Logout 📊 Admin
🏠 Home

Congenital Adrenal Hyperplasia

How Chinese medicine differentiates the presentation of congenital adrenal hyperplasia into the five patterns described for it, and the points for each. Supportive reading only. 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. Congenital adrenal hyperplasia is a genetic hormonal condition needing lifelong medical management (hormone replacement, monitoring for salt-wasting crises). Acupuncture is at most a gentle, supportive adjunct alongside that care, never a substitute for it — and needling in infants and young children is at most gentle and brief, or acupressure taught to a caregiver.
General Acupuncture Points

Acupuncture points traditionally used for congenital adrenal hyperplasia — 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.
REN-4Nourishes Blood and Yin. Strengthens the Kidneys. Strengthens the Uterus and regulates menstruation.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney and Spleen Yang Deficiency View full pattern →

Clinical manifestations: Cold hands and feet; profound fatigue; poor appetite with bloating; loose stools; clear, frequent urination; salt-wasting episodes.
Tongue: Pale, swollen, tooth-marked, white slippery coat. Pulse: Deep, weak, slow; feeble at the Kidney and Spleen positions.
Treatment principle: Warms and tonifies Kidney Yang to reignite the body's warming fire and strengthen Spleen Yang.
Note: moxa is strongly indicated. A salt-wasting crisis is a medical emergency. Linked to this site's own Kidney-and-Spleen-Yang-deficiency slide.

2. Liver Qi Stagnation Turning into Heat View full pattern →

Clinical manifestations: Explosive anger and irritability; bitter taste; rib-side distending pain; red face and eyes; acne and excess hair growth; early pubic hair development; restless sleep.
Tongue: Red with redder sides, yellow coat. Pulse: Wiry and rapid, especially at the left middle position.
Treatment principle: Courses Liver Qi to resolve constraint and clears Heat from the Liver and Blood.
Note: no moxa.

3. Kidney Yin Deficiency with Empty-Heat Blazing View full pattern →

Clinical manifestations: Night sweats; five-palm heat; malar flushing; dry throat at night; dark scanty urine; irritability and restlessness; lower-back soreness and weakness.
Tongue: Red, thin, dry, little or no coat, possible cracks. Pulse: Fine and rapid, weak at the rear positions.
Treatment principle: Nourishes Kidney Yin to anchor Yang and clears Empty-Heat without injuring Yin reserves.
Note: no moxa (Yin deficiency with heat signs).

4. Phlegm-Dampness in the Middle Burner

Clinical manifestations: Upper-abdominal heaviness and bloating after eating; edema or puffiness; nausea; a heavy sensation in the head and limbs; poor appetite with a sticky taste.
Tongue: Pale, swollen, tooth-marked, thick white greasy excessively moist coat. Pulse: Slippery, often slow or soggy, especially at the right middle position.
Treatment principle: Dries Dampness and transforms Phlegm to regulate Qi and harmonize the Middle Burner.
Note: This site's decks have no Phlegm-Dampness-in-the-Middle-Burner slide — no pattern link is given here.

5. Qi and Blood Deficiency

Clinical manifestations: Persistent fatigue and weakness; dull, pale complexion; dizziness or lightheadedness; palpitations; poor appetite; spontaneous sweating.
Tongue: Pale, possibly thin with tooth marks, thin white coat. Pulse: Fine, weak, empty; especially weak at the right middle position.
Treatment principle: Tonifies Spleen Qi and raises clear Yang, while indirectly supporting Blood production.
Note: moxa is appropriate. No combined Qi-and-Blood-deficiency slide exists on this site's decks — no pattern link is given here.
Related conditions

Spot an error, or have more to add? Send it to admin on WhatsApp and it'll be corrected/added here.