Eczema - Blood Deficiency with Wind-Dryness Pattern
TCM differentiation and treatment for eczema with Blood
Eczema · Blood Deficiency with Wind-Dryness Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Skin
Pattern Overview
Blood Deficiency with Wind-Dryness is a common pattern in chronic
eczema, characterized by **skin barrier dysfunction, dry skin, scaling,
intense itching, lichenification, and fissuring**. The core pathogenesis
is Blood deficiency failing to nourish the skin, leading to skin
barrier dysfunction, increased transepidermal water loss, and severe
itching.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
|---|
| Primary Symptoms |
|---|
lichenification, fissuring |
| Associated Symptoms |
|---|
eyes |
| Tongue and Pulse |
|---|
weak pulse |
| Pathogenesis | Blood deficiency failing to nourish the skin |
|---|
| Etiology |
|---|
blood loss, aging |
Acupuncture Point Prescription
| Point | Location | Function |
|---|
| Xuehai (SP10) | On the medial thigh, 2 cun above the patella |
|---|
Nourishes Blood and stops itching |
| Sanyinjiao (SP6) | 3 cun above the medial malleolus |
|---|
Blood and Yin; regulates the Spleen and Kidney |
| Geshu (BL17) | Lower back, 1.5 cun lateral to T7 |
|---|
of the Blood; nourishes Blood |
| Zusanli (ST36) |
|---|
to the tibial crest | Strengthens Spleen and Stomach; tonifies Qi and
Blood |
| Taixi (KI3) |
|---|
tendon | Nourishes Kidney-Yin and supports Blood production |
Clinical Recommendation: Filament needle, reinforcing method;
moxibustion may be applied to Xuehai and Geshu to nourish Blood.
Herbal Formula
Base Formula: Dang Gui Yin Zi (当归饮子) or Si Wu Xiao Feng San
(四物消风散)
Composition:
Angelica (Dang Gui), Rehmannia (Sheng Di), White Peony (Bai Shao),
Chuanxiong (Chuan Xiong), Polygonum (He Shou Wu), Schizonepeta (Jing
Jie), Saposhnikovia (Fang Feng), Tribulus (Bai Ji Li), Licorice (Gan
Cao)
Action: Nourishes Blood, extinguishes Wind, and stops itching.
Modifications
| Associated Symptoms | Additions/Subtractions |
|---|
| Severe dry skin |
|---|
moisten dryness |
| Intense itching | Add Bai Xian Pi, Ku Shen to stop itching |
|---|
| Lichenification |
|---|
microcirculation |
| Fissuring |
|---|
skin |
Western Mechanism Reference
Skin barrier dysfunction with increased transepidermal water loss,
filaggrin gene mutations, and decreased ceramide levels. Blood
Deficiency with Wind-Dryness corresponds to chronic eczema with dry skin
and lichenification, where filaggrin mutations and decreased ceramide
levels contribute to skin barrier dysfunction and increased
transepidermal water loss.
References
1. Dermatology of TCM - Chronic Eczema with Blood Deficiency and
Wind-Dryness.
2. WHO. (2023). Skin health. World Health Organization.
Explore More
- Find your solution at MendGod.com –
Personalized herbal protocols and acupressure tools for skin health.
- Deepen your knowledge at TcmCIO.com – Full
research papers and clinical case studies on TCM dermatology.
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Last reviewed: June 2026 | Lead author: Dr. Li Wei, DACM | Content updated: Monthly
Disclaimer: This guide is for educational purposes only and does not constitute medical advice. Consult a licensed healthcare provider before starting any treatment.