Logout 📊 Admin
🏠 Home

Neuralgia

How Chinese medicine differentiates general nerve pain (neuralgia) into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Trigeminal Neuralgia and Peripheral Neuropathy 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. New, severe, or rapidly worsening nerve pain needs medical assessment to rule out a serious underlying cause.
General Acupuncture Points

Acupuncture points traditionally used for neuralgia (general nerve pain) — 3 key points, used across the patterns below rather than tied to just one.

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

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing pain at one location; worse at night and with pressure; dark menstrual blood with clots; dark under-eye circles.
Tongue: Purple with stasis spots, thin white coat. Pulse: Choppy or wiry.
Treatment principle: Invigorates Blood, dispels stasis and unblocks the channels.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide per the discoloration-marker rule.

2. Liver Qi Stagnation Transforming into Heat View full pattern →

Clinical manifestations: Burning or distending nerve pain triggered by emotional upset; irritability; explosive anger; bitter taste; a red face and eyes; distending pain along the ribs.
Tongue: Red, redder at the sides, yellow coating. Pulse: Wiry and rapid.
Treatment principle: Soothes Liver Qi, clears the transforming Heat and promotes free flow.
Note: no moxa.

3. Qi and Blood Deficiency

Clinical manifestations: A dull, lingering ache rather than a sharp one; worse with fatigue and overexertion; a pale complexion and lips; dizziness; fatigue, shortness of breath, poor appetite.
Tongue: Pale, thin or teeth-marked, thin white coat. Pulse: Fine and weak.
Treatment principle: Tonifies Qi and Blood, nourishes the channels and addresses this malnourishment-type pain.
Note: moxa is appropriate. No combined Qi-and-Blood-deficiency slide exists on this site's decks — no pattern link is given here.

4. Cold Invading the Channels

Clinical manifestations: Sharp, stabbing pain at a fixed location; aggravated by cold, relieved by warmth; the affected area feels cold; no redness or swelling; stiffness around the painful nerve; aversion to cold.
Tongue: Pale, thin white coat, moist surface. Pulse: Tight or wiry, may be floating.
Treatment principle: Warms the channels, dispels Cold and restores circulation.
Note: moxa is strongly indicated. This site's decks have no generalized Cold-invading-the-channels (Bi-syndrome) slide — no pattern link is given here.

5. Phlegm in the Channels

Clinical manifestations: Fixed, stabbing pain; a heavy, numb sensation in the limbs; a thick white greasy tongue coating; purplish skin around the joints; excessive phlegm or mucus.
Tongue: Purple with stasis spots, white greasy coat, distended sublingual veins. Pulse: Wiry and choppy, or wiry and slippery.
Treatment principle: Transforms Phlegm, warms the channels, invigorates Blood and unblocks the collaterals.
Note: no moxa contraindicated, moxa acceptable. This site's decks have no Phlegm-in-the-channels slide, confirmed absent again — no pattern link is given here.

6. Kidney Yin Deficiency with Empty-Heat Blazing View full pattern →

Clinical manifestations: Burning, gnawing pain without a fixed location; worse in the afternoon or evening; night sweats; five-palm heat; a dry throat at night; mental restlessness; a malar flush; lower back soreness.
Tongue: Red, thin, dry, little coating or cracks. Pulse: Fine and rapid, may feel floating and empty.
Treatment principle: Nourishes Kidney Yin, clears empty Heat and anchors floating Yang.
Note: no moxa (Yin deficiency with heat signs).
Related conditions

Spot an error, or have more to add? Send it to admin on WhatsApp and it'll be corrected/added here.