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Parotitis

How Chinese medicine differentiates parotitis (including mumps) — Wind-Heat toxin lodging below the ear — into the five 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. High fever, testicular pain, severe headache, or any confusion/seizure alongside parotid swelling needs immediate emergency medical care — these are signs of serious complications, not something to manage with acupuncture alone.
General Acupuncture Points

Acupuncture points traditionally used for parotitis — 11 key points, used across the patterns below rather than tied to just one.

PointKey action
T.B.-17Expels Wind. Benefits the ears.
ST-6Expels Wind. Removes obstructions from the channel.
T.B.-5Expels Wind-Heat. Benefits the ears. Clears Heat in the head.
L.I.-4Expels exterior Wind. Stops pain. Removes obstructions from the channel.
T.B.-1Clears Heat. Expels exterior Wind. Clears Pericardium-Heat. Benefits the ears.
DU-14Clears Heat. Releases the Exterior and expels exterior Wind.
LR-3Subdues Liver-Yang. Invigorates Blood and regulates menstruation.
LR-2Drains Liver-Fire and subdues Liver-Yang. Cools Blood and stops bleeding.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
HE-7Calms the Mind and opens the Mind's orifices. Nourishes Heart-Blood.
P-6Opens the chest and moves Qi and Blood. Calms the Mind.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Heat in Lesser Yang

Clinical manifestations: Swelling and pain below the ear, pain worsens with chewing, mild fever alternating with chills, bitter taste in the mouth, irritability, dry throat.
Tongue: Red body with redder sides, thin white or slightly yellow coating. Pulse: Wiry and rapid.
Treatment principle: Release the exterior and disperse toxin; harmonize the Shao Yang channel.
Note: no moxa. The Shao Yang ("Lesser Yang") stage is a Shanghan six-stage concept, not an organ pattern — this site's decks are organ-pattern-based, so there is no matching slide for this specific framing — no pattern link is given here; points still link fine individually.

2. Toxic-Heat Stagnation

Clinical manifestations: High fever with intense thirst, hard red throbbing parotid swelling, severe pain opening the mouth or chewing, restlessness and irritability, dark scanty urine or constipation.
Tongue: Deep red or crimson body with prickly papillae and thick dry yellow coating. Pulse: Rapid and forceful, may be overflowing and slippery in the right Guan position.
Treatment principle: Clear intense toxic Heat and resolve stagnation.
Note: no moxa; high fever with hard throbbing swelling should be medically evaluated regardless. This site has no standalone Toxic-Heat slide on any deck, a gap confirmed absent many times over — no pattern link is given here; points still link fine individually.

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

Clinical manifestations: Testicular swelling or pain (males), lower abdominal or ovarian pain (females), bitter taste in the mouth, irritability and moodiness, dark yellow scanty or painful urination — appears after the initial parotid swelling begins subsiding.
Tongue: Red body with redder sides, yellow greasy coating (thicker at the center and root). Pulse: Wiry, slippery, rapid.
Treatment principle: Clear Damp-Heat descending along the Liver channel.
Note: no moxa. Direct match with this site's own Damp-Heat-in-the-Liver slide — its genital-specific framing (testicular/ovarian involvement) is an exact fit here, unlike the many other conditions where that same slide has been correctly declined for non-genital presentations.

4. Heat in the Pericardium View full pattern →

Clinical manifestations: High fever worsening at night, delirium or incoherent speech, loss of consciousness, cold hands and feet despite fever, restlessness and agitation, stiff tongue or inability to speak.
Tongue: Crimson, stiff or shortened, dry yellow coating or little coating. Pulse: Fine and rapid.
Treatment principle: Clear extreme Heat from the Pericardium and calm the mind — this is a medical emergency.
Note: no moxa; this is an emergency needing immediate hospital care. Direct match with this site's own Heat-in-the-Pericardium slide, the same emergency-badged slide used for Heat Stroke.

5. Liver Wind Agitating Internally Due to Extreme Heat View full pattern →

Clinical manifestations: High fever with convulsions or seizures, rigid neck and arched back, loss of consciousness or delirium, clenched jaw and eyes rolling upward, intense thirst, spasms and sinew tension.
Tongue: Deep red or crimson body, dry with prickles, stiff, yellow dry coating. Pulse: Wiry, rapid, forceful, especially at the left Guan position.
Treatment principle: Extinguish Liver Wind stirred by extreme Heat — this is a medical emergency.
EX-UE-11 (Shixuan) ↓ LR-3 ↓
Note: no moxa; this is an emergency needing immediate hospital care, not home treatment. Direct match with this site's own Extreme-Heat-generating-Wind slide (also badged Emergency). EX-UE-11 (Shixuan, the ten finger-tip bleeding points) has no dedicated location page on this site, shown as a nolink chip.
Related conditions

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