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Smelly Stools

How Chinese medicine differentiates unusually smelly (foul-odour) stools into the three patterns you'll actually meet in practice, and the points for each. Distinct from this site's Loose Teeth, Bad Breath and Adhesive Feces 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. Persistently foul-smelling stools with blood, weight loss, fever or fat in the stool need a proper digestive work-up.
General Acupuncture Points

Acupuncture points traditionally used for unusually smelly stools — 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.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm. Regulates Stomach-Qi.
ST-25Regulates the Intestines. Regulates Stomach and Spleen. Moves Qi and invigorates Blood.
The Three Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Food Stagnation in the Stomach View full pattern →

Clinical manifestations: Sour, rotten-smelling stools resembling spoiled food; sour belching; epigastric bloating worse with pressure; aversion to food; relief after vomiting.
Tongue: Normal colour and shape, thick greasy curd-like coat, thickest centrally. Pulse: Slippery and full, prominent at the right middle position.
Treatment principle: Dissolves stagnation, harmonizes the Stomach and guides undigested food downward.
Note: no moxa.

2. Damp-Heat in the Stomach and Spleen View full pattern →

Clinical manifestations: Sticky, foul-smelling stools with a feeling of incomplete evacuation; bitter or sticky mouth taste; bloating; a heavy body sensation; thirst without desire to drink.
Tongue: Red, possibly swollen and tooth-marked, thick yellow greasy coat. Pulse: Soggy and rapid, often slippery.
Treatment principle: Clears Heat, dries Dampness and resolves turbid fermentation.
Note: no moxa. Linked to this site's own Damp-Heat-in-the-Stomach slide.

3. Spleen Qi Deficiency View full pattern →

Clinical manifestations: Mild, persistent, foul-smelling loose stools; poor appetite; bloating after eating; fatigue; a pale complexion.
Tongue: Pale, puffy, tender, tooth-marked, thin white coat. Pulse: Weak and soft, notably weaker at the right middle position.
Treatment principle: Tonifies Spleen Qi, strengthens digestion and gently resolves Dampness.
Note: moxa is appropriate.
Related conditions

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