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Skin Lesions

How Chinese medicine differentiates general skin lesions into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Skin Rashes page. 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 new or changing lesion, especially one that bleeds, grows, or looks irregular, needs a proper skin exam before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for skin lesions — 12 key points, used across the patterns below rather than tied to just one.

PointKey action
L.I.-11Clears Heat and cools Blood. Resolves Dampness.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
DU-14Clears Heat. Releases the Exterior and expels exterior Wind.
L.I.-4Expels exterior Wind and releases the Exterior. Stops pain.
LR-3Subdues Liver-Yang. Promotes the smooth flow of Liver-Qi.
LR-2Drains Liver-Fire and subdues Liver-Yang.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
G.B.-20Expels exterior and interior Wind. Subdues Liver-Yang.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
G.B.-21Relaxes the sinews. Benefits the breasts and promotes lactation. Stimulates the descending of Qi.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Heat in the Blood

Clinical manifestations: Bright red skin eruptions, intense itching and burning sensation, feeling of internal heat worse at night, thirst with desire for cool drinks, restlessness and irritability, rashes appearing and disappearing suddenly.
Tongue: Red body with red spots or prickles, thin yellow dry coating. Pulse: Rapid, wiry, slippery, and forceful.
Treatment principle: Dispels Wind and stops itching, clears Heat, drains Dampness.
Note: no moxa. This site has no standalone Heat-in-the-Blood slide on any deck, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

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

Clinical manifestations: Burning, oozing vesicles or blisters, lesions in the groin, genitals, or inner thighs, bitter taste in the mouth, irritability or short temper.
Tongue: Red body with redder sides, yellow greasy coating thicker at the center and root. Pulse: Wiry, slippery, and rapid.
Treatment principle: Drains excess Fire from the Liver and Gallbladder, clears Damp-Heat from the Lower Burner.
Note: no moxa. Linked to this site's own Damp-Heat-in-the-Liver slide, which this session confirmed is genital-specific in its own text — a direct match here, reinforced by the source's own groin/genital/inner-thigh location.

3. Blood Deficiency With External Wind View full pattern →

Clinical manifestations: Dry, flaky, rough skin, itching worse at night, pale or sallow complexion, aversion to wind or drafts, rashes appearing and disappearing suddenly, dull or brittle nails.
Tongue: Pale, thin body with thin white and slightly dry coat. Pulse: Fine, wiry on the left Guan position, may feel floating superficially.
Treatment principle: Nourishes Blood and moistens Dryness, dispels Wind and stops itching.
Note: no moxa. Linked to this site's own Liver-Blood-deficiency slide, the closest match, with the external-Wind-invasion component flagged as a gap that slide alone does not cover.

4. Spleen Deficiency With Dampness

Clinical manifestations: Pale or light-colored skin lesions, little oozing or weeping, poor appetite and bloating after eating, loose unformed stools, heaviness of the body and limbs, fatigue and lack of energy.
Tongue: Pale, swollen body with teeth marks, white greasy coating, moist surface. Pulse: Soggy and slow, soft and lacking force.
Treatment principle: Tonifies Qi, strengthens the Spleen, drains Dampness.
Note: moxa applicable on ST-36. This site has no combined Spleen-deficiency-with-Dampness slide, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

5. Qi and Blood Stagnation View full pattern →

Clinical manifestations: Dark purplish or brownish skin lesions, fixed stabbing pain at the lesion site, worse with pressure or touch, irritability or mood swings, painful periods with dark clots.
Tongue: Dark purple body with stasis spots and distended sublingual veins. Pulse: Wiry and choppy.
Treatment principle: Invigorates Blood and dispels stasis, moves Qi and alleviates pain.
Note: no moxa. Direct match with this site's own Liver-Blood-stasis slide via the established discoloration-marker rule.
Related conditions

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