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Swollen Joints

How Chinese medicine differentiates swollen joints into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Joint Stiffness, Rheumatoid Arthritis and Gout 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. A single hot, red, very painful joint, or several swollen joints with fever, rash or morning stiffness lasting over an hour, needs prompt medical assessment.
General Acupuncture Points

Acupuncture points traditionally used for swollen joints — 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-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
G.B.-34Promotes the smooth flow of Liver-Qi. Resolves Damp-Heat in Liver and Gall Bladder. Benefits the sinews.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Painful Obstruction with Wind-Cold-Damp

Clinical manifestations: Swelling without redness or heat; worse in cold, damp weather; relief from warmth; heaviness and numbness; aversion to cold.
Tongue: Pale, swollen, tooth-marked, white greasy coat. Pulse: Wiry and tight.
Treatment principle: Dispels Wind-Dampness, tonifies Qi, invigorates Blood and unblocks the channels.
Note: moxa is appropriate. This site's decks have no Bi-syndrome slide, confirmed absent many times — no pattern link is given here.

2. Painful Obstruction due to Damp-Heat in the Channels

Clinical manifestations: Red, hot, swollen joints; worse with warmth, better with cold; heavy sensation; thirst; irritability.
Tongue: Red, possibly swollen, yellow greasy coat. Pulse: Slippery and rapid.
Treatment principle: Clears Heat, drains Dampness, unblocks the channels and relieves the obstruction.
Note: no moxa. This site's decks have no Bi-syndrome slide, confirmed absent many times — no pattern link is given here.

3. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing pain that worsens at night; purplish discoloration; dark sublingual veins.
Tongue: Purple or dusky, stasis spots, dark distended sublingual veins. Pulse: Choppy and rough.
Treatment principle: Invigorates Blood, dispels stasis, unblocks the channels and relieves pain.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide per the discoloration-marker rule.

4. Painful Obstruction with Liver and Kidney Deficiency

Clinical manifestations: Dull, aching pain worse in cold and damp; lower-back and knee weakness; fatigue; stiffness; limited movement.
Tongue: Pale, thin body, thin white coat. Pulse: Fine, weak and slow.
Treatment principle: Dispels Wind-Dampness, relieves obstruction and supplements the Liver and Kidneys.
Note: moxa is appropriate. This site's decks have no Bi-syndrome slide, confirmed absent many times — no pattern link is given here.

5. Painful Obstruction with Qi and Blood Deficiency

Clinical manifestations: Dull, aching pain worse with exertion; numbness or tingling; pale complexion; cold sensitivity; poor appetite; loose stools.
Tongue: Pale, possibly thin and tooth-marked, thin white coat. Pulse: Fine and weak.
Treatment principle: Tonifies Qi, nourishes Blood, warms the channels and gently dispels Wind-Dampness.
Note: moxa is appropriate. No combined Qi-and-Blood-deficiency slide exists on this site's decks — no pattern link is given here.

6. Phlegm in the Channels

Clinical manifestations: Fixed, stabbing joint pain; hard, firm swelling; purplish discoloration; subcutaneous nodules; numbness; chest tightness.
Tongue: Purple with stasis spots, white greasy coat, distended sublingual veins. Pulse: Wiry and choppy.
Treatment principle: Disperses Wind-Cold, drains Dampness, transforms Phlegm and unblocks the collaterals.
Note: Mixed Deficiency/Excess. This site's decks have no Phlegm-in-the-channels slide, confirmed absent many times — no pattern link is given here.
Related conditions

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