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Itchy Skin (Generalized Pruritus)

How Chinese medicine differentiates generalized itchy skin without a primary rash, the six patterns you'll actually meet in practice, and the points for each. 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. Widespread itching with no visible rash, especially in an older adult or alongside fatigue/weight loss/jaundice, needs medical evaluation to rule out a systemic cause before assuming it is a simple skin pattern.
General Acupuncture Points

Acupuncture points traditionally used for itchy skin — 11 key points, used across the patterns below rather than tied to just one.

PointKey action
SP-10Cools Blood, invigorates circulation.
SP-6Tonifies Spleen, resolves Dampness.
L.I.-11Clears Heat, cools Blood.
L.I.-4Expels exterior Wind, regulates Defensive Qi.
G.B.-20Subdues Yang, expels Wind.
SP-9Regulates Spleen, resolves Dampness.
LR-3Soothes Liver, moves Qi, clears Heat.
LR-2Clears Liver fire, subdues Yang.
LR-14Invigorates Liver Qi, harmonizes Liver/Stomach.
ST-36Tonifies Qi/Blood, strengthens Spleen.
REN-12Tonifies Stomach, strengthens Spleen.
DU-14Clears Heat, releases the exterior.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Blood Deficiency with External Wind

Clinical manifestations: Dry, flaky skin, nighttime itching, shifting/intermittent itch, pale complexion, aversion to wind, dizziness, fatigue.
Tongue: Pale with thin white slightly dry coat. Pulse: Fine, wiry at left middle, floating at right front.
Treatment principle: Nourish Blood and moisten dryness, dispel Wind and stop itching.
Note: no moxa except tonifying points. This site's Liver-Blood deficiency slide has no Wind component, so no pattern link is given here — the same well-established absence found for several other skin conditions.

2. Wind-Heat View full pattern →

Clinical manifestations: Red skin with burning sensation, itching worse with wind/heat, sore throat, mild fever, aversion to wind.
Tongue: Red at tip/edges with thin yellow coating. Pulse: Floating and rapid.
Treatment principle: Dispel Wind and stop itching, clear Heat.
Note: no moxa. Matched on the exterior-invasion level to this site's Invasion-of-Lungs-by-Wind-Heat slide, the same logic used across many prior conditions.

3. Damp-Heat in Stomach and Spleen View full pattern →

Clinical manifestations: Red skin with oozing/blisters, heaviness, sticky taste, bloating, loose stools, worse in humidity/after rich food.
Tongue: Red, possibly swollen with teeth marks, thick yellow greasy coating. Pulse: Soggy and rapid, often slippery.
Treatment principle: Clear Heat and drain Dampness.
Note: no moxa. Direct match with this site's own Damp-Heat-in-the-Stomach slide.

4. Liver Qi Stagnation Transforming into Heat View full pattern →

Clinical manifestations: Itching triggered by emotional stress, irritability/explosive anger, bitter taste, rib distension, restlessness, dark yellow urine.
Tongue: Red body with redder sides, yellow coating. Pulse: Wiry and rapid, prominent at left middle.
Treatment principle: Course the Liver and resolve constraint.
Note: no moxa. Direct match with this site's own Stagnant-Liver-Qi-turning-into-Heat slide.

5. Spleen Deficiency with Dampness

Clinical manifestations: Moist/weeping skin or vesicles, dull persistent itch worse in humidity, bloating, loose stools, heaviness, fatigue, poor appetite.
Tongue: Pale, swollen with teeth marks, white greasy coating. Pulse: Soggy and slow.
Treatment principle: Tonify Qi, strengthen the Spleen, drain Dampness.
Note: moxa applicable on tonifying points. No deck on this site combines Spleen deficiency with Dampness in one slide, so no pattern link is given here.

6. Heat in the Blood

Clinical manifestations: Bright red eruptions that bleed easily, internal heat worse at night, thirst for cold drinks, restlessness, burning sensation.
Tongue: Red to deep red with red spots/prickles, thin yellow dry coating. Pulse: Rapid and wiry, possibly slippery and forceful.
Treatment principle: Clear Heat from the Blood, cool the Blood, stop bleeding.
Note: no moxa. No standalone Heat-in-the-Blood slide exists on this site, so no pattern link is given here.
Related conditions

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