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Burning Hot Skin to the Touch

How Chinese medicine differentiates skin that feels burning hot to the touch into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Heat Rash page. 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 measured fever, spreading redness, or skin that is hot alongside confusion needs prompt medical evaluation before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for skin that feels burning hot to the touch — 12 key points, used across the patterns below rather than tied to just one.

PointKey action
L.I.-4Expels exterior Wind and releases the Exterior. Regulates Defensive Qi.
L.I.-11Clears Heat and cools Blood. Resolves Dampness.
G.B.-20Expels exterior and interior Wind. Subdues Liver-Yang.
DU-14Clears Heat. Releases the Exterior and expels exterior Wind.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
KI-3Tonifies the Kidneys (both Yin and Yang). Benefits Essence.
KI-6Nourishes Kidney-Yin. Calms the Mind.
LR-3Subdues Liver-Yang. Promotes the smooth flow of Liver-Qi.
LR-2Drains Liver-Fire and subdues Liver-Yang.
LR-14Promotes the smooth flow of Liver-Qi and harmonizes Liver and Stomach.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Wind-Heat View full pattern →

Clinical manifestations: Sudden onset after wind or cold exposure, mild red rash or urticaria, sore red throat, thirst with desire for cold drinks, skin feels hot but may have mild chills.
Tongue: Red tip and edges with thin yellow or thin white-to-yellow coating. Pulse: Floating and rapid.
Treatment principle: Dispels Wind, clears Heat, and relieves skin burning and itching caused by Wind-Heat invasion.
Note: no moxa. Linked to this site's own Invasion-of-Lungs-by-Wind-Heat slide via the established exterior-invasion convention, regardless of body location.

2. Toxic-Heat

Clinical manifestations: Painful, hot, red skin eruptions (boils, abscesses, carbuncles), thirst with desire for cold drinks, restlessness, irritability, or difficulty sleeping, dark scanty urine or constipation.
Tongue: Red body with prickly raised papillae, dry yellow coating. Pulse: Rapid and forceful, often full or overflowing.
Treatment principle: Clears Heat and resolves toxins deep in the body.
Note: no moxa; boils or abscesses needing drainage need medical evaluation regardless. This site has no standalone Toxic-Heat slide on any deck — no pattern link is given here; points still link fine individually.

3. Heat in the Blood

Clinical manifestations: Bright red skin rashes or eruptions, skin feels warm or burning especially at night, flushed red face, thirst with desire for cold drinks, restlessness, irritability, or difficulty sleeping.
Tongue: Red body with red spots or prickles, thin yellow dry coating. Pulse: Rapid, often wiry and forceful.
Treatment principle: Intense Heat enters the Blood level, making the Blood 'reckless' and agitated.
Note: no moxa. This site has no standalone Heat-in-the-Blood slide on any deck, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

4. Damp-Heat View full pattern →

Clinical manifestations: Skin burning with weeping or oozing, heavy sluggish feeling in the body, sticky greasy taste in the mouth, loose sticky stools that feel incomplete.
Tongue: Red body with yellow greasy coating, may be swollen with teeth marks. Pulse: Soggy-rapid or slippery-rapid.
Treatment principle: Drains Dampness and clears Heat from the skin, especially with burning, oozing, or weeping.
Note: no moxa. Matched to this site's own Damp-Heat-invading-the-Spleen slide.

5. Empty-Heat From Yin Deficiency View full pattern →

Clinical manifestations: Skin feels warm or burning especially at night, night sweats, dry mouth and throat worse in the evening, heat sensation in the palms, soles, and chest, flushed cheekbones.
Tongue: Red, thin, dry body with cracks, little or no coating. Pulse: Fine and rapid, weak on deep pressure.
Treatment principle: Nourishes Yin and clears Empty-Heat, addressing the root cause of the burning sensation.
Note: no moxa. Matched to this site's own Kidney-Yin-deficiency-Empty-Heat-blazing slide.

6. Liver Qi Stagnation Transforming Into Heat View full pattern →

Clinical manifestations: Skin burning that flares with anger or frustration, distending or burning pain along the ribs, irritability and explosive anger, bitter taste in the mouth, red face and eyes.
Tongue: Red body with redder sides, yellow coating. Pulse: Wiry and rapid.
Treatment principle: Blocked Liver-Qi generates internal Heat that rises upward along the Liver channel.
Note: no moxa. Direct exact-name match with this site's own Stagnant-Liver-Qi-turning-into-Heat slide.
Related conditions

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