Logout 📊 Admin
🏠 Home

Muscle Pain

How Chinese medicine differentiates muscle pain into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Muscle Tension, Muscle Spasm and Fibromyalgia 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. Severe, sudden or widespread muscle pain with weakness, dark urine, fever, or after starting a new medication needs medical assessment.
General Acupuncture Points

Acupuncture points traditionally used for muscle pain — 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-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
G.B.-34Promotes the smooth flow of Liver-Qi. Resolves Damp-Heat in Liver and Gall Bladder. Benefits the sinews.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Wind-Cold-Damp

Clinical manifestations: Pain worse in cold, damp or windy weather; improves with warmth or movement; heaviness and stiffness of the limbs; numbness or tingling; aversion to cold and wind.
Tongue: Pale or slightly swollen, white greasy coat. Pulse: Moderate, soggy or tight.
Treatment principle: Expels Wind, Cold and Dampness, unblocks the channels and promotes Qi and Blood flow.
Note: moxa is appropriate. This site's decks have no Bi-syndrome slide, confirmed absent many times — no pattern link is given here.

2. Damp-Heat in the Channels

Clinical manifestations: Muscles feel hot, swollen and red; heavy aching relieved by cold; worse in hot, humid weather; thirst; dark scanty urine; irritability.
Tongue: Red, yellow greasy coat. Pulse: Slippery and rapid.
Treatment principle: Clears Heat, drains Dampness, unblocks the channels and relieves inflammatory pain.
Note: no moxa. This site's decks have no Bi-syndrome slide, confirmed absent many times — no pattern link is given here.

3. Liver Qi Stagnation Turning into Heat View full pattern →

Clinical manifestations: Tense, sore muscles worse with emotional upset; irritability and explosive anger; bitter taste; distending pain in the ribcage area.
Tongue: Red with redder sides, yellow coat. Pulse: Wiry and rapid.
Treatment principle: Soothes the Liver, moves Qi, clears Heat and relieves muscle tension.
Note: no moxa.

4. Spleen Deficiency with Dampness

Clinical manifestations: Heavy, dull aching worse with humidity and after eating; loose stools; bloating; heavy limbs; fatigue and drowsiness after eating; poor appetite.
Tongue: Pale, swollen, tooth-marked, white greasy moist coat. Pulse: Soggy and slow.
Treatment principle: Tonifies Spleen Qi, strengthens digestive transformation and drains Dampness.
Note: Mixed Deficiency/Excess. No deck slide combines Spleen deficiency with Dampness — no pattern link is given here.

5. Qi and Blood Deficiency

Clinical manifestations: Dull, persistent muscle ache worse after exertion; severe fatigue; pale or sallow complexion; numbness or tingling in the limbs; poor appetite.
Tongue: Pale, thin, possible tooth marks. Pulse: Fine and weak, especially at the right middle position.
Treatment principle: Tonifies Qi and Blood, strengthens the Spleen and restores muscle resilience.
Note: moxa is appropriate. No combined Qi-and-Blood-deficiency slide exists on this site's decks — no pattern link is given here.

6. Kidney and Liver Yin Deficiency View full pattern →

Clinical manifestations: Deep, chronic dull aching; lower-back and knee soreness and weakness; heat in the palms, soles and chest; night sweats; dry eyes, blurred vision, tinnitus; flushed cheekbones.
Tongue: Red, thin, cracked, little coat. Pulse: Fine, rapid, wiry.
Treatment principle: Nourishes Kidney and Liver Yin, replenishes Essence and moistens the sinews.
Note: no moxa (Yin deficiency with heat signs).
Related conditions

Spot an error, or have more to add? Send it to admin on WhatsApp and it'll be corrected/added here.