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Muscle Weakness

How Chinese medicine differentiates muscle weakness into the four patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Muscle Atrophy page. 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 or progressive weakness, especially one-sided or with slurred speech, needs urgent medical evaluation before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for muscle weakness — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
BL-20Tonifies Spleen and Stomach. Resolves Dampness. Nourishes Blood.
REN-6Tonifies Qi and Yang. Raises sinking Qi.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
ST-40Resolves Phlegm and Dampness. Opens the chest and subdues rebellious Qi.
BL-13Stimulates the diffusing and descending of Lung-Qi. Clears Heat.
LU-5Clears Lung-Heat. Promotes the descending of Lung-Qi. Resolves Phlegm from the Lungs.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
The Four Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen and Stomach Qi Deficiency View full pattern →

Clinical manifestations: Poor appetite or early satiety, abdominal bloating worsening after eating, loose unformed stools, sallow or pale complexion, weak heavy limbs tiring easily, fatigue worse with activity and better with rest.
Tongue: Pale, puffy body with scalloped edges and a thin white coating. Pulse: Weak, soft, and empty at the right Guan (middle) position.
Treatment principle: Tonify Spleen-Qi, raise sunken Yang, lift Qi upward to support weak muscles.
Note: moxa strongly indicated throughout. Direct exact-name match with this site's own Stomach-and-Spleen-Qi-deficiency slide.

2. Damp-Heat View full pattern →

Clinical manifestations: Muscles feel heavy and swollen rather than simply weak, weakness worsens in hot humid weather, sticky or greasy taste in the mouth, feeling of heat or sluggishness in the limbs, loose sticky stools feeling incomplete.
Tongue: Red body with a yellow, greasy coating that may be swollen and have teeth marks. Pulse: Soft and rapid (soggy-rapid) or slippery and rapid.
Treatment principle: Clear Heat, dry Dampness, clear Damp-Heat from the Lower Burner, strengthen the Spleen.
Note: no moxa. Matched to this site's own Damp-Heat-invading-the-Spleen slide.

3. Lung-Heat View full pattern →

Clinical manifestations: Acute onset after febrile illness, cough with thick yellow phlegm, thirst with desire for cold drinks, fever or feeling of body heat, dry mouth and sore throat.
Tongue: Red with a thin dry or yellow coating, possibly prickly papillae on the front third. Pulse: Rapid and thin.
Treatment principle: Clear Heat, moisten the Lungs, nourish Yin, generate fluids, restore the descending of Lung-Qi so fluids reach the limbs.
Note: no moxa. Direct exact-name match with this site's own Lung-Heat slide.

4. Blood and Qi Deficiency With Blood Stagnation View full pattern →

Clinical manifestations: Fixed stabbing or dull ache in the muscles, pale or sallow face with a dusky dark undertone, numbness or tingling in the limbs, extreme fatigue feeling stuck rather than empty, muscles weak and stiff with fixed pain spots.
Tongue: Pale-purple body, possible stasis spots, thin white coat, distended sublingual veins. Pulse: Fine and choppy, uneven and hesitant.
Treatment principle: Tonify Qi, nourish Blood, invigorate circulation, dispel stasis, unblock channels and collaterals, restore flow to muscles.
Note: moxa applicable on ST-36/REN-6. Direct match with this site's own Liver-Blood-stasis slide via the established discoloration-marker rule — the dusky undertone and stasis spots apply even though this variant is deficiency-driven.
Related conditions

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