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Dysentery

How Chinese medicine differentiates dysentery — distinct from Diarrhea and Hematochezia already covered — the five 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. Dysentery with high fever, severe dehydration, or blood in the stool always needs medical evaluation before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for dysentery — 7 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-25Front-Mu point of the Large Intestine, regulates Qi and stops diarrhea.
ST-37Lower He-Sea point, clears Damp-Heat from the bowels.
L.I.-4Master point, clears Heat and moves Qi.
ST-36Strengthens the Spleen and transforms Dampness.
REN-12Harmonizes the middle burner, resolves Dampness.
SP-9Drains Dampness from the lower body.
BL-20Tonifies Spleen-Yang to overcome Cold-Damp.
DU-14Clears Heat and resolves toxin, brings down high fever.
DU-20Moxibustion lifts sinking Qi from the top of the body.
REN-6Strengthens the Qi of the entire body.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

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

Clinical manifestations: Abdominal cramping with urgent straining, burning sensation at the anus, stools with mucus and blood, feeling of heaviness in the body and limbs.
Tongue: Red body with a thick yellow greasy coating, thickest at centre and root. Pulse: Slippery and rapid.
Treatment principle: Clear Heat, dry Dampness, invigorate Blood, move Qi, resolve toxicity.
Note: no moxa. Direct match with this site's own Damp-Heat-in-the-Large-Intestine slide.

2. Cold-Dampness in the Lower Burner

Clinical manifestations: Whitish or clear watery stools with mucus, little to no blood, cold sensation in the lower abdomen, heavy dragging feeling in the pelvis, aversion to cold environments.
Tongue: Pale, swollen body with teeth marks, thick white greasy coating, excessively moist. Pulse: Deep, slow and soggy, especially in the rear positions.
Treatment principle: Warm and transform Cold-Dampness, strengthen the Spleen, promote urination.
Note: moxa applicable given the Cold. No deck on this site has a Cold-Dampness-in-the-Lower-Burner category specific to the Large Intestine, so no pattern link is given here.

3. Toxic-Heat

Clinical manifestations: High fever, severe cramping abdominal pain, copious bloody stools, burning tenesmus, intense thirst for cold drinks, restlessness and irritability.
Tongue: Red body with prickly thorns and a dry yellow coating. Pulse: Rapid and forceful, often full or slippery.
Treatment principle: Clear Heat, resolve toxicity, cool Blood, stop dysentery.
Note: no moxa — seek urgent medical care alongside treatment. No standalone Toxic-Heat slide exists on this site, a confirmed and recurring absence, so no pattern link is given here.

4. Spleen Deficiency with Dampness

Clinical manifestations: Loose stools with mucus, not bloody, abdominal bloating worse after eating, heaviness of body and limbs, fatigue and lack of energy, poor appetite.
Tongue: Pale, swollen body with teeth marks, white greasy coating, moist surface. Pulse: Soggy and slowed-down, possibly slippery.
Treatment principle: Tonify Qi, strengthen the Spleen, drain Dampness.
Note: moxa applicable on the tonifying point. No deck on this site combines Spleen-Qi deficiency with Dampness into one slide, so no pattern link is given here.

5. Spleen-Qi Sinking View full pattern →

Clinical manifestations: Constant bearing-down sensation in the rectum and lower abdomen, sensation of incomplete evacuation, rectal prolapse or heavy dragging feeling, chronic loose stools with mucus, extreme fatigue.
Tongue: Pale, puffy, tender body with teeth marks, thin white coating. Pulse: Weak, especially at right Guan, may feel deep.
Treatment principle: Tonify the middle and augment Qi, raise sunken Yang, lift sinking Qi.
Note: moxa strongly indicated, especially DU-20. Direct match with this site's own Spleen-Qi-sinking slide.
Related conditions

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