↑ reinforcing ↓ reducing ⊥ even method — technique below follows standard Excess/Deficiency treatment principle for each pattern, not tied to a specific point-by-point source.
Clinical manifestations: Milky or porcelain-white patches, often with whitened hairs; dizziness and tinnitus; soreness in the lower back; night sweats; insomnia with vivid dreams; dry eyes; brought on by ageing, chronic overwork, or long-term illness consuming Kidney and Liver Yin; eased by rest, cooling foods, and a calm evening routine.
Tongue: Red, thin, cracks, little coating, dry. Pulse: Fine, Rapid, Wiry, weak at the left Chi position, thin at the left Guan.
Treatment principle: Nourish Liver and Kidney Essence, restore Blood production to replenish skin pigmentation.
Note: no moxa.
Clinical manifestations: White patches that worsen with emotional stress; distension in the chest and ribs; frequent sighing; irritability; irregular menstruation; brought on by stress, frustration, or suppressed emotion; eased by gentle exercise, emotional release, or a calmer routine.
Tongue: Normal or slightly dark, red or purple sides, thin white coating. Pulse: Wiry, like a taut guitar string.
Treatment principle: Course the Liver-Qi, restore smooth Blood circulation to the skin, nourish Blood reserves.
Note: no moxa.
Clinical manifestations: White patches with clear, sometimes hyperpigmented borders; a dusky complexion; dark, purplish lips and nails; fixed, stabbing pain that worsens at night; dark menstrual blood with clots; rough, dry skin; brought on by long-standing untreated stagnation or chronic Qi stagnation congealing the Blood; eased by gentle movement and warmth.
Tongue: Dark purple with stasis spots, distended sublingual veins, thin white coating. Pulse: Choppy or Wiry.
Treatment principle: Invigorate Blood circulation, remove stasis from the skin collaterals, move Qi to alleviate pain.
Note: no moxa.
4. Qi and Blood Stagnation
Clinical manifestations: Well-defined white patches with itching or burning; a darkish complexion; distension in the chest and ribs; irritability; fixed, stabbing pain elsewhere in the body; brought on by long-standing Qi stagnation congealing into Blood stasis; eased by gentle movement and stress reduction.
Tongue: Purple or dark with stasis spots, distended sublingual veins, thin white coating. Pulse: Wiry and Choppy.
Treatment principle: Move Qi and Blood simultaneously, unblock the collaterals, dispel stagnant Wind causing itching.
Note: no moxa. This pattern shares the Blood-stasis half of pattern 3 above but adds a distinct chest/rib-distension Qi-stagnation component; no deck slide on this site combines both halves into one pattern, so no pattern link is given here.
Clinical manifestations: Dull, milky-white patches with blurry edges; fatigue that worsens with exertion; poor appetite; bloating after meals; loose stools; a sallow or pale complexion; brought on by chronic Spleen and Stomach weakness, irregular meals, or long-term overwork; eased by rest and warm, easily-digested food.
Tongue: Pale, puffy, tooth-marked, thin white coating. Pulse: Weak, Soft, especially at the right middle position.
Treatment principle: Tonify Spleen-Qi, strengthen digestive transformation, rebuild Blood production for skin nourishment.
Note: moxa applicable.
6. Blood Deficiency with External Wind
Clinical manifestations: Dry, itchy white patches; a pale, dull complexion; an aversion to wind or drafts; dry skin and hair, brittle nails; dizziness; scanty, pale menstruation; rough, scaly skin; brought on by chronic illness, blood loss, or long-standing untreated Heat-pattern skin disease consuming Blood; eased by warmth, rest, and avoiding wind exposure.
Tongue: Pale, thin, thin white slightly dry coating. Pulse: Fine, Wiry, possibly Floating at the front position.
Treatment principle: Nourish Blood reserves, dispel external Wind without further drying the body.
Note: moxa applicable on the Nourish-Blood points. No deck slide anywhere on this site combines Blood deficiency with External Wind into one pattern — the same finding already used unlinked on this site's Eczema and Psoriasis pages — so no pattern link is given here.