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Chronic Bronchitis

How Chinese medicine differentiates chronic bronchitis, the six 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. Worsening breathlessness, high fever, or blood in the sputum needs urgent medical evaluation before acupuncture is considered.
General Acupuncture Points

Acupuncture points traditionally used for chronic bronchitis — 10 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-40Resolves Phlegm and Dampness, subdues rebellious Qi.
Ren-12Tonifies Stomach and Spleen, resolves Dampness and Phlegm.
LU-7Promotes the descending and diffusing of Lung-Qi, releases the Exterior.
ST-36Benefits Stomach and Spleen, tonifies Qi and Blood.
BL-13Tonifies Lung-Qi and nourishes Lung-Yin, expels external Wind.
LU-5Clears Lung-Heat, promotes the descending of Lung-Qi, resolves Phlegm.
Du-14Clears Heat, releases the Exterior and expels exterior Wind.
Ren-17Tonifies Qi and strengthens the Gathering Qi (Zong Qi), opens the chest.
LU-9Resolves Phlegm, promotes the descending of Lung-Qi and stops cough, tonifies Lung-Qi and Yin.
BL-20Tonifies Spleen and Stomach, resolves Dampness.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence.
KI-3Tonifies the Kidneys (Yin and Yang), strengthens the Kidney's receiving of Qi.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

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

Clinical manifestations: Copious white or grey-white sticky phlegm, easy to cough up; a heavy, turbid cough sound; chest congestion and a heavy, full sensation; poor appetite, abdominal bloating, loose stools; fatigue and a heavy, sluggish body feeling.
Tongue: Pale, swollen body with teeth marks, thick white greasy coating. Pulse: Slippery, like beads rolling under the finger.
Treatment principle: Dry Dampness and transform Phlegm, regulate Qi and harmonize the Middle Burner.
Resolve Phlegm
Support Spleen
Note: no moxa. Direct match with Damp-Phlegm in the Lungs.

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

Clinical manifestations: Cough with thick yellow or green sputum; chest tightness and a feeling of heat; fever or a sensation of body heat; thirst with desire to drink; rapid breathing or wheezing; irritability and restlessness.
Tongue: Red body with yellow greasy coating and red prickles on the front third. Pulse: Slippery and rapid, strongest at the right Cun position.
Treatment principle: Clear Heat and transform Phlegm, descend Lung-Qi and calm wheezing.
Note: no moxa. Direct match with Phlegm-Heat in the Lungs.

3. Lung Qi Deficiency View full pattern →

Clinical manifestations: A weak, low-force cough; shortness of breath, worse with exertion; spontaneous daytime sweating; clear, thin, watery phlegm; fatigue and a low, reluctant voice; sensitivity to wind and cold.
Tongue: Pale, tender body with possible teeth marks, thin white coating. Pulse: Weak and empty, especially in the right Cun (Lung) position.
Treatment principle: Tonify Qi, secure the Exterior, astringe to stop sweating.
Note: moxa applicable. Direct match with Lung-Qi deficiency.

4. Lung Yin Deficiency View full pattern →

Clinical manifestations: A dry, hacking cough with scanty or no phlegm; a dry, scratchy throat and mouth; afternoon low-grade fever or a feeling of heat; night sweats; a thin body frame or weight loss.
Tongue: Red, thin body with cracks, dry, little or no coating. Pulse: Thin (fine) and rapid, the right Cun position possibly floating but empty.
Treatment principle: Nourish Lung and Stomach Yin, generate fluids, moisten dryness.
Note: no moxa (Yin deficiency). Direct match with Lung-Yin deficiency.

5. Spleen and Lung Qi Deficiency View full pattern →

Clinical manifestations: A chronic, weak cough with thin, watery or white phlegm; shortness of breath, worse with exertion; poor appetite and abdominal bloating after eating; loose stools; fatigue, a weak voice, and reluctance to speak; spontaneous sweating and catching colds easily.
Tongue: Pale, puffy, tender body with teeth marks, thin white slippery coating. Pulse: Weak and forceless, especially in the right Cun and Guan positions.
Treatment principle: Tonify Qi, strengthen the Spleen, harmonize the Stomach.
Note: moxa applicable. Direct match with Spleen- and Lung-Qi deficiency.

6. Kidneys Failing to Receive Qi View full pattern →

Clinical manifestations: Difficulty inhaling, exhaling feels easy; shortness of breath, worse with physical activity; lower back soreness and weak knees; fatigue and cold limbs; a weak cough with scanty clear or white sputum.
Tongue: Pale, puffy, teeth-marked body with thin white moist coating. Pulse: Deep, weak, especially feeble at the Chi position.
Treatment principle: Tonify Kidney-Yang, tonify Lung and Kidney Qi, stop cough and calm wheezing.
BL-23 ↑ KI-3 ↑ BL-13 ↑ EX-B-1 (Dingchuan) ⊥
Note: moxa applicable on the tonifying points. Direct match with Kidneys failing to receive Qi.
Related conditions

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