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Emaciation

How Chinese medicine differentiates emaciation into the four patterns you'll actually meet in practice, and the points for each. Distinct from this site's Weight Loss and Malnutrition 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. Marked, unexplained thinness needs a medical work-up to rule out an underlying illness before treating it as a TCM pattern alone.
General Acupuncture Points

Acupuncture points traditionally used for emaciation (marked thinness) — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm. Regulates Stomach-Qi.
The Four Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen and Stomach Qi Deficiency View full pattern →

Clinical manifestations: Poor appetite; bloating after meals; loose stools; fatigue; weak limbs; sallow complexion.
Tongue: Pale, puffy, tooth-marked, thin white coat. Pulse: Weak, soft, forceless.
Treatment principle: Tonifies Qi, strengthens the Spleen and harmonizes the Stomach.
Note: moxa is appropriate.

2. Empty-Heat Caused by Yin Deficiency View full pattern →

Clinical manifestations: Five-palm heat; night sweats; dry mouth, especially at night; flushed cheekbones; restlessness; insomnia.
Tongue: Red, thin, dry, cracked, little or no coat. Pulse: Fine and rapid.
Treatment principle: Nourishes Yin, clears deficiency Heat and cools the internal fire.
Note: no moxa (Yin deficiency with heat signs).

3. Qi and Blood Deficiency

Clinical manifestations: Dizziness; palpitations; pale lips and nails; numbness or tingling; dry skin; poor sleep; deep fatigue.
Tongue: Pale, possibly thin or tooth-marked, thin white coat. Pulse: Fine, weak, empty.
Treatment principle: Tonifies Qi and Blood simultaneously, strengthening the Spleen's generative capacity.
Note: moxa is appropriate.

4. Liver Qi Stagnation with Spleen Qi Deficiency Transforming into Heat

Clinical manifestations: Distending rib pain worse with stress; bloating with loose stools; poor appetite; irritability; bitter taste; frequent sighing.
Tongue: Red with redder sides, tooth marks, thin-to-thick slightly greasy yellow coat. Pulse: Wiry and rapid.
Treatment principle: Courses the Liver, resolves constraint, strengthens the Spleen and clears Heat from the stagnation.
Note: Mixed Deficiency/Excess. This site's decks have no slide combining Liver-Qi-stagnation with Spleen-Qi-deficiency turning into Heat — no pattern link is given here.
Related conditions

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