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Hand Numbness

How Chinese medicine differentiates hand numbness — distinct from Limb Numbness already covered, which is body-wide — 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. Sudden one-sided numbness, especially with weakness or speech changes, is a stroke warning sign and needs immediate medical evaluation before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for hand numbness — 13 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
REN-6Tonifies Qi and Yang. Tonifies Original Qi.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
L.I.-4Removes obstructions from the channel. Moves Qi and Blood.
L.I.-11Clears Heat and cools Blood. Removes obstructions from the channel.
ST-40Resolves Phlegm and Dampness.
SP-9Regulates the Spleen. Resolves Dampness.
T.B.-5Expels Wind-Heat. Removes obstructions from the channel.
LR-3Subdues Liver-Yang. Extinguishes interior Wind.
G.B.-20Extinguishes interior Wind. Subdues Liver-Yang.
HE-7Calms the Mind and opens the Mind's orifices. Nourishes Heart-Blood.
P-6Opens the chest and moves Qi and Blood. Calms the Mind.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi and Blood Deficiency

Clinical manifestations: Persistent fatigue, pale complexion, dizziness, heart palpitations, numbness worsens after exertion, poor appetite.
Tongue: Pale body with possible teeth marks, thin white coating. Pulse: Fine and weak.
Treatment principle: Tonify Qi and nourish Blood to restore nourishment to the hands.
Note: moxa applicable throughout. This site's decks have no combined Qi-and-Blood-deficiency slide (confirmed absent many times before), so no pattern link is given — points still link fine individually.

2. Blood Stagnation View full pattern →

Clinical manifestations: Prickling, pins-and-needles sensation, worse at night or with stillness, dark nail beds, fixed stabbing pain may accompany numbness, dusky facial complexion.
Tongue: Purple or dusky body with stasis spots, distended dark sublingual veins. Pulse: Choppy.
Treatment principle: Invigorate Blood circulation and dispel stasis to open blocked channels.
Note: no moxa. Direct match with this site's own Liver-Blood-stasis slide via the well-established dark/purple stasis-spot-tongue marker.

3. Phlegm in the Channels, Joints and Muscles

Clinical manifestations: Heavy, crawling sensation, swollen/stiff/puffy fingers, chest tightness, worse in damp environments and with rich foods.
Tongue: Purple body with stasis spots, white greasy coating, distended sublingual veins. Pulse: Wiry and choppy, or wiry and slippery.
Treatment principle: Dry Dampness and transform Phlegm to clear turbid obstruction from the channels.
Note: no moxa. This site's confirmed-absent generic Phlegm-in-the-channels category (Astigmatism, Bone Pain), so no pattern link is given here; points still link fine individually.

4. Liver Wind Agitating Internally Due to Liver-Yang Rising View full pattern →

Clinical manifestations: Numbness/tingling in the hands, severe dizziness or vertigo, hand or head tremor, stiff neck, throbbing headache, irritability, flushed face and red eyes.
Tongue: Red body, stiff or trembling, possibly deviated, thin yellow or scanty coating. Pulse: Wiry, fine, possibly rapid.
Treatment principle: Subdue rising Liver-Yang and extinguish internal Wind to restore smooth flow.
Note: moxa applicable on SP-6 only. Matched to this site's own Liver-Fire-generating-Wind slide — the explicit hand/head tremor is exactly the marker that reserves this slide over plain Liver-Yang rising, the same rule used for Muscle Spasm, Hand Tremor, Seizures and TIA.

5. Heart and Spleen Qi and Blood Deficiency View full pattern →

Clinical manifestations: Heart palpitations, insomnia with excessive dreaming, poor appetite and bloating, pale complexion, anxious overthinking.
Tongue: Pale, puffy body with teeth marks, thin white coating. Pulse: Fine and weak, empty at the Heart position, soft at the Spleen position.
Treatment principle: Strengthen Heart and Spleen to generate adequate Qi and Blood for the extremities.
Note: moxa applicable throughout. Linked to this site's Spleen-and-Heart-Blood-deficiency slide via its own palpitations/poor-memory symptom set, the same match used for Delayed Speech Development, Hallucinations and Apathy.
Related conditions

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