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Osteomyelitis

How Chinese medicine differentiates osteomyelitis, the five patterns you'll actually meet in practice, and the points for each. Supportive care alongside medical treatment — 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. Osteomyelitis is a serious bone infection that requires medical diagnosis and treatment (typically prolonged antibiotics, sometimes surgery) — acupuncture here is supportive care alongside that treatment, never a substitute for it. Fever, spreading pain, or an open wound near the affected bone needs urgent medical attention.
General Acupuncture Points

Acupuncture points traditionally used for osteomyelitis as supportive care — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
L.I.-11Clears heat and cools blood.
L.I.-4Dispels exterior wind, relieves severe pain.
DU-14Clears heat and resolves toxin for high fever.
ST-36Supports Qi while draining fire; strengthens the Spleen to transform dampness.
ST-40Transforms dampness and phlegm.
SP-6Drains dampness and regulates Spleen, Liver, Kidney.
BL-17Gathering point for Blood, invigorates blood circulation.
SP-10Cools and moves blood, helps resolve local stasis and pain.
LR-3Moves Liver Qi and Blood, alleviates deep, fixed pain.
BL-23Warms Kidney Yang, the root of the body's warming fire.
DU-4Strengthens Yang energy and expels deep cold.
BL-20Reinforces Spleen function to transform food into Qi and Blood.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Toxic-Heat Stagnation

Clinical manifestations: Deep, throbbing, unrelenting bone pain; localized redness, swelling, and intense heat over the bone; high fever with chills; thick yellow pus discharge; intense thirst, dark scanty urine, constipation.
Tongue: Deep red or crimson body with prickly papillae and thick, dry yellow coating. Pulse: Rapid and forceful, possibly slippery at right Guan.
Treatment principle: Clear heat and resolve toxin, drain intense fire.
Note: no moxa. No standalone Toxic-Heat slide exists on this site, so no pattern link is given here.

2. Damp-Heat

Clinical manifestations: Deep, aching bone pain with sensation of heaviness; swelling that is warm but not intensely red; thick yellow pus discharge; body feels heavy and sluggish; greasy, sticky sensation in mouth with poor appetite.
Tongue: Red body with thick, yellow, greasy coating, difficult to scrape off, often swollen with teeth marks. Pulse: Slippery-rapid or soggy-rapid.
Treatment principle: Clear heat and resolve toxicity, cool blood, disperse swelling.
Note: no moxa. This picture isn't tied to the genital/Lower-Burner presentation this site's Damp-Heat pattern decks are built around, and bone infection can occur anywhere in the body, so no pattern link is forced here.

3. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing or boring bone pain; pain worse at night and with pressure; dark or purplish skin around affected bone; possible sinus tract with dark or thin discharge.
Tongue: Dark purple or dusky body, stasis spots, distended dark sublingual veins, thin white coat. Pulse: Choppy or wiry.
Treatment principle: Invigorate blood and dispel stasis, unblock channels and alleviate pain.
Note: no moxa. Matches this site's Liver-Blood stasis slide — dark/purplish discoloration and a stasis-spot tongue are the same core markers named there.

4. Yang Deficiency with Cold-Damp

Clinical manifestations: Deep, dull, cold pain in bone; worsens with cold, improves with warmth; cold hands and feet, pale complexion; no thirst, prefers warm drinks; fatigue, desire to lie down.
Tongue: Pale, swollen body with teeth marks, white greasy moist coating. Pulse: Deep, slow, possibly minute or fine.
Treatment principle: Warm Yang and dispel cold-damp; restore circulation and warm the channels.
Note: moxa strongly applicable throughout. No deck on this site combines Yang deficiency with Cold-Damp into one slide, so no pattern link is given here.

5. Qi and Blood Deficiency

Clinical manifestations: Persistent fatigue and weakness; pale or sallow complexion; non-healing wound with thin, clear discharge; dizziness or lightheadedness; poor appetite; heart palpitations.
Tongue: Pale body, may be thin or show teeth marks, thin white coating. Pulse: Fine and weak, possibly empty.
Treatment principle: Tonify Qi and nourish blood; support the body's reserves for tissue repair.
Note: moxa applicable throughout. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.
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