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Skin Numbness

How Chinese medicine differentiates skin numbness into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Limb Numbness, Hand Numbness, Feet Numbness and Tingling 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. Sudden numbness, numbness on one side of the body, or numbness with weakness, speech or vision change needs emergency assessment. Persistent numbness needs a proper neurological work-up.
General Acupuncture Points

Acupuncture points traditionally used for skin numbness — 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.
L.I.-4Expels exterior Wind and releases the Exterior. Promotes the diffusing of Lung-Qi, regulates the Defensive Qi and sweating. Stops pain.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi and Blood Deficiency

Clinical manifestations: Numbness and tingling in the hands and feet; fatigue, pale complexion, dizziness, palpitations, poor appetite; worse with exertion and stress.
Tongue: Pale, thin coat, tooth marks. Pulse: Fine and weak.
Treatment principle: Tonifies Qi and nourishes Blood to restore nourishment to the skin.
Note: moxa is appropriate. No combined Qi-and-Blood-deficiency slide exists on this site's decks — no pattern link is given here.

2. Spleen Deficiency with Dampness

Clinical manifestations: Limb heaviness, bloating after eating, loose stools, fatigue, greasy mouth sensation; worse in damp weather and with heavy foods.
Tongue: Pale, swollen, tooth-marked, white greasy coat. Pulse: Soggy and slow.
Treatment principle: Strengthens the Spleen and drains Dampness to unblock the channels.
Note: Mixed Deficiency/Excess. No deck slide combines Spleen deficiency with Dampness — no pattern link is given here.

3. Liver Blood Deficiency View full pattern →

Clinical manifestations: Hand and foot numbness; dry eyes or blurred vision; brittle nails; dizziness; scanty menstrual flow; muscle cramps; worse with overwork and screen time.
Tongue: Pale sides, thin, slightly dry. Pulse: Fine and choppy.
Treatment principle: Nourishes Liver Blood to moisten the skin and sinews.
Note: no moxa if there are dryness signs.

4. Blood Stagnation View full pattern →

Clinical manifestations: Fixed stabbing pain (worse at night); dark or purplish skin over the numb area; rough dry skin; wooden numbness; dark circles or purplish nails; worse with cold and prolonged stillness.
Tongue: Purple or dusky, stasis spots, dark sublingual veins. Pulse: Choppy and rough.
Treatment principle: Invigorates Blood and dispels stasis to restore microcirculation.
Note: Linked to this site's own Liver-Blood-stasis slide per the discoloration-marker rule (dark skin, purple nails).

5. Wind-Damp

Clinical manifestations: Wandering joint and muscle pain, limb heaviness, shifting numbness; worse in damp or windy weather and with cold exposure.
Tongue: Normal or slightly pale, white greasy coat. Pulse: Floating, soggy, moderate.
Treatment principle: Dispels Wind-Dampness and unblocks the channels to restore Qi and Blood flow.
Note: This site's decks have no Bi-syndrome or Wind-Damp slide, confirmed absent many times — no pattern link is given here.

6. Kidney Yang Deficiency View full pattern →

Clinical manifestations: Cold numbness of the lower back and legs; lower-back and knee pain; frequent night-time urination; deep coldness; fatigue with low spirits; limb swelling; worse with cold and overwork.
Tongue: Pale, puffy, tender, tooth-marked, wet white coat. Pulse: Deep, slow, weak.
Treatment principle: Warms Kidney Yang and disperses internal cold to restore warmth to the channels.
Note: moxa is strongly indicated.
Related conditions

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