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Chickenpox

How Chinese medicine differentiates chickenpox into the five 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. The varicella vaccine is the primary preventive measure. High fever, difficulty breathing, or lesions that become deeply infected need prompt medical evaluation before assuming a simple pattern.
General Acupuncture Points

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

PointKey action
L.I.-4Expels exterior Wind. Regulates Defensive Qi.
LU-7Promotes the descending and diffusing of Lung-Qi. Releases the Exterior and expels exterior Wind.
DU-14Clears Heat. Releases the Exterior and expels exterior Wind.
G.B.-20Expels exterior Wind. Clears Heat.
L.I.-11Clears Heat and cools the Blood. Resolves Dampness.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
ST-36Tonifies Qi and Blood. Tonifies the Stomach and Spleen.
BL-15Calms the Mind. Nourishes the Heart. Clears Heat.
HE-7Calms the Mind and opens the Mind's orifices. Nourishes Heart-Blood.
BL-13Stimulates the diffusing and descending of Lung-Qi. Expels external Wind.
LU-5Clears Lung-Heat. Promotes the descending of Lung-Qi.
ST-40Resolves Phlegm and Dampness. Opens the chest and subdues rebellious Qi.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Wind-Heat Invading the Lungs View full pattern →

Clinical manifestations: Low-grade fever, mild cough, sore throat, thirst, sparse clear fluid-filled vesicles.
Tongue: Red tip with thin yellow coating. Pulse: Floating and rapid.
Treatment principle: Release the exterior and gently cool the Heat, expelling Wind-Heat from the surface.
Note: no moxa. Matched to this site's own Invasion-of-Lungs-by-Wind-Heat slide, the established exterior-invasion convention.

2. Toxic-Heat

Clinical manifestations: High fever with a flushed face, dense rash with large turbid vesicles, intense thirst for cold drinks, restlessness and irritability, dark scanty urine.
Tongue: Red body with prickly thorns and dry yellow coating. Pulse: Rapid, slippery, forceful.
Treatment principle: Aggressively clear deep Heat and resolve toxicity affecting the Qi and Nutritive levels.
Note: no moxa. This site has no standalone Toxic-Heat slide on any deck, a gap confirmed absent many times over — no pattern link is given here; points still link fine individually.

3. Toxic-Heat Stagnation

Clinical manifestations: Pustular lesions with thick foul-smelling pus, localized redness/swelling/severe pain at lesion sites, intense thirst, restlessness and irritability.
Tongue: Deep red or crimson body with possible prickly papillae and thick dry yellow coating. Pulse: Rapid and forceful.
Treatment principle: Clear intense localized Heat and toxin, promote pus expulsion.
Note: no moxa; pustular lesions with pus need medical evaluation to rule out secondary bacterial infection. This site has no standalone Toxic-Heat slide on any deck — no pattern link is given here; points still link fine individually.

4. Heat in the Pericardium View full pattern →

Clinical manifestations: High fever with a flushed face, delirium/incoherent speech/loss of consciousness, cold hands and feet despite a burning hot body, convulsions or muscle twitching.
Tongue: Crimson, stiff or shortened, with yellow dry coating or minimal coating. Pulse: Fine and rapid.
Treatment principle: Clear extreme interior Heat from the Pericardium, calm the spirit — a medical emergency.
Note: no moxa; this is a medical emergency requiring immediate hospital care. Direct match with this site's own Heat-in-the-Pericardium slide, also badged Emergency.

5. Phlegm-Heat in the Lungs View full pattern →

Clinical manifestations: Cough with copious thick yellow or green sputum, shortness of breath and rapid labored breathing, wheezing or gurgling throat sounds, chest tightness, fever with a flushed face and thirst.
Tongue: Red body (possibly swollen at the front) with thick yellow greasy coating. Pulse: Slippery and rapid.
Treatment principle: Clear Lung Heat and transform sticky Phlegm obstruction.
Note: no moxa. Direct exact-name match with this site's own Phlegm-Heat-in-the-Lungs slide.
Related conditions

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