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Malnutrition in Children

How Chinese medicine differentiates childhood malnutrition into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Delayed Child Growth and Failure to Thrive 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. Malnutrition or failure to gain weight in a child needs pediatric medical assessment and monitoring; this page supports recovery alongside medical care, never in place of it. Gentle technique is essential in children.
General Acupuncture Points

Acupuncture points traditionally used for malnutrition in children — 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-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm. Regulates Stomach-Qi.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen and Stomach Qi Deficiency View full pattern →

Clinical manifestations: A sallow or pale complexion; poor appetite; bloating after eating; loose stools; fatigue; weak limbs.
Tongue: Pale, puffy, teeth-marked, thin white coating. Pulse: Weak, soft, forceless at the right middle position.
Treatment principle: Tonifies Spleen Qi, strengthens digestive function and drains Dampness.
Note: moxa is appropriate, gentle technique in children.

2. Food Stagnation in the Stomach View full pattern →

Clinical manifestations: Sour or rotten-smelling belching; epigastric fullness worsening after eating; vomiting of undigested food that brings relief; aversion to food.
Tongue: Normal body with thick, greasy, curd-like coating, thickest centrally. Pulse: Slippery and full at the right middle position.
Treatment principle: Promotes digestion, resolves food stagnation, harmonizes the Stomach and descends rebellious Qi.
Note: no moxa.

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

Clinical manifestations: A low-grade, persistent fever despite sweating; sticky, incomplete stools; irritability and restless behavior; thirst with little desire to drink; heavy, tired limbs.
Tongue: Red, possibly swollen with teeth marks, thick yellow greasy coating at the centre and root. Pulse: Soggy and rapid, slippery at the right middle position.
Treatment principle: Clears Heat, transforms Phlegm and resolves Dampness from the Stomach and Spleen.
Note: no moxa.

4. Phlegm-Dampness in the Middle-Burner

Clinical manifestations: A heavy sensation in the body and limbs; bloating after eating; excessive drowsiness; a greasy, sticky mouth without thirst.
Tongue: Pale, swollen with scalloped edges, thick white greasy moist coating. Pulse: Slippery and soggy at the right middle position.
Treatment principle: Dries Dampness, transforms Phlegm, regulates Qi and harmonizes the Middle Burner.
Note: no moxa. This site's decks have no Phlegm-Dampness-in-the-Middle-Burner slide, confirmed absent again — no pattern link is given here.

5. Kidney and Liver Yin Deficiency View full pattern →

Clinical manifestations: Severe emaciation; dry, withered skin and hair; night sweats with heat in the palms, soles and chest; irritability and restless sleep; a dry mouth and throat with thirst.
Tongue: Red, thin, cracks, little or no coating, dry surface. Pulse: Fine, rapid, wiry.
Treatment principle: Nourishes Kidney Yin, supplements Liver and Spleen Yin, and benefits Essence and marrow.
Note: no moxa (Yin deficiency with heat signs).

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

Clinical manifestations: Palpitations; insomnia with excessive dreaming; a pale complexion, lips and nails; poor appetite with post-meal fatigue; forgetfulness and poor concentration.
Tongue: Pale, puffy, teeth-marked, thin white coating. Pulse: Fine, weak, especially feeble at the left front and right middle positions.
Treatment principle: Tonifies Heart Blood, strengthens Spleen Qi, calms the spirit and restores the appetite.
Note: moxa is appropriate. Linked to the closest slide (Spleen- and Heart-Blood deficiency); it names Blood only, so treat as a partial match.
Related conditions

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