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Muscle Cramps

How Chinese medicine differentiates muscle cramps, 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. Cramps with muscle weakness, swelling, or that follow starting a new medication need medical evaluation before assuming it is a simple pattern.
General Acupuncture Points

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

PointKey action
G.B.-34Influential meeting point of the sinews.
SP-9Drains dampness from the lower body.
ST-36Strengthens Spleen and Stomach, tonifies Qi and Blood.
L.I.-4Expels Wind and alleviates pain.
LR-3Soothes the Liver and relaxes the sinews.
SP-10Invigorates Blood and removes stagnation.
BL-20Directly strengthens Spleen's Qi and transforming ability.
SP-6Nourishes Yin and Blood, harmonizes the Spleen.
KI-3Tonifies Kidney Yin and Essence.
BL-23Tonifies Kidney Yin and strengthens the lower back.
ST-40Master point for phlegm, transforms phlegm and dampness.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Painful Obstruction with Wind-Cold-Damp

Clinical manifestations: Cramping and aching pain that worsens in cold, damp weather, heaviness in limbs, aversion to cold and wind, swelling without redness/heat, pain relieved by warmth.
Tongue: Pale, slightly swollen body with teeth marks and white greasy coating. Pulse: Wiry and tight, or slow, may feel soggy.
Treatment principle: Dispel Wind, eliminate Dampness, warm the channels.
Note: moxa applicable. No deck on this site has a Wind-Cold-Damp Bi-syndrome category, a confirmed and recurring absence, so no pattern link is given here.

2. Damp-Heat in the Liver Channel

Clinical manifestations: Hot, distending cramps, bitter taste in mouth, heaviness in limbs, dark scanty urine.
Tongue: Red body with red sides, yellow greasy coating thicker at centre and root. Pulse: Wiry, slippery, and rapid.
Treatment principle: Clear Damp-Heat from the Liver channel.
Note: no moxa. This site's Damp-Heat-in-the-Liver slide is genital-specific, not a match for generic limb cramps despite the shared name, so no pattern link is forced here.

3. Qi And Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing cramps, worse with rest and better with gentle movement, history of injury or chronic tension, worse with pressure.
Tongue: Purple or dark body with stasis spots, distended sublingual veins, thin white coat. Pulse: Wiry and choppy.
Treatment principle: Invigorate Blood and eliminate stasis.
Note: no moxa. Direct match — a purple/dark tongue with stasis spots is the same discoloration marker named on this site's Liver-Blood stasis slide.

4. Spleen Qi Deficiency View full pattern →

Clinical manifestations: Dull, achy cramps in the calves or feet, worse with fatigue or prolonged standing, poor appetite and abdominal bloating, loose or soft stools.
Tongue: Pale, puffy body with tooth marks and thin white coating. Pulse: Soft, weak, and flimsy, noticeably weak at right middle.
Treatment principle: Tonify Spleen Qi and raise clear Yang.
Note: moxa applicable throughout. Direct match — poor appetite, loose stools and a pale puffy tongue are the same markers named there.

5. Kidney and Liver Yin Deficiency View full pattern →

Clinical manifestations: Cramps that occur mostly at night, soreness and weakness of lower back and knees, heat in palms/soles/chest, night sweats, dry eyes and dry mouth.
Tongue: Red, thin body with cracks and little or no coating, dry surface. Pulse: Fine and rapid, often wiry, weak at left Chi and Guan.
Treatment principle: Nourish Yin and generate fluids, relax spasms by moistening the sinews.
Note: no moxa (Yin-deficiency pattern). Direct match, reusing the well-established Kidney-and-Liver-Yin-deficiency slide.

6. Phlegm in the Channels, Joints and Muscles

Clinical manifestations: Fixed, stabbing cramps, heaviness or numbness in limbs, hard lumps or nodules near the cramped area, purplish skin discoloration, chest tightness.
Tongue: Purple body with stasis spots, white greasy coating, distended sublingual veins. Pulse: Wiry and choppy, or wiry and slippery.
Treatment principle: Clear Phlegm, dissolve Blood stasis, unblock channels.
Note: no moxa. No deck on this site has a Phlegm-in-the-channels Bi-syndrome category, a confirmed and recurring absence, so no pattern link is given here.
Related conditions

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