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Subdural Hematoma

How Chinese medicine differentiates the presentation of a subdural hematoma into the six patterns described for it, and the points for each. Supportive reading only, for recovery, never for the acute event. 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 subdural hematoma is a medical emergency (bleeding around the brain, usually from a head injury) that needs immediate medical imaging and treatment — call for emergency care. This page is for understanding the patterns seen during recovery under medical supervision, never for the acute event, and acupuncture must never delay or replace emergency care.
General Acupuncture Points

Acupuncture points traditionally used for subdural hematoma — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
DU-20Extinguishes interior Wind. Subdues Liver-Yang. Raises Yang.
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.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing head pain, worse at night and with pressure; a dark or dusky complexion; dark, purplish lips and nails.
Tongue: Purple or dusky, stasis spots, distended dark sublingual veins, thin white coat. Pulse: Choppy or wiry.
Treatment principle: Invigorates Blood, dispels stasis, moves Qi and opens the chest.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide per the discoloration-marker rule.

2. Qi and Blood Stagnation

Clinical manifestations: Fixed, stabbing headache; distending chest and rib pain; irritability; pain worse with pressure; a dark, purplish complexion.
Tongue: Dark purple, stasis spots, distended sublingual veins, thin white coat. Pulse: Wiry and choppy.
Treatment principle: Moves stagnant Qi to restore Blood flow, easing chest distension and calming emotional tension.
Note: no moxa. No combined Qi-and-Blood-stagnation slide exists on this site's decks — no pattern link is given here.

3. Phlegm Misting the Heart View full pattern →

Clinical manifestations: Mental confusion or dullness; dizziness; a heavy head; a thick, greasy tongue coating; rattling or gurgling in the throat.
Tongue: Pale, swollen, thick white greasy coat, stiff movement. Pulse: Slippery.
Treatment principle: Scours Phlegm and opens the orifices; clears Heat and transforms Phlegm.
Note: no moxa. Linked to this site's own Phlegm-misting-the-Mind slide, the closest match.

4. Qi and Blood Deficiency

Clinical manifestations: Persistent fatigue; a pale or sallow complexion; dizziness; palpitations; poor appetite; a mild, dull (not sharp) headache.
Tongue: Pale, thin or tooth-marked, thin white coat. Pulse: Fine and weak.
Treatment principle: Tonifies Qi and Blood to restore nourishment to the brain, gradually resolving lingering stasis.
Note: moxa is appropriate.

5. Yang Deficiency

Clinical manifestations: A dull, persistent headache; severe cold intolerance; cold hands and feet; fatigue; a pale face; mental fogginess; sluggish thinking.
Tongue: Pale, swollen, moist, tooth-marked, white slippery coat. Pulse: Deep, slow, weak.
Treatment principle: Warms Yang and disperses internal Cold, restoring the body's driving force to circulate congealed Blood.
Note: moxa is strongly indicated.

6. Water Qi Intimidating the Heart View full pattern →

Clinical manifestations: Palpitations; swelling of the lower legs or body; cold extremities; chest fullness; unable to lie flat; breathlessness; dizziness or vertigo.
Tongue: Pale, swollen, tender, tooth-marked, water-slick white coat. Pulse: Wiry-slippery or deep-fine, weak at the left front position.
Treatment principle: Warms Yang, transforms fluid retention, strengthens the Spleen and calms the Heart.
Note: moxa is appropriate. Linked to this site's own Kidney-Yang-deficiency-with-Water-overflowing slide.
Related conditions

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