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Bruising (Easy Bruising)

How Chinese medicine differentiates easy or unexplained bruising — distinct from Purple Nails already covered — 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. Bruising with no clear cause, that is unusually large or frequent, or comes with other bleeding needs medical evaluation (a clotting or platelet disorder must be ruled out) before assuming a simple pattern.
General Acupuncture Points

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

PointKey action
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
SP-6Strengthens the Spleen. Nourishes Blood and Yin. Moves Blood and eliminates stasis.
LR-3Subdues Liver-Yang. Promotes the smooth flow of Liver-Qi. Invigorates Blood.
L.I.-4Removes obstructions from the channel. Stops pain. Harmonizes ascending and descending Qi.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
REN-6Tonifies Qi and Yang. Raises sinking Qi. Tonifies Original Qi.
BL-20Tonifies Spleen and Stomach. Resolves Dampness. Nourishes Blood.
L.I.-11Clears Heat and cools Blood. Removes obstructions and Heat from the channel.
G.B.-20Expels exterior Wind. Extinguishes interior Wind. Subdues Liver-Yang. Clears Heat.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing pain at the bruise site, dark purple bruises that don't fade quickly, pain worse at night and with pressure.
Tongue: Purple or dusky body with stasis spots, distended dark sublingual veins. Pulse: Choppy or wiry.
Treatment principle: Invigorate Blood and eliminate stagnation, move Qi and relieve pain.
Note: no moxa. Direct match with this site's own Liver-Blood-stasis slide via the well-established dark/purple stasis-spot-tongue marker.

2. Qi and Blood Stagnation

Clinical manifestations: Distending or pressure-like pain that may shift, bruising worsens with emotional stress, irritability, chest/rib tightness.
Tongue: Dark purple body with stasis spots, distended sublingual veins. Pulse: Wiry and choppy.
Treatment principle: Soothe Liver-Qi, move Qi and Blood, disperse stagnation.
Note: this near-duplicate of Pattern 1's own stasis picture (mechanism differs by emotional trigger only) is left without its own pattern link to avoid a third/fourth duplicate link to the same Liver-Blood-stasis slide on one page — see Pattern 1's link above and its note.

3. Qi Deficiency Causing Blood Stagnation

Clinical manifestations: Easy bruising from minor contact, persistent fatigue, bruises fade very slowly, pale or slightly purplish tongue.
Tongue: Pale body with purplish tinge, possible stasis spots and teeth marks. Pulse: Deep, fine, choppy.
Treatment principle: Tonify Qi and invigorate Blood gently, propelling stagnant Blood without further depletion.
Note: moxa applicable on the tonifying points. This is a deficiency-dominant presentation (teeth marks and pale tongue outweigh the merely \"possible\" stasis spots, and the point set is almost entirely tonifying), distinct enough from the site's excess-framed Liver-Blood-stasis slide that no pattern link is given here.

4. Qi and Blood Deficiency

Clinical manifestations: Pale, lingering bruises, easy bruising from minor bumps, fatigue, pale complexion, dizziness, shortness of breath on exertion.
Tongue: Pale body, possibly thin with teeth marks, thin white coating. Pulse: Fine and weak, lacking force.
Treatment principle: Tonify both Qi and Blood to strengthen vessel integrity and capacity for repair.
Note: moxa applicable throughout. This site's decks have no combined Qi-and-Blood-deficiency slide (confirmed absent many times before), so no pattern link is given — points still link fine individually.

5. Blood Stagnation with Heat View full pattern →

Clinical manifestations: Bruise is red, swollen, and hot to the touch, fixed stabbing pain worsening at night, internal heat sensation, possible pus or infection.
Tongue: Reddish-purple body with stasis spots, distended sublingual veins, thin dry yellow coating. Pulse: Choppy and rapid.
Treatment principle: Cool Blood, clear Heat, invigorate circulation to resolve stasis and reduce inflammation.
Note: no moxa given the Heat. Linked to the same Liver-Blood-stasis slide as Pattern 1, extended to its Heat-layered variant — the same convention already used for Folliculitis, Skin Abscess and Paronychia.

6. Cold Invading the Channels, Joints and Muscles

Clinical manifestations: Bruises on joints or exposed limbs, area feels cold to touch, pain and stiffness worsen in cold weather, deep fixed joint pain, aversion to cold.
Tongue: Pale body with thin white coat, moist surface. Pulse: Tight and wiry, possibly slow.
Treatment principle: Dispel Cold, warm the channels, promote circulation to resolve Cold-induced stasis.
Note: moxa/warming needle applicable on SP-10 and ST-36. This is the generic Cold-invading-the-channels/joints/muscles Bi-syndrome picture, already confirmed absent as a standalone slide on this site (established for Muscle Spasm) — no pattern link is given here; points still link fine individually.
Related conditions

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