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Loss of Appetite

How Chinese medicine differentiates loss of appetite, 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. Unintended weight loss, appetite loss lasting more than a couple of weeks, or loss of appetite tied to disordered eating needs medical evaluation before assuming it is a simple digestive pattern.
General Acupuncture Points

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

PointKey action
ST-36Tonifies Qi and Blood, strengthens Spleen and Stomach.
REN-12Front-Mu point of Stomach, regulates the Middle Burner.
SP-6Tonifies Spleen, resolves Dampness, nourishes Yin.
LR-3Subdues rising Liver Qi, releases emotional frustration.
P-6Opens the chest, regulates Middle Burner Qi, calms the Mind.
SP-9Drains Dampness from the Middle Burner.
ST-44Clears Stomach heat, relieves epigastric distension.
BL-21Back-Shu point of Stomach, supports Yin nourishment.
HE-7Calms the Heart, steadies the spirit.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen Qi Deficiency View full pattern →

Clinical manifestations: Poor appetite with early satiety, abdominal bloating or fullness after eating, loose stools, fatigue and low energy, pale complexion.
Tongue: Pale, puffy, and tender with tooth marks, thin white coating. Pulse: Weak and soft, especially at right middle.
Treatment principle: Strengthen Spleen Qi and improve digestive transformation.
Note: moxa applicable throughout. Direct match — poor appetite, loose stools, fatigue and pale complexion are the same markers named there.

2. Liver Qi Stagnation Invading the Stomach View full pattern →

Clinical manifestations: Distending pain in upper abdomen radiating to ribs, frequent belching or acid reflux, worse with stress or frustration, irritability, frequent sighing, sensation of a lump in the throat.
Tongue: Normal or slightly red body with redder sides, thin white coating. Pulse: Wiry, most pronounced at left middle.
Treatment principle: Course Liver Qi to restore smooth flow and harmonize Stomach function.
Note: no moxa. Direct name match with this site's own Rebellious-Liver-Qi-invading-the-Stomach slide.

3. Spleen Deficiency with Dampness

Clinical manifestations: Heaviness in body and limbs, sticky or greasy sensation in mouth, abdominal bloating after eating, loose stools, drowsiness after meals.
Tongue: Pale, swollen body with teeth marks, white greasy coating, moist surface. Pulse: Soggy and slow, weak at right Guan, may be slippery.
Treatment principle: Strengthen Spleen Qi and drain accumulated Dampness.
Note: moxa applicable on the tonifying points. No deck on this site combines Spleen deficiency with Dampness in one slide, so no pattern link is given here.

4. Food Stagnation in the Stomach View full pattern →

Clinical manifestations: Upper abdominal bloating and distension, sour rotten-smelling belching, aversion to food and its smell, abdominal fullness after eating.
Tongue: Normal body with a thick, greasy, curd-like coating, thickest in the centre. Pulse: Slippery and full, especially at right Guan.
Treatment principle: Promote digestion and resolve food retention.
Note: no moxa. Direct match with this site's own Retention-of-Food-in-the-Stomach slide.

5. Stomach Yin Deficiency View full pattern →

Clinical manifestations: Feels hungry but lacks desire to eat, dry mouth and throat, dull burning pain or gnawing discomfort in upper abdomen, thirst preferring small sips, dry stools.
Tongue: Red, thin body, dry centre, little or no coating, possibly cracked. Pulse: Fine and rapid, weak at right middle.
Treatment principle: Nourish Stomach Yin and generate fluids.
Note: no moxa (Yin-deficiency pattern). Direct name match with this site's own Stomach-Yin deficiency slide.

6. Heart and Spleen Qi and Blood Deficiency View full pattern →

Clinical manifestations: Palpitations or fluttering chest sensation, insomnia with excessive dreaming, poor appetite with tiredness after eating, forgetfulness and poor concentration, pale yellowish complexion.
Tongue: Pale, puffy, teeth-marked body with a thin white coating. Pulse: Fine and weak overall, empty at left Cun, soft at right Guan.
Treatment principle: Restore Spleen Qi and Heart Blood to rebuild digestive capacity and mental clarity.
Note: moxa applicable throughout. This site's Spleen- and Heart-Blood deficiency slide is the closest match — poor appetite, tiredness and insomnia are named there, though it's framed as Blood deficiency rather than combined Qi-and-Blood.
Related conditions

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