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Cold Feet

How Chinese medicine differentiates chronically cold feet, 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. Cold feet with color changes triggered by cold/stress, numbness, weakness, or one-sided coldness needs medical evaluation before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for cold feet — 8 key points, used across the patterns below rather than tied to just one.

PointKey action
BL-23Tonifies Kidney Yang.
DU-4Warming with moxa rekindles core fire.
REN-4Moxibustion sends warmth down to the feet.
KI-3Strengthens Kidney Qi and Yang.
ST-36Tonifies Qi and Blood, strengthens Spleen and Stomach.
SP-6Nourishes Blood, regulates Spleen, Liver, Kidney.
SP-10Sea of Blood, invigorates Blood and directs it to the lower limbs.
LR-3Dispels Liver Qi stagnation and moves Blood to the feet.
SP-9Master point for dampness, drains dampness and warms lower limbs.
REN-12Harmonizes middle burner, warms Spleen, transforms dampness.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney Yang Deficiency View full pattern →

Clinical manifestations: Cold feet worse at night, low back soreness and weak knees, frequent clear urination (especially at night), fatigue and low spirits.
Tongue: Pale, puffy, tender body with teeth marks and a wet white coating. Pulse: Deep, slow, and weak, especially at the rear.
Treatment principle: Warm and strengthen Kidney Yang.
Note: moxa strongly indicated throughout. Direct match with this site's own Kidney-Yang deficiency slide.

2. Blood Deficiency

Clinical manifestations: Cold feet with numbness or tingling, pale complexion/lips/nail beds, dizziness or light-headedness, scanty pale menstrual flow.
Tongue: Pale and thin with thin white coating. Pulse: Fine, weak, and possibly choppy.
Treatment principle: Nourish and invigorate Blood.
Note: moxa applicable. No deck on this site has a plain, organ-nonspecific Blood-deficiency slide, so no pattern link is given here.

3. Directing and Penetrating Vessels Deficiency with Empty Cold

Clinical manifestations: Lower abdominal coldness and dull pain relieved by warmth, delayed/scanty/prolonged spotting periods, clear watery vaginal discharge, low back soreness and coldness.
Tongue: Pale, puffy, and moist with a white slippery coating, teeth marks may be visible. Pulse: Deep, fine, and slow, especially weak at the Chi positions.
Treatment principle: Warm the Chong and Ren vessels, nourish Blood, dispel internal cold.
Note: moxa strongly indicated on REN-4. No deck on this site has an Extraordinary-Vessel-specific pattern slide, so no pattern link is given here.

4. Qi and Blood Stagnation View full pattern →

Clinical manifestations: Cold feet with a purplish or bluish tint, numbness or tingling in feet, stabbing pain in a fixed foot location, worse with emotional stress.
Tongue: Purple or dark body with stasis spots, distended sublingual veins. Pulse: Wiry and choppy.
Treatment principle: Invigorate Blood, move Qi, unblock channels.
Note: no moxa. Matches this site's Liver-Blood stasis slide — purplish/bluish discoloration and a stasis-spot tongue are the same core markers named there.

5. Cold-Damp Invading the Spleen View full pattern →

Clinical manifestations: Cold, heavy sensation in feet, feet feel swollen or puffy, abdominal bloating and fullness, loose or watery stools.
Tongue: Pale and swollen with teeth marks, thick white greasy coating, excessively moist. Pulse: Soggy or slippery and slow.
Treatment principle: Dry Dampness, strengthen the Spleen, warm the channels.
Note: moxa strongly indicated throughout. Direct name match with this site's own Cold-Dampness-invading-the-Spleen slide.
Related conditions

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