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Limb Numbness

How Chinese medicine differentiates numbness of the arms and legs, the six 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 numbness, numbness with weakness or slurred speech, or numbness after a fall/injury needs urgent medical evaluation before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for limb numbness — 11 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Boosts Spleen Qi and generates Blood.
SP-6Nourishes Blood, harmonizes Spleen, Liver, Kidney.
REN-6Strengthens source Qi, propels Blood to the limbs.
SP-10Invigorates and nourishes Blood.
ST-40Master point for Phlegm, transforms Phlegm and opens channels.
G.B.-20Expels Wind and clears the head, reduces dizziness.
LR-3Subdues internal Wind, calms Liver, unblocks stagnation.
G.B.-34Influential point for sinews and joints, relieves numbness and stiffness.
L.I.-11Unblocks the channel in the arm, reduces swelling.
BL-17Influential point of Blood, moves stagnant Blood.
L.I.-4With LR-3, powerfully moves Qi and Blood to the extremities.
BL-18Nourishes Liver Blood and regulates Liver function.
LR-14Regulates Liver Qi, alleviates chest and rib-side fullness.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi and Blood Deficiency

Clinical manifestations: Numbness developing gradually, worse with fatigue or prolonged standing, improves with rest; deep tiredness, pale or sallow complexion, dizziness upon standing, heart palpitations.
Tongue: Pale body, may be thin with teeth marks, thin white coating. Pulse: Fine and weak, especially soft at right middle.
Treatment principle: Tonify Qi and warm the channels, nourish Blood and dispel obstruction.
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. Wind-Phlegm

Clinical manifestations: Sudden onset numbness or tingling in limbs, dizziness or vertigo, white frothy sputum, chest stuffiness, epigastric bloating.
Tongue: Normal or slightly pale body, swollen with teeth marks, white greasy coating. Pulse: Wiry and slippery.
Treatment principle: Transform Wind-Phlegm and stop spasms, strengthen the Spleen.
Note: no moxa. No deck on this site combines Wind with Phlegm into one slide, so no pattern link is given here.

3. Phlegm in the Channels, Joints and Muscles

Clinical manifestations: Heavy, cotton-wrapped sensation in limbs, fixed stabbing pain in joints/muscles, hard, swollen joints, purplish or dark skin around affected areas.
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, regulate Qi.
Note: no moxa. No deck on this site has a Phlegm-in-the-channels Bi-syndrome category, a confirmed and recurring absence, so no pattern link is given here.

4. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing pain accompanying numbness, worse at night, dark purplish lips or nails, dark or dusky facial complexion.
Tongue: Dark purple body, possible stasis spots, distended dark sublingual veins, thin white coat. Pulse: Choppy, may be wiry.
Treatment principle: Invigorate Blood and dispel stasis, unblock the channels.
Note: no moxa. Direct match — dark purplish lips/nails and a dark purple tongue with stasis spots are the same discoloration markers named on this site's Liver-Blood stasis slide.

5. Liver Wind Agitating Internally due to Liver Blood Deficiency View full pattern →

Clinical manifestations: Fine, shifting numbness and tingling, trembling or twitching of hands and feet, dizziness, blurred vision, pale complexion and brittle nails.
Tongue: Pale, thin, may tremble when extended, thin white coating. Pulse: Fine and wiry, especially at left Guan.
Treatment principle: Nourish Yin and Blood, soften the Liver and extinguish Wind.
Note: direct name match with this site's own Liver-Blood-deficiency-generating-Wind slide, first used for Hypoglycemia.

6. Liver Qi Stagnation View full pattern →

Clinical manifestations: Sore, heavy numbness rather than sharp pain, chest and rib-side distension, frequent sighing and mood swings, worse with emotional stress.
Tongue: Normal or slightly dark body with red or purple sides, thin white coat. Pulse: Wiry, taut like a guitar string.
Treatment principle: Course the Liver and resolve constraint.
Note: no moxa. Direct match on the core distension/irritability/sighing picture.
Related conditions

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