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Heel Pain

How Chinese medicine differentiates heel pain — distinct from Plantar Fasciitis already covered — the four 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. Heel pain with numbness, weakness, or after a specific injury needs medical evaluation before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for heel pain — 8 key points, used across the patterns below rather than tied to just one.

PointKey action
KI-3Tonifies Kidney Yin, benefits bones.
BL-23Tonifies Kidney essence, strengthens the lower back and heels.
BL-18Nourishes Liver blood, moistens the sinews.
BL-60Local point, activates the channel, relieves heel pain.
SP-9Resolves Dampness, reduces heaviness and swelling.
BL-58Drives out external pathogens, traditional point for heel pain.
SP-10Invigorates Blood, removes stasis.
BL-17Influential point of Blood, moves stagnant Blood.
ST-36Tonifies Qi and Blood, strengthens Spleen and Stomach.
SP-6Tonifies Spleen and Stomach, nourishes Blood.
The Four Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney and Liver Yin Deficiency View full pattern →

Clinical manifestations: Dull, aching heel pain worse with prolonged standing/walking, morning first-step pain that eases slightly with movement, lower back and knee soreness, dizziness and tinnitus, night sweats, heat in palms/soles.
Tongue: Red, thin body with cracks, little/no coating, dry surface. Pulse: Fine, rapid, may be wiry, weak at left Chi and Guan.
Treatment principle: Nourish Kidney and Liver Yin to restore lubrication and support of bones and sinews.
Note: no moxa. Direct match, reusing the well-established Kidney-and-Liver-Yin-deficiency slide.

2. Painful Obstruction with Wind-Cold-Damp

Clinical manifestations: Severe, fixed heel pain that feels cold, worsens in cold or damp weather, improves with warmth and gentle stretching, heaviness or numbness in leg, swollen heel without redness/heat.
Tongue: Pale, slightly swollen with teeth marks, white greasy coating. Pulse: Wiry, tight, or slow.
Treatment principle: Expel external pathogens obstructing the channels.
Note: moxa applicable given the Cold. No deck on this site has a Wind-Cold-Damp Bi-syndrome category, a confirmed and recurring absence, so no pattern link is given here.

3. Qi and Blood Stagnation View full pattern →

Clinical manifestations: Stabbing, fixed pain in one location, worsens with pressure or prolonged walking, local swelling or bruising, history of trauma or overuse.
Tongue: Purple/dark body with stasis spots, distended sublingual veins. Pulse: Wiry and choppy.
Treatment principle: Invigorate Qi and Blood circulation, dispel obstruction.
Note: no moxa. Matches this site's Liver-Blood stasis slide — a purple/dark tongue with stasis spots is the same discoloration marker named there.

4. Qi and Blood Deficiency

Clinical manifestations: Dull, aching persistent heel pain, worsens with prolonged standing/walking, general fatigue and weakness, pale complexion and lips, poor appetite.
Tongue: Pale body, may be thin/have teeth marks, thin white coating. Pulse: Fine and weak, especially at right Guan.
Treatment principle: Tonify Qi and Blood foundationally.
Note: moxa applicable throughout. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.
Related conditions

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