Vitiligo - Wind-Dampness Trapping the Skin Pattern

TCM differentiation and treatment for vitiligo with

Vitiligo · Wind-Dampness Trapping the Skin Pattern

Updated: June 23, 2026

Reviewed by: Dr. Li Wei, DACM

Reading Time: 7 min

Body Area: Skin


Pattern Overview

Wind-Dampness Trapping the Skin is a pattern in vitiligo, characterized

by **immune-inflammatory response, depigmentation with blurred borders,

itching, and spread of lesions**. The core pathogenesis is

Wind-Dampness pathogens trapping the skin, causing

immune-inflammatory responses that damage melanocytes.


Key Symptoms and Differentiation Points

Differentiation Dimension Manifestations
Primary Symptoms

spreading lesions |

Associated Symptoms

superficial spread |

Tongue and Pulse

floating or slippery pulse |

Pathogenesis

immune-inflammatory response |

Etiology

environmental factors |


Acupuncture Point Prescription

Point Location Function
Quchi (LI11) Lateral end of the elbow crease

and clears Heat |

Hegu (LI4)

metacarpals | Disperses Wind and regulates Qi |

Fengchi (GB20)

sternocleidomastoid and trapezius | Disperses Wind and releases the

exterior |

Xuehai (SP10) On the medial thigh, 2 cun above the patella

Cools Blood and stops itching |

Ashi points Borders of depigmented patches

skin lesions |

Clinical Recommendation: Filament needle, reducing method; may

combine with local topical herbal applications.


Herbal Formula

Base Formula: Xiao Feng San (消风散)

Composition:

Schizonepeta (Jing Jie), Saposhnikovia (Fang Feng), Arctium (Niu Bang

Zi), Cicada Slough (Chan Tui), Atractylodes (Cang Zhu), Sophora (Ku

Shen), Tetrapanax (Mu Tong), Licorice (Gan Cao)

Action: Disperses Wind, eliminates Dampness, and stops itching.

Modifications

Associated Symptoms Additions/Subtractions
Itching Add Bai Xian Pi, Ku Shen to stop itching
Spreading lesions Add Fang Feng, Chan Tui to disperse Wind
Redness Add Jin Yin Hua, Lian Qiao to clear Heat and detoxify
Sticky sensation Add Cang Zhu, Huo Xiang to transform Dampness

Western Mechanism Reference

Immune-inflammatory response causing melanocyte damage, with epidermal

Langerhans cell activation. Wind-Dampness Trapping the Skin corresponds

to vitiligo with inflammatory activity, where Langerhans cell activation

and immune-inflammatory responses contribute to melanocyte damage.


References

1. Dermatology of TCM - Vitiligo with Wind-Dampness Trapping the Skin.

2. WHO. (2023). Skin health. World Health Organization.


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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.