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Swollen Eyes

How Chinese medicine differentiates swollen eyes — distinct from Watery Eyes and Blepharitis already covered — the six patterns you'll actually meet in practice, and the points for each. 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 eye swelling with vision changes or severe pain needs urgent medical evaluation before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for swollen eyes — 10 key points, used across the patterns below rather than tied to just one.

PointKey action
G.B.-20Subdues Liver-Yang, expels exterior or interior Wind.
L.I.-4Expels exterior Wind, regulates Defensive Qi.
EX-HN-5 (Taiyang)Extra point — subdues Liver-Yang, brightens the eyes, no dedicated deck page on this site.
BL-1Local point, expels Wind and clears Heat.
LR-3Subdues Liver-Yang, clears interior Wind.
LR-2Clears Liver-Fire, subdues Liver-Yang.
SP-6Regulates the Spleen, drains Dampness.
ST-36Tonifies Spleen-Qi and Yang.
BL-20Back-Shu point of Spleen, directly strengthens Yang.
REN-12Front-Mu point of Stomach, warms the middle burner.
DU-14Clears Heat, resolves toxin.
BL-23Tonifies Kidney-Yang.
DU-4Warms the Gate of Life, restores fundamental Fire.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Wind-Heat View full pattern →

Clinical manifestations: Sudden redness and swelling of the eyes, sensation of heat and itching in the eyes, mild fever and aversion to wind, sore throat and headache, tearing with thin watery discharge.
Tongue: Red tip and edges with thin yellow coating. Pulse: Floating and rapid.
Treatment principle: Disperse Wind-Heat, clear Heat from the head and eyes, resolve exterior symptoms.
G.B.-20 ↓ L.I.-4 ↓ EX-HN-5 (Taiyang) ↓ BL-1 ⊥
Note: no moxa. Direct match with this site's own Invasion-of-Lungs-by-Wind-Heat slide.

2. Liver-Fire Blazing View full pattern →

Clinical manifestations: Red, swollen and burning eyes, throbbing headache at the temples, intense irritability and short temper, bitter taste in the mouth, constipation and dark yellow urine.
Tongue: Red body with redder sides, dry yellow coating with possible red prickles. Pulse: Wiry, rapid, forceful, especially at left Guan.
Treatment principle: Drain excess Fire from the Liver and Gallbladder, clear Heat from the Liver channel, subdue rising Yang.
LR-3 ↓ LR-2 ↓ EX-HN-5 (Taiyang) ↓ G.B.-20 ↓
Note: no moxa. Direct match with this site's own Liver-Fire-blazing slide.

3. Damp-Heat in the Liver Channel

Clinical manifestations: Red, swollen eyes with sticky yellow discharge, feeling of heaviness in the eyes and body, bitter taste in the mouth, pain or fullness along the ribs, dark scanty urine.
Tongue: Red body with red sides, yellow greasy coating thicker at centre and root. Pulse: Wiry, slippery and rapid.
Treatment principle: Clear Damp-Heat from the Liver and Gallbladder channels, drain Dampness, clear Heat from the Liver channel.
Note: no moxa. This site's own Damp-Heat-in-the-Liver slide is genital/vaginal-discharge-specific (checked directly), not a match for an eye presentation, so no pattern link is given here.

4. Spleen-Yang Deficiency View full pattern →

Clinical manifestations: Puffy eyelids worst in the morning, feeling cold easily, cold hands and feet, loose watery stools or undigested food in stool, fatigue and heavy limbs, abdominal bloating worsening after eating.
Tongue: Pale, puffy, tender body with scalloped edges and white slippery coating. Pulse: Deep, slow, weak, right Guan especially empty.
Treatment principle: Warm Yang and disperse Cold, strengthen the Spleen, move Qi, improve fluid transformation and transport.
Note: moxibustion strongly indicated throughout. Direct match with this site's own Spleen-Yang-deficiency slide.

5. Toxic-Heat

Clinical manifestations: Pus-filled swelling or abscess on the eyelid, high fever, intense throbbing pain, restlessness and irritability, intense thirst for cold drinks, dark scanty urine.
Tongue: Red body with prickly thorns and dry yellow coating. Pulse: Rapid and forceful, often full or overflowing.
Treatment principle: Clear Heat and resolve toxicity, disperse swelling and dissipate nodules, invigorate Blood.
Note: no moxa — seek urgent care alongside treatment. No standalone Toxic-Heat slide exists on this site, a confirmed and recurring absence, so no pattern link is given here.

6. Kidney-Yang Deficiency with Water Overflowing View full pattern →

Clinical manifestations: Puffy eyelids worst on waking, swelling of the legs and ankles, deep cold feeling especially in the lower back and legs, scanty clear urination, sore weak lower back.
Tongue: Pale, puffy, waterlogged with scalloped edges and white slippery coating. Pulse: Deep, slow, weak, Chi position especially faint.
Treatment principle: Warm Yang and disperse Cold, promote urination and drain Dampness, transform water-Dampness.
Note: moxibustion strongly indicated throughout. Direct match with this site's own Kidney-Yang-deficiency-Water-overflowing slide.
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