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Skin Dryness (Xerosis)

How Chinese medicine differentiates chronic dry skin, 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. Dry skin with cracking that bleeds, alongside thyroid symptoms, or that doesn't respond to moisturizing needs medical evaluation before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for dry skin — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Tonifies Qi and Blood.
SP-6Strengthens Spleen, builds Blood, nourishes Yin.
L.I.-4Dispels Wind, relieves itching.
G.B.-20Expels Wind, calms the surface.
BL-23Tonifies Kidney Yin, addresses root deficiency.
L.I.-11Clears empty heat, cools the skin.
KI-3Strengthens Kidney Yin, moistens the body.
REN-6Supplements Qi, promotes fluid circulation to the surface.
SP-9Regulates the Spleen, resolves Dampness.
ST-40Key point for Phlegm, clears sticky obstruction.
KI-6Nourishes Kidney Yin, moistens dryness especially for skin.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Blood Deficiency with External Wind

Clinical manifestations: Wandering itch that comes and goes, dry/rough/flaky skin, pale or sallow complexion, aversion to wind or drafts, dizziness, dull brittle nails, itching worse at night.
Tongue: Pale, thin body with thin white, slightly dry coat. Pulse: Fine, possibly wiry at left middle and floating superficially.
Treatment principle: Nourish Blood and moisten Dryness, dispel Wind and stop itching.
Note: moxa applicable on the tonifying points. This site's Liver-Blood deficiency slide has no Wind component, so no pattern link is given here — the same well-established absence found for Seborrheic Dermatitis, Athlete's Foot and Fungal Skin Infection.

2. Empty-Heat caused by Yin Deficiency View full pattern →

Clinical manifestations: Skin feels hot, especially evening; night sweats; five-palm heat; dry mouth/throat worse at night; flushed cheekbones; restlessness.
Tongue: Red, thin, dry body with cracks and little/no coating. Pulse: Fine and rapid.
Treatment principle: Nourish Yin, clear Deficiency Heat.
Note: no moxa. Direct match, reusing the well-established Kidney-Yin/Empty-Heat slide.

3. Qi and Yin Deficiency

Clinical manifestations: Persistent tiredness and physical weakness, dry mouth with little desire to drink, shortness of breath worsened by exertion, five-palm heat, night sweats.
Tongue: Red or pale-red body with thin/absent coating, possibly cracked and dry. Pulse: Fine and weak, often rapid.
Treatment principle: Tonify Qi, generate fluids, nourish Yin.
Note: moxa applicable throughout. No deck on this site combines Qi and Yin deficiency into one slide, so no pattern link is given here.

4. Damp-Phlegm

Clinical manifestations: Heaviness in body and limbs, thick white greasy tongue coating, chest/upper abdominal stuffiness or bloating, poor appetite/nausea/loose sticky stools, dizziness/brain fog.
Tongue: Pale, swollen body with scalloped teeth marks and thick white greasy coat. Pulse: Slippery, may feel soggy at right middle.
Treatment principle: Dry Dampness and transform Phlegm, regulate Qi and harmonize the Middle Burner.
Note: no moxa except tonifying points. No deck on this site has a generic Damp-Phlegm slide outside the Lungs, so no pattern link is given here.

5. Body Fluids Deficiency

Clinical manifestations: Thirst with desire to drink water, dry mouth and cracked lips, dry rough flaky skin, scanty dark urine, dry hard stools, absence of itching or heat sensation.
Tongue: Red, dry, thin body with cracks and little/no coating. Pulse: Fine and rapid.
Treatment principle: Nourish Yin and generate fluids, moisten dryness.
Note: no moxa. No deck on this site has a general Body-Fluids-deficiency slide independent of a specific organ, so no pattern link is given here.
Related conditions

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