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Post-Surgical Recovery with Poor Wound Healing

How Chinese medicine differentiates slow wound healing after surgery into the six patterns described for it, and the points for each. Supportive reading only. Distinct from this site's Infected Wound and Skin Abscess 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. A wound that is red, hot, swelling, draining pus, opening up, or accompanied by fever needs prompt medical or surgical review. Acupuncture here is a supportive adjunct only, and needling near the wound site is avoided.
General Acupuncture Points

Acupuncture points traditionally used for poor wound healing after surgery — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
BL-20Tonifies Spleen and Stomach. Resolves Dampness. Regulates the Intestines.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi and Blood Deficiency

Clinical manifestations: Pale, dry wound with slow granulation; little or no discharge; deep fatigue; pale complexion; dizziness; poor appetite with spontaneous sweating.
Tongue: Pale, thin or tooth-marked, thin white coat. Pulse: Fine and weak, or empty and soft.
Treatment principle: Tonifies Qi and nourishes Blood to provide the building blocks for repair.
Note: moxa is appropriate away from the wound. No combined Qi-and-Blood-deficiency slide exists on this site's decks — no pattern link is given here.

2. Spleen and Stomach Qi Deficiency View full pattern →

Clinical manifestations: Pale wound with slow granulation and thin clear exudate; poor appetite with bloating; loose stools; fatigue and heavy limbs; sallow complexion.
Tongue: Pale, puffy, scalloped edges, thin white coat. Pulse: Weak and soft, especially at the right middle position.
Treatment principle: Strengthens Spleen Qi to improve the transformation and production of Qi and Blood.
Note: moxa is appropriate. Linked to this site's own Stomach-and-Spleen-Qi-deficiency slide.

3. Damp-Heat

Clinical manifestations: Red, swollen wound oozing thick yellow pus; heaviness in the body and head; chest and upper abdominal stuffiness; thirst with little desire to drink.
Tongue: Red, thick yellow greasy coat. Pulse: Slippery and rapid.
Treatment principle: Clears Heat and drains Dampness to reduce inflammation and allow the wound to dry.
Note: no moxa. Suspected infection needs medical review. This site's decks have no standalone Damp-Heat-in-the-tissues slide — no pattern link is given here.

4. Damp-Cold

Clinical manifestations: Dull, cold wound pain that eases with warmth; the wound feels cold and oozes thin white or clear fluid; heavy limbs; cold hands and feet; loose stools; poor appetite; no thirst.
Tongue: Pale, swollen, tooth-marked, thick white greasy, excessively moist coat. Pulse: Deep, slow, slippery or soggy.
Treatment principle: Warms the channels, disperses Cold and transforms Dampness to restore local circulation.
Note: moxa is strongly indicated. No matching deck slide — no pattern link is given here.

5. Kidney Yang Deficiency View full pattern →

Clinical manifestations: The wound feels cold to the touch; pale wound bed with little or no exudate; feeling cold all over, worst in the lower back and legs; frequent night-time urination; deep fatigue and low spirits.
Tongue: Pale, puffy, tender, tooth-marked, wet white coat. Pulse: Deep, slow and weak, especially at the rear positions.
Treatment principle: Tonifies Kidney Yang to restore the metabolic fire that drives tissue repair.
Note: moxa is strongly indicated.

6. Exterior-Heat

Clinical manifestations: Fever with slight aversion to cold or wind; mild sweating; thirst or dry mouth; sore or swollen throat; wound redness, dryness and local heat; headache and body aches.
Tongue: Normal or slightly red at the tip and sides, thin white or faintly yellow coat. Pulse: Floating and rapid.
Treatment principle: Disperses exterior Heat and resolves toxin to redirect resources toward wound healing.
Note: no moxa. Fever after surgery needs medical review. No non-Lung external-Heat slide exists — no pattern link is given here.
Related conditions

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