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Itchy Scalp

How Chinese medicine differentiates a persistently itchy scalp into the four patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Dry Scalp and Alopecia Areata 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 scalp rash that spreads, oozes, or doesn't improve deserves an in-person skin assessment rather than assuming a single pattern.
General Acupuncture Points

Acupuncture points traditionally used for an itchy scalp — 6 key points, used across the patterns below rather than tied to just one.

PointKey action
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
SP-6Strengthens the Spleen. Nourishes Blood and Yin. Cools Blood.
GB-20Subdues Liver-Yang. Clears Heat. Nourishes Marrow and clears the Brain.
LR-2Drains Liver-Fire and subdues Liver-Yang. Cools Blood and stops bleeding. Resolves Damp-Heat.
BL-18Resolves Damp-Heat. Extinguishes Wind. Nourishes Liver-Blood. Invigorates Liver-Blood.
GB-34Promotes the smooth flow of Liver-Qi. Resolves Damp-Heat in Liver and Gall Bladder.
The Four Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Heat in the Blood

Clinical manifestations: Scalp redness with intense itching, dry scaling or small red papules, worse with heat, alcohol, or spicy food, feeling of body heat worse at night, thirst for cool drinks.
Tongue: Red body with red spots or prickles, thin yellow dry coating. Pulse: Rapid, often wiry or slippery.
Treatment principle: Clears Heat, cools Blood, and dispels Wind to stop itching.
Note: no moxa. This site's decks have no standalone Heat-in-the-Blood slide (distinct from Liver-Blood-stasis, which is discoloration-marker rather than Heat-marker driven), a gap confirmed absent many times over this session — no pattern link is given here.

2. Damp-Heat in the Liver Channel View full pattern →

Clinical manifestations: Oily, sticky scalp with itching and possible yellowish crusts, bitter taste in the mouth, dark scanty urine, feeling of heaviness.
Tongue: Red body with redder sides, yellow greasy coating thicker at the centre and root. Pulse: Wiry, slippery, and rapid.
Treatment principle: Drains Damp-Heat from the Liver and Gallbladder and clears Fire to stop itching.
Note: no moxa. Linked to this site's own Damp-Heat-in-the-Gall-Bladder-and-Liver slide — since scalp itching isn't genital, this follows this session's established genital-vs-hypochondrium routing rule toward the general Liver/GB slide rather than the Liver deck's own genital-specific Damp-Heat slides.

3. Liver Wind Agitating Internally Due to Liver Blood Deficiency View full pattern →

Clinical manifestations: Dry, shifting scalp itch without redness or oiliness, dizziness, pale complexion, brittle nails, insomnia with vivid dreams, worse after menstruation or blood loss.
Tongue: Pale, thin, possibly trembling with thin white coating. Pulse: Fine and wiry.
Treatment principle: Nourishes Blood and moistens Dryness to anchor Wind and calm the scalp.
Note: moxa applicable on BL-18. Direct exact-name match with this site's own Liver-Blood-deficiency-generating-Wind slide.

4. Liver Qi Stagnation that Transforms into Heat View full pattern →

Clinical manifestations: Itching worsens with emotional stress or anger, irritability and explosive anger, distending pain in the ribcage, bitter taste in the mouth.
Tongue: Red body with redder sides and thin yellow coating. Pulse: Wiry and rapid.
Treatment principle: Soothes Liver-Qi stagnation and clears Heat rising to the head.
Note: no moxa. Direct exact-name match with this site's own Stagnant-Liver-Qi-turning-into-Heat slide.
Related conditions

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