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Chest Congestion and Tightness

How Chinese medicine differentiates chest congestion and tightness into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Chest Tightness, Chest Distension and Wheezing 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. Chest tightness with pain radiating to the arm or jaw, breathlessness, sweating, or blue lips needs emergency assessment.
General Acupuncture Points

Acupuncture points traditionally used for chest congestion and tightness — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
P-6Opens the chest and moves Qi and Blood. Calms the Mind. Moves Liver-Qi.
REN-17Tonifies Qi and strengthens the Gathering Qi (Zong Qi). Opens the chest, regulates Qi and promotes the descending of Qi. Benefits the breasts and promotes lactation.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi Stagnation in the Chest View full pattern →

Clinical manifestations: Chest distension worse with stress; frequent sighing; belching gives relief; rib-side discomfort; irritability.
Tongue: Normal, thin white coat; sides may be dusky. Pulse: Wiry at the left middle position.
Treatment principle: Courses the Liver, resolves constraint and moves Qi to relieve pain.
Note: no moxa. Linked to this site's own Qi-stagnation-in-the-Pericardium slide, the closest chest-focused match.

2. Damp-Phlegm in the Lungs View full pattern →

Clinical manifestations: Cough with copious white sticky phlegm; chest heaviness; poor appetite with bloating; fatigue; nausea; worse in damp weather.
Tongue: Pale, swollen, tooth-marked, thick white greasy coat. Pulse: Slippery, like rolling beads.
Treatment principle: Dries Dampness, transforms Phlegm, regulates Qi and harmonizes the Middle Burner.
Note: moxa is appropriate.

3. Phlegm in the Chest

Clinical manifestations: Heavy, stuffy chest sensation; cough with abundant white sticky phlegm; nausea or phlegm vomiting.
Tongue: Pale, swollen, tooth-marked, thick white greasy coat. Pulse: Slippery with a wiry quality.
Treatment principle: Unblocks Yang in the chest, resolves Phlegm, regulates Qi and widens the chest.
Note: Mixed Deficiency/Excess. This site's decks have no Phlegm-in-the-Chest slide — no pattern link is given here.

4. Heart Blood Stagnation View full pattern →

Clinical manifestations: Stabbing or pricking chest pain in a fixed location, worse at night; purple or dark lips and nails; cold hands; emotional stress triggers symptoms.
Tongue: Dark purple, stasis spots, thin white coat. Pulse: Choppy or knotted.
Treatment principle: Invigorates Blood, dispels stasis, moves Qi and opens the chest.
Note: no moxa. Linked to this site's own Heart-Blood-stasis slide.

5. Liver Qi Stagnation View full pattern →

Clinical manifestations: Distending sensation under the ribs; frequent sighing; worse with emotional stress; irritability or mood swings.
Tongue: Normal or slightly dark, red or slightly purple sides, thin white coat. Pulse: Wiry and taut.
Treatment principle: Courses the Liver, resolves constraint and moves Qi.
Note: no moxa.

6. Heart Qi Deficiency View full pattern →

Clinical manifestations: Dull, oppressive tightness (not sharp); worse with exertion or talking; palpitations; fatigue; pale complexion; reluctance to speak; spontaneous daytime sweating.
Tongue: Pale, puffy, thin white coat; possible midline crack toward the tip. Pulse: Empty or weak, especially at the left front position.
Treatment principle: Tonifies Qi, generates fluids, nourishes Yin and strengthens the Heart.
Note: moxa is appropriate.
Related conditions

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