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Dilated Cardiomyopathy

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

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Dilated cardiomyopathy needs ongoing cardiology management and monitoring; acupuncture here is supportive symptom care, not a substitute for that management. Worsening breathlessness, chest pain, or swelling needs prompt medical attention.
General Acupuncture Points

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

PointKey action
BL-13Tonifies Lung-Qi and nourishes Lung-Yin.
BL-15Calms the Mind, nourishes the Heart, regulates Heart-Qi and invigorates Blood.
P-6Opens the chest, moves Qi and Blood, calms the Mind.
ST-36Benefits Stomach and Spleen, tonifies Qi and Blood.
HE-7Calms the Mind and opens the Mind's orifices, nourishes Heart-Blood.
SP-6Strengthens the Spleen, nourishes Blood and Yin.
SP-10Cools Blood, invigorates Blood and eliminates stasis.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence.
Ren-4Nourishes Blood and Yin. Strengthens the Kidneys and Original Qi.
Du-4Tonifies Kidney-Yang and warms the Gate of Life. Expels Cold.
Ren-3Resolves Dampness from the Lower Burner. Promotes the Bladder function of Qi transformation.
ST-40Resolves Phlegm and Dampness, subdues rebellious Qi.
LU-1Promotes the descending of Lung-Qi and stops cough, disperses fullness from the chest.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Lung and Heart Qi Deficiency View full pattern →

Clinical manifestations: Palpitations that worsen with activity; shortness of breath on exertion; extreme fatigue and lack of energy; spontaneous daytime sweating; a pale or wan complexion; reluctance to speak, weak voice.
Tongue: Pale, puffy, tender body with teeth marks, thin white coat. Pulse: Weak, soft, especially faint at the right Cun and left Cun positions.
Treatment principle: Tonify Qi, warm Yang, greatly tonify the source Qi.
Note: moxa applicable on the Tonify points. Direct match with Lung- and Heart-Qi deficiency.

2. Qi and Yin Deficiency

Clinical manifestations: Palpitations with a sense of emptiness or hollow fluttering; night sweats; a dry mouth and throat with little desire to drink; a warm sensation in the palms, soles, and chest; shortness of breath and fatigue that persist even at rest.
Tongue: Red or pale-red body with thin or absent coating, dry surface, possibly cracked. Pulse: Fine, weak, often rapid.
Treatment principle: Tonify Qi, generate fluids, nourish Yin.
Note: no moxa (Yin deficiency). No deck on this site combines Qi and Yin deficiency into one slide, so no pattern link is given here.

3. Qi Deficiency Causing Blood Stagnation

Clinical manifestations: Fixed, stabbing chest pain; visible neck-vein distension; a dark or purplish complexion; shortness of breath on exertion; purple spots or bruising easily; persistent fatigue.
Tongue: Pale-dark or pale-purple body with possible stasis spots, teeth marks, distended sublingual veins, thin white coat. Pulse: Deep, fine, choppy.
Treatment principle: Tonify Qi, invigorate Blood, dispel stasis, unblock channels and collaterals.
Tonify Qi
Invigorate Blood
Note: moxa applicable on the Tonify-Qi point. No deck on this site combines Qi deficiency with Blood stagnation into one slide, so no pattern link is given here.

4. Disharmony Between Heart and Kidneys from Kidney Yang Deficiency

Clinical manifestations: Palpitations with a feeling of fright; a sensation of heat or flushing in the chest with cold feet; a cold, sore lower back and knees; frequent, clear urination, especially at night; mild swelling of the lower limbs; insomnia or restless sleep.
Tongue: Pale, puffy, teeth-marked body with moist white coat, tongue tip may be slightly redder. Pulse: Deep, slow, weak, especially at the Chi position.
Treatment principle: Warm Yang, disperse Cold, promote urination, drain Dampness.
Note: moxa applicable. This site's \"Kidneys and Heart not harmonized\" slide is actually a Yin-deficiency/Empty-Heat presentation (night sweats, five-palm heat, dry throat) — the opposite nature from this Yang-deficiency/Cold pattern (cold feet, cold lower back, clear urination) — so despite the similar name, no pattern link is given here.

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

Clinical manifestations: Swelling of the legs, ankles, and face; feeling cold throughout the body, especially the lower back and legs; frothy or white sputum when coughing; palpitations and breathlessness, worse lying flat; scanty, difficult urination.
Tongue: Pale, puffy, teeth-marked, white slippery coating, surface excessively wet. Pulse: Deep, slow, weak, especially at the Chi positions.
Treatment principle: Warm Yang, disperse Cold, promote urination, drain Dampness.
Note: moxa applicable on the Tonify points. Direct match with Kidney-Yang deficiency, Water overflowing.

6. Phlegm-Fluids in the Lungs View full pattern →

Clinical manifestations: Inability to lie flat (orthopnea); cough with copious white sticky phlegm; a gurgling or rattling sound in the throat; chest stuffiness that eases after expectoration.
Tongue: Pale, swollen body with teeth marks, thick white greasy or slippery coating. Pulse: Slippery, especially in the right Cun position, may be wiry.
Treatment principle: Warm the Lungs, stop cough, resolve Phlegm-Fluid retention.
Note: moxa applicable on the Tonify points. Direct match with Phlegm-Fluids obstructing the Lungs.
Related conditions

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