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Feeling of Heaviness

How Chinese medicine differentiates a general feeling of heaviness in the body into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Heavy Sensation in the Head and Fatigue 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. Persistent heaviness with marked weakness, swelling, breathlessness or unexplained weight change needs a medical work-up.
General Acupuncture Points

Acupuncture points traditionally used for a feeling of heaviness — 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-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm. Regulates Stomach-Qi.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen Deficiency with Dampness

Clinical manifestations: Constant heaviness worse after eating or in humid weather; poor appetite, bloating, loose stools; head fog and drowsiness.
Tongue: Pale, swollen, tooth-marked, white greasy coat. Pulse: Soggy, slow and weak.
Treatment principle: Tonifies Spleen Qi and drains Dampness.
Note: Mixed Deficiency/Excess. No deck slide combines Spleen deficiency with Dampness — no pattern link is given here.

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

Clinical manifestations: Cold, heavy feeling worse in damp conditions; upper-abdominal bloating; loose, watery stools; head feels wrapped; dull cold abdominal pain.
Tongue: Pale, swollen, thick white greasy coat. Pulse: Soggy or slippery, slow.
Treatment principle: Warms the Middle Burner, transforms Dampness and expels Cold.
Note: moxa is appropriate.

3. Damp-Heat Invading the Spleen View full pattern →

Clinical manifestations: Oppressive, sticky heaviness; poor appetite; nausea; bitter taste; loose sticky stools; thirst without desire to drink.
Tongue: Red, yellow greasy coat. Pulse: Rapid and slippery.
Treatment principle: Clears Heat, drains Dampness and transforms turbidity.
Note: no moxa.

4. Phlegm-Dampness in the Middle Burner

Clinical manifestations: Heavy body and foggy head; upper-abdominal fullness after eating; excessive mucus; greasy mouth sensation; drowsiness and mental cloudiness.
Tongue: Pale, swollen, thick white greasy, excessively moist coat. Pulse: Slippery.
Treatment principle: Transforms Phlegm, regulates Qi and dries Dampness.
Note: This site's decks have no Phlegm-Dampness-in-the-Middle-Burner slide — no pattern link is given here.

5. Wind-Damp

Clinical manifestations: Migratory joint and muscle pain; morning stiffness; aversion to wind; worse in damp, windy weather.
Tongue: Normal or slightly pale, white or slightly greasy coat. Pulse: Floating, soggy, moderate.
Treatment principle: Dispels Wind, drains Dampness and relieves pain.
Note: No Bi-syndrome or Wind-Damp slide exists on this site's decks — no pattern link is given here.

6. Qi and Blood Deficiency

Clinical manifestations: Dull, tired heaviness worse with exertion and better with rest; pale complexion; dizziness; palpitations; poor appetite.
Tongue: Pale, thin white coat. Pulse: Fine and weak.
Treatment principle: Tonifies Qi and Blood and strengthens the Spleen.
Note: moxa is appropriate. No combined Qi-and-Blood-deficiency slide exists — no pattern link is given here.
Related conditions

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