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Cushing's Syndrome

How Chinese medicine differentiates Cushing's syndrome into the six patterns you'll actually meet in practice, and the points for each. Supportive care alongside endocrinology management, not a substitute for it. 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. Cushing's syndrome needs medical diagnosis and treatment of its underlying cause (a pituitary or adrenal tumor, or corticosteroid medication); acupuncture here is supportive of the underlying pattern, not a substitute for that treatment.
General Acupuncture Points

Acupuncture points traditionally used for Cushing's syndrome (supportive, alongside endocrinology care) — 11 key points, used across the patterns below rather than tied to just one.

PointKey action
KI-3Tonifies the Kidneys (both Yin and Yang). Strengthens the lower back and knees.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
KI-10Resolves Dampness from the Lower Burner. Tonifies Kidney-Yin.
ST-40Resolves Phlegm and Dampness. Calms the Mind and opens the Mind's orifices.
SP-9Regulates the Spleen. Resolves Dampness.
ST-36Tonifies Qi and Blood. Tonifies the Stomach and Spleen.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
REN-6Tonifies Qi and Yang. Raises sinking Qi.
LR-3Subdues Liver-Yang. Invigorates Blood and regulates menstruation.
G.B.-20Expels exterior Wind. Extinguishes interior Wind. Subdues Liver-Yang. Clears Heat.
L.I.-4Expels exterior Wind. Stops pain. Removes obstructions from the channel.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney Yin Deficiency With Empty-Heat Blazing View full pattern →

Clinical manifestations: Malar flush, night sweats, deep lower back soreness and weakness, five-palm heat, dry throat and thirst especially at night, mental restlessness, insomnia, flushed face, red eyes.
Tongue: Red, thin, dry body with little or no coating, possible cracks. Pulse: Fine and rapid, weak at the rear (Kidney) position.
Treatment principle: Nourish Yin, clear Deficiency Heat.
Note: no moxa. Direct match with this site's own Kidney-Yin-deficiency-Empty-Heat-blazing slide.

2. Phlegm-Dampness in the Middle-Burner

Clinical manifestations: Truncal obesity with relatively thin limbs, moon face, buffalo hump, heavy and sluggish sensation, upper abdominal bloating worse after eating, poor appetite, loose sticky stools, drowsiness, mental fogginess.
Tongue: Pale and swollen with teeth marks, thick white greasy coating, moist. Pulse: Slippery, often slow or soggy, noticeable at the right middle position.
Treatment principle: Dry Dampness and transform Phlegm, regulate Qi and harmonize the middle burner.
Note: no moxa. This site has no plain Phlegm-Dampness-in-the-Middle-Burner slide, the same gap confirmed on the Vertex Headache and BPPV pages last batch — no pattern link is given here; points still link fine individually.

3. Qi and Yin Deficiency

Clinical manifestations: Profound persistent fatigue, muscle wasting and weakness, night sweats, spontaneous daytime sweating, shortness of breath on exertion, dry mouth with little desire to drink, warm palms/soles/chest.
Tongue: Red or pale-red body with thin or absent coating, possibly cracked and dry. Pulse: Fine and weak, often rapid.
Treatment principle: Tonify Qi, generate fluids, nourish Yin.
Note: moxa applicable on ST-36/REN-6. This site has no combined Qi-and-Yin-deficiency slide on any deck — no pattern link is given here; points still link fine individually.

4. Liver Yang Rising View full pattern →

Clinical manifestations: Throbbing temple headache, dizziness with a heavy head and light feet, irritability and short temper, flushed face and red eyes.
Tongue: Red body with redder sides, thin dry yellow or scanty coat, possibly slightly trembling. Pulse: Wiry, often fine and rapid at the left middle position.
Treatment principle: Calm the Liver and subdue Yang, clear Heat and drain Fire.
Note: no moxa. Direct exact-name match with this site's own Liver-Yang-rising slide.

5. Damp-Heat Invading the Spleen View full pattern →

Clinical manifestations: Stuffiness and fullness in the upper abdomen, poor appetite with nausea, loose sticky stools (incomplete), heavy sensation in the body and limbs, sticky or greasy taste in the mouth, low-grade fever not relieved by sweating.
Tongue: Red body with yellow greasy coating (thickest at the center and root), possibly swollen with teeth marks. Pulse: Soggy and rapid, or slippery.
Treatment principle: Clear Heat and drain Dampness, regulate Qi and harmonize the middle burner.
Note: no moxa. Direct match with this site's own Damp-Heat-invading-the-Spleen slide.

6. Qi and Blood Stagnation View full pattern →

Clinical manifestations: Purple striae on the abdomen or thighs, easy bruising, fixed stabbing pain in the abdomen or ribs, irritability and mood swings, dark purple lips or complexion, absent or painful periods with dark clotted blood.
Tongue: Dark purple body with stasis spots, distended sublingual veins, thin white coat. Pulse: Wiry and choppy, like a knife scraping bamboo.
Treatment principle: Invigorate Blood and dispel stasis, move Qi and alleviate pain.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide via the discoloration-marker rule — the purple striae/easy bruising presentation is a strong fit.
Related conditions

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