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Toothache

How Chinese medicine differentiates toothache, 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. Tooth pain needs a dentist to check for decay, abscess, or a cracked tooth — acupuncture here is supportive symptom relief, not a substitute for that assessment. Facial swelling or fever with a toothache needs urgent care.
General Acupuncture Points

Acupuncture points traditionally used for toothache — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
L.I.-4Removes obstructions from the channel, stops pain.
ST-6Expels Wind, removes obstructions from the channel — local point for jaw/gum pain.
ST-44Clears Heat, regulates the Intestines.
T.B.-5Expels Wind-Heat, removes obstructions from the channel.
G.B.-20Expels exterior Wind, clears Heat.
KI-3Tonifies the Kidneys (Yin and Yang), benefits Essence.
LR-2Drains Liver-Fire, subdues Liver-Yang.
ST-7Removes obstructions from the channel, benefits the jaw — local point.
ST-40Resolves Phlegm and Dampness, subdues rebellious Qi.
ST-36Benefits Stomach and Spleen, tonifies Qi and Blood.
SP-6Strengthens the Spleen, nourishes Blood and Yin.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Bright Yang Stomach Heat View full pattern →

Clinical manifestations: Intense, throbbing pain, worse with heat; red, swollen gums that bleed easily; bad breath; intense thirst for cold drinks; constipation or dry stools; a flushed face and feeling of heat.
Tongue: Red body with yellow, dry coating, possibly with cracks. Pulse: Overflowing and surging, rapid, strongest at the right middle position.
Treatment principle: Clear Stomach Heat, cool the Blood, alleviate gum inflammation.
Note: no moxa. Direct match with Stomach-Heat (or Phlegm-Heat).

2. Wind-Heat View full pattern →

Clinical manifestations: Sudden, severe, drilling pain; facial swelling and redness; fever with mild chills; thirst for cold drinks; red, swollen gums, often following a cold or flu.
Tongue: Red tip and edges, thin yellow coating. Pulse: Floating and rapid.
Treatment principle: Disperse Wind-Heat and relieve the Exterior.
Note: no moxa. Direct match with Invasion of Lungs by Wind-Heat on the exterior-invasion level.

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

Clinical manifestations: Dull, intermittent toothache, worse at night; loose teeth; a dry mouth and throat, especially at night; five-palm heat; night sweats; possible dizziness and fatigue.
Tongue: Red, thin, dry body with little or no coating, possible cracks. Pulse: Fine and rapid, possibly floating and empty, weak at rear positions.
Treatment principle: Nourish Kidney-Yin and clear Empty-Heat, anchoring rising Heat downward.
Note: no moxa. Direct match with Kidney-Yin deficiency, Empty-Heat blazing.

4. Damp-Heat in the Stomach View full pattern →

Clinical manifestations: Swollen gums that may ooze pus; a sticky, foul taste in the mouth; nausea or poor appetite; a feeling of heaviness; loose, sticky stools.
Tongue: Red body with thick, yellow, greasy coating. Pulse: Slippery and rapid.
Treatment principle: Clear Heat, drain Dampness, transform turbidity affecting the Stomach channel.
Note: no moxa. Direct match with Damp-Heat in the Stomach.

5. Qi and Blood Deficiency

Clinical manifestations: A mild, dull toothache; pale, receding gums with slight bleeding; fatigue and dizziness, worse with overwork or skipping meals.
Tongue: Pale body, thin white coating, may be thin or have teeth marks. Pulse: Fine and weak.
Treatment principle: Tonify both Qi and Blood to nourish the gums and teeth.
Note: moxa applicable on the Tonify points. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.

6. Cold Invading the Channels, Joints, and Muscles

Clinical manifestations: Toothache aggravated by cold drinks or cold air; pain relieved by warmth or warm drinks; gums not red or swollen (may appear pale); a cold sensation in the teeth or gums.
Tongue: Pale body, thin white coat, moist surface. Pulse: Tight, often wiry and slow.
Treatment principle: Warm the channels and disperse Cold, restoring Qi and Blood circulation.
Note: moxa applicable on L.I.-4. No deck on this site has a generic Cold-invading-the-channels category for the face/jaw, so no pattern link is given here.
Related conditions

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