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Hypotension (Low Blood Pressure)

How Chinese medicine differentiates chronically low blood pressure, 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. Fainting, chest pain, or blood pressure that drops suddenly needs urgent medical evaluation before assuming it is a simple chronic pattern.
General Acupuncture Points

Acupuncture points traditionally used for hypotension — 10 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Tonifies Qi and Blood, tonifies Stomach and Spleen.
DU-20Lifts clear Yang to the head, relieves dizziness.
REN-6Tonifies Qi, raises blood pressure by reinforcing vital energy.
BL-20Directly tonifies the Spleen's blood-generating function.
KI-3Source point of the Kidney, tonifies Essence.
BL-23Strengthens the organ's ability to produce marrow and blood.
DU-4Gate of Life, warms and fortifies Kidney Yang and Essence.
BL-15Directly tonifies Heart Yang, relieves chest oppression.
P-6Regulates heart rhythm, eases palpitations.
ST-40Key point to transform phlegm and clear dampness.
SP-9Drains dampness, regulates the Spleen.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi and Blood Deficiency

Clinical manifestations: Fatigue worsened by exertion, pale or sallow complexion with pale lips and nail beds, dizziness worse with exertion, heart palpitations and shortness of breath, poor appetite.
Tongue: Pale body, may be thin or have teeth marks, thin white coating. Pulse: Fine and weak, especially at right Guan.
Treatment principle: Tonify Qi and nourish Blood to fill vessels and gently raise blood pressure.
Note: moxa applicable throughout. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.

2. Spleen Qi Sinking View full pattern →

Clinical manifestations: Dizziness on standing, bearing-down sensation in abdomen, chronic loose stools or diarrhea, profound fatigue with weak limbs, organ prolapse.
Tongue: Pale, puffy, tender body with teeth marks, thin white coating. Pulse: Weak and forceless, especially at right Guan, may feel deep.
Treatment principle: Tonify Spleen Qi and raise sinking Qi.
Note: moxa strongly indicated. Direct name match with this site's own Spleen-Qi-sinking slide.

3. Kidney Essence Deficiency View full pattern →

Clinical manifestations: Chronic dizziness, soreness and weakness of lower back and knees, tinnitus or hearing loss, poor memory and concentration, frequent urination at night.
Tongue: Pale, thin body with little or no coating, possible fine cracks. Pulse: Fine, deep, and weak at both Chi positions.
Treatment principle: Nourish Kidney Yin and Essence, replenish marrow.
Note: moxa applicable. Direct name match with this site's own Kidney-Essence deficiency slide.

4. Heart Yang Deficiency View full pattern →

Clinical manifestations: Cold hands and feet, chest stuffiness or mild chest pain, palpitations worsened by effort, bright pale face, listlessness and desire to sleep.
Tongue: Pale, puffy, tender with teeth marks, white slippery coating. Pulse: Deep and weak, especially at left Cun, may be knotted.
Treatment principle: Warm and fortify Heart Yang to strengthen pumping action.
Note: moxa strongly indicated. Direct match with this site's own Heart-Yang deficiency slide.

5. Phlegm-Dampness in the Middle-Burner

Clinical manifestations: Heavy, foggy-headed dizziness, abdominal fullness after eating, greasy sticky mouth, loose sticky stools, excessive drowsiness and body heaviness.
Tongue: Pale, swollen with teeth marks, thick white greasy coating. Pulse: Slippery and soggy, especially at right middle.
Treatment principle: Transform phlegm, dry dampness, extinguish wind to clear the head.
Note: no moxa except tonifying points. No deck on this site has a Middle-Burner-specific Phlegm-Dampness slide, so no pattern link is given here.
Related conditions

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