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Neurodermatitis

How Chinese medicine differentiates neurodermatitis (lichen simplex chronicus) into the 4 patterns behind it, and the points for each. Distinct from this site's Itchy Skin and Eczema pages. Acupuncture only — no herbs.

Thickened, unresponsive skin plaques should be confirmed by a dermatologist before assuming this diagnosis — other chronic skin conditions can look similar.
General Acupuncture Points

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

PointKey action
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
SP-10Cools Blood. Invigorates Blood and eliminates stasis. Blood SP-10 SP-9 10 Xuehai
LIV-3Subdues Liver-Yang. Extinguishes interior Wind. Promotes the smooth flow of Liver-Qi.
The Four Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Blood Deficiency with External Wind

Clinical manifestations: Leathery, thickened plaques; intense itching worse at night; dry flaky skin; an aversion to wind; a pale complexion; dull brittle nails and hair.
Tongue: Pale, thin, thin white slightly dry coat. Pulse: Fine, often wiry on the left Guan and floating on the right Cun.
Treatment principle: Nourish Blood and moisten dryness while dispersing Wind to relieve the itching.
Note: Confirmed absent again: this site's own Itchy Skin and Eczema pages leave the identically-named pattern unlinked for the same reason.

2. Liver Qi Stagnation that transforms into Heat View full pattern →

Clinical manifestations: Red, hot, itchy skin lesions that worsen with stress and anger; irritability; a bitter taste; distending rib-side pain; restlessness and sleep difficulty.
Tongue: Red with redder sides, yellow coating. Pulse: Wiry and rapid, especially at the left middle position.
Treatment principle: Clear Liver-Heat, relieve Qi stagnation, and cool the Blood to calm the inflamed itchy skin.

3. Blood Stagnation View full pattern →

Clinical manifestations: Dark purplish, thick, leathery plaques that feel hard and fixed; stabbing lesion discomfort worse at night; a dusky complexion; dark circles.
Tongue: Purple or dusky with stasis spots, distended dark sublingual veins, thin white coat. Pulse: Choppy, or wiry.
Treatment principle: Invigorate Blood and break stasis to soften the dark, hard plaques of chronic neurodermatitis.

4. Damp-Heat in the Liver Channel View full pattern →

Clinical manifestations: Moist, oozing or weepy plaques; lesions in the groin, genitals or inner thighs; a bitter taste; dark scanty painful urination; genital itching and swelling.
Tongue: Red with redder sides, yellow greasy coating thicker at the centre and root. Pulse: Wiry, slippery, rapid.
Treatment principle: Drain Damp-Heat from the Liver channel, clearing inflammation and drying the oozing lesions.
Related conditions

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