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Genital Ulcers

How Chinese medicine differentiates genital ulcers into the 5 patterns behind it, and the points for each. Distinct from this site's Vulvitis and Scrotal Eczema pages. Acupuncture only — no herbs.

A new genital ulcer, especially with fever or swollen lymph nodes, needs prompt medical evaluation to identify the cause before any acupuncture is considered — some causes are infectious and require specific treatment.
General Acupuncture Points

Acupuncture points traditionally used for genital ulcers — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
LIV-3Subdues Liver-Yang. Extinguishes interior Wind. Promotes the smooth flow of Liver-Qi.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

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

Clinical manifestations: A moist, oozing ulcer with yellow discharge; burning pain and redness; foul-smelling discharge; a heavy sensation in the groin; dark scanty urine.
Tongue: Red with a yellow greasy coating, thickest at the root. Pulse: Slippery and rapid, pronounced at the rear positions.
Treatment principle: Drain Damp-Heat from the Liver and Gallbladder, clear heat from the Liver channel.

2. Toxic-Heat

Clinical manifestations: A firm, indurated ulcer that heals poorly; red swollen tissue; swollen tender lymph nodes; fever; intense thirst; restlessness.
Tongue: Red with prickly thorns and a dry yellow coating. Pulse: Rapid and forceful, often full or overflowing.
Treatment principle: Clear Heat and resolve toxicity, reduce swelling, promote healing.
Note: Confirmed absent again: standalone Toxic-Heat has no matching deck slide on this site.

3. Heat and Blood Stagnation in the Lower Burner

Clinical manifestations: Deep fixed stabbing pain; a dark or purplish ulcer base; lower-abdominal hardness that worsens with pressure; restlessness; a fever worse at night; dark menstrual blood with clots.
Tongue: Reddish-purple with dark stasis spots, distended sublingual veins, dry yellow coating. Pulse: Deep, choppy, often rapid.
Treatment principle: Clear Heat from the Blood level, move stasis, relieve pain.
Note: Confirmed absent again: this combined pattern has no matching deck slide on this site (also confirmed absent for Genital Ulcers' own condition-mates on this site).

4. Phlegm in the Lower Burner

Clinical manifestations: A hard, nodular ulcer base; sticky turbid discharge; a heavy dragging sensation in the lower abdomen; coldness in the lower abdomen; poor appetite; cloudy urine.
Tongue: Pale, swollen with teeth marks, thick white greasy coating at the root, wet surface. Pulse: Deep, slippery, often slow, especially the rear position.
Treatment principle: Dry Dampness, transform Phlegm, regulate Qi, strengthen the Spleen.
Note: Confirmed absent again: standalone Phlegm-in-the-Lower-Burner has no matching deck slide on this site.

5. Qi and Blood Deficiency

Clinical manifestations: A pale, shallow ulcer with minimal discharge; chronic or recurrent slow healing; overwhelming fatigue; a pale face, lips and nails; dizziness.
Tongue: Pale with possible teeth marks, thin white coating. Pulse: Fine or weak, empty and slow.
Treatment principle: Tonify Qi and Blood, strengthen the Spleen, improve tissue-repair capacity.
Note: Confirmed absent again: standalone combined Qi-and-Blood-Deficiency has no matching deck slide on this site.
Related conditions

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