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Chest Tightness

How Chinese medicine differentiates chest tightness, the five patterns you'll actually meet in practice, and the points for each. 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/jaw, shortness of breath, sweating, or nausea needs urgent medical evaluation to rule out a cardiac cause before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for chest tightness — 7 key points, used across the patterns below rather than tied to just one.

PointKey action
P-6Invigorates Qi and Blood in the chest, calms the Mind.
REN-17Influential point of Qi, opens the chest.
LR-3Moves Liver Qi to release emotional stagnation.
ST-40Master point for resolving phlegm throughout the body.
ST-36Strengthens Spleen to transform dampness.
BL-15Moves blood stasis in the Heart channel, supports steady heart rhythm.
REN-22Descends rebellious Qi, relieves the feeling of suffocation.
HE-7Calms the spirit, nourishes Heart Yin.
SP-6Tonifies both Qi and Yin.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi Stagnation in Chest

Clinical manifestations: Fullness or stuffiness in the chest, distension worsening with emotional upset, frequent sighing or need for deep breaths, irritability, sensation of a lump in the throat.
Tongue: Normal body colour, thin white coating, may be slightly dusky on the sides. Pulse: Wiry, especially at left Guan, slightly tight at right Cun.
Treatment principle: Move stuck Qi in the chest through emotional soothing and energy mobilization.
Note: no moxa. This pattern overlaps closely with Pattern 2 below in the source itself (both Liver-Qi-stagnation-framed) — pattern link given there instead to avoid duplicating the same slide twice on one page.

2. Liver Qi Stagnation View full pattern →

Clinical manifestations: Distension or bloating along ribs and flanks, chest tightness worsening with emotional upset, frequent sighing, irritability or mood swings.
Tongue: Normal or light red body with red or slightly purplish sides, thin white coat. Pulse: Wiry, taut like a guitar string.
Treatment principle: Soothe the Liver, regulate Qi, prevent stagnation from rising into the chest.
Note: no moxa. Direct match on the core distension/irritability/sighing picture.

3. Phlegm in Chest

Clinical manifestations: Heavy, oppressive chest sensation, copious white sticky phlegm, feeling of heaviness throughout body, poor appetite, dizziness or lightheadedness.
Tongue: Pale, swollen body with teeth marks, thick white greasy coating, moist surface. Pulse: Slippery, possibly wiry, right Guan slippery and full.
Treatment principle: Transform and expel Phlegm obstructing the chest.
Note: no moxa except tonifying points. Matched on the internal pattern to this site's Damp-Phlegm-in-the-Lungs slide — heavy chest oppression and white sticky phlegm are shared, though that slide is Lung-cough-framed.

4. Heart Blood Stagnation View full pattern →

Clinical manifestations: Stabbing or pricking pain in a fixed location, purple or dark lips and nails, pain radiating to shoulder or inner left arm, cold hands.
Tongue: Purple or dark-red body with stasis spots and distended sublingual veins, thin white coat. Pulse: Choppy or knotted, especially at left Cun.
Treatment principle: Invigorate blood circulation and dispel stasis in the chest vessels.
Note: no moxa. Direct match, reusing the same well-established Heart-Blood-stasis slide used for Angina Pectoris.

5. Qi and Yin Deficiency

Clinical manifestations: Dull, persistent chest tightness, shortness of breath worsening with exertion, fatigue and weakness, heart palpitations, dry mouth and throat, night sweats.
Tongue: Red or pale-red body with a thin or absent coating, possibly cracked and dry. Pulse: Fine, weak, may be rapid.
Treatment principle: Tonify Qi and nourish Yin to restore vital energy and moisture to the heart and chest.
Note: moxa applicable. No deck on this site combines Qi and Yin deficiency into one slide, so no pattern link is given here.
Related conditions

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