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Cyanosis

How Chinese medicine differentiates cyanosis into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Pale Fingertips and Toes and Cold Extremities pages. 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. Sudden bluish discoloration of the lips, face or fingertips, especially with breathing difficulty or chest pain, is a medical emergency — seek immediate care. This page addresses only chronic, medically-evaluated cyanosis as supportive care.
General Acupuncture Points

Acupuncture points traditionally used for cyanosis (bluish skin discoloration) — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
SP-10Cools Blood. Invigorates Blood and eliminates stasis. Blood SP-10 SP-9 10 Xuehai
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi Deficiency Causing Blood Stagnation

Clinical manifestations: Bluish-purple lips and nails; extreme fatigue; shortness of breath with exertion; dizziness; a dull complexion; a weak voice.
Tongue: Pale with a purple tinge or stasis dots. Pulse: Weak, choppy.
Treatment principle: Tonifies Qi to propel Blood and restore circulation.
Note: moxa is appropriate. No combined Qi-Deficiency-causing-Blood-Stagnation slide exists on this site's decks — no pattern link is given here.

2. Blood Stagnation View full pattern →

Clinical manifestations: Dark, purplish lips and nails; fixed, stabbing pain worse with pressure; dark menstrual blood with clots; pain worsens at night.
Tongue: Dark purple with stasis spots, distended sublingual veins. Pulse: Choppy.
Treatment principle: Invigorates Blood and disperses stasis; moves Qi to relieve obstruction.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide per the discoloration-marker rule.

3. Empty-Heat Caused by Yin Deficiency View full pattern →

Clinical manifestations: Dry, purplish lips and tongue; night sweats; heat in the palms, soles and chest; a flushed cheekbone; a dry mouth worse at night; restlessness and insomnia.
Tongue: Red, dry, thin with cracks, little coating. Pulse: Fine, rapid.
Treatment principle: Nourishes Yin and clears deficiency Heat; cools the Blood.
Note: no moxa. Linked to this site's own Kidney-Yin-deficiency-Empty-Heat-blazing slide.

4. Kidney Yang Deficiency with Water Overflowing View full pattern →

Clinical manifestations: Leg and ankle swelling; a cold feeling especially in the lower back and legs; scanty urination; pale bluish skin around the eyes and lips; cold hands and feet; lower back soreness.
Tongue: Pale, puffy, teeth-marked, white slippery coating. Pulse: Deep, slow, weak.
Treatment principle: Warms Kidney Yang, promotes urination, drains Dampness and transforms water.
Note: moxa is strongly indicated.

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

Clinical manifestations: Copious white sticky phlegm, easy to expectorate; chest fullness and heaviness; poor appetite; loose stools; body heaviness and fatigue; a dull bluish tint.
Tongue: Pale, swollen, teeth-marked, thick white greasy coating. Pulse: Slippery.
Treatment principle: Dries Dampness and transforms Phlegm; regulates Qi and restores Lung function.
Note: moxa is appropriate.

6. Qi and Yin Deficiency

Clinical manifestations: Bluish-purple lips and nails; extreme fatigue and weakness; a dry mouth and throat with little desire to drink; night sweats; heat in the palms, soles and chest; dizziness.
Tongue: Red, thin or absent coating, dry or cracked. Pulse: Fine, weak, often rapid.
Treatment principle: Tonifies Qi and Yin, generates fluids and stabilizes circulation.
Note: moxa is appropriate. No combined Qi-and-Yin-deficiency slide exists on this site's decks — no pattern link is given here.
Related conditions

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