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Long COVID

How Chinese medicine differentiates the lingering effects of long COVID into the six patterns described for it, and the points for each. Supportive reading only. Distinct from this site's Post-Viral Fatigue and Chronic Fatigue Syndrome pages. 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. Long COVID is a medical diagnosis needing ongoing monitoring, especially for heart, lung and neurological symptoms. Acupuncture is at most a supportive adjunct alongside that care, never a substitute for it. New chest pain or breathlessness needs urgent medical assessment.
General Acupuncture Points

Acupuncture points traditionally used for long COVID — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
REN-6Tonifies Qi and Yang. Raises sinking Qi. Tonifies Original Qi.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi and Yin Deficiency

Clinical manifestations: Profound fatigue not improved by rest; dry mouth; night sweats; warm palms and soles; shortness of breath; palpitations.
Tongue: Red with little coating, dry, possibly cracked. Pulse: Fine, weak, rapid.
Treatment principle: Tonifies Qi, generates fluids and nourishes Yin.
Note: no moxa (Yin deficiency with heat signs). No combined Qi-and-Yin-deficiency slide exists on this site's decks — no pattern link is given here.

2. Spleen and Lung Qi Deficiency View full pattern →

Clinical manifestations: Chronic cough with thin, watery phlegm; shortness of breath; poor appetite; bloating; loose stools; profound fatigue.
Tongue: Pale, puffy, tooth-marked, thin white slippery coat. Pulse: Weak and forceless.
Treatment principle: Tonifies Spleen and Lung Qi and dries Dampness.
Note: moxa is appropriate. Linked to this site's own Spleen-and-Lung-Qi-deficiency slide.

3. Lung and Kidney Yang Deficiency

Clinical manifestations: Severe cold intolerance; lower-back soreness; cough with frothy sputum; frequent night-time urination; facial or limb puffiness.
Tongue: Pale, puffy, tooth-marked, white slippery coat. Pulse: Deep, weak, slow.
Treatment principle: Tonifies Kidney Yang, warms the interior and helps the Kidney grasp Lung Qi.
Note: moxa is strongly indicated. No combined Lung-and-Kidney-Yang-deficiency slide exists — no pattern link is given here.

4. Qi and Blood Stagnation

Clinical manifestations: Fixed, stabbing chest pain; chest tightness; palpitations; irritability; dark or purple lips; pain worse with pressure.
Tongue: Dark purple with stasis spots, distended sublingual veins. Pulse: Wiry and choppy.
Treatment principle: Invigorates Blood, dispels stasis, moves Qi and opens the chest.
Note: New or severe chest pain needs urgent medical assessment first. no moxa. No combined Qi-and-Blood-stagnation slide exists on this site's decks — no pattern link is given here.

5. Phlegm Clogging the Lungs with Qi Stagnation

Clinical manifestations: Productive cough with copious white phlegm; chest stuffiness; wheezing; poor appetite; fatigue with heaviness.
Tongue: Pale, puffy, tooth-marked, thick white greasy moist coat. Pulse: Slippery and wiry.
Treatment principle: Dries Dampness, transforms Phlegm, regulates Qi and harmonizes digestion.
Note: Mixed Deficiency/Excess. This site's decks have no Phlegm-clogging-the-Lungs-with-Qi-stagnation slide — no pattern link is given here.

6. Liver Qi Stagnation with Spleen Qi Deficiency Transforming into Heat

Clinical manifestations: Wandering rib-side pain; bloating and loose stools; irritability; bitter taste; dry mouth; fatigue.
Tongue: Red sides with tooth marks, thin to moderately thick yellow greasy coat. Pulse: Wiry and rapid.
Treatment principle: Courses Liver Qi, resolves constraint, clears Liver Heat, nourishes Blood and strengthens the Spleen.
Note: Mixed Deficiency/Excess. No matching combined deck slide — no pattern link is given here.
Related conditions

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