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Diverticulitis

How Chinese medicine differentiates diverticulitis, the four 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. Fever, severe abdominal pain, or a rigid abdomen needs urgent medical evaluation to rule out perforation or abscess before acupuncture is considered.
General Acupuncture Points

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

PointKey action
ST-25Regulates the Intestines, moves Qi and invigorates Blood, resolves Dampness.
ST-37Regulates the Stomach and Intestines, eliminates Damp-Heat.
L.I.-4Removes obstructions from the channel, stops pain.
ST-36Benefits Stomach and Spleen, tonifies Qi and Blood.
BL-25Back-Transporting point of the Large Intestine — regulates the Intestines.
SP-10Cools Blood, invigorates Blood and eliminates stasis.
SP-6Strengthens the Spleen, nourishes Blood and Yin.
Ren-12Tonifies Stomach and Spleen, regulates Stomach-Qi.
KI-3Tonifies the Kidneys (Yin and Yang), benefits Essence.
KI-6Nourishes Kidney-Yin, clears deficiency Heat.
The Four Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Damp-Heat in the Large Intestine View full pattern →

Clinical manifestations: Cramping or aching lower abdominal pain, often left-sided; fever with a body-heat sensation; nausea with poor appetite and heaviness in the limbs; urgent bowel movements with mucus or loose stools (or constipation with an incomplete-evacuation sensation).
Tongue: Red body with thick, yellow, greasy coating. Pulse: Slippery and rapid.
Treatment principle: Drain Heat, resolve Dampness, and break Blood stasis, unblocking the bowel gently.
Note: no moxa. Direct match with Damp-Heat in the Large Intestine.

2. Heat and Blood Stagnation in the Lower Burner

Clinical manifestations: Fixed, stabbing or cutting lower abdominal pain; lower-abdominal hardness resisting pressure; fever worsening at night; dark or black stools; irritability, restlessness, agitation; dark purple lips.
Tongue: Reddish-purple body with stasis spots, dry yellow coating. Pulse: Deep, choppy, rapid.
Treatment principle: Break Blood stasis and cool Heat before a fixed blockage forms an abscess.
Note: no moxa. No deck on this site has a Heat-and-Blood-stagnation-in-the-Lower-Burner category, so no pattern link is given here.

3. Qi and Blood Deficiency

Clinical manifestations: Dull, lingering (not sharp) abdominal pain; overwhelming fatigue and weakness; a pale or sallow complexion; poor appetite with loose stools; dizziness or lightheadedness.
Tongue: Pale body, may be slightly thin with teeth marks, thin white coating. Pulse: Fine, weak, feels empty under pressure.
Treatment principle: Rebuild Qi and Blood so the Spleen can nourish the intestines and support healing.
Note: moxa applicable. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.

4. Empty-Heat caused by Yin Deficiency View full pattern →

Clinical manifestations: Low-grade afternoon or evening fever; night sweats; a dry mouth and throat, worse at night; heat in the palms, soles, and chest; a dull, persistent lower abdominal pain, worsening at night; flushed cheekbones; restlessness and difficulty sleeping.
Tongue: Red, thin, dry body with cracks, little or no coating. Pulse: Fine and rapid, weak on deeper pressure, especially at the left Chi position.
Treatment principle: Nourish Yin to replenish cooling and moistening resources depleted by dry Heat.
Note: no moxa. Direct match with Kidney-Yin deficiency, Empty-Heat blazing — night sweats, five-palm/chest heat and a dry throat worse at night are shared.
Related conditions

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