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Muscle Spasm

How Chinese medicine differentiates muscle spasm — distinct from Muscle Tension and Essential Tremor already covered — 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. Sudden widespread spasms with fever, rigidity, or loss of consciousness are a medical emergency and need immediate evaluation before assuming it is a simple pattern.
General Acupuncture Points

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

PointKey action
LR-3Subdues rising Liver-Yang, extinguishes Liver-Wind.
G.B.-20Extinguishes Wind, calms the head.
G.B.-34Influential point for the sinews, directly relaxes muscle tightness and spasms.
ST-36Tonifies Qi and Blood to fortify the sinews.
SP-6Nourishes Blood and Yin, calms the sinews.
BL-20Strengthens the Spleen to produce more Qi and Blood.
SP-10Invigorates Blood and nourishes the sinews.
KI-3Nourishes Kidney-Yin to strengthen the foundation and moisten the sinews.
BL-23Reinforces Kidney-Yin, addresses the root deficiency.
DU-14Warms Yang and disperses Cold.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver Wind Agitating Internally due to Liver Yang Rising View full pattern →

Clinical manifestations: Sudden, forceful muscle spasms, dizziness or lightheadedness, throbbing or distending headache, stiff neck, irritability and anger.
Tongue: Red body, stiff or trembling, possibly deviated, thin yellow or scanty coating. Pulse: Wiry, fine and may be rapid.
Treatment principle: Calm the Liver and extinguish Wind, subdue Liver-Yang, clear Heat and drain Fire.
Note: no moxa. This site's own Liver-Fire-generating-Wind slide is the closer match — it explicitly names tremor and spasms, which plain Liver-Yang rising does not — so it is linked here rather than the milder headache-only pattern.

2. Qi and Blood Deficiency

Clinical manifestations: Fatigue and weakness, pale complexion, intermittent mild spasms worse after exertion, dizziness or lightheadedness, heart palpitations, numbness or tingling in the limbs.
Tongue: Pale body, may be thin or have teeth marks, thin white coating. Pulse: Fine and weak, especially at right Guan.
Treatment principle: Tonify Qi, nourish Blood, strengthen the Spleen.
Note: moxa applicable throughout. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.

3. Liver Wind Agitating Internally due to Liver Blood Deficiency View full pattern →

Clinical manifestations: Muscle twitching or trembling, numbness or tingling in the limbs, dizziness or lightheadedness, pale complexion.
Tongue: Pale, thin, may tremble when extended, thin white coating. Pulse: Fine and wiry, especially at left Guan.
Treatment principle: Nourish Blood and enrich Yin, calm Wind and stop twitching, moisten Dryness.
Note: no moxa given the underlying deficiency-generating-excess-symptom pattern. Direct match with this site's own Liver-Blood-deficiency-generating-Wind slide.

4. Empty-Wind Agitating in the Interior

Clinical manifestations: Muscle twitching or trembling, fatigue and weakness, night sweats, dry mouth and throat, low-grade fever that comes and goes.
Tongue: Deep red (crimson), thin, dry, cracked, little or no coating (mirror-like), may tremble. Pulse: Fine and rapid, wiry at left Guan but lacking force.
Treatment principle: Nourish Yin and extinguish Wind, subdue floating Yang, nourish Blood and generate Essence.
Note: no moxa given the Empty-Heat. No deck on this site has a Yin-deficiency-generating-Wind slide distinct from the Fire- and Blood-deficiency Wind patterns already covered, so no pattern link is given here.

5. Kidney and Liver Yin Deficiency View full pattern →

Clinical manifestations: Muscle tightness and spasms, lower back and knee soreness, tinnitus, dry eyes with blurred vision, night sweats, dizziness or lightheadedness.
Tongue: Red, thin body with cracks, little or no coating, dry surface. Pulse: Fine, rapid and wiry, weak at the Kidney position.
Treatment principle: Nourish Liver and Kidney Yin, brighten the eyes, clear Liver Heat.
Note: no moxa. Direct match, reusing the well-established Kidney-and-Liver-Yin-deficiency slide.

6. Cold Invading the Channels, Joints and Muscles

Clinical manifestations: Severe joint pain at a fixed location, pain and spasms worsen with cold, affected area feels cold to the touch, stiffness and limited range of motion, skin not red or hot.
Tongue: Pale body with a thin white coat, moist surface. Pulse: Tight, often wiry, may be floating in acute cases.
Treatment principle: Disperse Wind-Cold, drain Dampness, transform Phlegm and unblock the collaterals.
Note: moxa strongly indicated given the Cold. No deck on this site has a generic Cold-invading-the-channels Bi-syndrome category outside the Liver channel's genital-specific version, a confirmed and recurring absence, so no pattern link is given here.
Related conditions

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