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Cold Feeling in the Chest

How Chinese medicine differentiates a cold feeling in the chest into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's Chest Tightness and Chest Congestion and Tightness 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 coldness accompanied by chest pain, breathlessness, or a racing or irregular heartbeat needs medical assessment to rule out a cardiac cause.
General Acupuncture Points

Acupuncture points traditionally used for a cold feeling in the chest — 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.
BL-13Stimulates the diffusing and descending of Lung-Qi. Expels external Wind. Regulates Nutritive and Defensive Qi.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Heart Yang Deficiency View full pattern →

Clinical manifestations: Palpitations worsening with exertion; cold hands and feet; a bright pale face; fatigue and low energy; chest stuffiness or mild pain; spontaneous sweating.
Tongue: Pale, puffy, tender, teeth-marked, white slippery coating. Pulse: Deep and weak, especially at the left front position.
Treatment principle: Warmly tonifies Heart Yang and Qi to restore the chest's natural warmth without overdraining reserves.
Note: moxa is appropriate.

2. Cold-Phlegm View full pattern →

Clinical manifestations: Copious thin, white, watery or frothy phlegm; a sensation of heaviness or oppression in the chest; coldness in the chest and limbs; preference for warm drinks; fatigue and low energy.
Tongue: Pale, swollen, teeth-marked, white greasy slippery, excessively moist coating. Pulse: Deep, slippery, slow.
Treatment principle: Warms the Lungs and transforms Cold-Phlegm, dissolving the obstruction blocking Qi circulation.
Note: moxa is appropriate.

3. Wind-Cold Invading the Lungs View full pattern →

Clinical manifestations: Sudden onset after cold or wind exposure; chills more prominent than fever; cough with thin white watery phlegm; clear nasal discharge and sneezing; aversion to cold.
Tongue: Normal or slightly pale, thin white moist coating. Pulse: Floating and tight.
Treatment principle: Releases the exterior, disperses Wind-Cold and restores the descending and diffusing of Lung Qi.
Note: moxa is appropriate.

4. Spleen Yang Deficiency View full pattern →

Clinical manifestations: Abdominal bloating worse after eating; loose, watery stools or undigested food; poor appetite; cold hands and feet; fatigue and heaviness in the limbs; a cold feeling in the chest.
Tongue: Pale, puffy, tender, teeth-marked, white slippery coating. Pulse: Deep, slow, weak, especially at the right middle position.
Treatment principle: Warms the middle burner, restores digestive fire and dispels internal Cold and Dampness rising to the chest.
Note: moxa is strongly indicated.

5. Kidney Yang Deficiency View full pattern →

Clinical manifestations: Cold and aching lower back and knees; frequent urination especially at night; profound fatigue and low spirits; a cold sensation worse in the lower body; a pale or dark complexion.
Tongue: Pale, puffy, tender, teeth-marked, wet white coating. Pulse: Deep, slow, weak, particularly at the rear positions.
Treatment principle: Tonifies Kidney Yang, rekindles the Gate of Life Fire and rebuilds the foundational warmth radiating upward.
Note: moxa is strongly indicated.
Related conditions

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