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Keloids

How Chinese medicine differentiates keloid scars, the five 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. A rapidly growing, painful, or discharging scar should be assessed medically before assuming it is a simple keloid.
General Acupuncture Points

Acupuncture points traditionally used for keloids — 7 key points, used across the patterns below rather than tied to just one.

PointKey action
L.I.-11Clears Heat and cools Blood.
L.I.-4Regulates Qi and Blood, expels exterior Wind.
SP-10Cools Blood, invigorates Blood and eliminates stasis.
SP-9Resolves Dampness.
LR-3Moves Liver-Qi and Blood, eases irritability.
BL-40Cools Blood, clears Summer-Heat, removes obstructions from the channel.
ST-36Tonifies Qi and Blood, strengthens the Spleen.
SP-6Nourishes Blood, supports the Spleen.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Damp-Heat View full pattern →

Clinical manifestations: A red, raised scar with heat and intense itching; the body feels heavy and sluggish, the head feels wrapped; loose or sticky stools; dark yellow, scanty urine.
Tongue: Red body with yellow, greasy coating, possibly swollen with teeth marks. Pulse: Soggy and rapid, or slippery and rapid.
Treatment principle: Drain Damp-Heat, clear Heat and dry Dampness, invigorate Blood to soften scar tissue.
Note: no moxa. Matches Damp-Heat in the Gall Bladder and Liver on the internal-pattern level — heaviness of the body and sticky/loose stools are shared, even though the deck slide doesn't name skin scarring specifically.

2. Blood Stagnation View full pattern →

Clinical manifestations: Stabbing, fixed pain at the scar, worse at night; a hard, dark red-purple keloid; pain worse with pressure; worse with prolonged sitting or cold exposure.
Tongue: Purple or dusky body with stasis spots, distended dark sublingual veins, thin white coat. Pulse: Choppy or wiry.
Treatment principle: Invigorate Blood and dispel stasis, promote tissue remodeling and scar softening.
Note: no moxa. Matches Liver-Blood stasis — a dark red-purple color and a purple/dusky tongue with stasis spots are the same discoloration markers named there.

3. Excess-Heat

Clinical manifestations: Intense local redness and heat; swelling and severe stabbing pain; thirst craving cold drinks; restlessness and irritability; dark, scanty urine; dry stools.
Tongue: Red body with possible prickly papillae, thick dry yellow coating. Pulse: Rapid and forceful, often overflowing.
Treatment principle: Clear intense Heat concentrating in the wound site, cool Blood, invigorate circulation.
Note: no moxa. No deck on this site has a generic systemic Excess-Heat category outside a specific organ, so no pattern link is given here.

4. Toxic-Heat

Clinical manifestations: Pus formation or oozing exudate from the keloid; intense, throbbing pain that worsens; red, swollen, hot to the touch; restlessness with thirst for cold drinks.
Tongue: Red body with prickly thorns and dry yellow coating. Pulse: Rapid and forceful, often full or slippery.
Treatment principle: Clear Heat and resolve Toxicity, disperse swelling, drain pus.
Note: no moxa. No deck on this site has a Toxic-Heat/Fire-poison category, so no pattern link is given here.

5. Qi and Blood Deficiency

Clinical manifestations: Persistent fatigue and lack of energy; a pale or sallow complexion; dizziness or lightheadedness; poor appetite; the keloid is less red and hot, but hard and slow to improve; dry skin and pale lips.
Tongue: Pale body, may be thin with teeth marks, thin white coating. Pulse: Fine and weak, especially at the right Guan position.
Treatment principle: Tonify Qi and Blood, strengthen Spleen and Stomach to support the disorganized healing process.
Note: moxa applicable on the Tonify points. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.
Related conditions

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