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Systemic Lupus Erythematosus (Lupus)

How Chinese medicine differentiates lupus, the six patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs, and only as supportive care alongside rheumatology management.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Lupus is an autoimmune disease that can affect major organs and requires ongoing rheumatology management; acupuncture here is supportive care between and around flares, not a substitute for that management. A new fever, chest pain, or severe symptom flare needs prompt medical attention.
General Acupuncture Points

Acupuncture points traditionally used for lupus — 12 key points, used across the patterns below rather than tied to just one.

PointKey action
Du-14Clears Heat, regulates Nutritive and Defensive Qi.
L.I.-11Clears Heat and cools Blood, resolves Dampness.
SP-10Cools Blood, invigorates Blood and eliminates stasis.
KI-3Tonifies the Kidneys (Yin and Yang), benefits Essence.
KI-6Nourishes Kidney-Yin, clears deficiency Heat.
SP-6Strengthens the Spleen, nourishes Blood and Yin.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence.
BL-18Nourishes and invigorates Liver-Blood.
Du-4Tonifies Kidney-Yang and warms the Gate of Life. Expels Cold.
ST-36Benefits Stomach and Spleen, tonifies Qi and Blood.
Ren-4Nourishes Blood and Yin. Strengthens the Kidneys and Original Qi.
BL-20Tonifies Spleen and Stomach, resolves Dampness.
BL-17Invigorates Blood, tonifies Qi and Blood.
LR-3Subdues Liver-Yang, promotes the smooth flow of Liver-Qi, invigorates Blood.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Toxic-Heat

Clinical manifestations: A high fever (often 39°C or above); a vivid red butterfly rash or widespread red skin lesions; intense thirst with craving for cold drinks; restlessness, irritability, and agitation; dark, scanty urine and constipation; red, swollen, painful joints.
Tongue: Red body with prickly thorns and dry yellow coating. Pulse: Rapid and forceful, often full or overflowing.
Treatment principle: Clear Heat and cool the Blood, resolve toxins during acute flares.
Note: no moxa. No deck on this site has a Toxic-Heat/Fire-poison category, so no pattern link is given here.

2. Empty-Heat caused by Yin Deficiency View full pattern →

Clinical manifestations: Low-grade fever, worse in the afternoon or evening; night sweats; a heat sensation in the palms, soles, and chest; a malar flush (butterfly rash); a dry mouth and throat, especially in the evening.
Tongue: Red, thin, dry with cracks, little or no coating. Pulse: Fine and rapid, weak on deep pressure.
Treatment principle: Nourish Yin fluids while clearing smoldering deficiency Heat between flares.
Note: no moxa. Direct match with Kidney-Yin deficiency, Empty-Heat blazing.

3. Kidney and Liver Yin Deficiency View full pattern →

Clinical manifestations: Dull, aching lower back and knee soreness; dizziness and tinnitus; dry, gritty eyes with blurred or cloudy vision; night sweats with heat in the palms, soles, and chest; hair loss and brittle nails.
Tongue: Red, thin body with cracks, little or no coating, dry surface. Pulse: Fine, rapid, slightly wiry; the left Chi position especially weak.
Treatment principle: Replenish Kidney and Liver Yin reserves to anchor deficiency Heat.
Note: no moxa. Direct match with Kidney- and Liver-Yin deficiency.

4. Kidney and Spleen Yang Deficiency View full pattern →

Clinical manifestations: Feeling cold and an aversion to cold; swollen ankles and legs; loose stools or watery morning diarrhea; a sore, cold lower back and weak knees; profound fatigue and lack of energy.
Tongue: Pale, swollen, puffy body with teeth marks, white slippery coating. Pulse: Deep, weak, slow; both rear positions and the right middle position particularly feeble.
Treatment principle: Warm the body's core fire to restore Spleen and Kidney Yang function.
Note: moxa applicable. Direct match with Kidney- and Spleen-Yang deficiency.

5. Qi and Blood Deficiency

Clinical manifestations: Profound, persistent fatigue; a pale or sallow complexion; hair loss and brittle nails; heart palpitations; dizziness or lightheadedness; poor appetite and weak digestion.
Tongue: Pale body, may be slightly thin or have teeth marks, thin white coating. Pulse: Fine and weak, easily collapsing under pressure.
Treatment principle: Strengthen Spleen function to rebuild foundational Qi and Blood reserves.
Note: moxa applicable. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.

6. Blood Stagnation with Heat View full pattern →

Clinical manifestations: Dark purplish skin patches; fixed, stabbing joint pain, worse at night; dry, rough, or scaly skin; thirst without desire to swallow; irritability and restlessness.
Tongue: Reddish-purple body with stasis spots, thin dry yellow coating. Pulse: Choppy and rapid, often wiry.
Treatment principle: Clear Heat-toxins and invigorate Blood circulation to resolve stasis-related dark lesions.
Note: no moxa. Matches Liver-Blood stasis — dark purplish skin patches and a purple tongue with stasis spots are the same discoloration markers named there.
Related conditions

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