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Folliculitis

How Chinese medicine differentiates folliculitis, the six 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. Deep, painful, or spreading lesions, or folliculitis with fever, need medical evaluation before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for folliculitis — 11 key points, used across the patterns below rather than tied to just one.

PointKey action
SP-9Regulates the Spleen, resolves Dampness.
ST-40Resolves Dampness and Phlegm.
L.I.-11Clears Heat, cools Blood.
L.I.-4Clears heat, alleviates pain throughout the body.
DU-14Drains heat from the entire body, helps lower fever.
SP-10Invigorates Blood and clears heat.
BL-17Influential point of Blood, dispels stasis and cools Blood.
KI-3Tonifies Kidney Yin, root of all Yin to calm empty heat.
KI-6Nourishes Kidney Yin and clears Empty-Heat.
SP-6Harmonizes Yin and Blood, nourishes Blood, supports Spleen.
ST-36Tonifies Qi and Blood, tonifies Spleen and Stomach Qi.
REN-6Fortifies core Qi to improve vitality and skin healing.
REN-12Tonifies Stomach and Spleen, regulates Stomach-Qi.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

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

Clinical manifestations: Greasy, sticky, yellow-oozing pustules; heavy, bloated abdominal sensation after eating; sticky or greasy taste in mouth; heavy sensation in body and limbs; loose, sticky stools feeling incomplete.
Tongue: Red body with a yellow, greasy coating, thickest at the centre and root. Pulse: Soggy and rapid, or slippery and rapid.
Treatment principle: Resolve dampness and clear heat, directly targeting Spleen-dampness rising to the skin.
Note: no moxa. Direct name match with this site's own Damp-Heat-invading-the-Spleen slide.

2. Toxic-Heat

Clinical manifestations: Large, deep, painful boils or carbuncles; pus formation with surrounding redness and swelling; local heat sensation and tenderness; fever and chills; intense thirst for cold drinks; dark scanty urine or constipation.
Tongue: Red body with prickly thorns, dry yellow coating. Pulse: Rapid and forceful, often slippery.
Treatment principle: Clear intense heat and resolve toxin, cool blood and reduce swelling.
Note: no moxa. No standalone Toxic-Heat slide exists on this site, so no pattern link is given here.

3. Blood Stagnation with Heat View full pattern →

Clinical manifestations: Hard, dark-red or purplish nodules that are slow to heal; fixed stabbing pain worse at night and with pressure; restlessness and heat sensation especially at night; lesions feel hard and knotted to touch.
Tongue: Reddish-purple body with stasis spots, distended sublingual veins, thin dry yellow coating. Pulse: Choppy and rapid, often wiry.
Treatment principle: Move blood, dispel stasis, and clear heat.
Note: no moxa. Matches Liver-Blood stasis — the dark/purplish discoloration and stasis-spot tongue are the same core markers named there, with Heat added on top.

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

Clinical manifestations: Burning, itchy sensation in bumps; symptoms worsen in evening or at night; dry mouth and throat especially at night; night sweats; feeling of heat in palms, soles, and chest; flushed cheekbones.
Tongue: Red, thin, dry body with cracks, little or no coating. Pulse: Fine and rapid.
Treatment principle: Nourish Yin and clear deficiency heat.
Note: no moxa. Direct match, reusing the well-established Kidney-Yin/Empty-Heat slide.

5. Qi and Blood Deficiency

Clinical manifestations: Pale or pinkish bumps, not very red or hot; lesions heal very slowly and may ooze thin, clear fluid; deep fatigue and shortness of breath on exertion; pale lips, nail beds, and sallow complexion.
Tongue: Pale body, may be slightly thin or have teeth marks, thin white coating. Pulse: Fine and weak, easily compressed.
Treatment principle: Tonify Qi and Blood while gently clearing lingering toxins.
Note: moxa applicable throughout. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.

6. Spleen and Stomach Qi Deficiency View full pattern →

Clinical manifestations: Poor appetite and bloating after meals; loose or poorly formed stools; fatigue and physical weakness; pale, small, recurrent pustules that heal slowly; sallow complexion.
Tongue: Pale, puffy, and tooth-marked with a thin white coating. Pulse: Weak and soft, especially at the right middle position.
Treatment principle: Tonify Spleen Qi and drain dampness.
Note: moxa applicable. Direct name match — poor appetite, bloating, loose stools, tiredness and pale complexion are the same markers named there.
Related conditions

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