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Lips Swelling

How Chinese medicine differentiates lip swelling into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's Dry Lips and Red Lips 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. Sudden lip swelling with difficulty breathing or swallowing is a medical emergency (anaphylaxis) — seek immediate care. This page addresses only chronic, medically-evaluated lip swelling.
General Acupuncture Points

Acupuncture points traditionally used for lip swelling — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
L.I.-4Expels exterior Wind and releases the Exterior. Promotes the diffusing of Lung-Qi, regulates the Defensive Qi and sweating. Stops pain.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Stomach Fire (Stomach Heat) View full pattern →

Clinical manifestations: Bright red, hot, swollen lips with sudden onset; intense thirst for cold drinks; bad breath; sour belching; a burning stomach sensation; constipation with dry stools.
Tongue: Red with possible red prickles at the centre, thick dry yellow coating. Pulse: Rapid, slippery, forceful.
Treatment principle: Clears Stomach Heat, cools the Blood and relieves swelling and pain.
Note: no moxa.

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

Clinical manifestations: Red, swollen lips that may ooze sticky fluid; bloating and fullness in the upper abdomen; sticky or incomplete bowel movements; a bitter or sticky taste; heavy limbs.
Tongue: Red, possibly swollen with teeth marks, thick yellow greasy coating. Pulse: Soggy and rapid, often slippery.
Treatment principle: Clears Damp-Heat, drains Dampness and reduces the upward surge affecting the lips.
Note: no moxa.

3. Spleen Deficiency with Dampness

Clinical manifestations: Pale, puffy lip swelling without redness or burning; poor appetite and loose stools; fatigue and heavy limbs; chronic swelling.
Tongue: Pale, swollen, teeth-marked, white greasy coating. Pulse: Soggy and slow.
Treatment principle: Strengthens Spleen Qi, drains Dampness and addresses the root deficiency.
Note: moxa is appropriate. No standalone Spleen-Deficiency-with-Dampness slide exists on this site's decks — no pattern link is given here.

4. Yin and Blood Deficiency

Clinical manifestations: Dry, cracked, peeling lips; a dull or darkish lip colour; thirst and a dry mouth especially at night; night sweats; a pale or sallow complexion with possible flushing; dizziness, palpitations, poor memory.
Tongue: Pale to pale-red, thin, dry with cracks, scanty or peeled coating. Pulse: Fine and rapid.
Treatment principle: Nourishes Yin and Blood, generates fluids and moistens dryness.
Note: moxa is appropriate. No combined Yin-and-Blood-deficiency slide exists on this site's decks — no pattern link is given here.

5. Qi Deficiency causing Blood Stagnation

Clinical manifestations: Lips dark purple or pale, thick, lacking elasticity; fatigue and shortness of breath on exertion; chronic, non-resolving swelling.
Tongue: Pale-dark or pale-purple with stasis spots and teeth marks, thin white coat. Pulse: Deep, fine, choppy.
Treatment principle: Tonifies Qi, strengthens the Spleen and invigorates Blood to resolve stagnation.
Note: moxa is appropriate. No combined Qi-Deficiency-causing-Blood-Stagnation slide exists on this site's decks — no pattern link is given here.
Related conditions

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