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Painful Gums

How Chinese medicine differentiates gum pain specifically — distinct from Swollen Gums and Bleeding Gums already covered — the six 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. Gum pain with pus, fever, or loose teeth needs dental evaluation before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for painful gums — 10 key points, used across the patterns below rather than tied to just one.

PointKey action
L.I.-4Expels exterior Wind. Reduces facial pain.
ST-6Expels Wind. Removes obstructions from the channel.
ST-44Clears Heat. Regulates the Intestines and resolves Damp-Heat.
SP-9Regulates the Spleen. Resolves Dampness.
KI-3Tonifies the Kidneys (both Yin and Yang). Benefits Essence.
KI-6Nourishes Kidney-Yin. Calms the Mind.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
DU-4Tonifies Kidney-Yang and warms the Gate of Life (Ming Men).
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Bright Yang Stomach Heat View full pattern →

Clinical manifestations: Bright red, swollen gums that bleed easily, intense thirst craving cold drinks, foul breath, irritability.
Tongue: Red body with yellow dry coating. Pulse: Surging and rapid.
Treatment principle: Clear Stomach-Fire, cool Blood, nourish Yin.
Note: no moxa. This dental-specific presentation was matched on the internal pattern rather than a dedicated gum slide — this site's Stomach-Heat-(or-Phlegm-Heat) slide covers the same underlying Yangming-Fire mechanism, the same internal-pattern-match logic already used for Toothache and Bad Breath.

2. Damp-Heat in the Stomach View full pattern →

Clinical manifestations: Swollen gums with possible pus points, sticky greasy taste, heaviness sensation, nausea.
Tongue: Red body with thick yellow greasy coating. Pulse: Slippery and rapid.
Treatment principle: Clear Heat, drain Dampness, regulate Qi.
Note: no moxa. Direct exact-name match with this site's own Damp-Heat-in-the-Stomach slide.

3. Wind-Heat View full pattern →

Clinical manifestations: Sudden gum pain/swelling, mild fever, chills, sore throat, aversion to wind.
Tongue: Red tip/edges with thin yellow coating. Pulse: Floating, rapid.
Treatment principle: Disperse Wind-Heat, clear Heat, resolve toxicity.
Note: no moxa. Matched to this site's own Invasion-of-Lungs-by-Wind-Heat slide on the exterior-invasion level, the same convention used for Periodontal Disease and Toothache.

4. Kidney-Yin Deficiency View full pattern →

Clinical manifestations: Dull lingering pain worse at night, loose teeth, receding gums, dry mouth, night sweats.
Tongue: Red thin dry with minimal coating. Pulse: Fine, rapid.
Treatment principle: Nourish Kidney-Yin, clear deficiency Heat.
Note: no moxa given the Yin deficiency. Direct exact-name match with this site's own Kidney-Yin-deficiency slide.

5. Qi and Blood Deficiency

Clinical manifestations: Pale atrophied gums, scant pale bleeding, dull ache, fatigue, poor appetite.
Tongue: Pale thin body with white coating. Pulse: Fine, weak.
Treatment principle: Tonify Qi and Blood, strengthen the Spleen.
Note: moxa applicable throughout. This site's decks have no combined Qi-and-Blood-deficiency slide (confirmed absent many times before), so no pattern link is given — points still link fine individually.

6. Kidney-Yang Deficiency View full pattern →

Clinical manifestations: Dull lingering ache without redness, pale gums, worse at night/cold, cold lower back/knees.
Tongue: Pale puffy tender with teeth marks and wet white coating. Pulse: Deep, slow, weak.
Treatment principle: Tonify Kidney-Yang, warm the channels, expel Cold.
Note: moxa applicable throughout. Direct exact-name match with this site's own Kidney-Yang-deficiency slide.
Related conditions

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