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Low Blood Sugar

How Chinese medicine differentiates low blood sugar into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Diabetes page. 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. Severe hypoglycemia with confusion, seizure, or loss of consciousness is a medical emergency — seek immediate care. This page addresses only mild-to-moderate, medically-evaluated blood sugar dips as supportive care.
General Acupuncture Points

Acupuncture points traditionally used for low blood sugar (hypoglycemia) — 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. Spleen and Stomach Qi Deficiency View full pattern →

Clinical manifestations: Poor appetite; bloating after meals; loose stools; shakiness when hungry; a pale complexion; fatigue improved by rest.
Tongue: Pale, puffy, teeth-marked, thin white coating. Pulse: Weak, soft, at the right middle position.
Treatment principle: Tonifies the Spleen and Stomach, raises clear Yang and restores consistent Qi production from food.
Note: moxa is appropriate.

2. Qi and Yin Deficiency

Clinical manifestations: Persistent fatigue; a dry mouth with little desire to drink; spontaneous daytime sweating; night sweats; heart palpitations; warm palms and soles; dizziness; poor appetite.
Tongue: Red or pale-red, thin or absent coating, dry surface with possible cracks. Pulse: Fine and weak, often rapid.
Treatment principle: Tonifies Qi, nourishes Yin and generates fluids to prevent further depletion of both energy and cooling reserves.
Note: moxa is appropriate. No combined Qi-and-Yin-deficiency slide exists on this site's decks — no pattern link is given here.

3. Heart and Spleen Deficiency View full pattern →

Clinical manifestations: Palpitations or a racing heart when hungry; anxiety; poor memory; foggy thinking; poor appetite with bloating; loose stools; fatigue worsening after skipped meals.
Tongue: Pale, tender, puffy, teeth-marked, thin white coating. Pulse: Fine and weak, especially weak at the left front and right middle positions.
Treatment principle: Tonifies Spleen Qi and nourishes Heart Blood to stabilize blood sugar and calm the spirit.
Note: moxa is appropriate. Linked to the closest slide (Spleen- and Heart-Blood deficiency); it names Blood only, so treat as a partial match.

4. Empty-Heat Caused by Yin Deficiency View full pattern →

Clinical manifestations: Night sweats and afternoon heat; a dry mouth with a desire for small sips; heat in the palms, soles and chest; red, flushed cheekbones; irritability; insomnia.
Tongue: Red, thin, dry with cracks and little or no coating. Pulse: Thready and rapid.
Treatment principle: Nourishes Kidney Yin, clears empty Heat and prevents false Heat from destabilizing blood sugar.
Note: no moxa (Yin deficiency with heat signs).

5. Liver Wind from Blood Deficiency View full pattern →

Clinical manifestations: A fine trembling of the hands and feet; numbness or tingling; dizziness and blurred vision; a pale complexion; symptoms worsening when hungry.
Tongue: Pale, thin, possibly trembling when extended, thin white coating. Pulse: Fine and wiry, at the left middle position.
Treatment principle: Nourishes Liver Blood to anchor Qi, extinguish internal Wind and steady nervous system function.
Note: no moxa. Linked to this site's own Liver-Blood-deficiency-generating-Wind slide.

6. Turbid Phlegm Blocks Orifices

Clinical manifestations: Clouded or confused consciousness; rattling phlegm in the throat; slurred or impaired speech; heavy-headedness; a feeling that the head is wrapped.
Tongue: Pale, swollen, teeth-marked, thick white greasy-slippery coating. Pulse: Slippery and wiry, at the right middle position.
Treatment principle: Strengthens the Spleen, transforms Dampness into Phlegm, opens the orifices and restores clear consciousness during acute episodes.
Note: MEDICAL EMERGENCY if consciousness is impaired — seek urgent care first. This site's decks have no Turbid-Phlegm-Blocks-Orifices slide — no pattern link is given here.
Related conditions

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