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Hemoptysis

How Chinese medicine differentiates coughing up blood into the six patterns described for it, and the points for each. Supportive reading only. 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. Coughing up blood always needs prompt medical investigation (infection, tuberculosis, lung disease, clots or tumour). Large-volume bleeding is an emergency. Acupuncture here is at most a supportive adjunct.
General Acupuncture Points

Acupuncture points traditionally used for hemoptysis (coughing up blood) — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
BL-13Stimulates the diffusing and descending of Lung-Qi. Expels external Wind. Regulates Nutritive and Defensive Qi.
LU-5Clears Lung-Heat. Promotes the descending of Lung-Qi. Resolves Phlegm from the Lungs.
LU-6Regulates Lung-Qi in the channel. Promotes the descending of Lung-Qi. Clears Heat.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Phlegm-Heat in the Lungs View full pattern →

Clinical manifestations: Copious thick yellow or green sputum with blood streaks; chest oppression; fever; thirst for cold drinks.
Tongue: Red, possibly swollen front, yellow greasy coat with red prickles. Pulse: Slippery and rapid, strongest at the right front position.
Treatment principle: Clears Heat and transforms Phlegm.
Note: no moxa.

2. Liver Fire Insulting the Lungs View full pattern →

Clinical manifestations: Bright red blood in the sputum; sudden forceful coughing; distending chest and rib pain; bitter taste; irritability; face flushes during the cough.
Tongue: Red with redder sides, thin dry yellow coat. Pulse: Wiry and rapid, especially at the left middle position.
Treatment principle: Clears Liver Fire, calms the Lungs and cools the Blood.
Note: no moxa.

3. Lung Yin Deficiency View full pattern →

Clinical manifestations: Dry cough with scanty sticky phlegm; small blood streaks; afternoon fever; night sweats; dry throat; flushed cheeks.
Tongue: Red, thin, cracked, dry, little or no coat. Pulse: Fine and rapid, weak at the right front position.
Treatment principle: Nourishes Yin and moistens dryness.
Note: no moxa (Yin deficiency with heat signs).

4. Qi Not Controlling Blood View full pattern →

Clinical manifestations: Pale or pinkish blood in the sputum; profound fatigue; shortness of breath; reluctance to speak; pale complexion; poor appetite; loose stools; palpitations.
Tongue: Pale, puffy, tooth-marked, thin white coat. Pulse: Fine, weak and forceless, especially at the right middle position.
Treatment principle: Tonifies Qi, nourishes Blood and strengthens the Spleen.
Note: moxa is appropriate. Linked to this site's own Spleen-not-controlling-Blood slide.

5. Blood Stagnation View full pattern →

Clinical manifestations: Dark or clotted blood in the sputum; fixed stabbing chest pain worse at night; dark lips; dusky complexion.
Tongue: Dark purple or dusky, stasis spots, distended sublingual veins, thin white coat. Pulse: Choppy or wiry.
Treatment principle: Invigorates Blood, dispels stasis, moves Qi and relieves pain.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide per the discoloration-marker rule (dark lips, dusky complexion).

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

Clinical manifestations: Copious white sticky phlegm that is easily coughed up; blood-streaked sputum (not bright red); chest heaviness; nausea; poor appetite; loose stools.
Tongue: Pale, swollen, tooth-marked, thick white greasy coat. Pulse: Slippery, possibly soggy.
Treatment principle: Dries Dampness and transforms Phlegm.
Note: moxa is appropriate.
Related conditions

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