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Dark Face

How Chinese medicine differentiates a dark facial complexion into the six patterns you'll actually meet in practice, and the points for each — distinct from this site's own Age Spots and Macules pages, which cover localized spots rather than an overall dark complexion. 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 darkening complexion alongside weight loss, weakness, or salt cravings should be medically evaluated (adrenal causes need ruling out) before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for a dark facial complexion — 12 key points, used across the patterns below rather than tied to just one.

PointKey action
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
BL-17Invigorates Blood. Cools Blood. Stops bleeding. Nourishes Blood.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
LR-3Subdues Liver-Yang. Invigorates Blood and regulates menstruation.
ST-36Tonifies Qi and Blood. Tonifies the Stomach and Spleen.
REN-6Tonifies Qi and Yang. Raises sinking Qi.
KI-3Tonifies the Kidneys (both Yin and Yang). Strengthens the lower back and knees.
KI-6Nourishes Kidney-Yin. Calms the Mind.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
BL-18Resolves Damp-Heat. Moves Liver-Qi and eliminates stagnation. Nourishes Liver-Blood.
P-6Opens the chest and moves Qi and Blood. Calms the Mind.
BL-20Tonifies Spleen and Stomach. Resolves Dampness. Lifts Spleen-Qi.
SP-9Regulates the Spleen. Resolves Dampness.
ST-40Resolves Phlegm and Dampness. Opens the chest and subdues rebellious Qi.
G.B.-34Promotes the smooth flow of Liver-Qi. Resolves Damp-Heat. Benefits the sinews.
BL-15Calms the Mind. Nourishes the Heart. Clears Heat. Regulates Heart-Qi and invigorates Blood.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Blood Stagnation View full pattern →

Clinical manifestations: Dark or dusky facial complexion, fixed stabbing pain worsening at night, dark menstrual blood with clots, purple or dark lips and nails, rough/dry/scaly skin.
Tongue: Dark purple body with stasis spots, distended sublingual veins, thin white coat. Pulse: Choppy or wiry.
Treatment principle: Invigorate Blood and dispel stasis to restore circulation to the face.
Note: no moxa. Direct match with this site's own Liver-Blood-stasis slide.

2. Qi Deficiency Causing Blood Stagnation View full pattern →

Clinical manifestations: Dark, dull, or dusky complexion lacking luster, extreme fatigue and lack of strength, shortness of breath on exertion with reluctance to speak, fixed stabbing pain worse with pressure, spontaneous sweating with mild activity.
Tongue: Pale-dark or pale-purple body with possible stasis spots and teeth marks, distended sublingual veins, thin white coat. Pulse: Deep, fine/weak, choppy.
Treatment principle: Tonify Qi to power Blood circulation, then gently move stagnant Blood.
Note: moxa applicable on ST-36/REN-6. Also linked to this site's own Liver-Blood-stasis slide via the established Qi-deficiency-causing-stasis extension — the second and last use of that slide on this page, within the established two-per-page cap.

3. Kidney and Liver Yin Deficiency View full pattern →

Clinical manifestations: Dark, withered facial complexion, malar flush especially in the afternoon, night sweats with heat in the palms/soles/chest, dry eyes with blurred vision, soreness and weakness of the lower back and knees, rough/dry/scaly skin.
Tongue: Red, thin body with cracks, little or no coating, dry surface. Pulse: Fine, rapid, often wiry, weak at the left Chi (Kidney) position.
Treatment principle: Nourish Kidney and Liver Yin while clearing deficiency Heat.
Note: no moxa. Direct match with this site's own Kidney-and-Liver-Yin-deficiency slide.

4. Heart Blood Stagnation View full pattern →

Clinical manifestations: Dark, dusky, or purplish facial hue, stabbing or pricking chest pain in a fixed location, purple or dark discoloration of the lips and nails, palpitations or anxiety during pain episodes, pain radiating to the shoulder/upper back/inner left arm.
Tongue: Dark purple body with stasis spots, distended sublingual veins, thin white coat. Pulse: Choppy or knotted, especially at the left Cun position.
Treatment principle: Invigorate Blood and eliminate stasis in the chest.
Note: no moxa. Direct exact-name match with this site's own Heart-Blood-stasis slide.

5. Spleen Deficiency With Dampness

Clinical manifestations: Dark, sallow, or greasy facial complexion, abdominal bloating worse after eating, loose stools, heaviness in the body and limbs, swollen tongue with teeth marks and greasy coating.
Tongue: Pale, swollen body with teeth marks, white greasy coating, moist surface. Pulse: Soggy and slowed, soft lacking force, may be slippery.
Treatment principle: Strengthen the Spleen and dry Dampness to allow clear Yang to rise.
Note: moxa applicable on BL-20/ST-36. This site has no combined Spleen-deficiency-with-Dampness slide, a gap confirmed absent many times over — no pattern link is given here; points still link fine individually.

6. Phlegm in the Channels, Joints and Muscles

Clinical manifestations: Fixed stabbing joint pain, hard swelling or nodules near joints, heavy/numb sensation in the limbs, puffy eyelids and chest tightness, excessive phlegm or mucus, dark/cloudy facial complexion.
Tongue: Purple body with stasis spots, white greasy coating, distended sublingual veins. Pulse: Wiry and choppy, or wiry and slippery if Phlegm predominates.
Treatment principle: Unblock channels, dispel Wind-Dampness, transform Phlegm and move Blood.
Note: no moxa. This site has no Phlegm-in-the-channels/joints/muscles slide on any deck, a gap confirmed absent many times over — no pattern link is given here; points still link fine individually.
Related conditions

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