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Kidney Stones (Urolithiasis)

How Chinese medicine differentiates kidney stones, the three 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. Severe flank pain, fever, or an inability to urinate needs urgent medical evaluation before acupuncture is considered.
General Acupuncture Points

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

PointKey action
Ren-3Resolves Dampness from the Lower Burner. Promotes the Bladder function of Qi transformation.
BL-28Regulates the Bladder, resolves Dampness in the Lower Burner, strengthens the lower back.
SP-6Strengthens the Spleen, resolves Dampness, nourishes Blood and Yin.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence.
LR-3Subdues Liver-Yang, promotes the smooth flow of Liver-Qi, invigorates Blood.
SP-10Cools Blood, invigorates Blood and eliminates stasis.
KI-3Tonifies the Kidneys (Yin and Yang), benefits Essence.
The Three Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

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

Clinical manifestations: Sharp, stabbing flank or lower abdominal pain radiating to the groin; burning or stinging urination; dark, cloudy urine with visible sand-like particles; frequent, urgent urination with scanty output; heaviness in the lower belly and legs; irritability.
Tongue: Red body with a yellow greasy coating, thickest at the root. Pulse: Slippery and rapid, more pronounced at the Chi (rear) position.
Treatment principle: Clear Damp-Heat, promote urination, expel stones.
Note: no moxa. Direct match with Damp-Heat in the Bladder.

2. Blood Stagnation with Heat

Clinical manifestations: Fixed, stabbing lower back/abdominal pain, worse at night and with pressure; dark-red or clotted blood in the urine; an internal heat sensation; restlessness; irritability.
Tongue: Reddish-purple body with stasis spots, distended sublingual veins, thin dry yellow coat. Pulse: Choppy and rapid, often wiry.
Treatment principle: Break Blood stasis, clear Heat, relieve sharp pain.
Note: no moxa. No deck on this site has a Blood-stasis-with-Heat category, so no pattern link is given here.

3. Kidney Yin Deficiency View full pattern →

Clinical manifestations: Dull lower back soreness; night sweats; dry mouth and throat; scanty, dark urine; heat in the palms and soles; dizziness or tinnitus; chronic or recurrent stone formation.
Tongue: Red body, thin, dry, little or no coating, possible cracks. Pulse: Fine and rapid, weak at the left rear position.
Treatment principle: Nourish Kidney-Yin, clear deficiency Heat, restore urinary tract lubrication.
Note: no moxa. Direct match with Kidney-Yin deficiency.
Related conditions

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