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Pale Lips and Nail Beds

How Chinese medicine differentiates pale lips and nail beds into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Pale Inner Eyelids and Dull Pale Complexion 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. Pale lips and nail beds alongside fatigue or breathlessness needs medical evaluation to rule out anemia or another underlying cause before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for pale lips and nail beds — 7 key points, used across the patterns below rather than tied to just one.

PointKey action
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
BL-20Tonifies Spleen and Stomach. Resolves Dampness. Nourishes Blood.
REN-6Tonifies Qi and Yang. Raises sinking Qi.
DU-4Tonifies Kidney-Yang and warms the Gate of Life. Tonifies the Original Qi.
REN-4Nourishes Blood and Yin. Strengthens the Kidneys.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Blood Deficiency

Clinical manifestations: Pale lips and nail beds, dizziness or light-headedness, scanty pale menstrual flow, heart palpitations, numbness or tingling in the hands and feet, poor memory or difficulty concentrating.
Tongue: Pale, thin body with thin white coating. Pulse: Fine and weak, possibly choppy.
Treatment principle: Nourishes Blood, directly restoring color to lips and nails by providing material substance.
Note: moxa applicable on ST-36. This site has no organ-nonspecific Blood-deficiency slide on any deck — no pattern link is given here; points still link fine individually.

2. Spleen Qi Deficiency View full pattern →

Clinical manifestations: Pale lips and nail beds, poor appetite, abdominal bloating worse after eating, loose or soft stools, fatigue and heaviness in the limbs, weak digestion, low vitality.
Tongue: Pale, puffy, tender body with tooth marks and thin white coating. Pulse: Soft and weak, especially at the right Guan position.
Treatment principle: The Spleen transforms food into Qi and Blood; when Spleen-Qi is weak, the production of nourishing Blood slows down.
Note: moxa applicable on ST-36/BL-20/REN-6. Direct exact-name match with this site's own Spleen-Qi-deficiency slide.

3. Qi and Blood Deficiency

Clinical manifestations: Pale lips and nail beds, deep fatigue and weakness, dizziness or lightheadedness, shortness of breath on exertion, pale or sallow complexion, poor appetite or reduced food intake, heart palpitations.
Tongue: Pale body, may be thin or have teeth marks, thin white coating. Pulse: Fine and weak, especially in the right Guan position.
Treatment principle: When both Qi and Blood are deficient, the body lacks the vital energy to circulate nourishment and the material substance to color the tissues.
Note: moxa applicable on REN-6. This site has no combined Qi-and-Blood-deficiency slide, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

4. Yang Deficiency View full pattern →

Clinical manifestations: Aversion to cold, cold limbs, desire for warmth and warm drinks, fatigue and low vitality, loose stools or undigested food, abundant clear urination, pale lips and nail beds that feel cold to the touch.
Tongue: Pale, swollen, moist with teeth marks, white slippery coating. Pulse: Deep, slow, and weak.
Treatment principle: Yang is the body's warming and propelling force; when it is deficient, internal Cold dominates and Blood circulation becomes sluggish.
Note: moxa strongly indicated throughout. This site has no plain organ-nonspecific Yang-deficiency slide — linked to the closest match, this site's own Kidney-Yang-deficiency slide, since the moxa-heavy treatment approach here (DU-4, REN-4) is identical.

5. Interior Cold

Clinical manifestations: Severe cold limbs, abdominal pain relieved by warmth or pressure, no thirst or only wanting hot drinks, clear abundant urination, loose stools or diarrhea, pale lips and nail beds with an icy quality.
Tongue: Pale, puffy body with teeth marks, white moist or slippery coating. Pulse: Deep and slow, deep and tight in Full Cold, deep and weak in Empty Cold.
Treatment principle: Internal Cold constricts the blood vessels and slows circulation to a crawl; warmth relaxes the vessels and thaws the stagnation.
Note: moxa strongly indicated throughout. This site has no organ-nonspecific Interior-Cold slide on any deck, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.
Related conditions

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