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Myelitis

How Chinese medicine differentiates myelitis — inflammation of the spinal cord — into 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. New or worsening limb weakness, numbness, or loss of bladder/bowel control needs prompt neurological evaluation before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for myelitis (supportive, alongside medical care) — 16 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-40Resolves Phlegm and Dampness. Opens the chest and subdues rebellious Qi.
DU-14Clears Heat. Releases the Exterior and expels exterior Wind.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
ST-44Clears Heat. Regulates the Intestines and resolves Damp-Heat.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
L.I.-11Clears Heat and cools Blood. Resolves Dampness.
L.I.-4Removes obstructions from the channel. Stops pain.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
BL-18Resolves Damp-Heat. Moves Liver-Qi and eliminates stagnation. Nourishes Liver-Blood.
KI-3Tonifies the Kidneys (both Yin and Yang). Benefits Essence.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
REN-4Nourishes Blood and Yin. Strengthens the Kidneys.
BL-28Regulates the Bladder. Resolves Dampness in the Lower Burner. Strengthens the lower back.
LR-3Subdues Liver-Yang. Promotes the smooth flow of Liver-Qi. Invigorates Blood.
BL-17Invigorates Blood. Cools Blood. Stops bleeding. Nourishes Blood.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Phlegm-Heat View full pattern →

Clinical manifestations: Sudden limb weakness or paralysis, thick sticky yellow phlegm in the throat or cough, chest oppression or fullness, dizziness, nausea or vomiting, restlessness and irritability.
Tongue: Red, swollen, with thick yellow greasy coating. Pulse: Slippery and rapid.
Treatment principle: Clears Heat and transforms Phlegm, clears Liver and Gallbladder Heat, harmonizes the Stomach.
Note: no moxa. Linked to this site's own Phlegm-Heat-in-the-Lungs slide via the established convention of matching a plain Phlegm-Heat pattern to that slide regardless of body location, given the explicit cough/phlegm/chest symptoms here.

2. Qi Deficiency Causing Blood Stagnation

Clinical manifestations: Fixed pressing or dull ache in the limbs or back, band-like sensation around the chest or waist, limb heaviness and tingling, fatigue worsening with activity, shortness of breath, reluctance to speak, dull or dusky facial complexion.
Tongue: Pale-dark or pale-purple with stasis spots, teeth marks, thin white coat. Pulse: Deep, fine or weak, and choppy.
Treatment principle: The body's Qi is too weak to push Blood through the vessels; the spinal channels become undernourished and sluggish.
Note: moxa applicable on ST-36. This site has no combined Qi-deficiency-causing-Blood-stagnation slide, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

3. Kidney and Liver Yin Deficiency View full pattern →

Clinical manifestations: Soreness and weakness of the lower back and knees, night sweats with heat in the palms, soles, and chest, dry eyes with blurred vision, insomnia or restless sleep with vivid dreams.
Tongue: Red, thin body with cracks, scanty or absent coating, dry surface. Pulse: Fine, rapid, and wiry, weak in the left Chi position.
Treatment principle: The Kidneys and Liver are depleted; the spine loses nourishment, leading to progressive weakness and stiffness.
Note: no moxa. Direct exact-name match with this site's own Kidney-and-Liver-Yin-deficiency slide.

4. Kidney and Spleen Yang Deficiency View full pattern →

Clinical manifestations: Cold hands and feet especially below the knees, sore cold lower back and knees, urinary incontinence or frequent clear urination, chronic loose stools or early-morning diarrhea, extreme fatigue, pale puffy face.
Tongue: Pale, swollen, puffy with teeth marks, white slippery coating. Pulse: Deep, weak, slow, both Chi positions especially feeble.
Treatment principle: The body lacks the warming fire needed to move Qi and fluids; the spine and limbs are not properly warmed or nourished.
Note: moxa strongly indicated throughout. Direct exact-name match with this site's own Kidney-and-Spleen-Yang-deficiency slide.

5. Blood Stagnation View full pattern →

Clinical manifestations: Fixed stabbing pain in the spine or limbs, pain worsens at night and with pressure, dark purplish lips, nails, or complexion, sensation of tightness or band-like constriction around the chest or abdomen.
Tongue: Dark purple body with stasis spots, distended dark sublingual veins, thin white coat. Pulse: Choppy and rough, possibly wiry.
Treatment principle: Blood flow in the spinal channels becomes sluggish or blocked; nerve pathways lose nourishment, creating fixed stabbing pain.
Note: no moxa. Direct match with this site's own Liver-Blood-stasis slide via the established discoloration-marker rule.
Related conditions

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