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Chronic Obstructive Pulmonary Disease (COPD)

How Chinese medicine differentiates COPD, the seven patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs, and only as supportive care alongside pulmonology management.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. COPD needs ongoing pulmonology management (inhalers, oxygen, pulmonary rehab); acupuncture here is supportive symptom care, not a substitute for that management. Worsening breathlessness or a flare needs prompt medical attention.
General Acupuncture Points

Acupuncture points traditionally used for COPD — 11 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-40Resolves Phlegm and Dampness, subdues rebellious Qi.
BL-13Tonifies Lung-Qi and nourishes Lung-Yin.
LU-7Promotes the descending and diffusing of Lung-Qi.
BL-20Tonifies Spleen and Stomach, resolves Dampness.
ST-36Benefits Stomach and Spleen, tonifies Qi and Blood.
L.I.-11Clears Heat and cools Blood, resolves Dampness.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence.
KI-3Tonifies the Kidneys (Yin and Yang), strengthens the Kidney's receiving of Qi.
Du-4Tonifies Kidney-Yang and warms the Gate of Life. Expels Cold.
Ren-4Nourishes Blood and Yin. Strengthens the Kidneys and Original Qi.
P-6Opens the chest, moves Qi and Blood, calms the Mind.
Du-20Raises Yang, lifts the Mind.
HE-7Calms the Mind and opens the Mind's orifices, nourishes Heart-Blood.
Ren-9Opens the Water passages, promotes the transformation of fluids.
The Seven Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

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

Clinical manifestations: Cough with copious, white, sticky phlegm, easy to expectorate; a feeling of heaviness and fullness in the chest; poor appetite, bloating, loose stools; fatigue and a sensation of heaviness in the body.
Tongue: Pale and swollen with teeth marks, thick white greasy coating, wet. Pulse: Slippery, like beads rolling under the fingers.
Treatment principle: Warm the Lungs, transform Phlegm-Fluids, descend Qi, stop cough and calm wheezing.
Note: moxa applicable on the Tonify points. Direct match with Damp-Phlegm in the Lungs.

2. Spleen and Lung Qi Deficiency View full pattern →

Clinical manifestations: A chronic, weak cough with thin watery phlegm; shortness of breath that worsens on exertion; poor appetite and abdominal bloating; fatigue and general weakness; a pale face without lustre; spontaneous sweating and catching colds easily.
Tongue: Pale, puffy, tender body with teeth marks, thin white slippery coating. Pulse: Weak and forceless overall, especially deficient at 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.

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

Clinical manifestations: Thick yellow or green sputum; chest oppression with a feeling of heat; thirst and a flushed face; wheezing with gurgling sounds in the throat; restlessness and irritability.
Tongue: Red body, possibly swollen at the front, yellow greasy coating, maybe red prickles on the front third. Pulse: Slippery and rapid.
Treatment principle: Clear Heat and transform Phlegm, regulate Qi and stop cough.
Note: no moxa. Direct match with Phlegm-Heat in the Lungs.

4. Kidneys Failing to Receive Qi View full pattern →

Clinical manifestations: Inhalation feels short and insufficient, exhalation easier; chronic breathlessness worsening with even light exertion; lower back soreness and weak knees; fatigue, low motivation, a quiet weak voice; spontaneous sweating with activity.
Tongue: Pale, puffy body with teeth marks, thin white moist coating. Pulse: Deep and weak, especially feeble at the rear (Kidney) position.
Treatment principle: Tonify Lung and Kidney Qi, stop cough and calm wheezing.
BL-23 ↑ KI-3 ↑ BL-13 ↑ EX-B-1 (Dingchuan) ⊥
Note: moxa applicable. Direct match with Kidneys failing to receive Qi.

5. Lung and Kidney Yang Deficiency

Clinical manifestations: Feeling cold all over, especially the back and limbs; thin, watery or frothy sputum; lower back and knee soreness and weakness; frequent urination, especially at night; shortness of breath, worse with the slightest movement; profound fatigue.
Tongue: Pale, puffy, tender with tooth marks, white slippery coating. Pulse: Deep, weak, slow; the right Cun position especially empty, both Chi positions weak.
Treatment principle: Tonify Lung and Kidney Qi and Yang, anchor the breath.
Note: moxa applicable throughout. No deck on this site combines Lung and Kidney Yang deficiency into one slide, so no pattern link is given here.

6. Kidney Yang Deficiency with Water Overflowing View full pattern →

Clinical manifestations: Swelling of the legs and ankles; a feeling of cold in the lower body; scanty or difficult urination; soreness and weakness of the lower back; breathlessness on exertion; cold hands and feet.
Tongue: Pale, puffy, teeth-marked body with white slippery coating, excessively wet surface. Pulse: Deep, slow, weak, especially faint at the Chi positions.
Treatment principle: Warm Yang and disperse Cold, promote urination and drain Dampness.
Note: moxa applicable on the Tonify points. Direct match with Kidney-Yang deficiency, Water overflowing.

7. Phlegm Misting the Heart View full pattern →

Clinical manifestations: Mental confusion or dullness; a rattling or gurgling sound in the throat; chest stuffiness and oppression; slurred or unclear speech.
Tongue: Pale, swollen body with thick white greasy coating, may appear stiff or sluggish. Pulse: Slippery, round and smooth, with good strength, most pronounced at the middle position.
Treatment principle: Dry Dampness and transform Phlegm, direct rebellious Qi downward.
Note: no moxa. Direct match with Phlegm misting the Mind — this is the advanced, hypercapnic-type presentation (mental confusion, slurred speech) that genuinely matches the deck slide's acute severity level, unlike milder \"brain fog\" presentations of this pattern name seen elsewhere.
Related conditions

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