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Chest Distension

How Chinese medicine differentiates chest distension into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's Chest Tightness, Chest Pain and Angina 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 distension with pain spreading to the arm or jaw, breathlessness, sweating or fainting needs emergency assessment.
General Acupuncture Points

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

PointKey action
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.
P-6Opens the chest and moves Qi and Blood. Calms the Mind. Moves Liver-Qi.
LIV-3Subdues Liver-Yang. Extinguishes interior Wind. Promotes the smooth flow of Liver-Qi.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi Stagnation in the Chest View full pattern →

Clinical manifestations: Distension worse with emotional upset; frequent sighing; distending rib pain; irritability; lump-in-the-throat sensation.
Tongue: Normal colour, thin white coat. Pulse: Wiry.
Treatment principle: Courses the Liver, resolves constraint, moves Qi and relieves pain.
Note: no moxa. Linked to this site's own Qi-stagnation-in-the-Pericardium slide, the closest chest-focused match.

2. Phlegm in the Chest

Clinical manifestations: Heavy, suffocating fullness; abundant white sticky phlegm cough; nausea or vomiting.
Tongue: Pale, swollen, tooth-marked, thick greasy white coat. Pulse: Slippery.
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.

3. Heart Vessel Obstructed View full pattern →

Clinical manifestations: Fixed stabbing or pressing pain radiating to the shoulder and arm; worse with exertion; purplish lips; cold sweating.
Tongue: Purple or dark with stasis spots, distended sublingual veins. Pulse: Wiry, choppy or knotted.
Treatment principle: Invigorates Blood, dispels stasis, moves Qi, relieves pain and opens the chest.
Note: no moxa unless cold signs predominate.

4. Heart Qi Deficiency View full pattern →

Clinical manifestations: Mild, persistent stuffiness (not sharp); shortness of breath worse with activity; palpitations; fatigue; spontaneous sweating; pale complexion.
Tongue: Pale, soft, slightly puffy, thin white coat. Pulse: Empty — soft and disappearing under pressure.
Treatment principle: Tonifies Qi, warms Yang and disperses Cold; greatly tonifies Source Qi.
Note: moxa is appropriate.

5. Qi and Yin Deficiency

Clinical manifestations: Dull, vague distension; fatigue; night sweats; dry mouth with little thirst; palpitations.
Tongue: Red or pale-red, thin or absent coat, possibly cracked and dry. Pulse: Fine, weak, often rapid.
Treatment principle: Tonifies Qi, generates fluids and nourishes Yin.
Note: no moxa (Yin deficiency with heat signs). No combined Qi-and-Yin-deficiency slide exists — no pattern link is given here.
Related conditions

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