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Thrombocytopenia

How Chinese medicine differentiates the constitutional patterns behind low platelet counts into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Anemia and Bruising 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. Thrombocytopenia is a laboratory diagnosis with causes ranging from mild to life-threatening; medical diagnosis and monitoring always come first. This page supports recovery and general Blood-Qi health alongside medical care, never in place of it. Sudden severe or spontaneous bleeding needs emergency care.
General Acupuncture Points

Acupuncture points traditionally used for thrombocytopenia (recovery and supportive care) — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
SP-10Cools Blood. Invigorates Blood and eliminates stasis. Blood SP-10 SP-9 10 Xuehai
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi Not Controlling Blood View full pattern →

Clinical manifestations: Easy bruising; small purple spots; fatigue with pallor; poor appetite; loose stools; shortness of breath; heavy or prolonged menstrual bleeding.
Tongue: Pale, puffy, teeth-marked, thin white coat. Pulse: Fine, weak, especially at the right middle position.
Treatment principle: Tonifies Spleen Qi to restore its vessel-holding function and support blood generation.
Note: no moxa contraindicated, gentle moxa acceptable. Linked to this site's own Spleen-not-controlling-Blood slide.

2. Heat in the Blood

Clinical manifestations: Sudden-onset purpura; bright red nosebleeds or gum bleeding; heavy periods; an internal heat sensation worse at night; thirst for cold drinks; a flushed face; restlessness.
Tongue: Red with red spots or prickles, thin yellow dry coat. Pulse: Rapid, wiry, forceful.
Treatment principle: Cools Blood, clears Heat and stops the reckless bleeding caused by Heat agitation.
Note: no moxa. This site's decks have no standalone Heat-in-the-Blood slide — no pattern link is given here.

3. Empty-Heat Caused by Yin Deficiency View full pattern →

Clinical manifestations: Night sweats; tidal heat in the afternoon or evening; a dry mouth and throat worse at night; heat in the palms, soles and chest; flushed cheekbones; restlessness; easy bruising; insomnia.
Tongue: Red, thin, dry, cracks, little or no coating. Pulse: Fine and rapid.
Treatment principle: Nourishes Yin and clears deficiency Heat to calm reckless Blood movement.
Note: no moxa. Linked to this site's own Kidney-Yin-deficiency-Empty-Heat-blazing slide.

4. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, dark purple spots or bruises that do not fade; stabbing pain worse at night; a dark complexion.
Tongue: Dark purple with stasis spots and distended sublingual veins. Pulse: Choppy, like scraping bamboo.
Treatment principle: Invigorates Blood and dispels stasis to repair vessel damage and restore normal Blood movement.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide per the discoloration-marker rule.

5. Qi and Blood Deficiency

Clinical manifestations: Persistent fatigue; a pale or sallow complexion; dizziness; palpitations; poor appetite; pale lips and nail beds; mild spontaneous bruising.
Tongue: Pale, possibly thin, teeth-marked, thin white coat. Pulse: Fine, weak, especially at the right middle position.
Treatment principle: Tonifies both Qi and Blood to provide the marrow with raw materials for platelet production.
Note: moxa is appropriate. No combined Qi-and-Blood-deficiency slide exists on this site's decks — no pattern link is given here.

6. Kidney Essence Deficiency View full pattern →

Clinical manifestations: Lower back and knee weakness; premature greying or hair loss; poor memory; frequent urination especially at night; low libido; mild persistent purpura; a thin body.
Tongue: Pale, thin, possible fine cracks, little or no coating. Pulse: Fine, deep, weak at the rear positions.
Treatment principle: Nourishes Kidney Essence and strengthens the marrow to support deep Blood-generating reserves.
Note: moxa is appropriate.
Related conditions

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