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Spider Veins

How Chinese medicine differentiates spider veins (visible skin capillaries) into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Varicose Veins page — smaller vessels, different mechanism. 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. Spider veins are usually cosmetic, but sudden widespread new ones alongside easy bruising or other bleeding signs need medical evaluation.
General Acupuncture Points

Acupuncture points traditionally used for spider veins — 11 key points, used across the patterns below rather than tied to just one.

PointKey action
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
LR-3Subdues Liver-Yang. Invigorates Blood and regulates menstruation.
L.I.-4Expels exterior Wind. Stops pain. Removes obstructions from the channel.
L.I.-11Clears Heat and cools the Blood.
LR-2Drains Liver-Fire and subdues Liver-Yang. Resolves Damp-Heat in the genitourinary system.
SP-9Regulates the Spleen. Resolves Dampness. Benefits the Lower Burner.
KI-3Tonifies the Kidneys (both Yin and Yang). Calms the Mind.
KI-6Nourishes Kidney-Yin. Calms the Mind.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
ST-36Tonifies Qi and Blood. Tonifies the Stomach and Spleen.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Blood Stagnation With Heat View full pattern →

Clinical manifestations: Bright red spider veins with central pulsating points, fixed stabbing pain worse at night, internal heat sensation (especially palms/soles/chest), irritability with restlessness, dry mouth with rinsing desire but no swallowing need.
Tongue: Reddish-purple body with stasis spots, distended sublingual veins, thin dry yellow coat. Pulse: Choppy and rapid, often wiry at the left Guan position.
Treatment principle: Invigorate Blood and disperse stasis while clearing Heat.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide via the established extension to Blood-stasis-with-Heat variants.

2. Liver Blood Stagnation View full pattern →

Clinical manifestations: Dark purplish spider veins, fixed stabbing pain in the rib area, dark menstrual blood with clots, irritability with frequent sighing.
Tongue: Dark purple body with stasis spots on the sides, thin white coat. Pulse: Wiry and choppy.
Treatment principle: Restore smooth Liver Qi and Blood flow by invigorating Blood and removing stasis.
Note: no moxa. Also matched to this site's Liver-Blood-stasis slide — the source distinguishes this from pattern 1 by emphasis (Liver-channel/emotional trigger vs. Heat-dominant), but both draw on the same underlying stasis presentation, within the established two-per-page cap.

3. Heat in the Blood

Clinical manifestations: Internal heat sensation worse at night, thirst desiring cold drinks, red skin rashes alongside veins, possible nosebleeds, bleeding gums, or heavy menstrual bleeding.
Tongue: Red body with red spots or prickles, thin yellow dry coating. Pulse: Rapid, often wiry or slippery.
Treatment principle: Clear Heat from the Blood, cool the Blood, stop bleeding.
Note: no moxa. This site has no standalone Heat-in-the-Blood slide, a gap confirmed absent many times over — no pattern link is given here; points still link fine individually.

4. Damp-Heat in the Liver

Clinical manifestations: Pain and distension along the ribs, bitter taste in the mouth, dark yellow urine, yellow greasy tongue coating.
Tongue: Red body with redder sides, yellow greasy coating. Pulse: Wiry, slippery, rapid.
Treatment principle: Clear Damp-Heat from the Liver and Gallbladder, transform turbidity.
Note: no moxa. This site's Damp-Heat-in-the-Liver slide is genital/vaginal-discharge-specific, confirmed by re-reading its content — not a fit for a rib-pain/bitter-taste picture unrelated to the genitals, consistent with the project's standing discipline — no pattern link is given here; points still link fine individually.

5. Kidney Yin Deficiency With Empty-Heat Blazing View full pattern →

Clinical manifestations: Spider veins on the face/neck/upper chest, night sweats, five-palm heat, malar flush, lower back soreness and weakness, tinnitus or diminished hearing, mental restlessness and irritability.
Tongue: Red, thin, dry body with little or no coating, possible cracks. Pulse: Fine and rapid, especially weak at the rear position.
Treatment principle: Nourish Kidney Yin to rebuild the body's cooling foundation and anchor Yang.
Note: no moxa. Direct match with this site's own Kidney-Yin-deficiency-Empty-Heat-blazing slide.

6. Spleen Deficiency With Dampness

Clinical manifestations: Loose or unformed stools, abdominal bloating worse after eating, heaviness of body and limbs, poor appetite or lack of taste, fatigue and lack of energy.
Tongue: Pale, swollen body with teeth marks, white greasy coating, moist surface. Pulse: Soggy and slowed, soft and lacking force.
Treatment principle: Strengthen Spleen Qi and eliminate accumulated Dampness.
Note: moxa applicable on ST-36. This site has no combined Spleen-deficiency-with-Dampness slide, a gap confirmed absent many times over — no pattern link is given here; points still link fine individually.
Related conditions

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