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Bone Spurs

How Chinese medicine differentiates bone spurs into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Osteoarthritis and Heel Pain pages. 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. Bone spurs are a structural, imaging-confirmed diagnosis; acupuncture can support pain and stiffness but does not remove the spur itself. New or worsening nerve symptoms (numbness, weakness) need medical assessment.
General Acupuncture Points

Acupuncture points traditionally used for bone spurs — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
G.B.-34Promotes the smooth flow of Liver-Qi. Resolves Damp-Heat in Liver and Gall Bladder. Benefits the sinews.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney Essence Deficiency View full pattern →

Clinical manifestations: Deep, dull ache in the lower back and knees; weakness and soreness in the bones and joints; premature graying; poor memory; frequent night-time urination.
Tongue: Pale, thin, fine cracks, little or no coating. Pulse: Deep and fine, weak at the rear positions.
Treatment principle: Nourishes Kidney Essence and marrow to strengthen the bones.
Note: moxa is appropriate.

2. Kidney and Liver Yin Deficiency View full pattern →

Clinical manifestations: Dull, aching joint pain worse at night; night sweats with heat in the palms and soles; dry eyes; soreness and weakness of the lower back and knees.
Tongue: Red, thin, cracked, little or no coating, dry. Pulse: Fine, rapid and wiry, weak at the left rear position.
Treatment principle: Nourishes Kidney and Liver Yin while clearing deficiency Heat.
Note: no moxa (Yin deficiency with heat signs).

3. Qi and Blood Stagnation

Clinical manifestations: Sharp, stabbing pain at a fixed joint; pain worse with pressure or use; history of injury or repetitive strain.
Tongue: Dark purple with stasis spots, distended sublingual veins, thin white coat. Pulse: Wiry and choppy.
Treatment principle: Invigorates Blood and Qi, removes stasis and unblocks the channels.
Note: no moxa. No combined Qi-and-Blood-stagnation slide exists on this site's decks — no pattern link is given here.

4. Spleen Qi Deficiency View full pattern →

Clinical manifestations: Dull, aching bone pain; fatigue and heaviness in the limbs; poor appetite with bloating; loose stools; a pale, slightly sallow complexion.
Tongue: Pale, puffy, tender, tooth-marked, thin white coating. Pulse: Deficient and soft, weak at the right middle position.
Treatment principle: Tonifies Spleen Qi to restore the production of Qi and Blood that nourishes the bones.
Note: moxa is appropriate.

5. Painful Obstruction due to Damp-Heat in the Channels

Clinical manifestations: Joint pain with redness and heat; a heavy, aching sensation in the limbs; swollen, hot joints; pain worse with warmth, better with cold; irritability.
Tongue: Red, possibly swollen, yellow greasy coating. Pulse: Slippery and rapid, may be soggy.
Treatment principle: Clears Heat and dries Dampness; unblocks the channels and relieves the obstruction.
Note: no moxa. This site's decks have no Bi-syndrome slide, confirmed absent many times — no pattern link is given here.

6. Cold Invading the Channels, Joints and Muscles

Clinical manifestations: Deep, stabbing pain fixed in one spot; the joint feels icy cold; pain worse with cold, improves with warmth; stiffness that eases after warming.
Tongue: Pale, thin white coat, moist surface. Pulse: Tight and wiry, possibly slow.
Treatment principle: Warms the channels and disperses Cold; restores Qi and Blood circulation.
Note: moxa is strongly indicated.
Related conditions

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