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Keratitis

How Chinese medicine differentiates keratitis, the five patterns you'll actually meet in practice, and the points for each. Supportive care alongside ophthalmology treatment — 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. Keratitis can threaten vision and often needs urgent ophthalmology treatment (especially if contact-lens-related or infectious) — acupuncture here is supportive care alongside that treatment, never a substitute for it. Eye pain with vision loss, or a contact lens wearer with a painful red eye, needs prompt medical evaluation.
General Acupuncture Points

Acupuncture points traditionally used for keratitis as supportive care — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
BL-1Main point for eye disorders, clears heat and benefits eyes locally.
BL-2Relieves eye pain and redness.
G.B.-20Expels external wind and clears heat from the upper body.
L.I.-4Commands the face and eyes, releases exterior and stops pain.
LR-3Subdues Liver Yang and clears Liver Fire.
LR-2Fire point of the Liver channel, drains excess Liver Fire.
BL-23Tonifies Kidney Yin and anchors empty-heat.
KI-3Source point of the Kidney, nourishes Yin and clears heat.
KI-6Nourishes Kidney Yin, moistens the eyes.
SP-10Invigorates blood and dispels stasis.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Wind-Heat View full pattern →

Clinical manifestations: Acute onset of redness and burning pain, profuse watery tearing, sensitivity to light, mild fever or chills with headache, nasal congestion with yellow discharge.
Tongue: Red tip and edges with thin yellow (or white-to-yellow) coating. Pulse: Floating and rapid.
Treatment principle: Disperse Wind-Heat, clear Heat, resolve toxicity.
BL-1 ↓ BL-2 ↓ EX-HN-5 (Taiyang) ↓ G.B.-20 ↓ L.I.-4 ↓
Note: no moxa. Matched on the exterior-invasion level to this site's Invasion-of-Lungs-by-Wind-Heat slide, same logic already used for Styes, Allergic Conjunctivitis and Warts.

2. Liver Fire Blazing View full pattern →

Clinical manifestations: Intense eye redness and burning pain, bitter taste in mouth, irritability and short temper, throbbing headache at temples, extreme light sensitivity, worse with stress or anger.
Tongue: Red body with redder sides, dry yellow coating with possible red prickles. Pulse: Wiry, rapid, and forceful, especially at left middle.
Treatment principle: Drain excess fire from the Liver and Gallbladder.
LR-3 ↓ LR-2 ↓ BL-1 ↓ EX-HN-5 (Taiyang) ↓
Note: no moxa. Direct match — irritability, bitter taste and red eyes are named on that exact deck slide.

3. Damp-Heat in the Liver Channel

Clinical manifestations: Thick, sticky yellow or white discharge from eyes, itching and gritty sensation, heaviness or pressure around eyes, bitter taste and poor appetite.
Tongue: Red body (especially sides) with thick, yellow, greasy coating heaviest in centre and root. Pulse: Wiry, slippery, and rapid.
Treatment principle: Drain damp-heat from the Liver and Gallbladder channels.
Note: no moxa. This site's Damp-Heat-in-the-Liver slide is genital/vaginal-discharge specific, not a match for eye discharge despite the shared name, so no pattern link is forced here.

4. Kidney Yin Deficiency With Empty-Heat Blazing View full pattern →

Clinical manifestations: Dry, gritty sensation in eyes, blurred vision worsening with fatigue, night sweats, heat in palms/soles/chest, lower back soreness, dry throat especially at night.
Tongue: Red, thin, dry body with little or no coating and possible cracks. Pulse: Fine and rapid, weak at Chi.
Treatment principle: Nourish Kidney Yin and clear empty-heat.
Note: no moxa. Direct match, reusing the well-established Kidney-Yin/Empty-Heat slide.

5. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing eye pain, pain worse at night, persistent dark red or purplish eye congestion, pain worse with pressure, develops from chronic or recurrent inflammation.
Tongue: Dark purple body with stasis spots, distended dark sublingual veins, thin white coat. Pulse: Choppy or wiry.
Treatment principle: Invigorate blood and dispel stasis, unblock the channels around the eye.
Note: no moxa. Matches this site's Liver-Blood stasis slide — dark/purplish discoloration and a stasis-spot tongue are the same core markers named there.
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