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Malnutrition

How Chinese medicine differentiates pediatric malnutrition and failure to thrive into 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. Poor growth or weight loss in a child needs pediatric medical evaluation to rule out an underlying medical cause before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for pediatric malnutrition — 12 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
REN-6Tonifies Qi and Yang. Raises sinking Qi.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
ST-44Clears Heat. Regulates the Intestines and resolves Damp-Heat.
P-6Opens the chest and moves Qi and Blood. Harmonizes the Stomach.
ST-25Regulates the Intestines. Moves Qi and invigorates Blood. Resolves Dampness.
REN-4Nourishes Blood and Yin. Strengthens the Kidneys.
KI-3Tonifies the Kidneys (both Yin and Yang). Benefits Essence.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
DU-4Tonifies Kidney-Yang and warms the Gate of Life. Tonifies the Original Qi.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen Qi Deficiency View full pattern →

Clinical manifestations: Poor appetite, abdominal bloating after eating, loose stools, fatigue and lack of energy, pale complexion.
Tongue: Pale, puffy, tender body with tooth marks, thin white coating. Pulse: Weak and soft, especially at the right Guan position.
Treatment principle: Tonifies Qi, strengthens the Spleen, drains Dampness.
Note: moxa strongly indicated throughout. Direct exact-name match with this site's own Spleen-Qi-deficiency slide.

2. Damp-Heat in Stomach and Spleen View full pattern →

Clinical manifestations: Bloating and fullness in the upper abdomen, sticky or incomplete bowel movements, often foul-smelling, bitter or sticky taste in the mouth, heavy feeling in the body and limbs, irritability and fussiness.
Tongue: Red body, possibly swollen with teeth marks, thick yellow greasy coating, especially center and root. Pulse: Soggy and rapid, often slippery.
Treatment principle: Clears Heat, drains Dampness, regulates Qi, harmonizes the Middle Burner.
Note: no moxa. Matched to this site's own Damp-Heat-invading-the-Spleen slide.

3. Food Stagnation in the Stomach View full pattern →

Clinical manifestations: Aversion to food and its smell, belching with sour rotten odour, epigastric fullness and distension worse after eating, foul-smelling flatulence.
Tongue: Normal body, thick greasy or curd-like coating, thickest in the center. Pulse: Slippery and full, especially at the right middle position.
Treatment principle: Promotes digestion, resolves food stagnation, harmonizes the Stomach, moves Qi.
Note: no moxa. Matched to this site's own Retention-of-Food-in-the-Stomach slide.

4. Qi and Blood Deficiency

Clinical manifestations: Severe emaciation and weight loss, dull pale or sallow complexion, extreme fatigue and weakness, heart palpitations and dizziness, dry rough skin and pale lips.
Tongue: Pale body, may be thin with teeth marks on edges, thin white coating. Pulse: Fine and weak, especially at the right middle (Spleen) position.
Treatment principle: Tonifies Qi, nourishes Blood, strengthens the Spleen.
Note: moxa strongly indicated throughout. This site has no combined Qi-and-Blood-deficiency slide, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

5. Spleen Yin Deficiency View full pattern →

Clinical manifestations: Hunger without desire to eat, dry mouth, lips, and throat, dry stools or constipation, thin body with dry lusterless skin, warm palms and soles with low-grade afternoon heat.
Tongue: Red, thin body with small transverse cracks on the sides, little or no coating, dry surface. Pulse: Fine, possibly slightly rapid, weak especially at the right Guan position.
Treatment principle: Protects the Stomach, generates fluids, moistens dryness, nourishes Stomach-Yin.
Note: no moxa. This site has no dedicated Spleen-Yin-deficiency slide on any deck — linked to the closest match, the Stomach deck's own Stomach-Yin-deficiency slide, with the Spleen-versus-Stomach organ nuance flagged given how closely paired the two are clinically.

6. Kidney Essence Deficiency View full pattern →

Clinical manifestations: Delayed growth and development, weakness and soreness of the lower back and knees, poor memory and difficulty concentrating, frequent urination at night, premature greying or hair loss.
Tongue: Pale, thin body with little or no coating, possible fine cracks. Pulse: Fine and deep, especially weak at both Chi positions.
Treatment principle: Supplements true Yin, tonifies Qi and strengthens Yang, benefits Essence and fills Marrow.
Note: moxa strongly indicated throughout. Direct exact-name match with this site's own Kidney-Essence-deficiency slide.
Related conditions

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