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Fungal Skin Infection (Ringworm)

How Chinese medicine differentiates fungal skin infections such as ringworm, the six patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs; topical antifungal care is usually still needed alongside pattern-based treatment.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Spreading redness, fever, or a diabetic/immunocompromised patient needs medical evaluation before acupuncture is considered.
General Acupuncture Points

Acupuncture points traditionally used for fungal skin infections — 8 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, nourishes Blood and Yin.
ST-40Resolves Phlegm and Dampness, subdues rebellious Qi.
SP-10Cools Blood, invigorates Blood and eliminates stasis.
DU-14Clears Heat, releases the Exterior and expels exterior Wind.
G.B.-20Expels exterior Wind, subdues Liver-Yang, clears Heat.
ST-36Benefits Stomach and Spleen, tonifies Qi and Blood.
BL-17Invigorates Blood, an Influential point for Blood.
BL-20Tonifies Spleen and Stomach, resolves Dampness.
L.I.-11Clears Heat and cools Blood, resolves Dampness.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Damp-Heat View full pattern →

Clinical manifestations: Skin oozes clear or yellow fluid; macerated, soggy-looking skin in folds or between toes; yellowish crusting or sticky scales; worsens in hot, humid weather; body feels heavy with poor appetite.
Tongue: Red body with thick, yellow, greasy coating, difficult to scrape off. Pulse: Soggy and rapid, or slippery and rapid.
Treatment principle: Drain Dampness and clear Heat from the lower burner.
Note: no moxa. Matched to Damp-Heat in the Bladder on the Lower Burner organ-system level, same logic already used for Athlete's Foot's own Damp-Heat pattern.

2. Heat in the Blood

Clinical manifestations: Bright red, well-defined patches that appear quickly; intense itching with a burning sensation; feeling of internal heat worse at night; thirst for cold drinks, restlessness, irritability.
Tongue: Deep red body, possibly with red spots or prickles, thin yellow dry coating. Pulse: Rapid, often wiry or slippery.
Treatment principle: Cool the nutritive level, resolve heat toxins, vent pathogenic heat outward.
Note: no moxa. No standalone Heat-in-the-Blood slide exists on this site, so no pattern link is given here.

3. Blood Deficiency with External Wind

Clinical manifestations: Dry, rough, or scaly skin patches; itching that worsens at night or when tired; pale complexion and lips; sensitivity to wind or drafts; dizziness, brittle nails and dry hair.
Tongue: Pale, thin body with thin white and slightly dry coating. Pulse: Fine, often wiry at left middle position and floating at right front.
Treatment principle: Nourish blood and moisten dryness while dispelling wind.
Nourish Blood
Dispel Wind
Note: no moxa. This site's Liver-Blood deficiency slide has no Wind component, so no pattern link is given here — same absence found for Seborrheic Dermatitis and Athlete's Foot.

4. Blood Stagnation View full pattern →

Clinical manifestations: Dark, purplish, thickened skin plaques; lesions feel hard or leathery to the touch; fixed location that does not spread; itching worse at night; dark purplish lips or nail beds.
Tongue: Purple or dusky body with possible stasis spots, distended dark sublingual veins. Pulse: Choppy, rough and uneven.
Treatment principle: Invigorate blood and dispel stasis, move Qi.
Note: no moxa. Matches Liver-Blood stasis — dark purplish lips/nail beds and a purple tongue with stasis spots are the same discoloration markers named there.

5. Spleen Deficiency with Dampness

Clinical manifestations: Recurrent fungal infections in moist skin folds; loose, unformed stools; abdominal bloating, worse after eating; heaviness in body and limbs, poor appetite.
Tongue: Pale and swollen with teeth marks, white greasy coating, moist surface. Pulse: Soggy and slow, soft and lacking force.
Treatment principle: Tonify Qi and strengthen the Spleen, drain Dampness.
Note: moxa applicable on the tonifying points. No deck on this site combines Spleen deficiency with Dampness in one slide, so no pattern link is given here — the same absence found for Gastroparesis.

6. Toxic-Heat

Clinical manifestations: Widespread redness and burning pain; pus-filled blisters or pustules; high fever, intense thirst for cold drinks; restlessness and irritability.
Tongue: Red body with prickly thorns, dry yellow coating. Pulse: Rapid and forceful, often full or slippery.
Treatment principle: Clear Heat and resolve toxicity, cool the Blood.
Note: no moxa. No standalone Toxic-Heat slide exists on this site, so no pattern link is given here.
Related conditions

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