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Frostbite

How Chinese medicine differentiates frostbite, the four patterns you'll actually meet in practice, and the points for each. Supportive care alongside standard rewarming/medical care — 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. Frostbite needs proper medical rewarming and assessment for tissue damage — acupuncture here is supportive to recovery, not a substitute for that care. Numbness that doesn't return, blistering, blackened tissue, or signs of systemic collapse need emergency medical attention.
General Acupuncture Points

Acupuncture points traditionally used for frostbite — 8 key points, used across the patterns below rather than tied to just one.

PointKey action
L.I.-4Expels exterior Wind, regulates Defensive Qi.
ST-36Tonifies Qi and Blood.
SP-10Cools the Blood, invigorates Blood and removes stagnation.
P-7Clears heat from the Heart and Blood.
SP-6Nourishes Blood and moves stasis.
REN-4Strongly warms and tonifies the body's foundational Yang.
DU-14Warms the Governing Vessel and invigorates Yang Qi.
The Four Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Cold Invading the Channels, Joints and Muscles

Clinical manifestations: Pale or purplish-blue skin, swelling without redness or heat; areas feel ice-cold to the touch with numbness and tingling; pain worsens with cold and eases with warmth; no ulceration or pus.
Tongue: Pale body with a thin white coat, surface may be moist. Pulse: Tight and wiry, possibly floating or slow.
Treatment principle: Warm the Channels and disperse Cold, nourish Blood and unblock the vessels.
Note: moxa applicable (indirect/gentle, not on frostbitten skin itself — apply to nearby unaffected points). No deck on this site combines Cold invading channels/joints/muscles into one slide in this framing, so no pattern link is given here.

2. Toxic-Heat Stagnation

Clinical manifestations: Red, hot, swollen frostbite lesion; pus or purulent discharge from the site; throbbing, burning pain; fever and intense thirst; dark scanty urine; restlessness and irritability.
Tongue: Deep red or crimson body with prickly papillae and a thick, dry yellow coating. Pulse: Rapid and forceful, may be overflowing.
Treatment principle: Clear Heat and resolve toxicity, invigorate Blood and dispel stasis.
Note: no moxa — an active infection stage, medical evaluation takes priority. No standalone Toxic-Heat slide exists on this site, so no pattern link is given here.

3. Qi Deficiency Causing Blood Stagnation View full pattern →

Clinical manifestations: Non-healing frostbite sores that stay open for weeks; dull, fixed pain worse with pressure; persistent fatigue and weakness; pale or dusky, greyish complexion; numbness or tingling in the limbs persists.
Tongue: Pale body with a dark or purplish tinge, possible purple spots, teeth marks, thin white coat. Pulse: Deep, fine, and choppy.
Treatment principle: Tonify Qi and nourish Blood while strengthening the Spleen to rebuild circulation capacity.
Note: moxa applicable. Matches this site's Liver-Blood stasis slide — the pale-with-purplish-tinge/purple-spot discoloration is the same core marker named there, even though a deficiency component is layered underneath.

4. Collapse of Yang View full pattern →

Clinical manifestations: Ice-cold limbs extending past elbows and knees; profuse cold sweating; loss of consciousness or extreme mental apathy; ashen-white or greyish complexion; blue or purple lips and fingernails.
Tongue: Pale, moist, flaccid body with a thin white slippery coating. Pulse: Minute, on the verge of disappearing.
Treatment principle: Rescue devastated Yang from collapse, tonify Qi, warm the interior. This is a medical emergency — call emergency services immediately.
Note: moxa strongly indicated throughout (all points). Direct match — this site's Heart-Yang-Collapse slide is explicitly badged an Emergency pattern and names cold limbs, cyanosis of lips, greyish complexion and coma exactly as here.
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