thirst for cold drinks; dark, scanty urine and constipation; rapid onset and progression; restlessness and irritability.
Tongue: Red body with prickly thorns and dry yellow coating. Pulse: Rapid and forceful, often overflowing or slippery.
Treatment principle: Clear Heat and resolve toxicity, cool the Blood, disperse swelling.
Note: no moxa. No standalone Toxic-Heat slide exists on this site, so no pattern link is given here.

2. Damp-Heat in the Lower Burner View full pattern →

Clinical manifestations: Boils predominantly on lower limbs, buttocks, or groin; oozing, weeping, or itchy lesions that may form yellowish crusts; sensation of heaviness or dragging in the legs; dark, scanty urine or burning urination.
Tongue: Red body with thick, yellow, greasy coating, most prominent at the root. Pulse: Slippery and rapid, often soggy at the rear position.
Treatment principle: Clear Heat and drain Dampness, transform turbidity.
Note: no moxa. Matched to Damp-Heat in the Bladder on the Lower Burner organ-system level, same logic already used for Athlete's Foot's Damp-Heat pattern.

3. Qi and Blood Deficiency

Clinical manifestations: Boils heal slowly with thin, clear discharge; recurrent boils over weeks or months; fatigue and general weakness; pale or sallow complexion; dizziness or lightheadedness; poor appetite.
Tongue: Pale body, may be thin or have teeth marks, thin white coating. Pulse: Fine and weak, especially at the right Guan.
Treatment principle: Tonify Qi, nourish Blood, support the interior.
Note: moxa applicable throughout. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.

4. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing pain; hard lump that does not come to a head easily; dark purple discoloration around the boil; pain worse at night; dark complexion, lips, or nails.
Tongue: Purple or dusky body with stasis spots, distended dark sublingual veins. Pulse: Choppy or wiry.
Treatment principle: Invigorate Blood and dispel stasis, move Qi.
Note: no moxa. Matches Liver-Blood stasis — dark complexion/lips/nails and a purple tongue with stasis spots are the same discoloration markers named there.

5. Liver Qi Stagnation Transforming into Heat View full pattern →

Clinical manifestations: Boils appear or worsen with emotional stress; distending pain in the ribcage; irritability and explosive anger; bitter taste in the mouth.
Tongue: Red body with redder sides and yellow coating. Pulse: Wiry and rapid, especially strong at left Guan.
Treatment principle: Soothe the Liver, clear Heat.
Note: no moxa. Direct match — irritability, outbursts of anger, red face and a feeling of heat are named on that exact deck slide.

6. Empty-Heat Caused by Yin Deficiency View full pattern →

Clinical manifestations: Recurrent, small boils that heal slowly; night sweats; heat sensation in palms and soles; dry mouth and throat, worse at night; restlessness and trouble sleeping.
Tongue: Red, thin, and dry with little to no coating, often with cracks. Pulse: Fine and rapid.
Treatment principle: Nourish Yin, clear Deficiency Heat.
Note: no moxa. Direct match, reusing the same well-established Kidney-Yin/Empty-Heat slide used across many prior conditions.
Related conditions

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