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Postpartum Fever

How Chinese medicine differentiates postpartum fever into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Postpartum Hemorrhage and Prolonged Lochia 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. Fever in the days or weeks after childbirth needs prompt medical evaluation to rule out infection before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for postpartum fever (supportive, alongside medical evaluation) — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
SP-6Strengthens the Spleen. Nourishes Blood and Yin. Regulates the uterus and menstruation.
BL-20Tonifies Spleen and Stomach. Resolves Dampness. Nourishes Blood.
REN-4Nourishes Blood and Yin. Strengthens the Uterus and regulates menstruation.
L.I.-4Expels exterior Wind and releases the Exterior. Regulates sweating.
LU-7Promotes the descending and diffusing of Lung-Qi. Releases the Exterior and expels exterior Wind.
REN-6Tonifies Qi and Yang. Raises sinking Qi.
DU-20Raises Yang. Benefits the Brain and the sense organs.
DU-14Clears Heat. Releases the Exterior and expels exterior Wind.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Blood Deficiency

Clinical manifestations: Low-grade persistent fever, pale light-colored lochia, dizziness and palpitations, dull abdominal pain relieved by pressure, pale complexion, lips, and nail beds, spontaneous sweating.
Tongue: Pale, thin body with thin white coating. Pulse: Fine and weak, forceless.
Treatment principle: Nourishes Blood and anchors floating Yang.
Note: moxa applicable throughout. This site has no organ-nonspecific Blood-deficiency slide on any deck — no pattern link is given here; points still link fine individually.

2. Blood Stagnation View full pattern →

Clinical manifestations: Alternating chills and fever, dark purple lochia with clots, sharp fixed lower abdominal pain worse with pressure.
Tongue: Dark purple body with stasis spots, distended dark sublingual veins. Pulse: Wiry and choppy.
Treatment principle: Moves Blood, expels retained lochia, stops pain.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide via the established discoloration-marker rule, with the same Chong/Ren-vessel naming nuance flagged as on this site's other postpartum pages.

3. Wind-Cold Invasion with Underlying Blood and Yin Deficiency View full pattern →

Clinical manifestations: Chills more noticeable than fever, mild or low-grade fever, headache and body aches, absence of sweating, pale complexion, lips, and nail beds, dizziness, fatigue.
Tongue: Pale, thin body, slightly dry, thin white coating. Pulse: Floating and fine, lacking force when pressed.
Treatment principle: Releases the Exterior and dispels Wind-Cold while nourishing the underlying Blood and Yin deficiency.
Note: no moxa on the exterior-releasing points. Linked to this site's own Invasion-of-Lungs-by-Wind-Cold slide via the established exterior-invasion convention, with the underlying Blood-and-Yin-deficiency component flagged as a gap that slide alone does not cover.

4. Qi Deficiency Fever View full pattern →

Clinical manifestations: Low-grade fever worsening after exertion or fatigue, profound tiredness and lack of strength, shortness of breath and reluctance to talk, spontaneous sweating without obvious cause, poor appetite and loose stools.
Tongue: Pale, puffy body with possible teeth marks, thin white coating. Pulse: Weak, forceless, collapsing under pressure.
Treatment principle: Tonifies Spleen-Qi and raises sinking Yang to anchor floating warmth.
Note: moxa strongly indicated throughout. Matched to this site's own Spleen-Qi-sinking slide — the same raise-sunken-Yang treatment principle.

5. Heat in the Uterus Blood View full pattern →

Clinical manifestations: High fever and chills, foul-smelling dark purple or purulent lochia, severe lower abdominal pain refusing pressure, restlessness and thirst for cold drinks, flushed face, dark urine and constipation.
Tongue: Red body with red tip, possible prickles, thin yellow dry coat. Pulse: Rapid, wiry or slippery, forceful.
Treatment principle: Clears Heat and resolves toxins while promoting lochia discharge.
Note: no moxa; high fever with foul lochia needs urgent medical evaluation regardless (possible postpartum infection). Linked to this site's own Damp-Heat-in-the-Bladder slide via the established Lower-Burner organ-system convention.
Related conditions

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