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Foot and Lower Leg Skin Rashes and Fungal Infections

How Chinese medicine differentiates foot and lower-leg skin rashes and fungal infections into the four patterns you'll actually meet in practice, and the points for each. Distinct from this site's Fungal Infection, Athlete's Foot and Eczema 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. A rash that spreads rapidly, oozes pus, or comes with fever needs medical assessment for infection.
General Acupuncture Points

Acupuncture points traditionally used for skin rashes and fungal infections of the foot and lower leg — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
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.
The Four Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Damp-Heat in the Lower Burner View full pattern →

Clinical manifestations: Moist, red, itchy rash with small blisters or oozing; a heavy, tired feeling in the legs; foul odour from the affected skin; worse in hot, humid weather, with spicy or greasy food, alcohol, prolonged standing or tight shoes.
Tongue: Red, thick yellow greasy coat, thickest at the root. Pulse: Slippery and rapid.
Treatment principle: Clears Heat and dries Dampness from the Lower Burner; strengthens the Spleen.
Note: no moxa. Linked to this site's own Damp-Heat-in-the-Bladder slide, its established Lower-Burner Damp-Heat convention.

2. Spleen Deficiency with Dampness

Clinical manifestations: Thickened, scaly skin with recurrent fungal infections; heaviness in the limbs; abdominal bloating and loose stools; fatigue and poor appetite; worse with damp weather, greasy, raw or cold foods, overwork, or prolonged sitting or standing.
Tongue: Pale, swollen, tooth-marked, white greasy coat. Pulse: Soggy and slow.
Treatment principle: Tonifies Qi and strengthens the Spleen; drains Dampness to address the root deficiency.
Note: Mixed Deficiency/Excess. No deck slide combines Spleen deficiency with Dampness — no pattern link is given here.

3. Blood Deficiency with External Wind

Clinical manifestations: Dry, cracked, scaly skin; intense itching worse at night; pale or sallow complexion; aversion to wind and drafts; dizziness; worse with dry, windy weather, overwork, stress, spicy foods or drafts; better with moisturizing and rest.
Tongue: Pale, thin, thin white slightly dry coat. Pulse: Fine, possibly wiry.
Treatment principle: Nourishes Blood and moistens dryness; dispels Wind and stops itching; tonifies Qi and consolidates the Exterior.
Note: no moxa.

4. Heat in the Blood

Clinical manifestations: Bright red, rapidly spreading rash; intense itching worse at night; an internal heat sensation; restlessness and irritability; thirst desiring cool drinks; worse with spicy food, alcohol, emotional stress, hot showers or scratching.
Tongue: Deep red with red spots or prickles, thin yellow dry coat. Pulse: Rapid, often wiry and forceful.
Treatment principle: Clears Heat from the Blood and cools the Blood; stops the rapid spread of eruptions and calms agitation.
Note: no moxa. This site's decks have no standalone Heat-in-the-Blood slide, confirmed absent many times — no pattern link is given here.
Related conditions

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